Prevention With Joel Kahn, MD

Cardiology

Dr. Kahn is a summa cum laude graduate of the University of Michigan School of Medicine. He practices cardiology in Detroit, is a clinical professor of medicine at Wayne State University School of Medicine, and specializes in vegan nutrition and heart disease reversal.


Lifestyle Choices Over Genetics in Heart Disease Risk

Dear readers,

We hear a lot about genetics and longevity (apoE, for example), but a new study finds that lifestyle choices and environment are more important factors. Psoriasis and psoriatic arthritis may respond to plant-based diets, which I have seen in my clinic. Two supplements, NR and CoQ10, show promise for improved health outcomes (although there is no debate about the value of CoQ10). Humans cannot make vitamin C, yet higher plasma levels are associated with better long-term outcomes.

Eat your greens and fruit. Competitive sports can put some heart patients at risk, and a new guideline outlines who is okay to proceed. Vitamin B12 for the brain may require some extra dosing to reach safe levels. Red Ginseng looks promising for glucose control. Finally, sdLDL (small dense LDL) may be the most predictive lipid particle obtained on an NMR lipoprofile and can be measured by many labs.

Be well,

Joel Kahn, MD, FACC


Articles
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      • Environmental factors explained 17% of the variation in risk of death, compared to less than 2% explained by genetic predisposition (as we understand it at present);
      • Of the 25 independent environmental factors identified, smoking, socioeconomic status, physical activity, and living conditions had the most impact on mortality and biological ageing;
      • Smoking was associated with 21 diseases; socioeconomic factors such as household income, home ownership, and employment status, were associated with 19 diseases; and physical activity was associated with 17 diseases;
      • 23 of the factors identified are modifiable;
      • Early life exposures, including body weight at 10 years and maternal smoking around birth, were shown to influence ageing and risk of premature death 30-80 years later;
      • Environmental exposures had a greater effect on diseases of the lung, heart and liver, while genetic risk dominated for dementias and breast cancer.

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    • Recent research suggests that select athletes with cardiovascular abnormalities may be able to safely participate in competitive sports after shared decision-making with their clinicians about potential risks, according to a joint scientific statement published today in the American Heart Association's flagship, peer-reviewed journal Circulationand simultaneously in JACC, the flagship journal of the American College of Cardiology.