Ep54_2 PART TWO of "Should you get a Calcium Scan???" - The Big Debate - Kendrick Murray Cummins

The Fat Emperor Podcast

ivor cummins

Health & Fitness

4.8 • 766 Ratings

🗓️ 13 February 2020

⏱️ 77 minutes

🔗️ Recording | iTunes | RSS

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Summary

And now for the detailed PART TWO of the definitive discussion/debate on CAC value with Dr. Malcolm Kendrick, GP - and Dr. Scott Murray, Cardiologist.

Note again that this is PART TWO which covers the detailed technical discussions on each point raised by Malcolm's blog post last month - Part One available here covers the core on whether one should get a Calcium Scan and their CAC Score (The Big CAC Debate Part One)

Yes, yes I know the Scottish and Irish accents are fantastic but may be challenging for some to grasp every word - so full transcripts are provided :-)

Between part one and part two of these podcasts, all of your CAC questions should be answered comprehensively!

TRANSCRIPT FOR PART TWO: https://thefatemperor.com/wp-content/uploads/2020/02/Ep54_2-PART-TWO-of-Should-you-get-a-Calcium-Scan-The-Big-Debate-Kendrick-Murray-Cummins.pdf

Transcript

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0:00.0	So we have Malcolm Kendrick, Dr. Extraordinaire, who pretty much agrees with everything I say and vice versa, except a slight difference of opinion on calcium scanning utility.
0:19.0	And Dr. Scott Murray, cardiologistologist who has a huge amount of experience
0:23.1	in imaging and preventative and interventional cardiology and again we'll have his own
0:28.6	opinions on calcium scanning so this is the big discussion so I thought well great to
0:34.2	see again Malcolm first of all. No, thanks.
0:39.4	And Scott, I suppose.
0:40.5	Welcome, thanks.
0:46.4	So anyway, we had a quick chat in the last few days about what structure we'd use.
0:50.0	And we reckoned it'd be good to follow the structure of Malcolm's blog because that followed a logical kind of sequence looking at the evidence on various points.
0:56.3	And if we have maybe Malcolm just given his thoughts on each point of evidence or science,
1:02.1	and then Scott, you give your opinion.
1:04.8	And then at the end, I'll just give my thoughts, maybe refer to a couple of papers that lead me that direction.
1:12.2	And then when we've gone through all the points points I think it's nine or ten of them and everyone can make
1:16.7	their own decision based on what we say then we go to part two which is should you get a
1:21.6	scan or not or who should get a scan yeah yeah ok-doke so the first thing is the soft plaque question so this comes up all the time
1:32.3	and if I had a dollar for every time it's brought to my attention or I'm asked about it I could
1:37.4	retire basically so soft plaque how important is it that CAC does not directly visualize or quantify soft plaque specifically
1:47.0	it more quantifies the calcified plaque how important is that in this overall question of the
1:54.3	utility of CAC well I think it obviously to an extent it's key I suppose, because for people who may be catching for the first time, soft plaque or I think sometimes called vulnerable plaque is the plaque that is potentially most likely to pose problems.
2:14.6	So some people call it vulnerable because vulnerable plaques can do this
2:18.7	thing called rupturing and that is the trigger for a blood clot that might block your artery completely.
2:26.2	So they're the kind of dangerous ones. I know this is taking about 5,000 million bits of information
	...

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