Episode 2 - Dr. Scott Murray, Cardiologist - on Heart Attack Prevention
The Fat Emperor Podcast
ivor cummins
4.8 • 766 Ratings
🗓️ 15 February 2019
⏱️ 24 minutes
🧾️ Download transcript
Summary
Dr. Scott Murray is a research cardiologist with exceptional experience in interventional and preventative cardiology. He is a particular expert in the field of cardiac imaging, and has published many papers on the compelling findings from both his invasive and non-invasive studies. Dr. Murray is the current president of the British Association of Cardiovascular Prevention and Rehabilitation (BACPR).
I met Scott at the Johnstown estate in County Meath, Ireland, where I had just addressed the National Institute of Preventive Cardiology of Ireland (NIPC) conference (before participating in an on-stage debate about saturated fat and nutritional guidelines - that was fun, as you can imagine!).
Scott and I took the time out to have a quick chat while our wives walked in the extensive hotel grounds. We focused particularly on the latest 2018 American College of Cardiology (ACC) cardiovascular disease guidelines - which have recently given a coveted "2A" evidence level rating for the use of Coronary Artery Calcium scoring (CAC). We also cover several other topics around cardiac Imaging - such as CAC versus CTCA, ability to detect "soft plaque" using CAC - and of course what all the numbers mean for risk of heart attack and all-cause mortality.
Transcript
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| 0:00.0 | I'm here at the Johnstown Estate where the National Institute of Preventative Cardiology of Ireland |
| 0:06.0 | have just run a fantastic conference and we had some very interesting debates on saturated fat and low carb |
| 0:12.0 | and all those kinds of things as well as the usual stuff but I'm delighted to have brought Dr. Scott Murray to my rooms here to discuss particularly the latest |
| 0:22.7 | 2018 ACC guidelines on treatment which I've given a coveted 2A evidence level rating |
| 0:30.9 | for the use of CAC and middle risk patients so great to have you here Scott thanks very much |
| 0:36.2 | Iva and I hope the sweetest to your liking. |
| 0:39.3 | Yes, pretty lush. |
| 0:41.3 | Wouldn't have expected anything less. |
| 0:43.3 | If it's an emperor perhaps. |
| 0:45.3 | Yes, yes. |
| 0:46.3 | Yeah. |
| 0:47.3 | The drapes especially. |
| 0:48.3 | Ah yeah, the drapes are great. |
| 0:50.3 | I love the drapes. |
| 0:51.3 | So anyway, we get straight into it. |
| 0:53.3 | So 2018 guidelines just came out |
| 0:55.3 | there was a lot of talk around the power of zero yeah as in a zero score in a calcium scan |
| 1:01.0 | indicating medications perhaps not needed but also the two a evidence level has been reassigned |
| 1:07.7 | yeah to calcification scanning so maybe just your thoughts in that general |
| 1:11.8 | area well definitely something that needed to be done I mean we've been sort of |
| 1:18.3 | ploughing around for some time discussing calcium scans and no one actually |
| 1:22.9 | doing it when they should be doing it I mean my thoughts on it are clear that if |
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