Watch me get shocked (cardioverted) in the ER: https://youtu.be/1rOiLtde14Q Heart disease remains the top killer. Unfortunately, the first sign of a problem is sudden cardiac death for about 50% of people with heart disease. This quick test can help discover if you have heart disease. This slide deck is part of the Men's Health course. Here is how this will affect life: http://mitchelmd.com/rage Listen to the presentation here: https://projectyou.thinkific.com/ as well as others.

2.  Heart Disease #1
 Cancer #2
 Respiratory
 Accidents
 Reference:
http://www.cdc.gov/nchs/fastats/deaths.htm

3.  Penile artery 1-2 mm
 Coronary arteries 3-4 mm
 It’s the same pathologic process

4.  Cat’s out of the bag?
 Up stream - iliac
 Need pressure in the system
 ED can signal impending CAD by 2-5 years
 References:
 http://www.medscape.com/viewarticle/767762_4
 Jackson G, Boon N, Eardley I, Kirby M, Dean J,
Hackett G et al. ED and CHD prediction:
evidence-based guidance and consensus. Int J
Clin Pract 2010; 64: 848–857.

5.  High blood pressure
 High cholesterol
 Smoking
 Family history of heart attacks
 Diabetes
 Obesity
 Physically inactive

6.  Variety of screening tests
 EKG, Exercise test, stress echo, imaging, etc
 Cardiac CT Calcium Score

7.  Measure calcium in coronary arteries
 Determines if blockage or narrowing
 Indication of atherosclerosis (CAD)


8.  Non-invasive
 Quick
 Timed with EKG
 Requires Breath Hold


9. GE Multislice

10.  Quick
 Look for other concerns
 Scoring System to help predict



11.  Narrowing in a coronary artery
 The bright white is calcium
 Below the calcified area is a
 Region of narrowing (dark)

12.  0 = No evidence of CAD
 1-10 = Minimal evidence of CAD
 11-100 = Mild evidence of CAD
 101-400 = Moderate evidence of CAD
 >400 = Extensive evidence of CAD

13.  Talk to your doctor
 Insurance? $100
 Self-referral
 Risk modification
 Be PROACTIVE
 See the Optimizing Men’s Sexual Health
Course