Heart Doc VIP with Dr. Joel Kahn

Episode 428: Why We Must Prevent Heart Disease in the Young

Apr 15, 2025
Heart disease can start surprisingly early, sometimes before age 30, highlighting the need for preventive measures from childhood. Key health screenings like blood pressure and weight monitoring are vital for young adults. The Paleo diet may have included more plant-based foods than commonly believed, and concerns about processed meats and their links to dementia are discussed. New research also reveals risks associated with the KETO diet, encouraging a cautious approach. Finally, the importance of fostering healthy habits in youth is emphasized.
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ADVICE

Control Blood Pressure Early

  • Manage your blood pressure with a home cuff and keep it under 130 mm Hg systolic for heart health.
  • Blood pressure control is the largest factor in reducing events shown in the ISCHEMIA study.
INSIGHT

AFIB Links to Early Dementia

  • Midlife atrial fibrillation greatly increases early onset dementia risk.
  • This may relate to shared risk factors or micro clots affecting the brain.
INSIGHT

Ketogenic Diet Cholesterol and Plaque

  • High LDL and ApoB in ketogenic diet adherents did not correlate with plaque progression at one year.
  • Yet, non-calcified plaque volume increased, indicating worsening disease despite cholesterol levels.
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