Dr Ford Brewer - PrevMed

He Passed the Stress Test and STILL Died of a Heart Attack - Ford Brewer MD MPH (PrevMed Health)

Jul 26, 2025
Exploring the often hidden causes of sudden cardiac deaths, the discussion highlights how pre-existing health conditions can lead to crises despite passing traditional stress tests. A captivating case study reveals the limitations of these tests, while introducing CIMT as a superior diagnostic tool. Moreover, the conversation delves into the connections between metabolic dysfunction and cardiovascular inflammation, advocating for better testing and the significance of lifestyle changes to combat health risks like heart attacks and strokes.
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INSIGHT

Heart Attacks Precede a Storm

  • Sudden cardiac death and heart attacks do not happen out of the blue but occur during a "metabolic storm".
  • Recognizing this storm can allow for intervention to prevent heart attacks.
ANECDOTE

Tim Russert's Sudden Cardiac Death

  • Tim Russert passed a normal stress test but suffered sudden cardiac death due to ruptured soft plaque in his coronary artery.
  • Stress tests can miss dangerous plaque since they typically detect only significant artery blockage over 50%.
INSIGHT

CIMT's Superior Heart Attack Prediction

  • Carotid intima-media thickness (CIMT) ultrasound predicts 98.6% of heart attacks by detecting arterial plaque.
  • CIMT is more accurate than traditional stress tests in identifying heart attack risks.
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