Aspirin, Dr Stephen Kobetski, Dr Cozine discussed on Mayo Clinic Radio
When you go to bed at night three three things that good that happened today that's been shown to reduce heart attacks after three to five years. What about supplements is there a role for that in helping prevent or treat heart disease? That's a great question in supplements in general, no there are few supplements. That are good and some that were. Bad the ones that are good. We know some supplements Blake oatmeal, oat, bran lowers cholesterol, Stanton's sterile lower cholesterol sterile. There are things you find in like soybeans which couple bushels of soybean. So you have to buy them over the counter, they're not they're not prescription. You can find a juices yogurts pills things like that. And then silly EMC is very good to lower cholesterol. Also lowers blood sugar. Those are good. We know the things like aspirin. If your your risk is high for a heart attack more than ten or fifteen percent. If you don't have bleeding problems aspirin can actually help you a lot of negative press about it recently. Some things are not good beta carotene, high dose, vitamin E, high dose, vitamin C. I'm not talking about multivitamin dose, but high dose is not good thing is we just don't have a pill that substitutes for lifestyle change. You said something earlier, Dr cozine the elevator speech that cardiologists would give what kind of speech, you're the front line. You're the primary pretty similar elevator. Speed. You say, you know, one of my classic lines as my patients who have been successful. And I say what is it that you did? And they say, oh, it was easy. I changed my whole life and. That's funny. But then really you think about it you make those little changes over time in that adds up. And I think one thing that I really encourage people as they don't know how good they could feel. And once you start exercising and eating a little bit better, your energy levels shoot up. And then you have more energy to do this F that helps make you feel better. Where does the frontline of this happen? I mean, if somebody has heart disease, if something happens that they're not feeling so well, I would imagine for some anybody sees them as the emergency room. Do they I come to your many times they're coming to me? I know there is your your health plan wants you to have looted panel every year to get whatever that credit is on your insurance. And so the numbers come back and think oh my gosh. What are we going to do with these? And then so I work with the patient's interpret with those values meaning and decide what are we going to do about it? And usually what we're going to do about it is diet and exercise and follow up. So I'm always making sure that there's a follow up piece because you can't just say change your life, and then send them off into the breeze got us apart people like you said make sure those families apart. But when I get in jam I send my patient someone like, Dr in fact, I share money patients with him that are struggling with statins. Are maybe we need to get onto one of the fancier new medicines. That I'm not as familiar with team based approach. That's what we do. Right. I would agree with everything you said, except it wouldn't be diet and exercise it would be healthy food pattern healthy vigorous leisure activity. Vigorously I need to refine my lines, you got it right from the horse's mouth here, February is American heart month, and we've been talking about heart disease and statin medications. With mayo clinic cardiologist, Dr Stephen kobetski. Thanks again for joining us. Thanks for having me.