Over one what that doesnt explain it

It is just so refreshing to hear a person speak rationally and intelligently this day and age...

Thank you so much, Dr. Brewer for sharing such valuable information. I wish all doctors were like you.

Thanks Doc! This is the first I have heard of the ABI test. With an Omron meter I measure 1.21, no issues with HIIT on an elliptical machine. Age 69. If you have a CIMT clinic in the DC metro area I will be there.

Thank you Dr. This is such an excellent eye opener.

I am so glad I found your channel. In the 70s, my dad died at age 48 of an MI. At the time, a man dying at such an early age was unheard of. My brothers went on to have heart attacks in 4heir 30s. I had bypass at age 44 being 98 percent blocked in the LAD. At age 68, I suffer from angina, Subclavian and carotid blockage. I am following your advice very closely. You make 3verything very clear. Thank you and Greetings from Tennessee.

A doctor who is interested in uncovering the truth, a doctor with a Healing stance. Thank you Doctor!

Just did mine. Says its perfect. Im so happy. Just lost 165 pounds.

This is the best information I have ever come across! Thank you doc!

Loved all your past and recent videos including updates on K2 you are the man!

Thank you for taking the time to put together these very informative videos.

Very Informative Presentation. Enjoyed it a LOT. Thank you Dr. Brewer.

One of the most usefull bits of "how to" DIY ... Thank You.

Another great, informative video Dr. Brewer! I plan to do this test on myself. BTW: your videos are looking very sharp! No need to apologize for any part of them. Thanks again for your contributions to our education.

Dr. Brewer. Thank you for the valuable information you provide. It is always scientifically well supported, clearly presented, and with excellent pointers to possible courses of action. You offer the most trustworthy source of information I have come across. I particularly appreciate the nuances and frank admission when you feel the available information is not conclusive - not to mention your sense of humor. Now that you are well buttered up :-), I do have a question on the ABI. Other videos on the subject require the use of a device to listen to the complete stop of circulation before taking a reading whereas you only rely on the pressure monitor. Would you venture a guess on how this would affect the accuracy of the results?

Your video on plaque extremely helpful. I had a calcium score done. It was zero. I read score was good for 10yrs (?). That was pre-pandemic . Several years ago. A few days ago I did the ABI and score was 1.16. I take warfarin since 2019 because I just happened to have free leg screen by a facility. I was avid WFPB. TO THE EXTREME. I lost @15lbs unintentionally. I guess the weight loss triggered antiphoslipid Syndrome and was immediately prescribed the warfarin. I'm blessed to be here. My weight returned to @118. I feel so uncomfortable! I'm 5'6" Trying to be healthy as possible.

Hello Dr. for Brewer I’ve been watching your videos for about a year and a half and I just wanna say I appreciate everything that you put out and I’ve been improving and my numbers and I did my CAC calcium test score they came up pretty good thank youp

Great info, thanks. For clarification: ABI= Blood pressure in Ankle/BP in Arm For Dr Brewer: 128/111=1.15 (You should also average 3 measurements into 1)

Excellent presentation on arterial plaque detection ABI sounds very simple .m.great information 👍

I love this and will have to try this. Many thanks for sharing Dr. Brewer!

Thank you so much Dr Brewer fir this informative VDO.

Another extremely helpful video. Thank you.

Wow, a Dr. With a conscience. I'm impressed

Reminds me of my friend who had a heart condition and the ' hospital ' prescribed adprin monthly and he passed away a few years later, of that condition. I'm hoping my other friends get better treatment

I've came out with 1,24 and 1,25 index. Respectively left and right. Very surprised! I still have high(ish) blood pressure. And the veins in my legs are very visible and protuberant. In fact have always been. Even when I was younger, trained and lean. Now 55, still with diabetes, high blood pressure, BMI 29.7. And coming out of a myriad of other issues. The real MIRACLE (with capital letter) was getting into carnivore (newbie). Literally everything mentioned is either in ostensible remission. Or already gone!!! Yes, that's why I call it a MIRACLE! Fast, simple and easy. And curiously not even expensive! LOL 😂😂 We've have been lied BIG time. Fat, meat, eggs, salt and water. Save lives!

The video forgot to mention you divide. I was so confused until I goolged it. The Ankle Brachial Index (ABI) is the systolic pressure at the ankle, divided by the systolic pressure at the arm.

Thanks Doc - great video. Had not heard of this before

My father passed away due to PAD associated sepsis. A scan done when I was getting worked up as a transplant donor showed I had calcium in my renal arteries. I too have been walking now for over a year, 3 miles/day at 17 min/mile, which includes three hills. Doing this ABI test showed a 1.2 ratio, which is fantastic I suppose for a 67 year old. I am glad I happened to see this video!!

Am turning 65 in a few weeks. Requested an exercise stress test (Bruce) on a lark. Aced the hell out of it....or so I thought. Doc who read the test interpreted a 2mm horizontal depression as either ischemia or LVH. I have my appointment with her in a month. Am totally freaked out the possibility of having an angiogram with contrast.....because I have Stage 3a ckd diagnosed 7 years ago. EGFR is still in the low 50's, but the thought of having contrast dye scares the living hell out of me due to fears of AKI. Am very jealous of your ability to keep up a 10mph pace for nearly a mile. I can only do 8.5mph for a minute. And I'm darned muscular compared to my peers. Great video, btw!

Very helpful. Great insight. Thank you.

Great video! Thank you for posting 🙏🙏🙏

Thank you! I'm going to do the plaque test!

Thanks for the great video doc. Wish you would have gone into some deaph on the CIMT🎉

Ha. The same BP monitor as me. I think the ability to do this at home will actually encourage people to check on this issue for the first time. The best thing about the ABI is that you can do it any number of times, and eventually get a good idea where you are at. I have done it a number of times, a few years ago now. Similar result to yours.

Excellent information

Thankyou very much for your time. Some people like the info in a spoon.

Thank you for sharing!!! VERY USEFUL information!!

Very insightful, thanks for sharing!

thank s again good doctor for the latest idea's and methods.

When I got my CIMT a few years ago, the doc there mentioned an emerging test that measures blood flow in the capillaries of the finger as an even better predictor of plaque than CIMT. Not sure what became of that, but I might look into it as a follow up. Any thoughts/knowledge of this test?

Thanks man, this was very intersting👍😀

Vitamin K2 needs to be taken with Vitamin/Hormone D3. D3 helps with calcium absorption. K2 directs the calcium to to correct places in the body. No K2 = increased risk of heart attack through calcification.

Great Video , very useful. Thank you . ( Dave, UK ).

Ford looks extremely healthy... he must be doing something right... we need his caloric daily intake... .. and his weekly meal plans...

dr. very much useful. tks very much dr, love from india

That chart is very interesting. I'd like to see the whole thing, right up to the top. And I'd like to know a little more about it. Are these ratios systolic/systolic? Diastolic/diastolic? Averages? What are they? And where was that chart published, and what science is it based on? I hold your views and opinions in very high regard, but KZfaq is not a peer-reviewed scientific journal, is it. I had a near-fatal MI three years ago, and I feel like I'm waiting for another one. I keep telling my GP that I'd like some actual knowledge about the state of my arteries. All he ever does is monitor my LDL. That's too abstract for me, and while I've asked about CIMT, it seems that here (in Nova Scotia) it's not a done thing. So I want to do this ABI test, take him the results, and (if they look significant) present them in the most compelling way I can.

I had a CT Angiogram recently and in repsonse to your comment about "hitting a moving target", whilst true to a degree, all 3 of us being preprared were given beta blockers to lower heart rate. Mine was its norm of ~60BPM before, and just over 50 after ~20 mins. We were also coached how to hold a shallow breath for up to 15 seocnds during the procedure which further lowered the rate by a few BPM. And lastly we were told not to take any stimualnts such as caffeine for 24 hours before the procedure. Whilst not perfect, it does become less of a moving target if done properly.

Appreciate. Very important companies for me.

Thank you for sharing is very interesting.👌🙏

Hi thanks for sharing your knowledge what's your thought on MPI(myocardial perfusion imaging) thanks

Yes, you can get a calcium score heart CT scan almost anywhere......... if you have a doctor's prescription. No place near me will do one without that. And I don't have a doctor. And no place near me even does CIMT, so that is not an option. But I am interested in this DYI method.

great info doc

Thank you for video!

You are comparing 2 simple measurements and doing a simple calculation but somehow you went into a convoluted and incomprehensible explanation of that. How hard would be to prepare just a little bit the script for the video before hand? Amazing...

Thanks for what you are doing but I have a suggestion: please structure your info bit more. For instance it would have been better if you explained the ratios more. Thanks

Excellent video. You can stop apologizing for your presentation. Within a year you have taken your video presentations from acceptable minimalist to extravagantly wonderful and professional. Congratulations. Shawn Baker (Human Outliers) on the other hand is going in the opposite direction, audio and video, and his videos are now unwatchable/unlistenable IMHO. And he really doesn't care. He is the orthopedic surgeon that has been eating full carnivore for several years.

I would rather just assume we have plaque and just go for reversing it .So what are the top steps to reverse this without drugs?

Very helpful thanks

Very useful! Thanks doc😄

Really really nice sir....great

What are the odds to have identical and symmetrical differences and values for the ankles if plaques could be everywhere and of any sizes?

Thank you for the info

I had my first heart attack DURING my first cardiac stress test!!

Reversal happens all the time. Feed the body what it's craving nutritionally, and what does it's job cleaning up & rejuvenating the cardiovascular system. Everywhere from magnesium, potassium, healthy evoo, and a list of other important things, from rest, exercise, stress reduction, prayer to Our Creator is always #1 in Gratefulness. Sugar reduction, don't give up.

Question, you say if you had PAD you couldn’t do a minute of intense exercise, what would be the symptoms and would they be focussed around the lower legs ? The reason I ask is I get cold lower legs and they ache “initially” when I start to exercise , mainly the extensor digitorum Longus but this improves and goes away after 10 minutes, perhaps as nitric oxide increases??? . I have high lp(a) and very minor angina during intense exercise but this is worsening. Done a stress test, passed with flying colours, CAC =0 . Lots of ectopics during start of exercise though.

You told us what we already knew. Climb stairs 3-4 floors and if you are not breathless, it is fine. There is similarly other way out I do not want to mention which will tell you about the plaque in your arteries.

Can you explain how you get the 1.4 number you never explained how u come up with it

I appreciate your intention to impart medical information valuable to your audience, and not generally explained by our imperious and busy doctors. Thank you so much. However, I am often confused by your way of speaking. For instance: "Put the ankle over the arm.." I assume you mean divide the systolic number for the ankle reading by the systolic number for the arm reading. Please remember you are speaking to laymen here. Additionally, you often digress mid sentence, making it hard to follow where you are going at times. Perhaps I am just being impatient; but I am much less interested in your apology for the shadow on the blood pressure monitor's screen, which I hadn't even noticed, than I am the ENTIRE chart behind you, of which you only showed results at 1 or smaller. The tantalizing words "hardening" and "specialist" were all that were visible for results of the test at 1 or above, but these seem significant, if only to put the other results in a more complete perspective. I apologize for what may be considered negative feedback rather than helpful suggestions. I am truly grateful for your wilingness to explain these things to us at all!

Great thanks Doctor

Thanks you sir 🙏

Amazing video Dr. Brewer. Thank you

hello, how long time gap between each measuring? 5 mins? between arm and ankle? and them between each Ankle brachial indexes, the 3 measurements? and how about alternating right and left sides?! I did it once for my left arm and ankle, arm was 120/69 and ankle was 141/95. and then I did my right arm and ankle, arm was 121/72, ankle 138/104. do I have to repeat this 3 times for each side?!

For those with disease returning a normal or higher result I suspect they would already be well aware that they have disease, and would already be in the hands of a specialist. If the disease has gotten that bad to return 'false' results due to stiffening of arteries I can bet walking any distance would have been creating discomfort for some time.

08:11 - Were you supposed to say a significant 'increase' in systolic pressure from your arm to the ankle?

can't wait to see the video on DIY brain surgery ! !

Interesting! Wonder why the doctors don't do this at their office. I suppose I already know the answer which is: There is very little money to be made with the ABI at a local doctor's office. Good video Dr. Ford. (I just had my 80th birthday) OAG

Thank you. Interesting.

Very helpful - thank you :-)

This is such an important topic, and very very well presented. Thank you....and Subbed!!!

Thanks Dr ,for the abi test ,which did you use for the division is the sistolic or the diastolic numbers

Where are you getting the numbers on the chart? What are they? Points over readings on ankle over the arm?

Can you do a vid on ext1 gene, Syndecan, and Vascular endothelial growth factor. Thanks.

I did read some research some time ago that suggested the ABI was actually a good indicator of systemic disease process. I think it maybe something you can track over the years.

Not stress test upto 80 percent or above. Only CT Angio with atleast 500 sliced machine can diagnose plaque. No trouble as non invasive .

Hi Doc. I've been watching your vids for a while. Would it be possible to comment on pulse wave velocity. I have a sophisticated weighing scale which records pulse wave velocity, how significant are readings and do they give a true indication of the condition of your arteries? many thanks.

Dr Brewer. How did you get the number 1.4? What calculations or math sequence did you use to find out you were in that range. do you add all the scores from the are readings, and subtract. from the ankle readings? I'm confused on how to get my score. Thank you for explaining.

So if my results are less than 1, what would be the next step? I inform my physician and what should be next?

Doc is a ZERO CAC MRI test 10years apart of ZERO for both 10 years ago and this year a good test result ??? Also never would have thought to cuff my ankle but I did because of this video and got 121 systolic over 67 Disstolic... thinking that pretty ok at 63 yrs old. Pulse 65 ??

Dr Brewer thank you Very much. I did the test and I have 102/70 in my arm, and 110/52 on my ankle . So the ratio would be different for cistolic and diasistolic. What would be my ratio?

are we subtracting leg from arm? the difference is what you're grading? i don't get it

I'm surprised my numbers were good. I've had blood sugar problems all my life.

Thanks again for the VDO Dr Brewer. However what I do not understand is that yourself do have plaque as you mentioned in earlier video's, how is it then possible that you fall in the "normal" catergory, as you would expect your value to be less than 0.9, isn't it? I would appreciate your explanation for this. Thanks a lot!

Videos you make could be played in waiting rooms all over the country. While people are waiting for their expensive visit, they could learn about the ounce of prevention they need. Where else is it taught???

Based on a 02/25/2008 paper by Sutton-Tyrell et al. there are specific ABI boundaries defining normal ranges. Also proposed herein are diagnostic implications for those values which are beyond the listed boundaries. Summary:"Increased mortality was associated with low and high A.B.Index values beginning at levels of or= to 1.4." Occlusion of lower extremities is predicted at values less than 0.9. Noncompressible arteries (calcification of existing plaque) is predicted given values above 1.4. Is there more recent corroboration or refutation? Do you agree with and use these general guidelines? THANK YOU FOR COVERING THIS! I run these tests weekly on myself, but when I mention my testing to my young Cardiologist, he looks at me like I just stepped off a UFO.

For the DYI check comparing the arm to the ankle do you take the arm measurement with your arm at your side?

wowww...very interesting.....!!!!!

Great video. Hope you can expand on using this BP method as a “gauge” of progression of plaque disease or Regression over time. Secondly is CACs useful as a gauge for plaque improvement over time. It does give a number per Coronary artery that could be followed over time with repeat testing?

Dr. Brewer: After seeing this a few months ago, I arranged for a hospital done ABI. My nums were 1.15 and 1.05. Glad to have done this test as i am 71 years of age and had a heart attack while getting a stent ten years ago (thanks to my two fisted cardiologist surgeon). I am doing the K2, D3, keto, ACV, aspirin etc. routines with 4g fish oil daily. Anything more I need do?

Since most of us do not know how to read the BP meter, where do you see the "1". Yours was 110/62 on the meter.

Thanks 👍