Dr. Michael Richman MD
Region: US
Friday 11 September 2026 00:54:24 GMT
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Glen G :
If my doctors had followed this I would not be here. Asymptomatic and physically fit at 50. Minor changes detected at the very end of a stress test led to further tests. Finally it was literally a toss up whether to do the angiogram. I pushed for it and was 99% blocked in two arteries. Three stents were life changing.
2026-09-11 04:39:21
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user5953671320498 :
There’s no cardiologist doing “routine angiograms”.
2026-09-11 23:38:14
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🍉EndAllWars🧿 :
Ok and can you truly determine anything besides imminent issues with a stress test when a patient is already very physically active and fit? I passed my stress test yet had 90% blockage.
2026-09-11 03:04:21
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eizeidman57 :
I didn’t have chest pains, but had high BP , 200 cholesterol.?I asked for a calciulm score because had a feeling. Calcium score almost 3000. Went for the angiogram and had quadruple bypass. Saved my life
2026-09-11 14:09:11
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BridgeTroll :
If I have a calcium score at 165 should I get a CT angiogram?
2026-09-11 13:19:53
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NTK2404 :
Why spend your time and intellectual energy repeatedly defending a point you have already addressed? You are too smart for 95% of the people , Keep the video focused and brief: “Regarding X, please see my video from [date], where I explain why this clinical trial supports that interpretation.” What would be more valuable to us is a critical discussion of why PCSK9 inhibitors are increasingly being promoted over rosuvastatin (Crestor), including in patients who may not have a clear clinical indication for PCSK9 therapy. Which patients actually derive meaningful incremental benefit, and what evidence justifies escalating beyond well-tolerated, guideline-directed statin therapy? That is the discussion that would add new clinical value.
2026-09-11 02:38:44
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Serenity :
Is CTCA a catherization angiogram to look for blockages or another test?
2026-09-17 00:08:13
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user4089130564377 :
Coronary angiogram is not the same as CT angiogram. People who aren’t physicians will be confused by this
2026-09-11 14:42:23
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nasircist :
All of this relates to patients with some clinical syndrome/symptoms. It is not relevant to asymptomatic patients at elevated risk due to lipid profile and other characteristics, ie the majority who get this test and most of the people commenting here I suspect.
2026-09-11 12:11:06
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0pal Sky :
A nuclear stress test exposes you to more radiation than a CTCA though
2026-09-11 08:14:00
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poloplayer :
Bottom line - prevention with statins and other meds like repatha so you don’t end up with blockages. (Plus eat right and exercise )
2026-09-13 16:56:01
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Suzanne :
So stress echo preferred over radiation from CTCA. Got it!
2026-09-11 01:50:57
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The_Roberts_ThinkTank :
Thanks again Doctor. It’s nice to hear from a Surgeon who not only can use his scalpel to heal, but who can use science to cut through the bullshit. Thank you.
2026-09-11 19:02:37
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Dr. Lemongello :
I must be a complete outlier because my LED was completely clogged and that procedure never even picked it up
2026-09-11 15:03:40
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memaquay :
Interesting, perhaps I dont possess the vocabulary to understand what you are saying. However, with a terrible family history, I routinely passed stress tests and nuclear stress tests. Saw a GP and complained about shortness of breath a couple of months after passing a nuclear stress test, he sent me for angiogram, several very advanced blockages discovered, five stents placed. Cardiologist told me it was very close to a major heart attack. Since then, yearly stress tests and a couple more nuclear stress tests that I always pass, but 6 more stents installed after I complained about recurring symptoms. In my case, any form of stress test was not effective at showing advanced oroblems, but angios probably saved my life.
2026-09-11 10:44:53
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dallas :
My mom had one because it was recommended. She had two stents put in as a preventive measure and died two days later.
2026-09-11 03:36:17
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Anncee :
I keep seeing more guidelines about the significance of coronary calcium test in evaluating risk. You were clear they aren’t worth much. Are you in the minority in your field in this?
2026-09-11 02:53:46
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estiebestie :
Thank you.
2026-09-11 04:06:30
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Chrispy :
Thank you again, Doc! May I ask - longtime fan here - if my LDL is now 33, ApoB 49 with 10mg crestor, 10mg zetia.... but I have significant soft plaque blockages and family history of heart attack death in 50s(father), is it worth investigating adding Repatha out of pocket to go lower for maximum regression/plaque stabilization and lowered MACE risk? I know my LDL is in a good zone but ApoB is just under 50 and I'm on such a restrictive diet just to achieve this.
2026-09-16 16:25:24
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Dawn🦋 :
Why will they not stent unless you are at 70% ? Insurance ? Used to be 50%. I have 86% stent place RAD March left LAD 60 no stent
2026-09-12 04:10:00
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jay1 :
ccta saved my life
2026-09-14 01:53:45
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grace123 :
Getting old sucks 💙
2026-09-12 20:23:36
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user3326858009882 :
What about if you have 370 LPa? Would you suggest this test then and I’ve never had any cardiac events 61-year-old female very healthy otherwise
2026-09-12 12:15:48
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Paul Showers :
Sadly in dentistry many new “products and diagnostics” are simply pushed by corporate interests and then field tested by dentists.
2026-09-14 10:38:44
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NTK2404 :
Another great example why you are the best !
2026-09-11 02:37:38
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