Welcome to patient pulse. I'm Dr. Tom Nero. And today we have the pleasure of speaking with Dr. Aaron baggage. Aaron, thank you again for being available to us to talk to about these really, really important issues about exercise, coronary artery disease, and exercise prescription. Thank you. So let's start off with the basics is what do you think about exercise and coronary artery disease and specifically about avoidance of coronary artery disease?
But on the flip side of that, that there's no level of exercise. That's too little that the most important thing is getting people to put their shoes on and getting them off their keystroke.
The very common question that I get is what is the shortest bout of exercise that I can do is golf exercise, or do you have to do something that is more continuous in order to get that benefit?
And do you think that there is too high a level of exercise?
So someone who you're trying to stimulate and going into exercise, and I guess there's two two groups of patients, one who have known coronary disease and those who don't have coronary disease. Do you recommend any specific testing before you give them their exercise prescription?
And one of the important pieces is trying to exercise them to maximal effort, not just to some predetermined level of 80 percent of a maximally predicted heart rate or something.
So let me ask you something a little bit controversial. It's about a use of coronary artery calcification. We know that it's beneficial in large populations to identify risk, but how do you use them
And what will you do for them?
Yeah, certainly in Europe, CTN geography is more available than it is in the United States. I do believe that it's going to become more routine in the United States as we catch up to where the Europeans are and have been for the last 10 years.
So we've seen in some studies that as we increase up. Our endurance levels and our peak exercise that there may be a signal to increasing coronary artery disease. Why do you think that is?
You've talked about other issues that, that people who are exercising or people not need to really be focused in on.
So if you don't mind, let's take a couple minutes and dive into those things a little bit because I think that these specific issues are what people are worried about. With family histories, how do you outrun it, or do you outrun it, or are there other things that you would do if someone has a stronger family history?
And for dietary recommendations, where do you see the negatives of what Masters athletes do, uh, and what they, what you recommend?
Yeah, the, uh, the idea that they, that there's a sports drink that is healthy or that use of a granola bar or a gel is healthy is something that's a bit of an anathema maybe.
Yeah, or, or use it as a mid morning snack in anticipation of you going back to work and having lunch. Right. So, uh, so stress reduction, uh, which is something that we try to get into. It's hard to do during our, uh, active days in the office, but where are you seeing opportunities for that, uh, for athletes and for non athletes?
And finally, you had mentioned a periodicity and this is something that I don't know whether a lot of our listeners know about. So if you don't mind giving us a quick definition and then what's your thoughts.
Thank you so much. This has really been a wonderful opportunity. You've done so much for sports cardiology in general, as well as. As well as cardiology and the way that we look at athletics and exercise as being a important prescription for the avoidance of coronary artery disease and for the longevity.
And I just can't thank you enough. And you know, beyond that, uh, your work with all the other organizations around the world, including the World Anti Doping Agency, FIFA, the IOC, the NFL, the NA, the, uh, National Soccer Association, everything you've touched, I don't know why touched us. So, uh, I just want to thank you.
Again, for all your work, uh, outside of this and then finally, I want to thank you for, uh, accepting a, uh, further discussion on wearables, uh, to come in the next few months. I'm really looking that.