Your Heart is at Risk… Even If You Feel Healthy | Naman Gosalia with GunjanShouts

Your Heart is at Risk… Even If You Feel Healthy | Naman Gosalia with GunjanShouts

Author Name:GunjanShouts

Youtube Channel Url:https://www.youtube.com/@GunjanShouts

Youtube Video URL:https://www.youtube.com/watch?v=X7UWItILyS4



Transcript:
(00:00) We always grew up thinking that heart attack is an uncle's problem, but it's not true anymore. >> People in their 20s and 30s collapsing from sudden heart attacks. There's no sudden heart attack. It's a buildup process of 10 years, 15 years, 5 years. What is the biggest symptom of heart attack? We're not counting diabetes as early warning.
(00:31) We're not counting blood pressure as early warning. We're not even counting insulin resistance early morning because it's okay. But what is driving this heart attack in earlier age is cardiovascular disease still remains the leading cause of mortality in the world. Now how do we solve this problem? Can we fight against the trillion dollar food industry? No.
(01:01) Every single packaged food, every single ultrarocessed food, anything natural, honey, agave, everything has fructose. And that is one of the biggest root cause of all the chronic disease including diabetes, hypertension, cardiovascular disease, fatty liver disease, dementia, cancer, everything. pain.
(01:29) We are not fighting against doctor the way they practice or hospital or medical establishments or policy makers or government. We are fighting against the disease. We should not have an empty chair on the dining table. We should not be discussing about bypass surgery as a normal thing or angoplasty as normal thing.
(01:45) We don't want to save lives at the ICU counter. We want to save lives while you being at home. India even before they reach the hospital. and if it's leading to heart attack personally face and instead of just blaming the system he decided to disrupt it. Nan is the founder and CEO of Anginina X. Angina X revolutionary platforms
(02:33) cardiovascular healthc. Incredible knowledge. Okay. So, how did a non-d doctor end up leading preventive cardiology?
(03:19) >> I think a scientist or a doctor will not be able to do something that I'm doing. I mean, they are great at what they're doing. But reason I have a personal story behind it. Few years ago when uh I was in California my brother called me at late night and he said our dad got a heart attack and he said it's very severe one and it was very shocking for me in the flight for those 15 hours I had no idea what's happening to my dad report full body profile checkup everything was within the range you know he's very
(03:51) health conscious as well so knowing this news for my dad was shocking so when I reached to a halt in the airport and the first message was my brother said he's fine. So at least I felt okay he's fine you know everyone kind of was happy I was not happy. >> Why were you not happy? >> Not because he didn't I mean he survived.
(04:14) I was not happy because right >> like we should not be celebrating oh angoplasty he survived or bypass you know he survived why it happened and why there was no warning. So, here is the turning point. Around 2:00 a.m., my names were like my mother was screaming my name and uh I could hear something is wrong and I just opened my eyes and took my headphones off and I saw chaos in my house and I just ran to my dad's bedroom and I saw he's gone.
(04:46) What are you saying? My mom was crying, my brother was crying, there were a lot of neighbors and everyone there and I was like you cannot leave us kind of way. I was just I had no idea what to do. No medical background and I did CPR. >> You knew how to give a CPR. >> You just tried. >> I just didn't want him to go.
(05:04) When I was giving CPR, I saw heaviness on his hand and I felt like he's there. I saw slight movement on his tongue. His eyes were gone up and I saw moment on his tongue tongue man. I said he gave mini Caesar kind of moment like little paralyzed. He bit my thumb. >> Okay. >> So hard and he came back. That day Angina X was born.
(05:29) >> It was born here. >> Yeah. But that day I I decided that this has to change. There is there is a systematic gap here. >> Yes. Yes. >> So that's when I just wanted to fix figure out something for my own just as a nonprofit and not do something about it. But just >> then this entire story began. So that's how Anjanax was born.
(05:51) I'm I'm glad that he got better but as you said and ultimately he got his life back but unfortunately sudden deaths sudden arrests and then there are no more incidents. unfortunate events, unpredictability, it is so much there. So we definitely need a solution or blood everything was under control. I think
(06:36) this is something we all do including myself. reports. If they're not enough, then what is the point? Correct. I think the center point has to be this. And if you're really concerned about that, if you really understand the importance of this, you should watch
(07:21) this entire conversation till the end because you know that he came back opportunity that now this question has to be resolved. I went back to US and I got aligned with Stanford University. Okay. AI imi cardiology lipidology research. But to fix this, what do I have to do is to understand entire lipidology, entire cardiology.
(08:03) What do we have to do? I mean what our team and myself we actually work with some scientists as well. >> First medical science check. Yeah, there are lot of advanced medical science which are on paper >> which are not being into practice. Second is metabolic health complexity heart disease investigate which was in Frammingham town in Massachusetts in US after World War II.
(08:33) Oh, back then >> back then and that is Firmingham has given us the greatest heart study ever is still continuing but traditional risk factors decide key diabetes, hypertension, smoking, tobacco, alcohol cholesterol markers >> are they enough? No. We are living in different world right now in 2026. >> Yes, >> we have metabolic complexities.
(08:57) We have modern lifestyle. We have a you know genetic history as well. We Indians have diabetes you know we have insulin resistance. >> Yes. Then we have stress loneliness all these things coming up >> add up as well. >> Yes. >> So everything has to be incorporated into this new medical science. Of course we're not saying so first we had to understand the medical science part of it.
(09:22) >> Okay. >> The second part was >> how do we bring this medical science to respected doctors. That's the toughest job >> like can we go doctor and say doctor we have new medical science now and we want you to do on your patient they'll not believe us. So we had to make sure that there's a scientific logic behind it >> and luckily most of the doctors that we have interacted with >> they're aligned with our science.
(09:46) My entire mission was no father should be suffering from heart disease ever. >> No mother no family members we should not have an empty teacher on the dining table. We should not be discussing about bypass surgery as a normal thing or angoplasty is normal thing >> and it has become unfortunately so normal these days.
(10:05) >> We have people walking around in 40 years and they have bypass surgery scars. Let me tell you one thing. >> What is the biggest symptom of heart attack in in your mind? What do you see? >> Blockages. >> Yeah. And chest pain. Right. >> Chest pain. Yes. >> The biggest symptoms of heart attack is death. 50% people don't even reach to hospital.
(10:28) We're talking about people who are actually reaching to hospital. They have severe pain. They have jawline pain. They have shoulder pain. Uh and they feel it's acidity in their chest. Absolutely. >> And some people don't even have any pain. So how do we find this out? What are the early warnings? We're not counting diabetes as early warning.
(10:48) We're not counting blood pressure as early warning. We're not even counting insulin resistance early warning. Exactly. >> Your father had a severe chest pain. What was the root cause? Okay. Previously before he got attack after secondary prevention because doctors know better how do I make sure he's been well monitored and managed.
(11:20) What we are trying to achieve you know via NIX and our team or what we're trying to achieve here is first arteries blood vessels clog simple most easy definition is there anything else to it term plaque So plaque is nothing but little fatty acids and some calcium sub substance and right it's a process called form cell formation process fats cholesterol fat lipid fats
(12:05) inflammation >> and blood clot. Can we survive with blockages? Yes. If anyone has 80% blockages >> Uhhuh. >> does it mean he's going to die tomorrow? No. You can survive, you can live longer as well with blockages. You should just know what is your blood flow. >> Okay? >> Right? And what kind of lifestyle you have, how do you not rupture that plaque blockage basically rupture blood.
(12:35) So if if you find out that you have 80% blockage then you die tomorrow. You need to be aware of not to add more blockages towards it. There's one hard plaque and one soft plaque. Soft plaque is more dangerous. >> Easily rupture. Correct. And once the blockage gets ruptured then it becomes a clot and then it interferes with the blood flow.
(13:01) >> Exactly. All these macrofasages white blood cell >> and that's when they oxidize basically in the plaque and then it creates rupture and then you get angina or chest pain or any kind of symptom. So step by step if there's some uh indication in the ECG your doctor will say you know right away let's do a 2D echo and all those investigation those are good investigation but because your ECG or 2D is fine you're totally fine blockage is fine the best technology CT andog but but why would you do it because you don't have any symptoms
(13:43) >> yeah And it also has some radiation effect. So why would you want to do that? So doctors usually don't prescribe CT angiogram. >> That's like an advanced kind of a test to identify blockages. >> Correct. In fact, why would we unnecessarily go to the hospital and get our ECG because different kind of test 2D echo echo cardiogram is where you get more of heart function.
(14:17) So that is good preventative investigation. There is other investigation that we also recommend. CAC it's called calcium coronary artery calcium score to a calcium is nothing but just plaque calcium. Okay fine decide based on that number how much calcium you have. So frequently you suggest first we have to go is this foundational test cholesterol cholesterol test inflammatory markers genetic test you know there are some metabolic test combination test mostly
(15:03) What people actually do is they go to laberence LDL say you're still borderline or 99 you're borderline which is not right you know everyone talks about this borderline markers oh my then they don't go to doctor because lab green eye >> right right >> but you have borderline markers there is no borderline markers for CVD cardiovascular disease we have data that proves minor borderline markers they are more riskier than even single elevated risk factor and that's why you need to go doctor even though there are you know
(15:39) borderline markers second thing is the reference range >> okay >> reference range labs Indian data follow sometime you'll see a American heart association are you American HB1 say 6 >> 2 >> you're within the range or you're fine you're still not there yet to be diabetic >> yes >> you're already pre-diabetic you're you have high insulin how do you focus on that >> it depends depends on ethnicity, your geography, it depends on all those factors as well.
(16:07) >> Absolutely. Metabolic phenotype is different. What I'm trying to say here is the reference range. >> It came from large population data data mostly global data. It's not really Indian data. So we are kind of following some of the reference ranges. Yes. >> That are coming from western cohort. soft and hard and you said soft blockages are even more dangerous to but you also said blockages doesn't mean that it is a danger to your health.
(16:46) >> Correct. >> Factors. What are the other things one should know about their body? >> Inflammation is really driving it modulates your cardiovascular disease. It amplifies it further. Inflammation systematic inflammation. Second thing is genetic factor important. >> How do genes play a role in cardiac health? >> Not entire genetic marker.
(17:11) There's one marker called LPA, lipoprotein A. >> Okay. >> Now the most dangerous one out of four or five Indians have it. >> This lipoprotein A one out of >> four. >> Four individuals >> positive. So if it's that much important marker, >> yeah, >> why we don't have that tested? I mean there is no medicine for that. >> What does this do? LPA, why is it so bad? Why is it >> LPA is like one type of cholesterol? Like bad cholesterol. Okay. Okay.
(17:43) Genetically determined. It is very small that it goes under the endothelial cell which is like arteries plaque form. It's one of the important ethogenic marker. We recently talked to one of the very big cardiologist in Mumbai. He has all his lipid profile fine. >> He got you know his angoplasty done >> because of this one marker LPA.
(18:14) just because of this >> and he's himself cardiologist and he's talking about LPA as well. So he had elevated LPA. Now obviously normal people don't know about it. So let's say if you go and get your LPA done what would you do cuz the doctors don't have a solution for this? I have a question very out of this conversation epigenetics.
(18:58) complications. Why would you want to do it? See someone had a great research this Mandelian Foundation is the one of the biggest research >> you know data that they drive >> paper and it's it's been well recognized as well. When do you get diabetes? Basically when you are in your mother's womb and if your mother has gestational diabetes the baby gets it.
(19:21) >> Now are we calling it genetic? It's it's not like easy fix like it has complication and every everybody's body metabolizes things differently, operates this differently. >> It has different biochemical reaction as well. It responds differently. >> So you said genetic factor then this LPA is one thing which uh increases the risk.
(19:47) Huh? So doctors if you have elevated LPA >> they will tell you to reduce your other LDL like small dense LDL which is like bad cholesterol. >> Don't eat too much carb or try to be within the >> but when would you find this out if you do this test and if you go doctor if you go that kind of doctor who understands this kind of >> cardiology domain as well >> sometime primary care physicians don't know about this.
(20:11) So that's why we're kind of driving this operationally. Nan, we always grew up thinking that heart attacks is an uncle's problem, >> but it's not true anymore. >> Yeah. Yeah. >> We just discussed is approximately 33% earlier than many other populations or like which is like a very big number why do you think this is happening now at such an early age correct as I
(20:56) mentioned right so that's one of the factors heart risk factors right or risk factors or defined let's just talk about some simple thing smoking now smoking or tobacco tobacco increases cancer riskco increases cardiovascular risk as well >> are we solving it no it's not being solved because it's okay but what is driving this heart attack in earlier age is the lifestyle we all know about This Indians are also prone to type 2 diabetes >> right >> Indian have more you know the towards metabolic phenotype is different so we
(21:39) actually have insulin resistance >> true >> um we have high carb diet >> right >> we have less protein >> um we don't consume omega3 fatty acids as much >> you know we we don't consume vitamin D we have we're deficient so there are a lot of different factors that drive towards that individual body >> we'll actually deep dive into the diet and lifestyle part or I'm discuss food habits changes for a better heart health but before that there are some good fat and there are
(22:22) some bad fat and there is one fat which is really bad olive oil is great >> if you don't really overheat it they have this double bond So when you hit it, those double band flips. When it flips, it becomes trans fat. Trans fat is poison. Your metabolic health is your heart health. Inflammation, chronic inflammation, please help us understand.
(22:59) heart attack lead. So you said smoking or tobacco and then sleep stress we all know I mean exactly behind the scene can you help us understand that? Sure. So bad cholesterol then we talk about other part because that's other parts are kind of amplifying that. So the root cause cholesterol bad cholesterol. >> So everyone thinks cholesterol is bad.
(23:38) Cholesterol is really not bad. Cholesterol we need cholesterol for steroid hormones for membranes. What is bad is the LDL cholesterol because is bad. Now maybe kind of cholesterol one is small dense LDL >> other is large buoyant. Now when your lab >> does this LDL they just the essay does everything in one.
(24:01) M >> so now let's say if you have 100 chole LDL you don't know how much is your small dense and how much is your large boy >> okay >> and you know and we don't know whether you're reducing out of medication as well so that's one thing >> okay >> the second cholesterol is called HDL >> HDL is good cholesterol >> good cholesterol >> it's a you know it's a good response that it basically helps remove the you know the bad fatty acids as well >> the third is triglyceride rich remnant like triglycer you know it's usually
(24:33) refined carb that kind of produces triglyceride and eventually goes under a small dense LDL and goes evolution of like you know it just kind of builds a plaque formation >> okay >> that's triglyceride one the most important cholesterol that I'm going to talk about is that most of the labs are not testing yet it's called epo >> okay okay >> epo lipoprotein B it's by many studies that have proven that epoe >> mhm >> is the leading cause.
(25:04) It has a higher risk uh for you know myioardial infection which is the heart attack and stroke >> okay >> over 40 to 50%. than just single LDL marker. So you might have normal LDL within the range. >> Okay. >> But if you have higher epo which is dangerous one which is a bad cholesterol >> and it's number of epo.
(25:28) So now what is a LDL, VLDL, triglyceride? >> Yes. >> That they carry Epo they all carry EPO. >> Okay. Okay. >> So is number of epo that goes under the they penetrate the wall >> the artery wall inside. Okay. >> And plaque start. >> Okay. So if you have more epoh >> you know you definitely um have a little bit higher risk and that's what you want to work out on with your cardiologist or with your doctor >> to reduce that epo burden >> are regular blood reports do they give us the no >> you know the status of epo >> now again there's one more thing is
(26:08) reference range every every lab will have different reference range >> now epo is within the range what is LDL what is epo what is your smoking status how much you know how many cigarettes you smoke what is your tobacco consumption what is your alcohol consumption how much fructose you're taking in your diet what is your refined carbs in your diet how much stress you are taking >> what is your physical activity what is your inflammation in your body >> how much inflammation is driving towards your systematic inflammation is s
(26:38) combination whole package cardiogram of course True. Correct. And then all of a sudden one fine day, one bad day. Yeah. Exactly. >> It can burst. >> Exactly. So, and then obviously diabetes is is you know it's one of the key drivers for building plaque as well. Hypertension. Hypertension. there is a history behind it.
(27:17) So you know liver basically makes this uric acid that uric acid is bad. Okay uric acid. So uric acid uric acid actually inhibits with this one enzyme in the artery called nitric oxide. Nitric oxide enzyme is good for us uric acid to uric acid basically inhibits with it with that nitric oxide. >> Okay.
(27:43) So our nitric oxide in our arteries are under attack. So it is actually a metabolic syndrome >> but because of nitric oxide >> is now you have actually one of the cause of hypertension. That's not the only only cause but one of the cause of causes of hypertension and that's why we have to look at the how it is happening is because of the fructose consumption.
(28:05) So basically it's all the hormone production getting haywired >> correct >> and all the right chemicals which should be produced or the nasty things which should not be produced. So imbalance body due to as you said fructose dietary habits um sleep stress in physical inactity absolutely diet but the modern lifestyle and the diet that we we eat >> mostly outside food.
(28:44) >> Yeah. >> Mostly refined carbs. Yes, >> that is the real cause. Sugar is the biggest cause of all the metabolic disease that includes hypertension. >> Yes. >> Diabetes. >> Exactly. >> Um cardiovascular disease, dementia, cancer, polycystic ovarian disease. >> Very true. Name any disease or root cause sugar. any any disease m be it a clinical problem or a lifestyle related problem everything will always have sugar on the list >> but it's not going to be fixed fix my family still eat sugar it's not possible I think
(29:31) jaggery honey thinking that it's a better alternative anything natural has also sugar they are not looking at the bigger picture glycemic index. Exactly. So insulin resist insulin resistance they are doing more harm than good extra minerals but calories index. Absolutely. Absolutely. Who told you that we have to eat this much amount of calories per day? What you need to do is nutrients.
(30:01) You need to focus on carbs, protein and fiber, fats. >> Fiber. Yes. >> Fiber is the most important nutrient now. >> Most underrated. most underrated >> but uh calories uh you know you can just consume three glass of like sodas and you'll be okay with calories that's not calories that you want to consume you want to consume the nutrients >> exactly >> you know that's what we're not really focusing >> empty calories or bad calories we were talking about sugar and hypertension hypertension that is salt >> so you think that salt also excess intake of salt also leads to bad cardio
(30:38) health. See absolutely uh sodium intake range >> the ideal is less than 5 g per day but usually we end up consuming much more than that all thanks to the packaged food processed food pickles fast foods packaged foods that goes unnoticed Absolutely. Ultra processed food I also have >> sugar every single packet food that you have is sugar.
(31:15) >> Let's talk sugar in little detail because demon types sugars. So two type of sugar glucose and fructose. Glucose is not really bad. Glucose actually is is energy. Okay. So when you consume food you have you know your all the organs basically demand some kind of you know glucose to burn that energy your brain is the highest demander of glucose.
(31:43) So >> when you consume meal glucose is actually the energy. >> Fructose on the other hand fructose is the bad guy. >> Yeah >> fructose high corn fructose syrup um anything natural honey agave everything has fructose. >> Fructose. Okay. >> Even fruits have >> but fruit comes with fiber. >> Yes. >> But if you strip that fiber off and put a juice, put in the juice, then it's fructose, right? The question is how much sugar you can intake per day. 25 g.
(32:15) That's what WH says, right? Within the range in sugar that sugar we have glucose, half fructose. Fructose inhibits with mitochondria function. Mitochondria is is the energy you know source of our cells metabolic health of energy >> exactly >> fructose inhibits with all the good enzyme that mitochondria actually you know I'll just name it quickly >> is kinus cpt1 is a l those are really important enzyme that work for the function of mitochondria fructose also is the source for all chronic disease
(33:00) Okay. >> Fructose cannot be measured in your glucose monitor. >> Oh, >> so when you consume sugar, >> that's the catch. Glucose monitor. >> Exactly. >> Your liver doesn't understand whether is fructose or it's alcohol. Fructose and alcohol both metabolize the same way. There is no biochemical reaction in any vertebrate organism that that says I need fructose.
(33:28) M >> fructose is the sweet molecule and it's a bad guy. Now where do you see fructose? Every single packaged food. >> Yes. >> Every single ultrarocessed food. >> Very true. >> Why? Because it's cheap. It increase the shelf life. >> And we think it's, you know, it's it's sweet molecule. So your brain kind of says, "Wow, I like this more.
(33:50) Give me more." So you kind of addicted >> to fructose because it's more addictive. And that is one of the biggest root cause of all the chronic disease including diabetes, hypertension, cardiovascular disease, fatty liver disease, hypertension, you know, dementia, cancer, everything. That's the start point.
(34:10) So unless and until we don't have a policy in New Delhi, in Washington, in in London, in WH that says fructose should be banned. >> Until then, we have to be on our own guard. Look, there are 262 names precisely for sugar. >> Yeah. >> Are you going to remember all of them? No. >> To simple formula last o e sugar correct.
(34:39) I tell my son as well he drinks orange juice. Orange juice has 11 teaspoon of sugar fructose in just one simple orange juice. difficult. Can there be some workarounds or some jugars? For example, instead of juice, go for smoothies. Similarly, slowly dissolve rather than instantly pressure. Can this hack be used?
(35:22) >> Absolutely. So see um you can't cut down sugar. If you cut down sugar up then you'll have withdrawal. We're addicted now. So the best way to fix this gjun is cut down all the ultrarocessed food at least half cut diet coke and nonsweetener kind non-calorie kind of sweetener those are worse bad obviously you're not you're not over consuming no so obviously you can your liver can metabolize some part of fructose as well as you can you can metabolize up to six teaspoon it's not really bad bad raw fruits absolutely amazing because it
(35:59) comes with fiber fiber kind of you know it's a great nutrient of course you can have one one teaspoon of honey and >> agave but I'm talking about more of a how can you reduce the consumption of fructose which we have >> coming out from this soda and the drinks >> yes which is purely empty calories there's nothing in it pure liquid sugar now let's talk about oils >> okay >> because cholesterol hypertension cardio health oil fatty foods basically they're unhealthy. So
(36:44) that people get to know. Sure. There are six type of fat asani fat >> I know and there are some good fat and there are some bad fat and there's some and there is one fat which is really bad. Okay. >> Okay. >> Let's start from good >> good bad and worse. >> So what are good fats? Um omega3 fatty acids everyone is aware of it right? Omega3 fatty acids the consumption in Indian population is low.
(37:19) >> Okay. >> Yeah. the ratio of omega3 versus omega 6 you know it's like omega3 is less omega 6 is more and we know there's a lack here so there's lot of supplements now >> they found a new business out of it and now is supplement right three is a precursor of this um molecule called fatty acid called DHA and EPA doma hexaoic acidohexapeno anoic acid >> okay >> these two acids usually find from fish one of omega3 is called ALA A >> okay >> alpha lenolenic acid.
(37:52) >> Okay. >> This ALA is what you get from fruits, vegetables, chia seeds, flax seeds >> which is has you know great heart health properties. >> Okay. >> I know heart prevention properties. >> So this is one fat which is extremely essential. It is um anti-inflammatory as well. So you need that property to reduce the systematic inflammation in your body as well.
(38:17) So even egg yolks or uh olive oils, olives, avocado oil, mustard seeds, all these things also have a portion of it, not completely. >> Monounsaturated fatty acid is something that you get from olive oil. >> Olive oil, talking about olive oil, olive oil is great >> if you don't really overheat it. >> Overheat it. Yeah, that's true.
(38:38) >> They have this double bond. >> So when you hit it, those double bond flips. M >> when it flips it becomes trans fat. >> Trans fat is poison. >> So the same olive oil can be good and it can be bad for you depends on how you use it while you cook. Correct. Correct. >> If you overheat even the olive oil, it can damage your health. Absolutely.
(38:58) That is so important. What is the point? Yeah. playing stir frying >> then there is you know saturated fat >> look saturated fat is a controversial topic okay uh but I'll just talk to you what I feel or what our team feels saturated fat is cardiovascularly neutral it is not bad it is not good you usually get from dairy you also get from meat >> you know and it depends what kind of saturated fat you're getting from which it is fat >> obviously it is not really >> the visceral fat, visceral fat.
(39:39) And there's a debate here about if saturated fat is going to go to visceral fat >> or whether is going to go under the you know heart arteries as well. >> Okay. >> There is a big debate about it but we'll not go there. >> Okay. >> There is unsaturated fat. >> Okay. Then there is the bad fat is omega6 fatty acids. >> Omega6 fatty acid is is the precursor of this fatty acid called arachidonic fatty acid. Mhm.
(40:06) >> Rachidonic fatty acid is the precursor of many inflammatory molecules. >> Okay, >> I'll just name it quickly. Thromboxin, lucotrines, icosonide, all these are inflammation in your body. >> Okay, >> where do you get it from? Seed oil, canola, canola oil, vegetable oil, >> every every packaged food that you see, all the cheap oil, any food that you eat outside because it's cheap.
(40:30) It's has longer life that is bad for you. It gives systematic inflammation. It increases your risk towards cardiovascular disease as well. >> So this is the oil people should stay away from. >> Correct. And the last trans fat. >> Okay. Yes. >> So trans fat is bad. >> It took FDA 18 years to announce that trans trans fat is poison.
(40:56) Now globally it's banned. I mean if you see any oil that is being overly heat and overly cooked, that's trans fat. some some cookies and some biscuits if they using 0.49 gram of trans fat it rolls up to zero. So if you eat multiple cookies, >> okay, >> you're consuming one gram of trans fat without realizing it.
(41:17) Food industry found the loopholes and they know how to put it together so you actually consume it. >> Oh my god. So n we were talking about metabolic health and as we all know your metabolic health is your heart health. and thereby your heart health your cardio health. So inflammation heart health effect how to prevent it >> there are two different components here inflammation is not really driving cardiovascular disease burden lipoprotein cholesterol inflammation modulates that amplifies it
(42:05) or inflammation gut >> gut is the biggest source of inflammation inflammation heck yeah you of Of course no, but if if you cut by shaving or if you you know sprain your ankle, it's inflammation. Your white blood cell will be activated and they'll kind of it's like wound healing. >> It's a mechanism by which it protects us or heals us.
(42:26) >> Exactly. Wound healing is the last product of inflammation. So it's a good part. It damages but it heals you. >> Inflammation acute inflammation. >> What is bad inflammation is chronic inflammation. chronic exposures exposures. The second inflammation the biggest source is gut which is coming from diet because it's coming from your food which pro-inflammatory food inflamed.
(43:02) When you consume junk food first of all barriers broken under attack fiber is pro-inflam anti-inflammatory. It basically um generates this short chain fatty acids. If you don't consume fiber your wall the you know the >> the tight junction are broken. Fructose is bad. It has a and there's no fiber and then your barriers are already broken.
(43:31) So any cytoones that's in your in your your gut that goes into your bloodstream. >> Okay. >> So that's why you kind of get inflammation around your >> you know it's a systemic inflammation. The other other uh inflammation we talked about is omega6 fatty acids. We just talked about it. >> That's also pro-inflammatory. So that also brings inflammation to your body.
(43:50) >> I think what we should talk about is how do we reduce inflammation or or what are anti-inflammatory food. And we talked about omega3. >> Omega3 is anti-inflammatory food. >> You know all the fruits and vegetables, chia seeds, flax seeds, >> fiber rich foods. >> Correct. Every I mean if you consume food and first time you eat fiber >> that is better then you'll have lower you know glucose spike >> right >> you have better insulin you know you you'll be more insulin sensitive.
(44:19) >> Exactly. >> And also um you know it will help you with stopping those junk going from your >> directly to the bloodream. >> Bloodstream. Right. Which is why it is suggested if you are going to eat junk food, outside food, it is recommended to eat a plate of salad so that you create a base of fiber first. >> Absolutely.
(44:40) It's called like this this fishnet. Um it's like a mesh. >> Yes. >> You know, yeah. It's just so it kind of protects >> u all the junk stuff not going to the bloodstream. >> Yeah. It's a very practical hack which really works. >> Old old time, right? Our grandfather grandmother used to do that and we we just forgot that traditional way of eating.
(45:00) Uh the third which is very important is vitamin D. Vitamin D is is anti-inflammatory. >> Mhm. >> It helps this toll right receptors in intestine which is basically it just keeps inflammation on check so you don't actually explode too much inflammation in your body. So vitamin D >> is you know strongly encouraged and I know that we are deficient.
(45:24) >> Indians are deficient and we should focus on that as well. Inflammation obviously comes from processed food ultrarocessed food. So if you stop this omega6 fatty acids, trans fat, uh fructose based diet, you will have reduction in inflammation, chronic inflammation which will not modulate >> towards the cardiovascular disease, >> you know, and your arteries will not be inflamed as well.
(45:48) >> I think uh some herbs are also great source of anti-inflammatory also make good inflammatory diet. For example, turmeric. >> Mhm. >> Our old Indian turmeric is a fantastic anti-inflammatory. Yes. >> Similarly, garlic. So, things like these also which can be very easily um be made a part of our daily. >> We have all those kind of great food items that we don't consume that much or we consume with you know garlic is kind of being cooked with omega6 fatty acid oil as well.
(46:22) So, it's kind of reversing it. I mean I'm just thinking about it. But I want to talk about one marker that you can you know we can talk about is some labs also do that called high sensitive CRP C reactive protein HS >> reactive protein yeah >> HS CRP >> that is an inflammatory marker >> it checks your inflammation how high your inflammation is now if you are already inflamed for example if you have fever >> uh then your marker will be very high so don't get scared about that but if you're normal if you don't have any inflammation in your body then you do
(46:50) HSCP test >> it can tell exactly what kind of information you have in your cardiovascular domain as well. >> And I think this is one marker which is easily can be seen with our blood blood reports. Our blood reports u show this basically this particular inflammatory marker. >> All these markers that we talked about are just in one blood draw >> that you anyway do.
(47:13) >> Yes. And the problem is we Indians think that you know only if it's given free by corporates then we'll do it or if it's given free by insurers then we'll do it. We should just do it out of you know habit. It's like a gym membership. You just do it >> once a year and find out what you have and don't do your own assessment.
(47:33) >> Go to doctor and let them figure it out. In next decade doctors will have two people. One would be 35y old, other would be 75y old and doctor unfortunately will have to save 35y old and he'll have to let go 75y old if we don't solve this problem sooner. We charge 108 rupees xan rupia. >> Oh that's it.
(47:54) Because we don't want them to dial 108 for an ambulance call. See we're not generating revenue out of this. If you go as patient for then we lose money. We're investing in your health. heart attacks cardiovascular diseases. The rate of these problems are increasing in India specifically. However, we know that these problems are directly related with things like obesity or obesity.
(48:33) Western countries for example US obesity rate much higher problems why is that is there anything else we are missing on >> yeah yeah there are two sections here only obese people are getting heart attack >> people who are not obese or they're fit they also get heart attack let's talk about Indians getting heart attack Indians are getting heart attack more which is not true because we're not comparing apples to apples we not population Aa okay so all the datas and studies and reports that we see they just talk about the numbers they don't
(49:09) talk about >> percentage it's not cosmetic it's more of a metabolic metabolic phenotype we have LPA marker as south Asian we obviously are metabolically ill more um and I don't think it's comparable because they are also metabolically you know ill there are a lot of different factors so we can't really compare western versus Indian but we talk about Indian only We we are diabetic capital of the world.
(49:34) >> We are. Yes, we are. >> We have high carb diet. We don't do preventative that much. So we kind of wait and kind of delays and we actually say hello to card at the at the stretcher. So I think that delay is also one of the aspect that we are meeting our cardiologist. >> Yes. >> In the ICU room which should not be the case.
(49:56) Even after having best of the medical facilities available in our country, if you want to book an appointment with the cardiologist, you can get it as soon as tomorrow. >> Very true. >> And in the west, there is such long waiting because we can't do much about the environment. We can't do much about the pollution, water pollution, air pollution or the quality of food that we get.
(50:20) But there are a lot of things which are in our favor and we should definitely use them. See why we are not doing Indians fear doctors. That should not be the case. That's first thing. Going to hospital means cost. Exactly. Exactly. Which will not happen. All the countries have different kind of preventative system. We will have eventually there's nothing wrong or right here.
(51:03) Of course, you can't get appointment in US. And I do my checkup in India here more. We have all the facilities. We have brilliant doctors. We have all the technology that that is available in the west. So it's not there's no lag here. >> I think the mindset is set such a way that we only go to doctor. when we have pain or we have symptoms or we got chest pain and now let's just go for bypass.
(51:24) >> So this mindset shift needs to be there. >> Correct. And it's happening. Youth are following for their family as well. They're encouraging their parents to just go get the test done >> 5 minutes intervention and then you'll be fine. >> So what you're doing is exactly the prevention right now.
(51:42) Let's talk about angina X because I'm all the way more curious to know about it. That was the day Nginina X was born. X prevention. What exactly are you doing? What problem are you solving? >> I want to solve the problem of no one should be feeling angina. >> Okay. >> No one should be feeling chest pain. >> Angina X means chest pain X.
(52:09) Chest pain. Angina completely medical literature say that angina should no one should be feeling or no one should be reaching to the stage of exactly stage at least 50% people will be saved in surgeries now angoplasty now how can we prevent that of course we're not saying care >> that's for emergency ICU is kept So we figured out that it requires advanced medical science.
(52:49) If you want to solve some problem, we need to first respect and accept whatever is available right now. Sub different cohort Indian risk factors are different west doctors practice. We had to learn all those things. So we first learned all those things and then we built a team of scientist. >> Okay.
(53:09) Okay, scientists research and finding out really prominent markers, >> okay, >> risk factors, figure out we can win and we can say look we found out how to stop angina. So when we got this medical science now we'll go and we'll save everyone's lives. Then we realized that we can't go to public directly. >> We have to go to our respected doctors, >> medical fraternities, you know, WH, WHF, >> UN, government, policy makers, regulatory compliancy, you know, certification process, whether is legit, whether is validated.
(53:52) >> So acceptance build in S sectors because I'm sure all these areas are not easy to crack. It was very difficult challenges challenges every day. So we just learned over every cases. So when we got this medical science when we went to doctors >> we were defensive we've been practicing for last 35 years 40 years.
(54:23) >> But they accepted >> they aligned. They aligned. >> Okay. They endorsed, they encouraged. Our problem is not against the system. We are not fighting against doctor the way they practice or hospital or medical establishments or policy makers or government. >> We are fighting against the disease. >> Of course.
(54:44) >> Right. That's our fight. That's where we're fighting. >> That's their fight too. >> Exactly. So cardiovascular disease still remains the leading cause of mortality in the world. preventable mortality. Despite we have these you know the the lipid lowering therapy and treatments, anti-hypertensive treatments, we have acute coronary care as well.
(55:07) We still see cardiovascular disease number one killer in the world. Right? >> This is fact the entire organ health organization is aware of it. >> Right? >> So there is gap. So, Angina Xia gaps, we want to fill these gaps, >> okay, >> with very efficient solutions that can actually empower >> doctors, >> okay, >> strengthen our hospitals, >> and then eventually it can reach to um people.
(55:37) So, what we have realized the only way we can win with people is if we make all of these >> panel to win. So, we have to make cardiologist win. We have to make doctors win. We have to make medical establishment win >> and we have to make government win. Then only it will reach two people. The reason we are successful right now is because these all all these bodies >> Mhm.
(56:01) >> they're encouraging. >> Okay. >> They know there's a gap in the system. >> Okay. >> And this gap can be solved because they understand that we are fighting against the disease and we just don't want this disease to >> take lives. Every family has one at least one person walking around with silent risk and we are not aware of it.
(56:20) Now how do we solve this problem? Can we fight against the trillion dollar food industry? No. >> Can we stop people do not eat this? No. >> So we need to have a systematic architecture where everyone is aligned and then go to the next stage is people. Before we learn how you convinced people, I first want to understand what validation or what credibility did you have at that point in time which helped you get in terms with the policy makers, hospitals, doctors, WHO and all these uh important authorities. So we did our pilot first
(56:57) you know it's a normal procedure I mean you pilot then you provide the results to >> the compliance regulatory compliance and so CDS license you know it's safe doctors will be able to use that there's you know like right way of doing it that's how companies medical companies are being built okay >> so medical devices or medical solutions they have to go through this regulatory or compliancy procedure which is mandatory >> until you launch it before you launch it.
(57:32) So >> but more validation that we are right now getting which you I think you want to know is 160,000 plus people so far screened now screening screen is the first step okay doctors or >> you know medical fraternity or some kind of NOS's and they'll do take care of it different part of the country 62% people 63% people were on very high risk.
(58:02) >> Okay. And this screening is done on the basis of most common symptoms. >> The one that we just talked about markers >> markers all these markers. >> So that's exactly what I talk about. The risk is not if you have one marker which is out of the range or two three markers >> the combination of all these things.
(58:18) >> Exactly. So it has to be personal. >> How many how many markers different markers are there? There are 10 blood markers and there are some questionaireers which is and there are some blood pressure and some of the symptoms that we also check like way circumference to height ratio. >> Okay. Okay. >> Not BMI.
(58:35) BMI is general population marker. We don't care about BMI. BMI if you >> it doesn't tell you about the visceral fat. >> Exactly. Right. So those kind of markers put together and how your body is metabolizing or or react giving response to those markers. >> Yeah. And everyone's body is different and everyone's treatment should be different as well.
(58:55) So that in first assessment we found out 63% were high risk. Shocking. >> 63% were high risk already. >> Already high risk. >> My god. >> So it doesn't mean they're going to have heart attack tomorrow. It's they are on the path for CBD. >> Yes. >> Right. So how do we stop it? That's where really comes to picture. >> Okay.
(59:15) High-risk patient can be easily bring can be brought down to low risk if >> they are given right treatment by the doctors. What we have seen is over the period of 9 months like every 3 6 months >> you know there's a follow-up for those patient >> and the risk has come down to moderate or low. So and then how are we going going to tell everybody is like we want to reduce >> everyone's risk to low and let them maintain to low risk.
(59:44) >> Okay. Okay. >> Obviously this entire intervention operation requires tons of amount of money. >> It it's generate cost. >> Uhhuh. >> And obviously we are not doing that. We can't we we not if we start asking from you know money from people they'll not do it. So we understand that part as well.
(1:00:04) Just go to any doctor that you prefer, >> your family doctor. >> Get your test done. Do your Angina X. If your doctors don't have it, call them up and say, "I want my I want to do my Angina X." Educate them if they don't know. Eventually, this will be in India completely, >> right? >> But this is how we're going to save lives. >> So, is angina X all about screening? >> No. I'll I'll explain to you.
(1:00:27) We want to completely remove this angina and we want no one to feel a heart attack. So we were left with two choices. One to do nothing about it. Let it be. >> We're not doctors. We're not revolutionaries. Or in fact design at least this cardiology preventative infrastructure this operational infrastructure that is com combination of advanced medical science >> technology which is driving medical compliancy.
(1:00:58) >> Okay. put together give out to all the doctors not just the cardiologist including the new medical science >> to all primary care physicians nurse practitioners centers a ruler area clinic as well they all should be using it for their patient to put halt >> onto the progression of chronic disease that's first step at least we can do that >> exactly >> and then eventually we will remove engineering that was the first step second step now we want to do is we want all these you know bodies to I mean government bodies and the medical
(1:01:34) establishments to defaultize this and then it will stop you know it will encourage them to do it and the last thing >> eventually we'll reach to our goal is no one should be ever feeling anginina by bringing them them down to low risk this is how the entire concept was built and we are already on first success now we want to cover the defaultization >> the very first step which is making it reach everywhere.
(1:01:59) >> Uh you know um for that you have to have a very systematic operation mechanism. >> Mhm. >> Or uh something that is designed in a way that every doctor in every nook and corner gets access to this how you made that possible >> exactly so to drive that medical science >> assessment. >> Yeah. >> We needed AI.
(1:02:25) We have most advanced software solutions. We are not the unique one but we have the most advanced that big high techch companies are using it. We have that solution because the goal is making it more efficient. So no one should be feeling like cardiology domain AI like we have number of AI models and fusion it together and expert model which is like more cardiologist one is like data that we have collected from people and see how their risk has come up.
(1:02:51) >> Okay. And there is one more couple of other models which is like more one is also LLM to just try the language one is more of a focus towards specifically on the biomarkers data combined together and giving extremely precise recommendation to doctor >> to doctor >> not to patient doctor so doctor can see it that's one part which is AI the second other few parts are software solutions >> okay all the big tech companies are using like for example if you are patient >> and you don't want to sit in line in the hospital when you're going for anginax.
(1:03:24) >> So you can just scan the QR code, upload your data whether you are 85 year old man or 15y old girl you should be able to do it that easily without any training. That kind of system we have built. The third is doctors. Doctors say >> I don't want to use these computers and all these >> medical science because we have to somehow show these medical science science.
(1:03:45) How do we show how how do we show that? >> Uhhuh. >> So we need UX UI. >> Right. Right. because the back end is done correct >> you're using AI there you're using software mechanisms there now you need the UX >> correct so that UX is also very sophisticatedly done >> Mhm. We have invested so much after number of versions of it >> is very unique.
(1:04:05) >> Okay. >> And you know by some of the some of the foreign companies that have built >> wow >> so it's you know had to go through number of rounds of certification as well. Okay. >> That is given to doctor when doctor sees that. >> Mhm. >> They're like wow >> wow. >> So the first impression they should see is wow.
(1:04:22) If you go as your patient as in you have no symptoms and just go for a preventative checkup >> and one recommendation comes for you that you know gun should do LPA marker test >> okay >> or gunjun shouldn't do >> 2D echoggram and doctor can say no no I don't think she requires right now I'm cancelelling it >> should do CAC score >> now that entire system is remembering your profile your body life it also remembers it's not really like YouTube pattern of algorithm it's more of a precise data of your blood work number combination of those numbers billions of
(1:04:56) neurons working together to find out exactly what Gungjan has or needs align with doctor and doctor is sending the report to you instantly in your EMR let's say you walk into uh you know one of the hospitals that we just announced just look okay >> so you go to justlo hospital you don't want to wait in line >> you only have 10 minutes 5 minutes >> okay >> because you have to go back to work you just have 5 minutes.
(1:05:21) You go there, you scan your QR code. >> Okay. >> From your camera. >> Okay. >> Okay. That QR code will have an a link. >> Okay. >> That is for Gunjan. >> Got it. >> And you don't have in you don't want to type all those things. You have a lab slip. You just take a photo of your lab slip. >> Uh-huh. >> And your name, your your gender, your age, whatever is in the lab slip.
(1:05:42) >> Okay. >> It will automatically >> pick all those details. >> This is the technology called OCR. So patient is now patient will just see upload done successfully. Please wait or whatever. >> The admin will see right away you uploaded something or your information is there. >> Now I'm registered. >> You're done. Yeah.
(1:05:58) >> And then it will she will call you or he'll call you and then you go to your vital checker for example. >> Okay. >> Who checks your BP >> and ask you first time few questions about >> whether you take alcohol, whether you consume, do you exercise or not, how much and all those levels set for the first time because that's your first profile before you go to doctor.
(1:06:17) doctor already has your profile done. >> Okay. >> The assessment that I just mentioned. >> Got it. >> Based on these 10 markers. >> Yeah. >> Based on some of the questions, based on blood pressure and some of the lifestyle and it gives risk assessment, cardiovascular health assessment report. >> No, but >> to doctor. >> Don't we need to give also give uh my blood reports? >> You already uploaded.
(1:06:44) So you you can upload two ways. you will take a picture of that and upload or you already have a WhatsApp in your WhatsApp is upload file right >> if you don't know how to do it obviously admin will do it >> okay >> but you know it's a selfch checkckin like airport you go to selfch checkin something similar to that >> so my blood report along with my vitals and my lifestyle all these all this data is being uploaded to the system >> correct >> by the assistant >> correct right so now now you are in the doctor's office and doctor is seeing
(1:07:15) seeing a complete report and he will realize and he'll also >> modify something. He'll like give you some prescription because they are the one who's using it. It's for them. It's not for you. >> Yeah. >> And they'll say kungjan you come back after 3 months or after 6 months or after 1 year. >> So the system does all the calculations I'm sure within a few seconds once everything is uploaded. Correct.
(1:07:38) So back mechanism analysis results. Correct. Because few seconds few seconds few seconds doctors are now it's doctor's call. >> Now doctor's call it's actual electronic health record. Okay. >> Okay. Now what do you get out of this? So what we have done is >> when doctor says these are fine 1 2 3 >> click and done and in return you will be getting >> uhhu >> lifetime free >> okay >> electronic medical record. There are
(1:08:22) companies out there in the world who giving you an app for electronic medical record. >> We're giving for free and this is not just the cardiovascular disease. If you have knee surgery you put the upload you can have that as well. ECG you can upload that too. Mhm. >> 2D echoggram everything is in your your own health record.
(1:08:39) >> Yes. >> Now you have an assessment you have all those things. Let's assume that you are in Delhi now. >> You don't want to go to Mumbai and you're in Delhi and you want to go and follow up >> Yeah. >> to other doctor >> who has genics. Yes. >> Right. >> Yes. So that doctor is going to see one click and the previous report >> is there >> and whatever investigation you have to do >> now it's new investigation put together and see whether it's going down or not.
(1:09:06) So eventually the goal is to bring your risk down >> without fear >> okay >> without spending much time without charging you so much amount of money >> without sending you into ICU room and also getting your own heart health heart health data >> in your app >> can users also see it on their mobile application or something like that >> users will only be able to see when doctor clicks okay users will not be able to see the risk score >> that is not for users that is for doctors >> you don't want users to interpret or get
(1:09:40) panicked >> correct >> unnecessarily >> see this risk if someone is on high risk doesn't mean he's getting as I said he's not getting attacked next week it's not attack that means he needs to be intervened >> it's a very effective end to end solution as I see it like taking inputs and then you've built a built an amazing system that works in the back end using technology using AI using everything and then boom right on their screens and >> correct >> you have it all.
(1:10:06) >> Uh the whole goal was to transfer this medical science to doctor and the only way doctors will use it if there is no disruption to their current practice. >> No, this will only help doctors. I mean >> it's faster. >> Exactly. >> It's it's their permanent assistant kind of thing and it's also lot of primary care physicians are loving it >> cuz they realize that there are a lot of cardiology marker that they can do it.
(1:10:30) Insurance providers, insurers are loving it because now they can reduce the cost for surgical procedures. >> It's it's a win-win for everybody. >> Very true. How many hospitals have you uh tied up with already? >> So far, nine >> nine hospitals uh throughout the country. >> See, our goal is on public health.
(1:10:51) So, public health is is governed by government bodies, right? >> Yeah. >> And they are going to run pilot >> to assess longer period of time. >> Okay. where also WH is involved, NOS's are involved, >> there are lot of socialist people who are also involved as screening centers are involved. >> Solving a much bigger purpose.
(1:11:10) >> Exactly. And private. See, we're not generating revenue out of this. >> If you go as patient for NINX, then we lose money. >> We're investing in your health. >> The goal here is to make sure that we have adoption is defaultization. Then we kind of survive. >> True. And luckily we have great bodies who who's actually helping us to do that to drive this mission.
(1:11:35) >> Diamonds medical science diamonds we realize >> it is actually and we can't sell it. >> Yes. because the kind of and the level of data that you have I think u that's nothing less than a kohhin >> and every spark is kind of saving lives and realize wow it has actually bigger impact >> yeah that's why I'm saying it's a win-win for everybody for the end user for the for the for an individual >> one of the municipal corporation hospitals that we visited >> I mean the dean actually invited us and and we thought this is where we're going
(1:12:16) to deploy you know The situation was very challenging infrastructure perspective and then after discussion you know he said let me show you around >> and we went to cardiology department >> okay >> and we saw >> it was an like emergency situation right there's no ICU room >> over there >> there were people on the floor you can see a lot of people grieving >> some are under you know nebulizer and some are young kids and some are elder the situation was horrible Uh-huh.
(1:12:47) >> The senior doctor over there, cardioologist, he doesn't have office. He invited us in the changing room. Gave me a chair. I sat there and these doctors are listening to us. And I was like salute to this doctor. His job daily is coming to hospital saving 30 people's lives and >> regretting that I I couldn't save one person's life. These are the doctors.
(1:13:14) These are our heroes. We don't talk more stories about these doctors. This is the situation we have and we we were stunned by the team that they were doing. They were so cooperative. They understood the science. They wanted to implement. >> Um they like the idea about it. And this is Municipal Corporation Hospital.
(1:13:31) >> I think I also saw a picture of you in the media with the president of WHF. So what was that about? >> So his name is Dr. Jagat Narula. He's the president of World Heart Federation. >> Uhhuh. great leader. Um you know people would have to make an appointment to go see him and he invited me as well. I mean I approached to him and then and he said first tell me >> Mhm.
(1:13:56) >> your story what you are >> what is your mission he made me so comfortable. So he is one of the many healthcare leaders that we have engaged with and he really encouraged us to go to you know different bodies and in WHF as well where we can >> we can show them the results of India and how we can save lives in India and then we can replicate the same model in different part of the world in Africa we're also going in East Africa now >> Kenya Uganda Mozambic >> wow >> Ethiopia India they also are suffering with cardiovascular disease. West Africa
(1:14:34) as well we don't have any sales guy we don't have any marketing guy we our PR is absolutely zero we are just bunch of these you know 20 30 people who are passionate we just want to solve this problem and that's what's happening >> amazing I uh I heard that uh the Padma Bushan Dr. Ashwin also joined in X.
(1:14:58) Is that true? >> Yeah. Yeah. >> Is he a part of the team? >> Yes. Yes. He's um he's the he's part of our medical advisory team. >> Dr. Padmma Bushan Ahi, Dr. Ashin Bata. He is one of the pioneers of intervention cardiology. That tells a lot about the credibility of this entire system and uh definitely there is a there is a need of having such system in place which works on the prevention side of it because I've never heard anything that works in favor of like in in prevention as you said we only see a cardiologist on the stretcher.
(1:15:36) >> Yeah. >> That line really hit me >> because otherwise And that's that is something we need to change. You >> know the hype of angin is not because we're bringing some medical science or we're bringing this technology and it's the possibility of saving lives. >> It's doing some actually great work >> whether we succeed or not and someone else will do it.
(1:16:04) It's fine but at least we can fight >> against this disease. And that's the passion that we all share here in this team. We had when we first talked with some of the investors earlier like earlier phase of angina X we were told prevention is dead in India don't put your energy no one's going to talk to you no one cares about prevention it exactly happened the opposite of course it's prevention of course it's preventative you but we have to architecture is such a way that we have to make everybody win to be able to win this >> exactly
(1:16:33) >> you know our for is people so if we if we make people win and relative to nothing what we can give to people is in this next four five years is going to be a lot more. >> What's your future plan within China X? >> We want to replicate this model everywhere else as well in all the countries and we eventually want to challenge.
(1:16:53) We don't mind tough questions. We don't mind discord and views. We don't mind arguments. >> If this arguments is going to save someone's lives, we're fine with that. Other part is, you know, there's one thing called revenue. You know, we have closed our we have not engineered our revenue sheet. Okay, we are >> losm company but we're doing so great because we are investing in people's health.
(1:17:16) >> We're making a lot of great strides. Our vision is so clear and so clear you know is clearly articulate to all the leaders that we are working with >> that the bottom line is going to follow by itself. We don't have to figure out >> whether it's going to work or not. We just stick to our plan.
(1:17:33) Let's just go for it. >> Okay. And we don't know every month how much money do we need whether we're going to sustain or not. We still just do it. We're doing for last one and a half years still going to do it and eventually we'll find a solution. >> Where do you see in China X? When will you call it a success? >> When you go to sleep at night okay >> do you worry about that tomorrow my parents are fine, my family is fine.
(1:17:55) Right. >> Yeah. >> That's the goal that we have. Mhm. >> We want to put number not revenue number of lives that we save and we actually have a dashboard. >> The dashboard is given to every medical institutes. Okay. >> And in that dashboard it's actually how many people were brought down to low risk and maintained for a year on the low risk.
(1:18:19) Those are the numbers that we are saving lives >> and that number has to be in billion. Saving a billion life. We don't want to save lives at the ICU counter. We want to save lives while you being at home. >> Yeah. Yeah. Much before that. Beautiful. How many people have already taken taken the benefit of Injax? >> 160,000 people so far. >> Oh wow.
(1:18:43) And that too without you know really going to we're not marketing yet >> but we you will we'll see significant amount of people going screening as soon as couple of other deals that are going to sign in public health and by the end of this year we'll see kores of people our like assumption based on the some artifacts some data that we have okay from number of studies that we have done that in next decade or so doctors will have two people one would be 35y old >> other would be 75y old both with MI acute which is the heart attack >> Mhm. And doctor unfortunately will have
(1:19:20) to save 35y old because he is packed. He doesn't have time. >> He'll have to let go 75y old if >> we don't solve this problem sooner. >> Exactly. >> And this is the biggest pandemic. It is not happening. You there's no sudden heart attack. It's a buildup process of 10 years, 15 years, 5 years based on your symptoms.
(1:19:43) >> And we really must catch that. Don't be fearful. This is not fearful. If you really want to do something about it, do for your mom and dad. >> Even though if you think you're fine, just get it done. >> Because what does it take? >> How much does it take? So what's the harm? I think it's one of the biggest revolutions uh in the sector of cardiology.
(1:20:08) Um because as we've been discussing, cure has always been there, but this is we are talking about prevention. So it's such a revolution which will certain which can and which should become a part of every household. >> We recently talked to one of the health leaders from UN UN funding. >> Okay. Okay. >> After menopause >> women's LDL really shoots up and then it becomes really dangerous for them >> and there you know cholesterol has to be you know brought down.
(1:20:40) So it's not only man thing and obviously we are everyone is diabetic here you know we have insulin resistance we should always check it so it's not only male you know as you said earlier uncle holding his chest that's the picture you see it >> that's not the case anymore >> that's not the case even women are becoming a part of it the suffering wow >> too much digest >> interesting but uh I'm I'm I'm glad like we had this discussion and I got to know so much more about cardiac health.
(1:21:11) I mean I can just say that I'm waiting when will it be available to my nearby hospitals and when will everybody and anyone can get an access to such an such an invention. Just out of my curiosity I'm asking if somebody wants to get angina x done the prices are decided by the company anginina x or by the given hospital where they're visiting.
(1:21:34) >> So >> or is it a combination of both because doctor is also involved? Correct. There are two section here. One is private. So let's talk about private first. So we are really running high on private. Private hospital charges your doctor's fee will be there. So you will be giving the doctor's fees of course.
(1:21:49) >> Right. Right. >> We charge >> 108 rupees. Exoant rupia. >> Oh that's it. >> And exant because we don't want them to dial 108 for an ambulance call. Remember I told you in my episode >> that's so thoughtful. >> I was screaming my brother just call 108. I just >> Oh my god. Ambulance call is a great facility but no one wants to use it right.
(1:22:10) >> Yeah. >> So that exoant rupia and I want to mention that exoant rupia is not our revenue model. We're losing it. >> Okay. So x rupia we charge but let's say if you already have an appointment you have flu >> or you have some malaria or whatever you go to your appointment to your doctor with that doctors will say also do your angina.
(1:22:36) So you're not paying again and they will recommend you some tests. Obviously once you're less inflamed you'll get your lab done and you don't have to go to hospital. You can just upload your results from your angin app and medical record account. There's a lot of people think I don't want to spend 500 rupees to my doctor's fees. So we are spending so much amount of money on junk on gym membership.
(1:22:56) This is your hard health. >> This is your real account. It's like you have >> a bank account. Let's say you have um just throwing a number you have 1 lakh rupees in your bank account and you are spending 25,000 rupees here and there without you raising how much you have where what stage are you at what is your bank balance what is your >> exactly >> then you'll understand how much you want to contribute towards your health >> right how much I can spoil myself >> exactly >> it's being it's very simple thing there is one thing that I know that people
(1:23:26) will not go to angina x people will not go to hospital people will not go Doctor, we already know this. This is a problem. It's not new to us. That's why we are making defaultization >> that everyone has to do no matter what. Whenever at any point of time you go to your doctor, whether it's public health >> or private >> or buy your insurers then you can't escape.
(1:23:50) >> Exactly. >> So that is what we're trying to achieve here. Of course, if you want to do by yourself, do it. But if not, we'll make it defaultize and we'll we'll fight for this. I think it's for their own good. It's for people's own good. So I have a question. How do you ensure that the data is safe? Because there's a hell lot of data a user is giving to the system.
(1:24:11) >> Absolutely. >> Their entire health data and that's very expensive. >> EMR account companies, they have to be compliant with this DPDP act, data protection, privacy act, you know. >> So your data is secure. It's your data. >> Yeah. >> It's just like your medical file. It's your own data. >> Yeah.
(1:24:29) It's licensed under NGX but you can access it. >> It's within the umbrella of government entities. >> Okay. >> You know and eventually now Abha is coming you know government NH national health authority is driving this entire mission for data protection. So it is eventually going to your ABA as well. You will have your own account as well. >> Government I don't want to talk you know government initiative here but they also have one of the initiative where you will have your own health record via ABBA. We are just the bridge.
(1:24:56) >> Yeah. And we are bridging that and giving out to whoever is needed. Of course, this is your own data. It's protected. >> It's under the compliancy. No one can take out of the data. It's only you can see it. >> Okay. >> Unless you give consent to your own family members and no one else can see it. >> They don't have to worry about the data.
(1:25:13) >> It's it's very interesting to know uh so much about what you all are doing and I think that's phenomenal. That's as I said it's revolutionary in this field and uh I I really wish that it reaches people masses and uh I mean people can actually make the best use of it and prevent u the uncertaintities it can actually change lives save lives >> that's that's what our tagline is >> now before we wrap this up um I have I have a myth and fact round which I want to do with you I'll say out some statements which are basic basically
(1:25:50) around cardiac health prevention. Please enlighten us. If your cholesterol levels are normal, your heart disease risk is low. >> Wrong. Even though your your cholesterol range is normal, >> um what is your fasting insulin? >> Yes. >> What is your metabolic health? Are you diabetic? >> Um you're taking statin and your you know cholesterol level is within the range.
(1:26:18) What is your inflammation? >> You know there are number of different risk factors. So no doesn't mean if your cholesterol level is normal, >> it doesn't mean you are okay. >> Extreme calorie restriction may negatively affect heart health. >> Extreme calorie is anyway it's bad. I think I I talked about calories >> any calories it's what kind of calories that you're talking about you know so if protein uh is a calories coming from protein >> or is your calorie coming from refined carbohydrates? >> Yes.
(1:26:46) >> Or a calories coming from fat and what kind of fat? It really depends on the nutrition part of it not really calories part of it. You can starve your body and not have any consumption of the calories and you can still be have systemat systematic inflammation. So it really depend. It's not one to one. >> So any kind of extreme restriction will have its bad effects.
(1:27:07) >> You can do fasting. You restrict your calories >> but that's done for a certain amount of people >> 14 14 hours 10 hours >> 12 hours and then you consume >> good nutrient >> some people with normal BMI may carry higher cardiac risk >> absolutely BMI is the general population marker it is not personalized personalized you know someone is very muscular >> will have very high BMI and someone is thin have low BMI but the He might he or she might have visceral fat which you cannot see on the weighing weighing machine.
(1:27:43) >> True. >> Loneliness and stress can also increase the risk of cardiovascular health. >> Absolutely. I wouldn't focus more on loneliness because there could be positive or negative but anything stress it is >> a very big factor. >> Yeah. It is not only for cardiovascular it's for any chronic disease. >> Yeah.
(1:28:01) Having a normal ECG means your heart is completely healthy. No, we have I think we have so many cases where normg also >> unless you are running with angina then you know you will detect ECG then you you'll be fine otherwise what if you have some kind of blockages and >> you know running with angina >> even young adults with no symptoms may carry early cardiac risk markers >> absolutely anyone who over 25 years old they should start investigating but we have seen 25% of children in the world who actually have fatty liver disease they don't consume alcohol so where it
(1:28:37) is coming from >> NFDL non-alcoholic fatty liver >> so it's coming from fructose that is also driving towards the path of cardiovascular disease so >> I think it's good to start working on those you know don't don't feed your kids all those junk foods >> early lifestyle interventions may slow down or reverse certain cardiac risk factors >> absolutely a cardiovascular disease can be prevented.
(1:29:05) I wouldn't necessarily reverse completely if you already have a plaque. >> Yeah. >> But you know that if you actually suppress little bit even 5% of >> plaque, >> you know the blood flow will really include significantly, >> right? >> So it's not you can't completely reverse it but you can improve a lot and you don't you don't die you just don't have to die because of cardiovascular plaque >> right? you die with it, right? So you don't have to worry about having blockages as far as you know that these are the blockages and I have to fix it.
(1:29:38) >> Great. Do you have any final message for our viewers? >> I think now we cannot complain about healthare system. We cannot complain about hospitals, our doctors, pharma, lifestyle habit. We have everything. The central paradox is well recognized. We all know what is the problem now. >> If you still complain and do not go to doctor to get your angina x for your own health and you need to bring down your ego and just go do for your mother and father if you just don't want to do yourself.
(1:30:11) >> Let's just save some lives because we have one person in our family member >> walking around with the silent risk. >> Exactly. I would say do it for your mother and father and for the sake of your children do it for their mother and father also. >> Correct. interesting. It was very very insightful, very informative.
(1:30:30) I loved the conversation. Thank you so much. >> Thank you for hosting me. I really enjoyed the conver as well and thanks for inviting me and discussing about all this bigger problem that we have and we want to solve this >> sooner. Yes, most welcome and in the end I would just say um godspe to you and uh I I just hope that it reaches everywhere and Jax should reach to everyone.
(1:30:55) Thank you.