Long Life Cardio - Max Pulse

Max Pulse Device for Cardiovascular Screening

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Max Pulse Value to Clinic

The Max Pulse device performs two functions.
Arterial Testing Function: The 1 minute arterial test will detect:
  • Early stage arterial hardening, so early that the condition is reversible giving patients an early wake up call and a chance to act.
  • Early/mid stage heart weakening, the beginning of congestive heart failure, often when the patient is unaware, but is showing symptoms such as edema but has disregarded them.
  • Late stage arterial hardening, sufficiently advanced that it is not easily reversible and may even require surgical intervention (such as stenting). This can be life saving. Our equipment will detect advanced arterial hardening before BP and other markers are definite.
This is aimed at Primary care where it is impractical to do carotid dopplers or other advanced screenings on a high volume of patients. The machine offers incredible value to patients as they can be warned when their arterial health starts to decline or rescued when decline has already occurred.
Value to Medical Practice: There is a billing component to the machine. While our company does not recommend billing codes, the manufacturer has stated that 93922 might be appropriate and while reimbursement varies greatly state-to-state, we have had positive feedback from a number of doctors regarding this.
The secondary value is that the machine can show patients the value of various therapies being offered. For example you can test after the use of an innovative therapy and you will often see small bumps in the more sensitive markers that the report generates. You can validate your other treatments using the Max Pulse.
Heart Rate Variability Testing:  The 3 minute test will show:
If the patient is stressed or fatigued
If the patient is reaching the end of their ability to withstand the stress or fatigue they are under (Stress Resistance).
If the stress or fatigue is mostly physical or mostly mental.
The HRV test is unique and very sensitive.
Peer Reviewed Scientific Studies 
There are many studies of this technology all the way from PLOS one to the Journal of Hypertension. But this article covers the technology in great detail going step by step through each aspect of the technology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3394104/. The articles gives many references for each steps of the development of this technology. To get the most applicable part of the article, scroll all the way down to C. Second Derivative Photoplethysmogram. Our equipment uses the Second Derivative (APG). There are a number of additional references that can be searched there. We have a lot of them on our website – https://longlifecardio.com/scientific-research/.
HRV has been extensively studied and connected to mortality in a number of studies. We have a number of studies that are appropiate – just contact us to ask for this information. 

Most Accurate Results

When Using the Max Pulse In Research Studies: When doing trials that require perfectly repeatable tests, you have to be very careful to follow the test instructions exactly. Follow the wait period after coffee, the no smoking before the test, and the person must have an empty stomach and the hands must be warm.

The empty stomach is important. When a person eats, the body constricts the arteries at the periphery to push blood into the body core. Then the body will tighten and loosen arteries continuously to maintain the optimum core blood levels for digestion. Tests taken while digesting will fluctuate because of this. The length of time after eating is important but different foods digest at different speeds so its also important that the person reports that they have an empty stomach.

A. Back to Back Testing: If you are testing several times, one after another, you must follow the testing instructions precisely. That means you test the subject on an empty stomach, no caffeine or nicotine for at least 2 hours, with the patient having warm hands (use hand warmer) and the patient sitting comfortably and normally (no closing eyes, no special breathing, nothing except sitting comfortably). The clip must be on the left index finger with the hand approximately at heart level. So to get a very tight and accurate result you have to follow all the instructions here – https://longlifecardio.com/max-pulse/max-pulse-test-guide/. Any violations of the rules and the tests get sloppy and they move around a bit.
B. When tests move around: Tests move around a little bit when they are not done exactly per the instructions. To understand the movement you have to have a really clear understanding of the 2 types of scoring that are going on.
4 and 6 are arterial hardening. So a person who scores 60% Type 4 and 40% Type 6 is showing arterial hardening – some heartbeats reflecting severe, some heartbeats reflecting moderate. These percentages can shift around fluctuating between 4 and 6 if the person is digesting food, or agitated or any of the other things in the setup.
3 and 5 are heart weakening. So a persons score might move between a 3 and a 5 but its the same situation, just showing at different weakness. Type 3 is barely detectable heart weakening – Type 5 is noticable heart weakening. Again this can move around some if the test is not done per instructions.
C.  Arrhythmia: Sometimes you can do a test perfectly and the test results are still not steady. The thing to check is to make sure the patient does not have an arrhythmia If a patient has an irregular heartbeat, you can get an invalid test. You can see this when you do the 3 minute HRV test – that test scores the number of ectopic (irregular) heartbeats. If you do a test and are careful to do everything right and the results are not fairly steady, then run the HRV and see how many ectopic beats there are. Those beats are going to throw everything off. People who drink a lot of coffee often have a lot of ectopic beats. Other stimulants, drugs, medications can do the same thing. You have to get the person off the stimulants before you can get a steady reading.
D.Quick Testing: Often medical practices are using the machine as a screening tool, trying to find severe problems. They should be testing on a mostly empty stomach, still no caffiene for 2 hours, no smoking directly before the test, warm hands etc but they don’t have to be so exacting. Tests will be less accurate. Once a person is detected with a severe problem – 5, 6 or 7. They should carefully re-test before referring the patient out.
Please let me know if that helps
Wayne

Cardiovascular Mortality Rates on the Rise Again Due to Obesity

Cardiovascular mortality rateOver the past 50 years, cardiovascular mortality rates have been decreasing each year by 2.4% for whites and 2.2% for blacks. Research indicates that these decreases are starting to plateau because of the obesity epidemic in the United States. While there have been consistent advances in treatment and diagnostics for heart disease, strokes, diabetes, and kidney diseases which have contributed to fewer deaths over the years, obesity among both children and adults is drastically increasing risk for these illnesses. According to the Centers for Disease Control, more than 93 million adults and 14 million children and teens are considered obese, and unfortunately, this number continues to climb.

What’s also alarming is that while cardiovascular disease-related deaths declined by 36% from 2000-2014 overall, the mortality rates began increasing for the first time between 2011 and 2014 and have now reached a plateau despite a drastic decrease of smokers in the general population. This is causing increases in mortality rates due to hypertension, diabetes, and kidney disease, all of which contribute to cardiovascular disease risk. The American Heart Association hoped to see at least a 20% continued decrease of CVD related deaths by 2020, however, it appears that goal will not be met.  

Dr. Steven Nissen, esteemed chairman of the Cleveland Cardiovascular Clinic, researcher, and patient advocate, weighs in on this topic:

“We have to attack this problem before it gets to the point where people are really obese and in trouble. Because once people have developed severe obesity, reversing that is very difficult.” Early intervention is also key since chronic disease can be diagnosed, treated, and possibly reversed if it is caught in time.”

Continued education and programs regarding nutrition, exercise, and overall health and wellness is key for Americans to lose weight and become healthier. However, early intervention is also key since chronic disease can be diagnosed, treated, and possibly reversed if caught in time.  

The Max Pulse Screening Device

max pulseThe Max Pulse device is an excellent tool for helping family and general practice physicians and health and wellness providers to detect early signs of cardiovascular disease. It uses a complex analysis of the patient’s arterial pulse wave to determine arterial stiffness, circulation blockage, and stress levels in the body. It is non-invasive and only takes 3-minutes to complete the test which also makes it a convenient diagnostic tool for both patients and providers.

The Max Pulse shows accurate assessment of arterial hardening, and an indication of whether circulation is inhibited. There is a separate result for large arteries, small arteries, and capillaries. This information is very valuable to a practitioner. Larger arterial constriction and arterial hardening at the same time is of course, a huge cause of concern.

Additionally, this machine does a very accurate heart rate variability test and prints an autonomic nervous system analysis which shows if the patient is overstressed and whether or not the sympathetic nervous system is dominant, or in some cases showing that the person is inhibited or suppressed and the parasympathetic system is dominant.

For more detailed information about the Max Pulse, please visit us at our website and learn how the Max Pulse can help your patients. Our representatives will be happy to discuss our device with you. We can answer all of your questions and show you the incredible benefits this device can have for your practice.

Please Call Us at (210) 601-1050

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Max Pulse Testing Directory

You might have found our website looking for someone to give you the Max Pulse test. There is no directory for this, so we have decided to start one.

We will be adding more and more names and locations to this directory as time goes on.

Max Pulse Directory

 

 

Max Pulse Device for GPs and Family Practices

max pulse device

One of the biggest challenges that physicians face is treating and managing cardiovascular disease. More Americans die each year from CVD related problems than from any other disease. In many cases, patients are asymptomatic, or they aren’t aware of the severity of their disease until disaster strikes.

The World Health Organization has completed several studies on identifying and managing risk factors of cardiovascular disease, along with the obstacles that doctors encounter:

“The debilitating and often fatal complications of CVD are usually seen in middle-aged or elderly men and women. However, atherosclerosis, the main pathological process leading to coronary artery disease and peripheral artery disease beings early in life and progresses gradually through adolescence and early adulthood. It is usually asymptomatic for a long period.”

“…many people are unaware of their risk status; opportunistic and other forms of screening by healthcare providers are therefore a potentially useful means of detecting risk factors…”. Read more about this study and its findings at www.who.int/cardiovascular_diseases/guidelines/Full%20text.pdf.

General Practice Physicians frequently screen for cardiovascular disease by testing lipids, blood sugar, and regular blood pressure monitoring. However, the Max Pulse is an additional screening tool for cardiovascular disease that actually offers insight into the state of atherosclerosis in a patient.

The test is non-invasive, inexpensive, and takes approximately 3 minutes making it convenient for the doctor and the patient. Additionally, results print out instantly and can be reviewed with the patient right after it is completed.

This is a good tool to use in the course of regular check-ups regardless of age since it can help identify early signs of atherosclerosis. Additionally, it should be used with patients who have a known history and/or risk of CVD and can even help track progression from visit to visit. The Max Pulse should also be used in patients with diabetes as part of their regular testing program.