Cardiac Cure, Reversing
- CarDiaCure Keys and Takeaways
- Cardiac Prevention Programs
- Cardiac Early Detection Programs
- Post MI - Cardiac Rehab Works! Quantified Exercise to Build on Higher than Prior Function!
- RCT Studies Evidence Summary
- Reversing Heart/Diabetes Disease with Plant based diet, Studies
- TRs and Resources
CarDiaCure Keys and Takeaways
Get as fit as you can => Reduces Mortality Greatly after MI
Cardiac Prevention Programs
Natural Control of BP => Stop Atenlol, Hydrochrothroizide
Causes of High TriG Genetic Alcohol intake Specific Drugs (beta blockers, diuretics, HRT) ---- Low thyroid Diabetic predisposition - control BG Obesity ---- For given calories - Too much carbohydrade, too little fat ----
Tips for CarDiabetesCure #1: Exercise daily
Exercise 5 days/week for 1 hour per day — one of best things you can do for your heart — start with 30 minutes if necessary but build up to 1 hour Walking is generally best because it doesn't put too much stress on the joints Other good exercise includes: tennis, ballroom dancing, swimming, and riding a bike Do regular strength or resistance training to decrease age-related muscle loss Use a heart rate monitor and keep an eye on how your heart handles exercise — share this info with your doctor Tip #2: Lose weight if necessary
Learn your BMI (google it — it's easy!) — your BMI represents the % of your total body weight that is due to fat If you are overweight, apply the info diligently from my next tip. Tip #3: Get serious about your diet
It's time to get serious about what you eat whether you have known heart disease or are just taking a preventative approach. I recommend the Dean Ornish heart-reversal diet, the South Beach Diet, the Mediterranean diet, or even the Caveman Diet. For a healthy healthy diet, you should limit meat, reduce saturated fats, limit calories, decrease salt, decrease all fatty foods and avoid eating fast foods. Tip #4: Reduce your stress level & get proper sleep
Sleep is your body's primary way of dealing with stress — lack of sleep results in the liver pumping out excess cholesterol — get 8+ hours on a regular basis Recruit the support of your loved ones — talk more, enjoy quality time together Seek support from your religious or spiritual community — prayer, meditation, and being grateful all help decrease stress Review your work habits and determine if you could delegate some work or otherwise streamline your job to lower stress
Use key supplements
I developed Cardio Advanced to help you get all your key healthy heart supplements in one place. Cardio Advanced contains 12 unique ingredients, including plant sterols, CoQ10, Hawthorn, critical B Vitamins, and other heart healthy ingredients. Fish oil is also a great way to get the Omega-3 that you need for a healthy heart.
B3 (Niacin — as niacinamide) B9 (Folic acid) B6 (Pyroxidine) B12 (Cobalamin) B1 (Thiamin) B2 (Riboflavin)
Niacin (or vitamin B3) is used by your body to convert carbohydrates into energy. It supports good heart health on several fronts:
Niacin helps support HDL or "good" cholesterol levels Niacin helps support normal LDL or "bad" cholesterol levels . . . Niacin helps support normal triglyceride levels . . . Experts also generally agree that folic acid or folate (which is actually vitamin B9) is crucial when it comes to heart health.
Folate helps produce and maintain new cells and is essential for the metabolism of homocysteine.
Homocysteine is an amino acid normally found in your blood, but elevated levels are linked to heart concerns. Maintaining normal homocysteine levels is important to arterial health and affects the ease with which blood flows through the blood vessels.
Promoting normal levels of homocysteine helps promote normal platelet aggregation, which is essential to good circulatory health.
Folate, vitamin B6, and vitamin B12 all play key roles in converting homocysteine into methionine, one of the 20 or so building blocks from which your body builds new proteins.
Without enough folate, vitamin B6, and vitamin B12, this conversion process becomes inefficient and homocysteine levels increase. In turn, increasing intake of folate, vitamin B6, and vitamin B12 decreases homocysteine levels.
Vitamin B1 (also called thiamine or thiamin) is necessary to heart function because it helps your cells make adenosine triphosphate or ATP, which is a major contributor to your body's energy production. Of course, since it must beat continuously, the heart is a big consumer of energy.
Vitamin B2 (known as riboflavin) is also a cofactor in the metabolism of homocysteine. Plus, it is important in red blood cell production.
But vitamin B2 works as an antioxidant as well, which is important in heart health, as you also heard with CoQ10. Vitamin B2 also helps protect cells from oxygen damage by fighting damaging free radicals.
And although the B vitamins work magic to support healthy hearts, let's not forget a couple of additional vitamins that contribute to a smoothly running ticker: vitamin D3 and vitamin C . . .
Dr. Crandall included vitamin D3 in Cardio Advanced™ because it has been shown to help regulate some critical processes involved in heart health, particularly when it comes to blood pressure.
Vitamin D also plays a role in proper blood clotting, inflammatory response, and glucose control.
And he didn't forget to add some vitamin C, either. While most animals have the ability to manufacture vitamin C in their bodies, humans do not. That means we need to get our vitamin C through diet and supplementation.
Though inconclusive, research suggests a correlation between low levels of vitamin C and the body's production of more cholesterol. Conversely, the body manufactures less cholesterol when vitamin C levels are high.
Most importantly, vitamin C also helps support arterial health. This may be related to its role in producing collagen tissues in the body.
Cardio Advanced™ also includes one mineral essential to heart health: magnesium.
Heart RhythmWhile magnesium has many important functions in the body, the heart in particular requires a sufficient amount of this vital mineral.
Magnesium helps maintain a normal heart rhythm — it coordinates the activity of the nerves and heart muscle cells that initiate the heartbeat.
Magnesium also supports normal blood pressure by relaxing the muscles controlling blood vessels, allowing blood to flow more freely.
There is some evidence that suggests that magnesium may help promote normal levels of LDL cholesterol and triglycerides.
Evidence based Cardiac Events Prevention
Effectiveness of programmes as part of primary prevention demonstrated on the example of cardiovascular diseases and the metabolic syndrome. https://www.ncbi.nlm.nih.gov/pubmed/21468290
Cardiac Early Detection Programs
Tests - Treadmill Stress Tests
Bruce Protocol (3' steps) toTime step degree speed 3' 1 10 1.7 6' 2 12 2.5 9' 3 14 3.4 If you can do >10' your prognostics are good 12' 4 16 4.2 15' 5 18 5.0 very difficult, rare even for healthy
Post MI - Cardiac Rehab Works! Quantified Exercise to Build on Higher than Prior Function!
Role of Exercise
- Study presents new evidence of how physical activity benefits heart health in seniors Jun 13 2011 TRACIE WHITE
Michael McConnell and his colleagues found that physical activity increases the health of heart arteries in older patients.
Scientists at the Stanford University School of Medicine have found the strongest evidence to date that staying physically active helps improve the functioning of heart arteries in older Americans. The findings, published online June 13 in the Journal of the American College of Cardiology: Cardiovascular Imaging, support the heart-health benefits of even moderate exercise, such as walking one hour per day.
In the study, scientists directly measured the improved ability of heart artery dilation — a measurement of artery health — in more-active older patients. Previous studies have shown the same benefits among male athletes, such as ultra-marathon runners, but this new study was unique in looking at both men and women between the ages of 60 and 72 doing typical physical activities. The benefits were found equally in both genders.
“My patients ask me, ‘How do we really know that exercise is benefiting my heart arteries?’” said senior author Michael McConnell, MD, associate professor of cardiovascular medicine and director of the Preventive Cardiology Clinic at Stanford. “Now we can say that we’ve looked directly at their arteries and shown that the more physically active subjects, even in their 60s, see measurable benefits.”
Scientists compared the healthiness of heart arteries in older adults with their physical activity levels in a group of 212 older patients with no history of heart disease. The patients had been part of the Stanford/Kaiser ADVANCE study of heart disease. (ADVANCE is a large epidemiological study of coronary artery disease that started in 2000 as a collaborative effort between researchers at Stanford University and Kaiser Permanente of Northern California with the overarching goal ofimproving the ability to prevent, diagnose and treat heart disease.)
They found a significant positive correlation between coronary vasodilatation and physical activity. The subjects with moderate activity levels, equivalent to one hour of walking a day, dilated their coronary arteries almost 50 percent more than subjects with lower activity levels. These findings remained significant even after adjustment for cardiac risk factors, coronary calcium score and the use of heart medications such as statins.
“If you exercise more, your vessels dilate more,” McConnell said. “The more a vessel dilates, the healthier the vessel. Those who don’t do anything beyond light activity have by far the lowest dilation levels. Those who include high-level activities, like singles tennis or swimming, at least once a week dilated their heart arteries twice as much.”
To measure the dilating capacity of heart vessels, scientists used noninvasive, high-resolution magnetic resonance imaging of the coronary arteries, a technique developed at Stanford. An MRI coronary angiogram was conducted both before and after administering a nitroglycerin pill under the tongue with a five-minute wait between the two angiograms. The change in size of the coronary artery was then measured.
The physical activity levels of the subjects were measured using the Stanford Seven-Day Physical Activity Recall Questionnaire, which was developed at Stanford in the 1980s and has been used in many epidemiologic studies. The interview-administered survey asked subjects to estimate energy levels recalling typical weekly activities: mopping or a brisk walk equaled moderate activity levels; construction work or doubles tennis equaled intense levels; chopping wood or running equaled very intense levels.
Previous studies have shown that athletes have a greater coronary vasodilatory response to nitroglycerin, which gets converted to nitric oxide, compared with people who are not physically active. Nitric oxide is the main chemical that the walls of the heart arteries produce to tell the vessels to dilate.
“By imaging after giving nitroglycerin, we could measure the coronary artery response to nitric oxide, and found that inactive people are less responsive than active people,” said Patricia Nguyen, MD, an instructor in cardiovascular medicine and first author of the study.
According to the American Heart Association, nearly 70 percent of Americans don’t get enough physical activity. It recommends at least 30 minutes of moderate physical activity, like brisk walking, at least five times a week to lower the risks of heart disease, stroke and diabetes. Children need 60 minutes every day.
The study’s co-authors at the Stanford Prevention Research Center include: Ruth Taylor-Piliae, PhD, RN, a former research fellow; William Haskell, PhD, professor emeritus of medicine; Stephen Fortmann, MD, former professor of medicine; Joan Fair, PhD, a former consulting assistant professor; and former staff member Ann Varady. Co-authors from the Stanford cardiovascular medicine division are Masahiro Terashima, MD, PhD, a former research fellow; and Mark Hlatky, MD, professor of medicine and of health research and policy.
The study was supported by grants from the National Institutes of Health and the Reynolds Foundation, which primarily funded the ADVANCE study, and the American College of Cardiology. GE Healthcare provided research equipment support.
McConnell’s laboratory receives research support from GE Healthcare Inc.
Information about Stanford’s Department of Medicine, which also supported this study, is available at http://medicine.stanford.edu.
RCT Studies Evidence Summary
Mediterranean diet is seen as best
Scientific reviews of the effect of diet on CAD in the last 5 years have concluded that the evidence is best for the Mediterranean diet, which emphasizes fish consumption, olive oil and nuts.
Low Fat diets, very low saturated fats - standard recommendation!
But reviews dismiss ultra-low fat diets because of a lack of evidence supporting them
Vegan is Not enough
Vegans avoid animal products, but not oil, refined carbs or various sugars. It is an unhealthy diet. The Esselstyn does not allow added oil or more than a handful of nuts and no sugars or simple carbs. It is really a whole plant based diet without much of processed ingredients. There is an obvious and crucial distinction.
Satiety, Hard to Comply for Meat-heads
Healthy plant based diets are opposed on so-called inability to get people to follow them.
Olive Oil lowers CAD
RCT Studies shown that Olive oil and nuts substantially lowers CAD.
Olive Oil lowers CAD
RCT Studies shown that nuts substantially lowers CAD.
Fish helps CAD
Every observational study in nutrition has demonstrated that fish consumption is associated with lower cardiovascular disease.
B12 Vital for CAD health
Animal endotoxins damage arteries very fast
No one in the omnivore community ever debunks the studies that show that there is endothelial damage that happens from eating a “bad meal” (meat/dairy/etc.) and the claim that the arteries don’t temporarily stiffen up for a short while after eating a meal of meat or dairy.
The problem with the studies you describe is that they are describing a temporary physiological phenomenon (e.g. a change in flow-mediated dilatation-i.e. relaxation of arteries) not a true fixed anatomic change in the arteries (“endothelial damage”). Arteries are constantly dilating and contracting in response to various stimuli-cold, food, stress, exercise. What hasn’t been established is what the long term consequences of a temporary food-induced change in flow-mediated vasodilatation signifies.
Reversing Heart/Diabetes Disease with Plant based diet, Studies
The following are the leading lights of a dying effort to indict any and all fat as promoting heart disease and all the chronic diseases of western civilization.
T. Colin Campbell “China Study”
Dr. Caldwell Esselstyn's
A former surgeon and now a vegan evangelist along with the China Study, in “Preventing and Reversing Heart Disease” rules: - you may not eat anything with a mother or a face (no meat, poultry, or fish) - you cannot eat dairy products - you must not consume oil of any kind, whether saturated or unsaturated are going to damage the lining of your arteries. - Generally you cannot eat nuts or avocados - Overall his diet was an Ultra-low Fat Diets.
The Esselstyn diet was BETTER than common vegetarian diets, as it does not allow added oil or more than a handful of nuts and no sugars or simple carbs. It is really a whole plant based diet without much of processed ingredients. In contrast bad low-fat/high carb/sugar diets tend to lots of oils, processed and refined carbs and salt and sugars. It is an unhealthy diet.
RESULT - 18 did well on CAD, beating the odds.
CRITICISM of Esselstyn's study wasn't a blind RCT, but ALL 24 followed
- All were non-smokers the worst patients, already had their arteries cleaned up with stents or CABG
- Vegan program
- Given cholesterol lowering medications
Were “switched to statin as soon as these became available in 1987.
Cardiologists state it was too difficult it was to follow this diet as 6/24 could not comply with program and removed
- 9 of 18 or remained had previously undergone coronary bypass surgery and two had undergone angioplasty of a coronary artery.
- Of course if their arteries were cleaned and lowering cholesterol.
- Three of the 18 patients have died, one from pulmonary fibrosis, one presumably from a GI bleed, and one from depression.
See the You Tube Video Raw for Thirty about diabetics using this program to cure their diabetes.
Neal Barnard => Eat Plants
https://www.youtube.com/watch?v=K7RrAYN0Tkw https://www.youtube.com/watch?v=oQ8pQ_EdKR0 https://www.google.com/search?q=Neal+barnard+talks&rlz=1C1GGLS_enUS360US360&oq=Neal+barnard+talks&aqs=chrome..69i57.2588j0j7&sourceid=chrome&ie=UTF-8 - Power Foods for the Brain | Neal Barnard
Dean Ornish Diet Reviews 2017
Dr Richard Berenstein's Diabetes Solution
Berenstein says eat enough meat to feel satisfied. I see a lot of overlap between what these doctors are saying- yet one is a vegan rabbi and the other is an advocate of meat eating. That should tell you something. (Eat tons of vegetables, avoid most fruits and starches. Coffee is bad. You need to exercise to control blood sugar and build muscle. All those fake sugars are very bad. Berenstein says most of them don't work to control blood sugar, and Cousins sees them as toxic. )
The raw foodists might hate my bringing in Berenstein because they believe that cooking food itself is bad (and Cousins gives a lot of research to that effect.) (And most raw foodists are vegan.)
But both of these doctors will tell you that as a diabetic you cannot consume the starches, sweet fruits, sugar-free drinks and candies, coffee, etc that the American Diabetes Association recommends. Both will tell you there is big business profiteering on your diabetes. Both will tell you the standard medical approaches to diabetes care usually do more hard than good.
2011 Forks Over Knives : Whole-food, plant-based diet
Forks Over Knives claims to empower people to live healthier lives by changing the way the world understands nutrition. It is centered on whole, unrefined or minimally refined plant foods and excludes or minimizes meat, dairy products, eggs, and highly refined foods such as bleached flour, refined sugar, and oil.
- In 2001, Brian Wendel attended a conference on nutrition. There, a plant-based expert made a compelling enough argument that a Staten Island boy raised on pizza and roast beef decided to go all in on plant foods so for the next eight years, Brian immersed himself.
- In 2009, he began work on a documentary film which debut in 2011,
- "THE FORKS OVER KNIVES PLAN" the accompanying book became a New York Times No. 1 bestseller.
- FORKS OVER KNIVES: FLAVOR! book by Chef Darshana Thacker shares delicious and easy-to-prepare riffs on traditional favorites from a wide variety of cultures and countries.
- FORKS OVER KNIVES – THE COOKBOOK by Chef Del Sroufe, dishes are vegan, oil-free, and virtually all are low-fat.
- FORKS OVER KNIVES MAGAZINE - SUMMER 2020 coffee table “bookazine” dedicated to the plant-based lifestyle, expert tips, beautiful photos, inspiring success stories, and 77 healthy, satisfying recipes.
- Launched a mobile recipe app
Led by its website, forksoverknives.com with the latest research, recipes, and tools. a cooking course, a meal planner, a line of food products, and a magazine.
- “Forks Over Knives”: Denise Minger Review and Critique
ARIC (Atherosclerosis Risk in Communities) study by Kim, John Hopkins of 12,000+ long term study to 2016 starting from 1987 when all were CAD free. This study showed Diets higher in plant foods and lower in animal foods were associated with a lower risk of cardiovascular morbidity and mortality in a general population. J Am Heart Assoc. 2019;8:e012865. DOI: 10.1161/JAHA.119.012865.
Researchers found that the participants with the highest intake of plant-based foods were 16 percent less likely to experience cardiovascular health issues such as heart attacks, strokes, or heart failure. They were also 32 percent less likely to die from cardiovascular conditions than those who ate more animal products. Furthermore, high consumption of plant-based foods was associated with a 25 percent lower risk of death from any cause.
But simply eating plant-diets was not enough. The best were whole-food, plant-based eating patterns as more beneficial than plant‐based diets high in refined carbohydrates and other processed ingredients.
Participants’ diet was classified using 4 diet indexes scored by levels of plant-based diet index and provegetarian diet index. Results from Cox proportional hazards models showed that participants in the highest versus lowest quintile for adherence to overall plant-based diet index or provegetarian diet had a 16%, 31% to 32%, and 18% to 25% lower risk of cardiovascular disease, cardiovascular disease mortality, and all-cause mortality, respectively, after adjusting for important confounders (all P<0.05 for trend). Higher adherence to a healthy plant-based diet index was associated with a 19% and 11% lower risk of cardiovascular disease mortality and all-cause mortality, respectively, but not incident cardiovascular disease (P<0.05 for trend). No associations were observed between the less healthy plant-based diet index and the outcomes.
Animal Proteins makes us fat
- Proteinaholic is the work of Dr. Garth Davis—a Houston-based weight loss surgeon whose personal and professional journey led him away from animal foods and down the fibrous, veggie-lined path of plant-based eating. He claims animal protein is not muscle building (eg whey-chugging bodybuilders), but instead a chief cause of our expanding waistlines, drives the progression of cancer, heart disease, diabetes, and other ailments crippling the Western world.
TRs and Resources
Cardiovascular Fitness and Mortality After Contemporary Cardiac Rehabilitation r. James Stone, a Clinical Professor of Medicine at the University of Calgary, Canada, promotes the necessity, positive benefits, and overall mortality reduction with cardiac rehabilitation in patient with coronary artery disease as noted in their article appearing in the May 2013 issue of Mayo Clinic Proceedings. Available at: http://tinyurl.com/boopj26 http://www.youtube.com/watch?v=tA1NQnliDtY
Billie-Jean Martin, MD, PhD Ross Arena, PhD, PTemail address Mark Haykowsky, PhD Trina Hauer, BPAS, MSc Leslie D. Austford, MN, MBA, CMPE Merril Knudtson, MD Sandeep Aggarwal, MD, FRCPC James A. Stone, MD, PhD