Stents and Bypass Surgery Not More Effective than Lifestyle Changes and Medication for Stable Heart Disease
The $100 million ISCHEMIA Trial showed that after four years, surgical treatments (stents or coronary artery bypass surgery) were not more effective than lifestyle changes and medication in preventing heart attacks deaths in patients with stable heart disease.
The US Preventive Services Task Force (USPSTF) has advised against people aged 60 and older taking aspirin for primary heart attack prevention because of their increased risk for bleeding into the brain or gastrointestinal tract.
A slow pulse rate in athletes usually means a strong heart, but in non-athletes, it can mean heart damage. Athletes often have pulse rates below 60 because their hearts are strong enough to pump large amounts of blood with each beat and therefore don't have to beat as often.
Knowing when to take your blood pressure can help you predict your likelihood of suffering a heart attack. We know that having high blood pressure markedly increases your risk for heart attacks. Blood pressure is usually lowest just before you go to bed at night and when you first wake up in the morning.
Aspirin has been shown to help prevent a second heart attack in people who have already had a heart attack. However, aspirin also causes bleeding that can kill a person, so researchers wanted to find out if the heart-attack-preventing effects of aspirin would be offset by the complications of bleeding that aspirin can cause.
Almost everyone agrees that having total blood cholesterol levels above 250 is likely to shorten your life and markedly increases your chances of suffering a heart attack, unless you have a very high HDL (which is good). Other studies also show that people with very low cholesterol are at increased risk for cancer of the stomach, esophagus, liver and colon, but it looks like the incubating cancers cause the low cholesterol, rather than a low cholesterol causing the cancers.
Studies this month show that neither taking omega-3 polyunsaturated fatty acids (PUFAs) in fish oil pills nor eating fish reduce the risk for heart attacks, September 16, 2016). A review of studies in the world's scientific literature agrees that taking fish oil pills does not prevent heart attacks.
More than 90 percent of North Americans will develop high blood pressure. A new study shows that a diet high in potassium appears to protect teenagers from high blood pressure in adulthood, while a low-salt diet has no effect (JAMA Pediatr, June 2015;169(6):560-568). A high-potassium and low-salt diet is achieved by eating mostly plants,...
Medical researchers agree that exercising into old age helps to prevent heart attacks, strokes and cancers and prolongs lives, but one report shows that sometimes competing in endurance sports may cause atrial fibrillation.
Thirty percent of all deaths in the world are due to heart disease. The authors of a new study, covering 3.8 billion people in 186 countries, believe that there would be a great reduction in heart attack deaths if people increased their intake of the healthful vegetable unsaturated fats,
Changes in diet should be the first strategy for anyone with high blood pressure, but most people will need to make drastic changes in their eating habits to succeed. Scientists at the National Institutes of Health have shown why the DASH diet lowers high blood pressure to normal in more than 80 percent of...
A very important new study of 27,599 adults, average age 47-50, showed that almost 15 percent of North American adults and almost 19 percent of those with high blood pressure take medications that can raise blood pressure. The blood-pressure-raising medicines taken most frequently were antidepressants, NSAIDs, steroids, and estrogens.
A recent study suggests that stents placed in arteries leading to the heart have not been shown to cure chest pain (Lancet, Nov 2, 2017). Placing stents in people who have heart pain from narrowed arteries and giving them medication is not more effective in relieving pain than just giving them medication and no stents. Stents do help to prevent the heart muscle from dying when put in place within the first few hours after the start of a heart attack.
Most of the chemicals in your body and in your food are safe, but when many chemicals in your body and foods are oxidized and converted to their oxidized forms they become harmful. Cholesterol is pure and safe for arteries. The cholesterol in fresh meat, fish, eggs and milk is safe. In fact, it functions as an antioxidant that protects your arteries.
The American Heart Association, the American College of Cardiology and nine other heart health groups now agree that you have high blood pressure if your blood pressure is above 130/80, not 140/90 as the previous guidelines recommended.
An analysis of 7,743 people suffering from osteoarthritis found that those who took NSAIDs (non-steroidal anti inflammatory drugs) were at 41 percent increased risk for suffering heart attacks, heart failure and strokes, compared to arthritis patients who did not take NSAIDs.
More than forty years ago, Dr. Robert Wissler of the University of Chicago showed that arteriosclerosis is reversible in animals. Since then, hundreds of papers have shown that it is reversible in humans, even those who have already had heart attacks.
A study in the New England Journal of Medicine showed that one of the best tests to predict your risk for having a heart attack is your Recovery Heart Rate. Recovery heart rate is a measure of fitness and a slow recovery from exercise means that you are out of shape. The study really shows...
"You Can Exercise Yourself to Death, Says New Study" was the headline in The New York Post on October 17, 2017. Headlines like that are likely to discourage people from exercising and thus to shorten their lives.
Most researchers believe that exercise helps to strengthen the heart and protect it from disease, but about twenty years ago, doctors noted that some men over 80 who competed in cross country ski races longer than 100 kilometers (60 miles) were at increased risk for an irregular heartbeat called atrial fibrillation.
A study of 14,392 individuals with high blood pressure, followed for 5-10 years, found that those who adopted a healthful lifestyle along with taking medication had a much lower risk for suffering heart attacks and lived significantly longer than those who treated their high blood pressure just with drugs.
People who had higher blood levels of omega-3 fatty acids at the time of a heart attack were far less likely to die or to have repeat heart attacks within three years, compared to those who had lower levels. The sources of omega-3s in the 944 heart attack patients in this study included both fish and plants.
A final report on the official outcomes of the ISCHEMIA Studies was recently published. It suggests that most people with clogged arteries do as well with medication and lifestyle changes as they do after undergoing invasive procedures to reopen their blood vessels such as stents, balloon angioplasty or bypass surgery
Two to three million years ago, our pre-human ancestors had a single genetic mutation in their CMAH gene that protected them from a deadly form of malaria but set them up for risk for heart attacks that increases when they eat a lot of meat from any kind of mammal (PNAS, July 22, 2019)....
As you age, you can expect to suffer from sarcopenia (loss of muscle size and strength). The smaller the muscles in the arms, legs and trunk, the smaller and weaker the upper and lower chambers of their heart. Having a smaller and weaker heart muscle puts a person closer to heart failure.
Your blood pressure usually rises as soon as you start to exercise and drops a little bit while you exercise at the same intensity. However, as you continue to increase the intensity of exercise, your blood pressure usually rises higher and higher.
Heart attacks and strokes cause 50 percent of the deaths in North America today, yet many people are not adopting the lifestyle changes needed to prevent the factors that cause them: inflammation and clotting. A new study from the University of Michigan shows how important inflammation is as a cause of heart attacks and strokes.
Today's aspirin is a manufactured copy of the salicylic acid from willow bark plus acytl chloride (acetylsalicylic acid). The bark of willow trees has been used medicinally for more than 5000 years. Doctors have known for more than 200 years that salicylates in plants can prevent clotting
You can’t depend completely on blood pressure measurements done only in a doctor’s office because being active, having “white coat syndrome,” (feeling nervous or stressed), or an improper hurried measurement can raise blood pressure considerably. In one study, systolic blood pressure was 7.3 mm Hg higher in a doctor’s office than when measured more precisely in a research setting.