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High Resting Heart Rate Unsafe

A resting heart rate greater than 80 beats per minute is a strong predictor for future heart attacks, diabetes and even cancer. From 1974 to 2002, 53,322 healthy people were followed at the Cooper Clinic in Dallas, Texas. Those with a resting heart rate lower than 60 beats per minute were far less likely to suffer heart attacks or to die than those with a resting heart rate greater than 80 beats per minute

NSAIDs and Heart Attack Risk

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.

What Do Blood Cholesterol Levels Mean?

Having a high (>100 mg/dL) bad LDL cholesterol or a low (<40) good HDL cholesterol has long been associated with increased risk for heart attacks. However, new studies show that you can form plaques and be at risk for a heart attack even if your bad LDL cholesterol is as low as 50.

Deceptive Headlines about Exercise and Heart Attacks

"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.

Beta Blocker Side Effects

Research shows that some beta blockers and diuretics that are prescribed to control high blood pressure can cause high blood sugar levels, weight gain, tiredness and impotence

Statin Drugs and Muscle Pain

At last we have a reasonable explanation why statins can cause some people to suffer skeletal muscle pain and damage, but do not cause heart muscle damage.

DASH (High-Plant) Diet for Heart Health, Weight Loss and Diabetes Prevention/Control

Reports from Harvard School of Public Health shows that a diet rich in plants lowers high blood pressure (1,2). It's called the DASH diet (Dietary Approaches to Stop Hypertension.) Other studies show that similar eating patterns lower cholesterol, help to control diabetes and cause weight loss in people who are overweight.

Reduce Inflammation and Clotting to Prevent Heart Attacks

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.

My SHOW ME! Diet

If your doctor has told you that you have high blood pressure or that your cholesterol or triglycerides are too high, ask him or her for your numbers. If would like to find out whether you are one of the 80 percent of people who can control high blood pressure, cholesterol and triglycerides with diet alone, follow my SHOW ME! Diet for just two weeks. Then have your doctor re-check your cholesterol, triglycerides and blood pressure. You'll probably also find that you have lost several pounds.

Plaques in Arteries are Reversible

Almost anyone can get rid of plaques in their arteries, even if they have already had a heart attack or already have severe narrowing in the arteries leading to your heart. However, you have to do far more than just take drugs. The formation of plaques in arteries that eventually leads to heart attacks and strokes comes from chemical processes that start in the liver. Plaques can be reversed by changes in diet, exercise, weight, environmental exposures and medications.

Breakfast Skippers Have More Plaques

A new study surveyed more than 4,000 adults ages 40 to 54 about their breakfast habits and then checked them for heart attack risk factors. The researchers found that people who eat a large percentage of their total daily calories for breakfast have the fewest heart attack risk factors, while those who skip breakfast are more likely to have plaques in their arteries and other heart attack risk factors.

High Blood Pressure and Colon Bacteria

The recently published CARDIA Study shows that having certain types of bacteria in your colon is associated with having high blood pressure, and that you can lower blood pressure by improving the proportion of healthful to unhealthful bacteria in your colon. Lifestyle changes may be more important than drugs in treating high blood pressure.

Heart Attack Prevention

The majority of heart attacks are caused by unhealthful lifestyles, not by genetic defects. Statins remain the major choice of preventative drug, but everyone should realize that many studies show that lifestyle changes are probably more effective than statins in preventing heart attacks.

New Heart Attack Prevention Guidelines

On November 10, 2018, heart specialists presented the latest recommendations for preventing heart attacks from the American College of Cardiology and the American Heart Association: Treat all of their patients with recommendations for heart-attack-preventing lifestyle changes, and Treat all patients with significant heart attack risk factors with medications that lower blood levels of the bad LDL cholesterol.

HDL Cholesterol: a New Understanding

For many years HDL cholesterol has been called "good" because it carries plaque-forming particles from your arteries and bloodstream back to your liver where they can be removed from your body. An exciting new study shows that regular HDL cholesterol may not be very effective in doing this, but another form called Nascent HDL carries these protein-fats much more quickly to your liver to be removed from your circulation.

Daily Aspirin May Not Save Lives

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.

Statins and Alternatives to Lower Cholesterol

The risk for suffering a heart attack was exactly the same for those taking statins or any of the following non-statin interventions: cholesterol-lowering diet, bile acid sequestrants, ileal bypass, a non-statin drug called ezetimibe or newer drugs called PCSK9 inhibitors.

When to Take Your Blood Pressure

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.

Exercisers Have More Stable Plaques

Two recent breakthrough studies give the best explanation yet of how exercise helps to prevent heart attacks. Competitive older endurance athletes may have more plaques in their arteries than non-exercisers, but they have the type of plaques that are far less likely to break off and cause heart attacks.

Blood Pressure Guidelines

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.

How Soluble Fiber Lowers High Blood Pressure

High blood pressure (greater than 130/90 before you go to bed at night) markedly increases risk for heart attacks, strokes, heart failure, and premature death. Almost 50 percent of North American adults have high blood pressure, and it causes more than 80,000 U.S. deaths each year. A plant-based diet can help to prevent and treat high blood pressure because it contains lots of soluble fiber.

Statins, Low Vitamin D and Muscle Pain

Many people who take statin drugs complain of muscle pain and muscle damage. A new study associates this statin-induced muscle pain with low blood levels of vitamin D (Atherosclerosis, 11/22/2016). An eight–week randomized, double–blind crossover trial of a statin drug (simvastatin, 20 mg/day) on 120 patients who had previously complained of muscle pain from...

Plaques are Reversible

Most heart attacks are caused by lifestyle factors, not by genes, and the prevention of heart attacks depends far more on what you do now than what you did earlier in your life. It is an incredible tragedy that many physicians prescribe statin drugs to prevent heart attacks without also explaining the importance of lifestyle changes.

Stents and Bypass Surgery

Virtually all doctors agree that stents can save lives if used within three hours of the start of a heart attack. However, there is no good evidence that stents prevent heart attacks in people who have chest pain during exercise. The ORBITA study showed that in patients with medically-treated heart pain and severe heart artery blockage, stents did not increase exercise time more than a placebo procedure.

Bad Colon Bacteria May Cause Heart Attacks

A strong new study shows that with aging, there is an increase in the types of harmful colon bacteria that produce amines, specifically TMAO (trimethylamine oxide), that damage arteries to increase risk for heart attacks, strokes and cell damage throughout your body.

Statin Drugs and Exercise

The evidence is overwhelming that statin drugs do help to lower cholesterol and to reduce risk for heart attacks. However, a new study confirms that statins interfere with the ability to exercise and to compete in sports, even in patients who report no symptoms.

Fish Oil Pills Have Not Been Shown to Prevent Heart Attacks

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.

Heart-Healthy Diet

Several recent articles provide new data on which foods are associated with both your health and your longevity., including a major statistical analysis of the association between diet quality and rates of death from the cardiometabolic diseases (heart disease, strokes and type II diabetes).

Too Many Stents

In the last ten years, seven million North Americans have spent more than $110 billion to have stents put into the arteries leading to their hearts and the vast majority probably should not have had this surgical procedure in the first place.

What Do High Triglycerides Mean?

If your routine blood tests show that you have high triglycerides (greater than 150 mg/dl), this usually means that you are at high risk for diabetes and all of its side effects, including heart attacks. Your doctor measures blood levels of the bad LDL cholesterol to predict your susceptibility to suffering a heart attack, but triglycerides are just as important in predicting your risk for a heart attack, diabetes and premature death.