Heart Disease

Interventional Cardiology - Delivered with a fork. - Stephen Devries, MD.

  • Short article - what really works in cardiac disease

Prevent and Reverse Cardiac Disease - Caldwell B. Esseltyn, Jr. M.D.

  • Resolving coronary artery disease through plant based nutrition

  • Updating a 12-Year Experience With Arrest and Reversal Therapy for Coronary Heart Disease

  • Video - 60 min talk (176 MB)

  • Video - patient personal story (25 MB)

  • More recently, a small, but significant clinical trial by Dr. Caldwell Esselstyn Jr., of the Cleveland Clinic Foundation, showed that a plant-based diet in conjunction with cholesterol-reducing medication eliminated progression of coronary artery disease over a 12-year period in patients with triple-vessel disease. Most of the 18 patients had experienced an earlier failed intervention of bypass surgery or angioplasty. All patients who maintained the diet achieved the cholesterol goal of less than 150 mg/dL and had no recurrent coronary events during the 12 years. At five years, angiography was repeated in most cases. By analysis of the stenosis percentage, none had any progression of the disease and 70 percent had selective regression. This data is compelling when one considers that the same group had experienced more than 49 coronary events during the eight years before this study.

Mehmet Oz, M.D. - Heart Surgeon, Oprah, Real Age - 5 Tips for a Heart-Healthy Life

  • 1. Go out and play. You are better off being in good shape and fat than thin and in bad shape. There's no pill or diet that can substitute for the health benefits of exercise. Don't starve yourself, but eat well and get moving, doing whatever kind of exercise is fun for you. Go for a bike ride with your spouse, or play basketball with your kids. You'll look and feel better, and your heart will thank you.

  • 2. Watch your waistline. Despite the advice above, where your fat lands is key. Abdominal fat is a risk factor for metabolic syndrome, which dramatically increases the risk of heart disease. So do sit-ups and keep your waist measurement less than 40 inches for men and 35 inches for women.

  • 3. Have sex. Sexual activity can provide exercise and emotional bonding, perhaps explaining why one study shows that having orgasms at least 100 times a year (that's twice a week) is associated with longevity. On the other hand, sexual dysfunction can be a signal of heart disease. Like a dipstick, erections of the penis reflect the vascular health of a man's heart, so trouble in that department may mean it's time to see your doctor.

  • 4. Go nuts. Rich in healthy fats, nuts are great to snack on and very filling, so you don't feel compelled to eat as much junk.

  • 5. Relieve the pressure. Emotional stress causes physical stress. Avoid traffic jams, for example, which studies show are associated with heart attacks. Relaxation techniques keep the heart healthy. Yoga and meditation are great, but even simple stress-reduction techniques can work. Try counting to 10 and taking yourself outside the situation, as if just observing it.

    Stress can also raise your blood pressure, and studies show that people with the lowest blood pressure have the fewest heart attacks. What we once thought was normal may be way too high for heart health. While we don't know yet how low is low enough, if you have heart-disease risk factors and your blood pressure is 130/80 or higher, see your doctor.

10 yr Heart Attack Risk Calculator - NIH

Michael F. Roizen, M.D. - Real Age - 10 Easy Steps to a Healthier Heart

  • How to Cut Your Risk

    Even if you follow just the first seven tips below (and don't smoke, of course), you'll reduce the chance of having a heart attack by as much as 90 percent compared to a typical person your age!

  • 1. Walk 30 minutes a day every day, no matter what -- and then call someone.

  • 2. Know your blood pressure and do whatever it takes to get it down to 115/75.

  • 3. Eat an ounce of nuts a day.
  • 4. Learn your HDL number and do what you can to raise it to 50.

  • 5. Eat 10 tablespoons of tomato sauce a week.

  • 6. Floss your teeth regularly.
  • 7. Eat no more than 20 grams of saturated fat a day and as little trans fat as possible.

  • 8. Read labels and throw out all food that has sugar in the first five ingredients.
  • 9. Have a glass of wine or beer today.

  • 10. Eat 9 servings of colorful fruits and vegetables a day.

American Heart Association

  • Stop smoking. If you smoke, quit. If someone in your household smokes, encourage them to quit. We know it’s tough. But it’s tougher to recover from a heart attack or stroke or to live with chronic heart disease. Commit to quit. We’re here to help if you need it. more

    Reduce blood cholesterol. Fat lodged in your arteries is a disaster waiting to happen. Sooner or later it could trigger a heart attack or stroke. You’ve got to reduce your intake of saturated and trans fat and get moving. If diet and exercise alone don’t get those numbers down, then medication is the key. Take it just like the doctor orders.  Here’s the lowdown on where those numbers need to be: more

    Total Cholesterol – Less than 200 mg/dL
    LDL (bad) Cholesterol – LDL cholesterol goals vary.

  • Low risk for heart disease – Less than 160 mg/dL
  • Intermediate risk for heart disease – Less than 130 mg/dL
  • High risk for heart disease including those with heart disease or diabetes – Less than 100mg/dL

HDL (good) Cholesterol – 40 mg/dL or higher for men and 50 mg/dL or higher for women
Triglycerides – Less than 150 mg/dL

Lower high blood pressure. It’s the single largest risk factor for stroke. Stroke is the No. 3 killer and one of the leading causes of disability in the United States. Stroke recovery is difficult at best and you could be disabled for life. Shake that salt habit, take any medication the doctor recommends exactly as prescribed and get moving. Those numbers need to get down and stay down. Your goal is less than 120/80 mmHg. more

Be physically active every day. Research has shown that getting 30–60 minutes of physical activity on most days of the week can help lower blood pressure, lower cholesterol and keep your weight at a healthy level. But something IS better than nothing. If you’re doing nothing now, start out slow. Studies show that people who have achieved even a moderate level of fitness are much less likely to die early than those with a low fitness level. more

Aim for a healthy weight. Obesity is an epidemic in America, not only for adults but also for children. Fad diets and supplements are not the answer. Good nutrition and physical activity are the only way to maintain a healthy weight. Obesity places you at risk for high cholesterol, high blood pressure and insulin resistance, a precursor of type 2 diabetes — the very factors that heighten your risk of cardiovascular disease. Your Body Mass Index (BMI) will tell you if your weight is healthy. more

Manage diabetes. Cardiovascular disease is the leading cause of diabetes-related death. People with diabetes are two to four times more likely to develop cardiovascular disease due to a variety of risk factors, including high blood pressure, high cholesterol, smoking, obesity and lack of physical activity. more

Reduce stress. Some scientists have noted a relationship between coronary heart disease risk and stress in a person's life that may affect the risk factors for heart disease and stroke. For example, people under stress may overeat, start smoking or smoke more than they otherwise would. Research has even shown that stress reaction in young adults predicts middle-age blood pressure risk. more

Limit alcohol. Drinking too much alcohol can raise blood pressure, cause heart failure and lead to stroke. It can contribute to high triglycerides, produce irregular heartbeats and affect cancer and other diseases. It contributes to obesity, alcoholism, suicide and accidents. The risk of heart disease in people who drink moderate amounts of alcohol (an average of one drink for women or two drinks for men per day) is lower than in nondrinkers. However, it’s not recommended that nondrinkers start using alcohol or that drinkers increase the amount they drink. more

Cardiac Risk Assessment Tool - American Heart Association

RealAge Test