Blocked Arteries

8/9/2019 Blocked Arteries

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BLOCKED ARTERIESBLOCKED ARTERIES

Clean Them Out NaturallyClean Them Out Naturally


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Drawbacks of Heart SurgeryDrawbacks of Heart SurgeryDrawbacks of Heart SurgeryDrawbacks of Heart Surgery Provides a temporary fixProvides a temporary fix

Does not correct theDoes not correct theunderlying causeunderlying cause

Permanent side effects canPermanent side effects can

occuroccur

High costHigh cost


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Permanent HelpPermanent HelpPermanent HelpPermanent HelpYou can not help men permanently by doingYou can not help men permanently by doing

for them what they could and should do forfor them what they could and should do for

themselves.themselves.

Abraham LincolnAbraham Lincoln


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Results of 26% Fat and 250 mgResults of 26% Fat and 250 mg

Cholesterol DietCholesterol Diet

Results of 26% Fat and 250 mgResults of 26% Fat and 250 mg


Standard heart disease dietStandard heart disease diet

After 4 years:After 4 years:6% decrease in total cholesterol6% decrease in total cholesterol

6% decrease in LDL cholesterol6% decrease in LDL cholesterol

Angiography results:Angiography results:6% regression6% regression

15% no change15% no change

79% progression79% progression


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Results of 25% Fat and 200Results of 25% Fat and 200--250 mg250 mg


Results of 25% Fat and 200Results of 25% Fat and 200--250 mg250 mg

Cholesterol DietCholesterol DietAfter 3 yearsAfter 3 years

41% had progression41% had progression

After 7 yearsAfter 7 years







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Alfred Whiteheads PhilosophyAlfred Whiteheads PhilosophyAlfred Whiteheads PhilosophyAlfred Whiteheads Philosophy

Familiar things happen and mankindFamiliar things happen and mankind

does not bother about them. It requiresdoes not bother about them. It requiresa very unusual mind to undertake thea very unusual mind to undertake the

analysis of the obvious.analysis of the obvious.


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Results of 10% Fat and 5 mg of CholesterolResults of 10% Fat and 5 mg of Cholesterol

Diet in the Lifestyle Heart TrialDiet in the Lifestyle Heart Trial

Results of 10% Fat and 5 mg of CholesterolResults of 10% Fat and 5 mg of Cholesterol

Diet in the Lifestyle Heart TrialDiet in the Lifestyle Heart TrialAfter one year:After one year:

24% decrease in total cholesterol24% decrease in total cholesterol


Angiography:Angiography:82% regression82% regression

14% no change14% no change

4% progression4% progression

All lesions:All lesions:2.2% overall regression of atherosclerosis2.2% overall regression of atherosclerosis

9% increase in blood flow9% increase in blood flow

Lesions greater than 50% blockage:Lesions greater than 50% blockage:

5.3% regression of atherosclerosis5.3% regression of atherosclerosis

23% increase in blood flow23% increase in blood flow


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Lifestyle Heart Trial ControlLifestyle Heart Trial Control

Group DietGroup Diet

Lifestyle Heart Trial ControlLifestyle Heart Trial Control

Group DietGroup Diet

5% decrease in total cholesterol5% decrease in total cholesterol


31% regression31% regression

16% no change16% no change 53% progression53% progression

3.4% diameter overall progression of3.4% diameter overall progression of

atherosclerosis (all lesions)atherosclerosis (all lesions)

Angiography:Angiography:

30% fat, 200 mg cholesterol30% fat, 200 mg cholesterol

After 1 Year:After 1 Year:

Lancet 1990:336:129Lancet 1990:336:129--133133


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Lifestyle Changes in the LifestyleLifestyle Changes in the Lifestyle

Heart TrialHeart Trial

Lifestyle Changes in the LifestyleLifestyle Changes in the Lifestyle

Heart TrialHeart Trial Low fat vegetarian dietLow fat vegetarian diet

Stress management trainingStress management training

Smoking cessationSmoking cessation

Moderate exerciseModerate exercise

Social and emotional supportSocial and emotional support


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Diet Content in the LifestyleDiet Content in the Lifestyle


Diet Content in the LifestyleDiet Content in the Lifestyle

Heart TrialHeart Trial No animal products except egg whites andNo animal products except egg whites and

nonfat dairynonfat dairy

75% complex carbohydrates75% complex carbohydrates

At least 15% proteinAt least 15% protein

Less than 5 mg of cholesterolLess than 5 mg of cholesterol

No caffeineNo caffeine

Calories not restrictedCalories not restricted


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Exercise Program in the LifestyleExercise Program in the Lifestyle


Exercise Program in the LifestyleExercise Program in the Lifestyle


Walking 3 hours perWalking 3 hours per

week, at least 30 min perweek, at least 30 min persessionsession

Heart rate at 50Heart rate at 50--80% of80% of

maximum heart ratemaximum heart rate


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Your Target Heart RateYour Target Heart Rate

Calculation for Aerobic ExerciseCalculation for Aerobic Exercise

Your Target Heart RateYour Target Heart Rate

Calculation for Aerobic ExerciseCalculation for Aerobic Exercise

Figure your maximum heart rate by subtractingFigure your maximum heart rate by subtracting

your age from 220.your age from 220.

Example: If you are 40 years old, your predictedExample: If you are 40 years old, your predictedmaximum would be 180 beats per minute.maximum would be 180 beats per minute.

Multiply that number by 0.5 to give the lowerMultiply that number by 0.5 to give the lower

end of your range and by 0.8 for the upper end.end of your range and by 0.8 for the upper end.Example: If you are 40 years old, this would beExample: If you are 40 years old, this would be

90 to 144 beats per minute.90 to 144 beats per minute.

Step 1Step 1

Step 2Step 2


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Total Cholesterol Changes in theTotal Cholesterol Changes in the

Lifestyle Heart TrialLifestyle Heart Trial

Total Cholesterol Changes in theTotal Cholesterol Changes in the


227245

171

232

120

140

160

180

200

220

240

260

Baseline One Year

Total Cholesterol

Exp.Cont.


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Reducing LDL Reverses HeartReducing LDL Reverses Heart

DiseaseDisease

Reducing LDL Reverses HeartReducing LDL Reverses Heart

DiseaseDiseaseReducing LDL in heart disease patients with high LDL wasReducing LDL in heart disease patients with high LDL was

more effective than conventional therapy as follows:more effective than conventional therapy as follows:

Reduced progressionReduced progression

frequency by halffrequency by half

Increased regressionIncreased regression

frequency by 200%frequency by 200%

Reduced cardiacReduced cardiac

occurences by 75%occurences by 75%


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LDL Cholesterol Changes in theLDL Cholesterol Changes in the


LDL Cholesterol Changes in theLDL Cholesterol Changes in the


151

166

95

157

80

100

120

140

160

180

Bas lin n y ar

LDL h l st rol

p.

ont.


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HDL Cholesterol Changes in theHDL Cholesterol Changes in the


HDL Cholesterol Changes in theHDL Cholesterol Changes in the


39

53

37

51

0

10

20

30

40

50

60

a eli e e ear

HDL ole erol

.

o .


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Triglyceride Changes in theTriglyceride Changes in the


Triglyceride Changes in theTriglyceride Changes in the


210216

256

199

150

170

190

210

230

250

270

Bas ar

Triglycerides


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HeartHeart--Related Chest Pain in theRelated Chest Pain in the


HeartHeart--Related Chest Pain in theRelated Chest Pain in the


5.10

2.35

0.45

6.24

0

1

2

3

4

5

6

7

Baseline ne year

An ina frequen y/week

.

Cont.


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Reasons for Rapid AnginaReasons for Rapid Angina

Reductions with Lifestyle ChangesReductions with Lifestyle Changes

Reasons for Rapid AnginaReasons for Rapid Angina

Reductions with Lifestyle ChangesReductions with Lifestyle Changes

Relaxation of blood vessels caused byRelaxation of blood vessels caused by

reduced serum cholesterol increases thereduced serum cholesterol increases theamount and effectiveness of nitric oxide inamount and effectiveness of nitric oxide in

the blood.the blood.

Further relaxation of arteries due to anFurther relaxation of arteries due to anincrease in arginine from vegetables (whichincrease in arginine from vegetables (which

produces more nitric oxide) occurs beforeproduces more nitric oxide) occurs before

blood cholesterol levels have lowered.blood cholesterol levels have lowered.


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Arginine Content of FoodArginine Content of FoodArginine Content of FoodArginine Content of Food

American cheeseAmerican cheese 1 piece1 piece 0.20.2

EggEgg 1 ounce1 ounce 0.20.2

Nonfat skim milkNonfat skim milk 1 cup1 cup 0.30.3

Beef sirloin steakBeef sirloin steak 1 ounce1 ounce 0.50.5

Firm tofuFirm tofu cup cup 1.31.3

English walnutsEnglish walnuts cup cup 1.31.3Brazil nutsBrazil nuts cup cup 1.51.5

AlmondsAlmonds cup cup 1.61.6

Food ItemFood Item AmountAmount Arg (g)Arg (g)


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Garbanzo beans/ChickpeasGarbanzo beans/Chickpeas 1 cup1 cup 3.63.6

Arginine Content of FoodArginine Content of FoodArginine Content of FoodArginine Content of Food

Black walnutsBlack walnuts cup cup 2.32.3

Food ItemFood Item AmountAmount Arg (g)Arg (g)

Baby lima beansBaby lima beans 1 cup1 cup 2.42.4

Red kidney beansRed kidney beans 1 cup1 cup 2.62.6

LentilsLentils 1 cup1 cup 4.24.2

SoybeansSoybeans 1 cup1 cup 5.35.3Roasted pumpkin kernelsRoasted pumpkin kernels cup cup 6.26.2


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Regular Exercise Reduces Risk ofRegular Exercise Reduces Risk of

Death from Coronary Heart DiseaseDeath from Coronary Heart Disease

Regular Exercise Reduces Risk ofRegular Exercise Reduces Risk of

Death from Coronary Heart DiseaseDeath from Coronary Heart Disease

1

2.2

4.

1

2

3

4

5

Risk f

c rdi v scul r

m rt lity

2 1 0

Number f fitness tests p ssed


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Changes in Psychological DistressChanges in Psychological Distress

in the Lifestyle Heart Trialin the Lifestyle Heart Trial

Changes in Psychological DistressChanges in Psychological Distress

in the Lifestyle Heart Trialin the Lifestyle Heart Trial

27.2

23.9

19

24.1

0

5

10

15

20

25

30

Baseline Oneyear

Exp.

nt.

Anxiety, depression, insomnia, & anhedonia indexAnxiety, depression, insomnia, & anhedonia index


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Adverse Effects of Cheating inAdverse Effects of Cheating in

the Lifestyle Heart Trialthe Lifestyle Heart Trial

Adverse Effects of Cheating inAdverse Effects of Cheating in

the Lifestyle Heart Trialthe Lifestyle Heart Trial

0

1

2

3

4

5

6

% regress

f l d

vessel

l ge

M st dheren e Mediu

dheren e

Le st dheren e

Angi gr hi results


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Experimental Group ResultsExperimental Group Results


Experimental Group ResultsExperimental Group Results

Improved quantitative arteriographyImproved quantitative arteriography

Improved thalliumImproved thallium--201 scintography201 scintography

Improved PET coronary circulationImproved PET coronary circulation

Improved psychosocial changesImproved psychosocial changes

Improved lipoprotein/apoprotein profilesImproved lipoprotein/apoprotein profiles

(although triglycerides increased)(although triglycerides increased)

Lancet 1990:336: 129Lancet 1990:336: 129--133133

After 1 Year:After 1 Year:


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5 Years Later:5 Years Later:

Blood Flow Changes in Diseased BloodBlood Flow Changes in Diseased BloodVessels in the Lifestyle Heart TrialVessels in the Lifestyle Heart Trial

5 Years Later:5 Years Later:

Blood Flow Changes in Diseased BloodBlood Flow Changes in Diseased BloodVessels in the Lifestyle Heart TrialVessels in the Lifestyle Heart Trial

5%

-9%

-10

-8

-6

-4

-2

0

2

4

6

8

Percentc

n

e

W

rse

Better

Experiment l r up C ntr l r up

C n ein bl d circul t i n

Gould: JAMA, Volume 274(11). September 20, 1995. pp 894Gould: JAMA, Volume 274(11). September 20, 1995. pp 894--901.901.


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Ornish: Let Us Not Hide the FactsOrnish: Let Us Not Hide the FactsOrnish: Let Us Not Hide the FactsOrnish: Let Us Not Hide the FactsIts a very paternalistic attitude to say,Its a very paternalistic attitude to say,

We know you wont even do it becauseWe know you wont even do it because

its too hard. The program is not forits too hard. The program is not foreveryone, but there is a largereveryone, but there is a larger

percentage of people interested inpercentage of people interested in

following a program like thisfollowing a program like thisthan many doctors mightthan many doctors might

believe.believe.


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Three Choices of Diet:Three Choices of Diet:

Good, Better, and BestGood, Better, and Best

Three Choices of Diet:Three Choices of Diet:

Good, Better, and BestGood, Better, and Best

Cholesterol (mg)Cholesterol (mg)


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