Prevent and Reverse Heart Disease
Prevent and Reverse Heart Disease
Prevent and Reverse Heart Disease
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Prevent and Reverse Heart Disease and Cardio-Related Events
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Table of Contents
Ch. 1 – What Is Heart Disease?.....................................................................4
Resources………………………………………………………………………………………………..82
References……………………………………………………………………………………………….83
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Heart disease can go by many names and comes in many different forms.
Heart disease isn’t just one disease, but rather numerous problems and
conditions related to the heart muscle. Arrhythmia, angina, coronary artery
disease and genetic defects can all be considered heart diseases. The term
cardiovascular disease may often be used interchangeably with the term
heart disease but they are recognized as two different conditions. Cardio-
vascular disease refers to diseases and conditions of the vascular system.
Most often, cardiovascular disease involves narrowed or blocked blood ves-
sels. Cardiovascular conditions can still lead to heart attacks and strokes.
Many types of heart disease and cardiovascular disease can be prevented
with diet and lifestyle changes.1
One of the most feared forms of ischemic heart disease is myocardial infarc-
tion, most commonly known as a heart attack. The heart muscle needs a
constant flow of oxygen and nutrients. There are two branching arteries
that deliver fresh oxygenated blood to the heart. During a sudden blockage,
the heart muscle is starved of oxygen. If this starvation of the muscle goes
on for too long, that part of the muscle tissue will begin to die. This tissue
death is what we call a heart attack, or myocardial infarction.3 Another
common type of ischemic heart disease is angina. Angina is caused by ath-
erosclerosis. It is caused by a decrease in blood flow to the heart muscle and
causes pain in the chest.
The clots associated with heart disease are most often formed by dislodged
arterial plaque. Plaque buildup in the arteries is a cardiovascular condition
known as atherosclerosis.4 These plaques are made up of fat, cholesterol,
calcium and other substances in the blood that stick to and collect along the
arterial walls. Over time, the plaques thicken and narrow the blood vessels
considerably. Atherosclerosis can lead to strokes as well as heart attacks
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and death. The condition can affect any blood vessel in the body. A number
of diseases can develop throughout the body as a result of atherosclerosis,
such as peripheral artery disease, carotid artery disease and chronic kidney
disease. Many other serious conditions and diseases are related to athero-
sclerosis.4
The second type of stroke is a hemorrhagic stroke. This occurs when a blood
vessel in the brain bursts, often due to uncontrolled hypertension, or high
blood pressure.1 Transient ischemic attacks are very similar to a stroke, in
that the blood flow to the brain is briefly blocked. This may result in a sud-
den change in brain function, but the changes do not last long. Transient
ischemic attacks can be a warning sign that you may be at risk for having a
future stroke. Cerebral vascular disease is caused by atherosclerosis, and
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refers to the narrowing of blood vessels to the brain. Cerebral vascular dis-
ease can lead to transient ischemic attacks and strokes.2
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The single greatest risk factor for having a stroke is high blood pressure, and
it also plays a big role in heart attacks as well. Hypertension can be treated
and reversed, but only through proper management. Hypertension also in-
creases your risks of developing an aneurysm, and having an aneurysm rup-
ture. Abnormal blood lipid profiles are another contributing factor to the
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onset of heart and cardiovascular disease. High total cholesterol, high low-
density lipid (LDL) cholesterol and high triglycerides are all part of the blood
lipid profile that is often used as a biomarker for cardiovascular disease
risk.6 Abnormally high blood lipid profiles also increase your risk of develop-
ing atherosclerosis – which causes many heart and cardiovascular condi-
tions.7
Tobacco use, regardless of what form you are using, increases your risk for
cardiovascular disease. Whether you are smoking or using a smokeless to-
bacco product makes no difference, as they are both harmful.6 Smoking is
greatly associated with the development of atherosclerosis, due to the fact
that smoking can damage your blood vessels, raise your cholesterol levels
and cause your blood pressure to skyrocket.7 Physical inactivity is also a ma-
jor risk factor in the development of heart and cardiovascular diseases. In
fact, being physically inactive boosts your risk for heart disease and stroke
by a staggering 50%. Being overweight or obese also greatly increases your
chances of developing heart disease.6 Being overweight and inactive also
increases the likelihood that you will develop other risk factors for heart
disease such as diabetes.
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Type 2 diabetes is a major risk factor in heart disease and stroke incidence.
Having type 2 diabetes makes you twice as likely to develop heart disease as
someone who does not have it. Uncontrolled or otherwise poorly managed
diabetes will increase your risk of developing cardiovascular disease at an
early age, and it will likely become more severe and debilitating.6
A diet high in saturated fats, trans fats, sodium and sugar can worsen risk
factors for the onset of atherosclerosis.7 Poor diet is a risk factor for heart
and cardiovascular diseases as well. Many of these risk factors tend to occur
together. When a person is obese and has high cholesterol and high blood
sugar, it is called metabolic syndrome. Having metabolic syndrome makes a
person twice as likely to develop heart disease and five times more likely to
develop diabetes, than a person who does not have metabolic syndrome.8
There are, of course, risk factors that you cannot control. For example, heart
disease risk increases for men after age 45, while for women it increases
after age 55 or after menopause. Family history is also an important factor
in heart disease risk as well. If your father or brother was diagnosed before
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age 55, your risk goes up significantly. Your risk also increases if your mother
or sister was diagnosed with heart or cardiovascular disease before age 65.8
Your gender can also influence your risk factor. Men are more likely to de-
velop heart disease than pre-menopausal women. Post-menopausal women
and men have relatively similar risks. Stroke risk is equal among men and
women. People of African or Asian descent are also more likely to develop
heart and cardiovascular diseases.6
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Heart disease is the leading cause of death across the globe. Worldwide,
there are over 17.3 million deaths due to heart and cardiovascular diseases
each year. The American Heart Association expects this number to reach
23.6 million or more by the year 2030. In 2013, 31% of deaths around the
world were attributed to heart and cardiovascular disease alone.9 Heart dis-
ease is also the leading cause of death for men and women in the United
States.10 In the U.S., cardiovascular diseases account for more deaths per
year than all cancers combined. Over 800,000 people in the United States
died from heart and cardiovascular diseases and strokes in 2013. That
equates to approximately one in three deaths in the U.S. That is also roughly
2,200 deaths per day, or one death from a cardiovascular disease every 40
seconds. Every 40 seconds, someone in America dies from what was likely a
preventable condition. About 85.6 million United States citizens live with
some form of cardiovascular disease, or suffer with the aftermath of having
had a stroke. The direct and indirect costs of these diseases and strokes to-
tal over $316 billion per year.9
The number of people who do very little to reduce their risk of disease is
saddening. For instance, approximately one in three U.S. adults reports do-
ing no leisurely physical activity or exercise. Nearly 30% of the population
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does no exercise. This is compounded by the fact that most adults over the
age of 20 are overweight or obese. Over 159 million adults in the United
States are overweight or obese. That is just about 69% of the population –
meaning more than two-thirds of the population is at risk for developing
heart or cardiovascular disease. Worse still, about 32% of children are
overweight or obese as well.
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Obesity and overweight would appear to be among the most common risk
factors in our population, followed by poor diet and inactivity. According to
the Centers For Disease Control, about half of all Americans have at least
one of their top three keys to heart disease: high blood pressure, high cho-
lesterol and smoking.10About 33% of adults in the United States also have
hypertension. Nearly half of individuals who have high blood pressure do
not have it under control. About 9% of the adult population in the States
has been diagnosed with diabetes, as well. About 35% of adults have pre-
diabetes, the precursor to type 2 diabetes.9 Being overweight increases your
risk of developing coronary artery disease, high blood pressure, stroke, type
2 diabetes and metabolic syndrome.11 These are all contributing factors and
risk factors to the onset of heart and cardiovascular disease.8 Obesity can
also lead to heart failure – a critical condition where your heart is not capa-
ble of pumping enough blood for your body’s needs.11
The obesity, poor nutrition status and the lack of exercise are the true root
causes of what makes our population sick. The World Heart Federation even
states on their website, World-Heart-Federation.org, that the role of diet is
imperative to both the development and prevention of heart disease. They
also state that diet is one of the only key things you can change that can and
will impact all other cardiovascular risk factors. In fact, studies show that
following a diet rich in fresh fruits, vegetables and fish that is lower in satu-
rated fats reduces the risk of having a new cardiac event by 73%, when
compared to a typical Western diet.12
Being physically active can also help extend your lifespan. Exercising and
engaging in some form of physical activity regularly can help protect your
heart against a number of cardiovascular diseases, as well as other condi-
tions. Being active is beneficial for your blood pressure, blood lipid profile
and the general health of your blood vessels.13 Nearly all of the conditions
that are risk factors for heart and cardiovascular disease relate to basic nu-
trition and exercise. Engaging in just 30 minutes of physical activity a day, or
about 150 minutes per week, is associated with a 30% reduction in one's
risk of developing coronary artery disease when compared to doing no ac-
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tivity at all. Even if you have other risk factors, staying active can still help
reduce your risk of disease.
It is true that some risk factors are genetic, and others out of your control,
such as age. Even genetic predisposition is not a rock solid guarantee for
developing a heart or cardiovascular condition. Being old or being a male
does not mean you have to succumb to a life crippled by disease. If you are
predisposed to heart disease or another medical condition, you owe it to
yourself to put the effort into prevention. By controlling as many risk factors
as possible, you can reduce your risk of developing heart and cardiovascular
diease.
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© grgroup/Adobe Stock
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Statins have long been hailed as a miracle drug, since their induction to the
pharmaceutical marketplace nearly two decades ago. However, new re-
search suggests that the drugs, commonly prescribed to lower cholesterol
and prevent heart attacks, do not do what they claim to do and are not as
effective as they claim to be. A 2015 analysis conducted by Dr. David M. Di-
amond, professor of psychology, molecular pharmacology and physiology at
the University of South Florida, and Dr. Uffe Ravnskov, an independent
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Absolute risk reduction for 1% of the population means that out of 100
people being treated with statins, only one person might be prevented from
having a heart attack.16 The book Smart Health Choices: Making Sense of
Health Advice explains that absolute risk reduction is the best and most use-
ful way of presenting research results to help with decision making. Relative
risk refers to the proportional measure of the scope of the effect of the
treatment compared to other treatments or no treatment at all. The relative
risk is the proportion of bad outcomes in the group receiving a treatment
divided by the number of bad outcomes in the control group, or the group
that did not receive treatment. Sometimes, relative risk may also be used to
measure good outcomes as well. They also explain that relative risk reduc-
tion tells you how much the treatment reduced the risk of a negative out-
come relative to the control group. The number needed to treat (NNT) is a
calculation used to determine how many people need to be treated in order
to prevent a bad outcome, and is also a useful calculation. The number of
people who benefited from the treatment, for instance, divides the number
of people treated with a drug. For example, if 100 people test out a new
drug and only one person experiences benefits from the drug, then the
number needed to treat is 100.17 With a measly absolute risk reduction, it is
easy to understand why supporters of statin drugs would focus on relative
risk instead. The authors point to a statin study where 3% of the control
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group had outcomes of heart attack or death, and 1.9% of the statin-
receiving group also experienced heart attacks or death. That is a 1.1% dif-
ference. If the groups contained 100 people, that is the difference of just a
single person. Naturally, when the study was publicized the figure was
bloated up to an approximate 36% reduction in risk. This was technically
correct, because they were using the statistic for relative risk reduction.
1.9% divided by 3% is indeed 63.3%. This means there was a 63.3% relative
risk of having heart attack. The inverse of this would be just about a 36%
relative risk reduction, as reported. Do you see how manipulative that sta-
tistic is? One might be inclined to say that while statistically correct, to make
such a claim is morally wrong. But the joy of statistics is that there is usually
an equation to get the results that you want people to see. However, it is
important to note that based on the statistics provided from the study, 100
people would still need to be treated with statin drugs to prevent one heart
attack – based on the equation for NNT.
The report written by Diamond and Ravnskrov notes that the exaggerated
claims of statin drugs’ effectiveness and minimization of their enormous
risks for harm to the recipient have led to not just an increase of their pre-
scription, but even enthusiasm for their use. There are a number of adverse
affects related to statin drug use that go unreported in the media, and even
in medical conferences according to Diamond and Ravnskrov. The authors
state that the increased frequency of cataracts, diabetes, cancer, cognitive
impairments and musculoskeletal disorders more than outweigh the mini-
mal cardiovascular benefits statin drugs may have. They also stress that low
cholesterol levels due to statin use have been greatly associated with an
increased risk of cancer. Studies have shown an increased frequency of can-
cer in patients taking statins, and one long-term study found that there was
a staggering increase in breast cancer diagnosis among women who had
been taking statins for more than ten years. The authors also point out that
most studies of statin drugs are cut off between two and five years. Such a
short time frame makes it very difficult to ascertain their true long-term ef-
fects. Diamond and Ravnskrov go on to caution the public about conflicts of
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Statin drugs prevent your body from producing cholesterol. That is how they
create their cholesterol-lowering effect. This might not sound so bad, but by
preventing the liver from producing its cholesterol-making enzyme, hy-
droxy-methylglutaryl-coenzyme A reductase (HMG-CoA reductase), they are
also setting up your body for a world of unpleasant side effects. Muscle and
joint pain, nausea, constipation, diarrhea and headaches are the least of
your worries when it comes to statin drugs. Liver damage is a much more
concerning problem associated with statin use. Statin drugs can cause an
increase in liver enzymes that can actually damage the organ’s tissues. This
can lead to jaundice or acute liver failure. A damaged liver can also wreak
havoc across the body.18
Another known side effect of statin drugs that is rather serious in nature is
kidney damage and kidney failure. Statin drugs can cause rhabdomyolysis.
The condition causes degeneration of muscle tissue, kidney failure and
death. The risk of developing type 2 diabetes is also increased if you take
statin drugs. Type 2 diabetes is one the leading causes of death in the Unit-
ed States, with approximately 230,000 succumbing to the disease’s compli-
cations each year. Statins have been linked to an increase in fasting blood
glucose levels and elevated HbA1C levels. The drugs increase your diabetes
risk in two different ways. In addition to raising blood glucose levels, statin
use is also associated with increased insulin resistance. The two combined
are a potent recipe for diabetes. Statin drugs are also associated with a
number of neurological conditions. Cognitive impairments, memory loss and
confusion are just some of the listed complaints associated with statin
drugs. Some researchers have also linked statin drugs to the onset of amyo-
trophic lateral sclerosis, also known as ALS or Lou Gehrig’s disease. The dis-
ease is known for its quick and devastating progression and poor out-
comes.18
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Statin drugs remain one of the most common drugs people take for heart
and cardiovascular disease, with up to one out of every four Americans tak-
ing part in the prescription drug phenomenon. And why wouldn’t pharma-
ceutical companies want that? Statin drugs are not drugs you can just stop
taking. Most people who take statin drugs will be taking them for the rest of
their lives.17 Talk about a cash cow. There is nothing more profitable than a
lifelong patient. The American Heart Association and the American College
of Cardiology updated cholesterol guidelines just a few years ago. Their aim
was to prevent as many heart attacks as possible, but not with education on
nutrition and exercise. True prevention requires too much work. Instead,
they implore physicians to cast a much wider net when it comes to prescrib-
ing statin drugs.
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cause it’s really not about the number – it’s about “lowering your risk” and
taking an “effective dose.”
It is true that even a healthy person could randomly suffer a heart attack.
People can die with no preexisting conditions. It doesn’t happen often, but
it does happen. But this woman, this doctor, is suggesting that other medi-
cal professionals should also prescribe drugs to people who don’t need
them for what is essentially nothing more than whimsy. More frightening
still is the recommendation that diabetics take a drug that is associated with
increasing blood sugar levels, increasing insulin resistance and instigating
the onset of type 2 diabetes. I may not be a doctor, but if 100 patients need
to be treated to prevent a single heart attack, the benefit for a diabetic pa-
tient just is not there and it surely does not outweigh the risk of worsening
their diabetes – which will actually give them heart problems, among other
health complications.18
Statins are being portrayed as a cure-all by modern medicine, when they are
truly quite far and away from being anything close to that. Statistically,
statins don’t work that well. The analysis conducted by Diamond and
Ravnskrov clearly suggests that statins really only lower your absolute risk
for heart attack by about 1%.16
The fact is that statin drugs are not all that they are cracked up to be. Shock-
ingly, or perhaps not so shockingly, saturated fats and cholesterol are not
quite as bad as the mainstream media would have you believe, either. Nei-
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ther the drugs nor the “culprits” are what conventional medicine would like
us to believe.
Ansel Keys first developed the hypothesis on the evils of lipids in the 1950s.
His theory was that there was a direct relationship between the amount of
saturated fat and cholesterol in the diet, and the incidence of coronary
heart disease. Keys promoted this hypothesis throughout the medical com-
munity. Hundreds of subsequent studies have failed to support his initial
hypothesis, and many differing conclusions have been seen. In fact, about
90% of all properly documented studies examining Keys’ theory have not
supported the claim that saturated fats and cholesterol cause heart disease.
Interestingly enough, if one were to examine an arterial plaque, one would
find saturated fat accounts for an estimated 26% of a plaque’s makeup.
More than 50% of the fat found in an arterial plaque is comprised of polyun-
saturated fat.20
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Calcium deposits are known for causing blood vessels to harden. Only 5% of
cardiac events occurred in the 47% of study subjects who had no measura-
ble calcium deposits in their arteries. This suggests that statin therapy likely
wouldn’t offer coronary protection. The study’s lead researcher Michael
Blaha, M.D., M.P.H, says, “Our results tell us that only those with calcium
buildup in their arteries have a clear benefit from statin therapy, and those
who are otherwise healthy and have no significant calcification should with
their physician focus on aggressive lifestyle improvements instead of early
initiation of statin medications.” Blaha goes on to say that not every adult
needs to be on statin drugs to prevent heart attacks, especially when rough-
ly half of all adults have a negligible risk of having a heart attack or cardiac
event in the next five to ten years.22
Results of the study also showed that C-reactive protein levels may not be a
risk factor after all. Many statin drug advocates boast their ability to lower
C-reactive protein levels, as it was once thought to be an indicator of heart
disease risk. The Johns Hopkins team found that a high C-reactive protein
level provided no predictive value after other established risk factors were
accounted for, such as obesity or smoking. In other words, having a high C-
reactive protein level but being absent of other risk factors doesn’t auto-
matically mean you are at risk for developing cardiovascular disease, so pre-
scription of statin drugs may not be necessary.22
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patients – statin drugs. It is shameful that people who do not need medica-
tions are prescribed them anyways under the guise of “prevention.”
In addition to the drugs that you might be prescribed for your high choles-
terol, there’s a good chance you are going to end up being prescribed drugs
for at least one or two other conditions that develop as a result of the first
prescription. Maybe you’ll get type 2 diabetes, or maybe your cholesterol
will drop low enough to incite depression. Or maybe you’ll be lucky enough
to develop liver damage or some other horrific, debilitating condition – I’m
sure there is a drug to “fix” it. You know who all of those drugs are benefit-
ing? Certainly not you, the patient, that’s for sure. The pharmaceutical in-
dustry though, now they are taking all of that straight to the bank.
Diuretics work by helping your kidneys remove a little extra salt from your
body, along with the fluid they’re expelling. This results in less fluid for your
vascular system to carry and lower blood pressure. Diuretics are also com-
monly called water pills. Beta blockers work by slowing your heart rate and
reducing the force with which it beats, which in turn lowers your blood
pressure. ACE inhibitors and ARBs work in the same manner. They both
serve to relax your blood vessels, which results in lower blood pressure. Cal-
cium channel blockers also work by relaxing blood vessels by preventing
calcium from entering cells.23
Most blood pressure medications come with side effects. Some common
side effects for blood pressure medications include nausea, vomiting, diar-
rhea, dizziness, constipation, nervousness, headaches, drowsiness, fatigue
and weight changes.23 A 2015 study conducted by researchers from the Uni-
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©Sylverarts/Adobe Stock
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Perhaps one of the most influential risk factors for heart and cardiovascular
disease is diet. Research has made it clear that abnormal blood lipid pro-
files, such as high cholesterol and high triglycerides, put you at an increased
risk of heart and cardiovascular diseases.12 However, newer research sug-
gests that elevated cholesterol levels are not the actual cause of heart dis-
ease. In fact, more recent research suggests that cholesterol is essential for
peak health. Cholesterol is imperative to the proper function of almost eve-
ry organ, nerve and cell in the body.
Excess calcium, however, may be the more likely culprit behind the rise of
cardiovascular diseases. Dr. Stephen Seely, a cardiologist, had an essay pub-
lished in the International Journal of Cardiology in 1991. In this essay, he
discussed why he believed excess dietary calcium was a primary cause of
atherosclerosis in the Western world. Dr. Seely noted that, in countries
where the average calcium intake is 200–400 mg daily, arterial disease is
extremely rare and blood pressure does not typically increase with age. In
contrast, other countries where the daily calcium consumption averages
800 mg or more, such as the United States, Ireland and Scandinavian coun-
tries, heart disease is the leading cause of death. Dr. Seely also notes that
the average arterial plaque is only 3% cholesterol. Calcium, however, makes
up roughly 50% of one plaque. Dr. Seely suggests that reducing dietary cal-
cium intake by reducing milk consumption is imperative to reducing athero-
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sclerosis risk. Vitamin D has also been associated with preventing the devel-
opment of arterial plaques.25
A study published in the European Heart Journal had some very shocking
findings, as well. The study looked at a cohort of men and women over the
age of 55, and their coronary calcifications were analyzed and ranked by the
Agatston scoring method. The Agatston score refers to the size and density
of calcified plaques. The well-recognized risk factors for heart disease –
blood pressure, cholesterol and blood sugar levels – were all measured over
a seven-year period, as were the Agatston scores. Smoking was also taken
into account. 29% of the men and 15% of the women who had no discerna-
ble risk factors were found to have severe arterial calcification. No cardio-
vascular symptoms and no other risk factors were present in these individu-
als. The patients all had low to average cholesterol scores, yet their arteries
were filled with life-threatening, calcified plaques. Upwards of 90% of pa-
tients who experience a heart attack have calcified plaques in their arteries.
It is worth noting that studies have indicated that statin drugs actually in-
crease the calcification of arterial plaque. Some researchers propose that
this calcification is part of the “healing” process and helps “stabilize” the
plaques – because calcification causes the plaques to harden, making them
more difficult to rupture.
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Regarding the study, Dr. Puri stated, “What struck me were the differences
in changes in plaque calcification between the no-statin and low-intensity
statin groups. Both groups achieved relatively similar LDL-C levels and
demonstrated the same degree of plaque progression over time, yet the
increase in calcium index in the low-intensity statin group was nearly double
that in the no-statin group.”26
So, the group not receiving statins saw their arterial plaques increase at the
same level as the group receiving statins. Perhaps what boggles the mind
most is the fact these professionals see calcification of the arteries as a good
thing. This is in no way a positive outcome, yet these medical professionals
are claiming that it is.
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Lowering your cholesterol levels with statins might not be of particular use
to your heart health endeavors, but what about your blood pressure? Hy-
pertension, or high blood pressure, is defined as a systolic blood pressure at
or above 140 mmHg or a diastolic blood pressure at or above 90 mmHg. Sys-
tolic blood pressure is a measure of the maximum amount of pressure in
the arteries as the heart contracts, while diastolic blood pressure is a meas-
ure of the minimum pressure in the arteries between contractions.
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There are a variety of ways to keep your blood pressure in check, naturally
and holistically. Weight loss is one of the top suggestions for people who are
overweight and concerned about their blood pressure. Blood pressure often
increases as weight increases. Losing even 10 pounds can significantly re-
duce your blood pressure and decrease your hypertension risk.
Carrying weight around your midsection is also a risk factor for developing
hypertension. Men with a waist circumference of 40 inches or greater, and
women with a waist circumference of 35 inches or greater, should be par-
ticularly concerned, as these measurements are associated with an in-
creased risk of developing high blood pressure.
Regular exercise can both minimize your risk for becoming overweight or
developing central adiposity. Exercising or engaging in physical activity regu-
larly can also help reduce your blood pressure. However, it is important to
engage in physical activity consistently. If you stop exercising once your
blood pressure drops a few millimeters of mercury (mmHg), it will start to
climb back up. Regular physical activity can prevent the onset of hyperten-
sion, and help reverse it.30
Diet is another key factor in managing your blood pressure risks. Following a
diet rich in fruits and vegetables can help boost your potassium intake. Po-
tassium is known for its ability to balance the effects that sodium can have
on blood pressure.27 Potassium is an essential mineral that most Americans
do not get enough of. According to an analysis of the data gathered by the
National Health And Nutrition Examination Survey (NHANES) between the
years of 2003 and 2008, 99.4% of Americans consumed more sodium each
day than the amount recommended by the American Heart Association,
which is 1,500 mg or less per day. Additionally, 90.7% consume more than
the Institute of Medicine’s Tolerable Upper Limit Level of 2,300 mg per day.
Conversely, less than 2% of the adult population consumes enough potassi-
um each day.31
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The Diet and Reinfarction Trial, conducted in 1989, found that consuming
oily fish just twice a week provided a 32% reduction in coronary heart dis-
ease and a 29% reduction in all-cause mortality. A 46-month follow-up study
known as the Lyon Diet Heart Study found even more impressive results.
Participants in the study followed a Mediterranean diet supplemented with
linolenic acid as their intervention. A 65% reduction in coronary heart dis-
ease and a 56% reduction in all-cause mortality were achieved by the
study’s conclusion. Nearly two-thirds of the participants experienced a re-
duction in heart disease with diet modifications alone.
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Another, smaller trial conducted with cardiac patients found that dietary
and lifestyle modifications can also benefit patients who have been diag-
nosed with cardiovascular disease. The intervention group received exten-
sive dietary and lifestyle modification. A whole-food, vegetarian diet was
followed in conjunction with the implementation of aerobic exercise, stress-
management classes, smoking cessation and support group meetings. A fol-
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low-up after five years found that the intervention group had a 7.9% reduc-
tion in coronary artery stenosis. This is remarkable, especially when con-
trasted with the 27.7% increase in coronary artery narrowing found in the
control group. In other words, the intervention group experienced a signifi-
cant reduction in the severity of their condition, while the control group saw
their condition continue to worsen.
The results show that healthy eating and lifestyle can reduce risks for cardi-
ac patients as well as healthy individuals. It has previously been thought
that dietary and lifestyle changes are only preventative measures that are
worthwhile for primary prevention in healthy individuals.32 The results of
this study, among others, show that dietary and lifestyle changes are not
just for prevention – they can help improve diseases and conditions such as
hypertension and coronary artery disease.
Vigilance over one’s diet and lifestyle can drastically change your health,
and that can’t be said enough. It is true that, once you have developed high
blood pressure, you will be at an increased risk of developing it again. If you
follow a healthy diet and exercise regularly until your blood pressure is
normal and then go back to eating cheese fries and couch surfing, you’re
going to find that your blood pressure goes right back up to where it was.
Making the commitment to get healthy and stay that way is a lifelong com-
mitment. Having a disease doesn’t have to be.
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Most dietary studies on nutrition and its relationship with heart and cardio-
vascular disease focus primarily on saturated fats, cholesterol and sodium
intake. However, there is reason to believe that high glycemic load foods,
such as refined grains and sugars, may also increase heart disease risks
when consumed in large quantities.
A study published by the American Society for Clinical Nutrition found that
their epidemiologic data suggested that high consumption rates of refined
grains, sugars and other high-glycemic-index foods increased the risk of cor-
onary heart disease, independent of other risk factors. In the study, a cohort
of 75,521 women between the ages of 38 and 63 with no previous diagnosis
of diabetes, heart attack, stroke or other cardiovascular conditions were
followed for 10 years. The subjects filled out food frequency questionnaires,
and their total dietary glycemic loads were determined. At the study’s 10-
year follow-up, dietary glycemic loads were indicated as directly related to
coronary heart disease risk, even after adjustment for other risk factors. For
women who were above average in weight (or with a BMI over 23), the as-
sociation between dietary glycemic load and disease risk was more appar-
ent.33
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posit that women normally receive protection from heart disease due to
their higher levels of circulating HDL (high density lipoprotein) cholesterol.
High-glycemic diets are associated with a reduction in circulating HDL cho-
lesterol, and this may excessively increase the risk of heart disease in wom-
en.34
The researchers also note that a high-glycemic index diet may also raise
blood pressure and C-reactive protein levels, which can in turn increases the
risk of developing coronary heart disease. The link between low glycemic
index diets and heart disease risk reduction was also validated through ran-
domized clinical trials evaluating the effects of low glycemic index and low
glycemic load as well as low saturated fat. A systematic review of these
studies found that, in obese and overweight individuals, exchanging refined
carbohydrates for low glycemic index complex carbohydrates provided a
much greater impact on coronary heart disease lipid risk factors. Meta-
analyses of low glycemic index foods in randomized clinical trials have
shown impressive effects on body weight and lipid profiles in overweight
and obese individuals.
Budding research suggests that there may also be positive effects of low-
glycemic diets on other heart disease risk factors, such as oxidative stress in
overweight and obese individuals and inflammation in type 2 diabetics. The
researchers concluded their study by stating that they believe that reducing
glycemic index and glycemic load in the diet may have promising affects for
coronary heart disease outcomes for women, but further studies are re-
quired to deduce the effects provided to men.35
The average American diet is known for being notoriously high in refined
grains and sugars, along with saturated fats, trans fats and salt. The typical
fast food hamburger is the perfect example of these ingredients. The food
most people eat every day is the primary source of their disease or condi-
tion, and yet they remain none the wiser. Some people believe that there is
nothing they can do to prevent heart disease. This pessimistic attitude
serves only to lead you to an early grave. The truth is that many common
causes of heart and cardiovascular diseases are known. The vast majority of
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all cases could have been avoided with lifestyle changes. In fact, the World
Heath Organization states that, if risk factors are eliminated, 80% of all
heart disease, strokes and type 2 diabetes could be prevented.36
Most cases of heart disease are not only preventable but also manageable
and treatable with appropriate lifestyle changes. Surgery and prescription
medications are too often used as a quick and easy solution. By-pass surgery
may solve the problem of a clogged artery, but it will not change the dietary
and lifestyle habits that created the condition. Major surgery and potentially
harmful drugs should not be our go-to method of treating what is often a
disease caused by the way a person leads their life. It has been proven that
diet and lifestyle modifications can not only prevent the onset of heart and
cardiovascular disease but can also treat these conditions after they have
developed.
40
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41
Prevent and Reverse Heart Disease and Cardio-Related Events
The foods you choose to eat can either have a negative or a positive impact
on your health. There are a wide variety of foods to choose from, but not all
foods are created equal. In fact, quite a lot of the food available at your lo-
cal supermarket is of little nutritional value and often toxic.
42
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Another popular food additive is trans fat. Trans fats are an artificial, man-
made substance created by adding hydrogen molecules to liquid oils in or-
der to make them more solid at room temperature. Trans fats are often
called “partially hydrogenated oils” under the ingredient list of a food label.
Trans fats are most commonly found in processed foods. They provide a
better taste and texture to the item at low cost to the company. Instead of
making a pastry with real butter, they make it with hydrogenated corn oil.
Trans fats can be found in a wide array of foods. Cookies, crackers, pre-
made piecrusts, frozen pizzas and other items such as donuts and pastries
are all likely to contain trans fats. The ever-popular margarine is also a trans
fat. Once thought to be the healthy alternative to butter, it is now known
that this replacement is not in fact a newer and better version of the origi-
nal. Trans fats can negatively impact your health by reducing the good HDL
(high density lipoprotein) cholesterol, and increasing the LDL cholesterol in
43
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Unfortunately, the act of reducing dietary intake of trans fat can be made
difficult by the FDA regulations on trans fat labeling. Though it is mandatory
to list trans fat as an ingredient – if one serving contains less than half a
gram, it may be listed as “0 g trans fat” on the nutrition label. Presumably,
this should mean that if you see “0 g trans fat” on the label, the food actual-
ly does contain trans fat. And, if you don’t see it at all – the food likely
doesn’t contain any trans fat. That would still be relatively sneaky, as most
people would not be aware that zero grams doesn’t actually mean “zero
grams” – it just means “less than half a gram.” However, the FDA doesn’t
stop there. Just to keep things interesting, there is also a loophole for even
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listing trans fat on the nutrition label. If there are no claims about the food
being low in trans fat, manufacturers don’t even have to list “0 g trans fat”
on the label.43
Per the FDA.gov website, “For conventional food products (those food
products other than dietary supplements), declaration of '0 g' of trans fat is
not required for such products that contain less than 0.5 g of total fat in a
serving if no claims are made about fat, fatty acid or cholesterol content. In
the absence of these claims, the statement 'Not a significant source of trans
fat' may be placed at the bottom of the table of nutrient values in lieu of
declaring '0 g' of trans fat.”43
Refined grains and sugars may also play a role in the development of heart
and cardiovascular diseases. Many studies have shown that consuming
whole grains and other lower-sugar, higher-fiber carbohydrate options in-
stead of white flour, white rice and other low-fiber or high-sugar foods de-
creases heart disease risks. Whole grains are also associated with prevent-
ing weight gain over time. Whole grains can also help reduce cholesterol
and lower blood pressure, and they may also help improve blood vessel
function and stave off hunger. Processing removes most of the nutritive val-
ue found in grains, like dietary fiber. It also transforms a food’s natural
structure. A finely milled product, like oat flour, is going to break down
more rapidly than whole oats in the digestive system.
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Sodas and other sugar-sweetened beverages are also huge offenders when
it comes to their impact on the diet. Not only do they provide an easy way
to consume far more calories than you need each day, but they also cause
blood sugar spikes. Sugary drinks are just as bad for your body as refined
carbohydrates, but with even fewer nutrients and no fiber. A study pub-
lished in 2000 in The American Journal of Clinical Nutrition concluded that a
high glycemic load from consumption of refined carbohydrates increases
the risk of coronary heart disease, independent of other known cardiovascu-
lar disease risks.34
Another study published in 2010 in the journal Circulation noted that sugar-
sweetened beverages increase the risk of heart disease in several ways. Not
only do they increase the risk of becoming overweight or obese, but they
also increase the risk of developing type 2 diabetes. Being overweight,
obese or a type 2 diabetic significantly increases your risk of developing a
heart or cardiovascular disease.
One study followed 88,000 women for 22 years. Women who consumed
two or more sugar-sweetened beverages per day had a 35% greater chance
of having a fatal or nonfatal heart attack than those who consumed one or
fewer sugary beverages per month. The researchers, from the Harvard
School of Public Health in Boston, concluded that sugar-sweetened bever-
age consumption is a significant contributor to increased rates of obesity,
type 2 diabetes and cardiovascular disease.
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A diet high in sodium can lead to fluid retention and increase blood pres-
sure. A diet too low in potassium can also increase blood pressure. High
blood pressure is a risk factor for having a heart attack or stroke or develop-
ing a cardiovascular disease. The excess fluid associated with a high sodium
intake can cause other potential problems as well. For people with poorly
functioning hearts, this fluid retention can lead to congestive heart failure.
Decreasing the consumption of salt-laden foods is recommended for heart
health, as is increasing the amount of potassium-rich foods that are con-
sumed.45
The keys to avoiding foods that promote heart disease are simple. By re-
moving refined grains, added sugars, preservatives and other food additives
from your diet, you can begin the path to preventing and reversing disease.
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Eliminating processed foods that are loaded with sugars, salt and artificial
ingredients will make it easy to begin eating more nutritious foods.
A wide variety of foods contain potassium, particularly fresh fruits and vege-
tables. Bananas are often considered one of the best sources of potassium,
but there are many foods with just as much or more of the mineral. A glass
of orange juice or a serving of potatoes has nearly double the amount of
potassium as a banana. A cup of lima beans or a serving of cantaloupe is
also another way to get your daily dose. Tomatoes, almonds and wild-
caught salmon are also rich in potassium.46 Eating a diet centered around
whole foods, fruits and vegetables makes it quite easy to get enough potas-
sium each day.
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49
Prevent and Reverse Heart Disease and Cardio-Related Events
Fatty fish are some of the most excellent sources of dietary vitamin D. Cod
liver oil is especially potent, but wild-caught salmon or swordfish can also
pack a serious punch. Egg yolks are also a good source of vitamin D, with
one yolk providing 10% of your daily needs. Mushrooms are also a great
vegetarian source of vitamin D. Fortified foods such as orange juice and yo-
gurt with added vitamin D can also help you get enough vitamin D each
day.50
Vitamin C is also a beneficial nutrient that may help prevent heart disease
and atherosclerosis. Vitamin C is imperative for multiple processes in the
body. For instance, vitamin C is needed for growth and repair of bodily tis-
sues. It aids in the construction of collagen, a vital protein used to make
skin, cartilage, tendons, ligaments and blood vessels. Vitamin C is also an
antioxidant vitamin that is necessary for healing wounds and maintaining
healthy bones and teeth.
Studies suggest that, while vitamin C doesn’t lower cholesterol levels, it can
protect the arteries against damage. Some studies suggest that vitamin C
protects against the onset of atherosclerosis and the build-up of plaques
along the arterial walls. Other studies have suggested that vitamin C helps
arteries maintain their flexibility and prevent hardening. A diet rich in vita-
min C and other antioxidants has also been shown to reduce the risk of de-
veloping hypertension in population-based studies.51
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In addition to vitamins and minerals, some foods have also been indicated
as especially protective for the cardiovascular system. Garlic, for example,
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has shown a variety of benefits for protecting against and even treating
heart disease. Several studies have indicated that garlic can inhibit some of
the key enzymes involved in the synthesis of cholesterol. Studies also show
that aged garlic contains higher amounts of beneficial, water-soluble com-
pounds such as S-allylcysteine, which are less cytotoxic and more efficient at
preventing cholesterol production than the lipid-soluble sulfuric compounds
that are also found in the plant. Garlic is also shown to prevent platelets
from clumping together and forming blood clots. Aged garlic extract has
been shown to actually help dissolve clots and improve circulation.52 Garlic
can be found in a variety of supplemental forms, such as garlic powder,
aged garlic extract or garlic oil. Garlic is also a very popular ingredient in a
variety of cuisines, and is a delicious, healthy way to bring flavor to a meal.
Tree nuts and peanuts also provide multiple benefits in the fight against
heart disease. A number of epidemiologic and clinical trials have shown that
tree nuts and peanuts consistently help protect against coronary heart dis-
ease and other heart disease risk factors. Nearly all studies conducted in the
United States on the relationship between nut consumption and heart dis-
eases have reported that there is a beneficial association between the two.
Most nuts are rich in monounsaturated fats, which are also very good for
you. Nuts are very complex and nutritionally dense. They contain a wide
variety of micronutrients, such as potassium, magnesium and tocopherols.
52
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53
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Dr. Alicja Wolk, the study’s lead researcher, said, "In contrast to supple-
ments of single antioxidants, the dietary total antioxidant capacity reflects
all present antioxidants, including thousands of compounds, all of them in
doses present in our usual diet, and even takes into account their synergistic
effects." In other words, antioxidants are more powerful when combined.55
Many studies are focused around the effects of a single antioxidant that’s
been isolated and often synthesized. The effects of these types of antioxi-
dants are nowhere near as beneficial as those that are naturally occurring in
concert with other complementary bioactive compounds found in plants. It
is the scientific equivalent of conducting a symphony with a single instru-
ment and wondering why it doesn’t sound the same.
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copene per day. That sounds like a lot, but even half a cup of tomato sauce
has over 6,000 micrograms. While it’s not necessary to go out of your way
to eat fatty foods with tomatoes, because lycopene is fat-soluble, drizzling a
little olive oil on your favorite salad or adding a handful of nuts can be a
great way to really boost the nutrition of your meal.55
Multiple studies have also confirmed the benefits of consuming enough die-
tary fiber each day. A comprehensive review published in the journal Circu-
lation notes that a diet with at least 25 grams of fiber per day is associated
with a decreased risk of death from coronary heart disease. The average
adult in the United States gets about half, or 15 grams per day. Some stud-
ies also suggest that dietary fiber can help reduce cholesterol levels. It is
unclear if the antioxidants and phytonutrients found in fiber-containing
foods are what precipitate this phenomenon, or if it is the fiber itself. How-
55
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The hallmarks of good nutrition to prevent and treat heart disease are cen-
tered on eating whole, natural foods. Avoiding refined, processed grains,
added sugars, trans fats and other food additives like artificial colorings and
preservatives are the keys to eliminating disease from your life. Restructur-
ing your diet, and your pantry, to focus on fresh fruits, vegetables, nuts and
seeds is of utmost importance to regain and maintain your health.
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regimen reduces the risk of death by 20 to 25% in patients who have had a
heart attack. Researchers also estimate that up to 40% of cardiac events in
America could be prevented just by meeting daily exercise requirements.
A 2013 study published in the journal BMJ compared the mortality out-
comes of exercise and medication. The researchers concluded that, in many
instances, exercise interventions are equally as effective as drug interven-
tions in secondary heart disease prevention, rehabilitation after stroke,
treatment of heart failure and prevention of heart disease.61
According to the CDC, only about one in five Americans meet the 2008 Phys-
ical Activity Guidelines. This equates to a little over 20% of the population.
That doesn’t seem so bad, but it leaves us with 80% of American citizens
who are not getting enough exercise. Inactive adults are at an increased risk
of early death, stroke or heart attack as well as type 2 diabetes and some
types of cancer.62
Exercise can also help you lose weight and maintain a healthy weight. Being
overweight or obese is another major risk factor in the development of
heart and cardiovascular disease. Additionally, exercising regularly can make
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it easier to quit smoking, and stave off the dreaded weight gain associated
with smoking cessation. Quitting smoking is one of the best things you can
do to reduce your risk of disease.63
There are many types of exercise a person can do to help reduce their heart
disease risk. Most people think of aerobic exercise when they think about
exercising for better heart health. However, both aerobic and anaerobic
activities have been indicated as beneficial to preventing heart disease. An-
aerobic exercise, such as strength or resistance training, can also help stave
off age-related muscle loss. Muscle loss typically occurs as we age and is
associated with the onset of abnormal blood lipid profiles, obesity, type 2
diabetes and hypertension. These issues are also related to cardiovascular
structural abnormalities, such as arterial stiffness. Evidence suggests that
regular resistance training can help reduce muscle loss over time. Both the
American Heart Association and the American College of Sports Medicine
have endorsed resistance trainings for the prevention and treatment of hy-
pertension.
A meta-analysis of data from 1996 and 2003 included nine randomized con-
trolled trials and 341 participants. Resistance training lowered systolic blood
pressure by 3.2 mmHg and diastolic blood pressure by 3.5 mmHg. This may
not seem like a lot, but a reduction in blood pressure of just 3 mmHg in
populations has been shown to lower cardiac death risks by up to 9% and
risk of stroke by 8% to 14%.
Resistance training has also been shown to help reduce total fat mass in
both men and women, independent of caloric restriction. In other words,
even if you aren’t actively dieting, resistance training can help improve your
body composition. Studies have indicated that where the body fat is located
can be just as important as total body fat. Central obesity, especially visceral
fat, is heavily linked to a number of conditions. Type 2 diabetes, abnormal
blood lipids, hypertension and heart disease are all associated with ab-
dominal obesity. Several studies have displayed that engaging in resistance
training can help reduce central adiposity and visceral fat.64
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The CDC reports that cigarette smoking is the leading cause of preventable
deaths in the United States. In fact, cigarettes alone lead to the death of
480,000 citizens each year. It is estimated that smoking increases your
chances of developing cardiovascular disease by two to four times that of a
nonsmoker. It can double or quadruple your risk of having a stroke as well.
Smoking increases your chances of developing blood clots and also raises
your blood pressure, two major risk factors for having a heart attack or
stroke.66 Smokeless tobacco is often considered a safe alternative to ciga-
rettes, but in addition to the cancers and oral ulceration that it is associated
with, smokeless tobacco still doubles your risk of having a heart attack, ac-
cording to the World Heart Federation.67
Fortunately, when you quit smoking, there are nearly immediate benefits to
be had. Just 20 minutes after your last cigarette, your blood pressure and
pulse will begin to lower. Your circulation will also begin to improve. Within
the first eight hours, your blood oxygen levels will begin to rise and your risk
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of having a heart attack will begin to drop. After a single day without a ciga-
rette, carbon monoxide will be eliminated from your body, and your lungs
will begin to expel the mucus and debris caused by cigarettes. After three
days, it will be noticeably easier to breath and your lung function will con-
tinue to improve. Heart attack risks will continue to drop, and after five
years your risk of a heart attack will be half that of a smoker. It will take
about 15 years smoke-free to have the same heart attack risk of a non-
smoker, but it is worth it. Even for older adults, quitting smoking can still
extend the lifespan by two to three years, and improve quality of life for
those remaining years.67 Quitting smoking or halting the use of other tobac-
co products is a vital factor in the prevention and treatment of heart and
cardiovascular disease. It is an extremely worthwhile endeavor and is im-
perative to reducing your risks and reversing disease.
Another obstacle that many people face on their path to preventing and
reversing heart disease is weight. Obesity reached epidemic proportions in
the United States a few years ago. America is a fat nation. In fact, nearly
70% of all American adults are overweight or obese. About 38% of the
population is clinically obese. Can you believe that? That is roughly 78 mil-
lion people!68
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artery and cause a stroke. Obesity also greatly increases your chances of
heart failure, where the heart is not capable of pumping blood throughout
the body to meet its needs. Excess weight also increases your risks of many
other conditions that are associated with an increased risk of heart disease.
Type 2 diabetes, abnormal blood lipid profiles and metabolic syndrome are
all conditions that are closely related to overweight and obesity and are
linked to an increased risk of heart disease. Metabolic syndrome is the name
given to a group of risk factors that increase your risks for developing heart
disease. Abdominal obesity, high triglycerides, hypertension and high blood
sugars are all parts of the conditions known as metabolic syndrome.11
A more recent study, conducted in 2014 and published by the same journal,
found that obesity independently increases heart failure risks and can in-
duce subclinical damage to the heart muscle. Lead researcher Chiadi
Ndumele, an assistant professor at the Johns Hopkins Ciccarone Center for
the Prevention of Heart Disease, stated, “Obesity is a well-known 'accom-
plice' in the development of heart disease, but our findings suggest it may
be a solo player that drives heart failure independently of other risk factors
that are often found among those with excess weight.”
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The study also found that increases in the hormone correlated with in-
creased body mass index (BMI). As a subject’s BMI increased, so did their
troponin T levels. The researchers measured BMI and troponin T levels in
9,500 men and women who did not have heart disease and were between
the ages of 53 to 75. The subjects’ health statuses were tracked for 12
years, and during the follow-up, 869 of them were found to have heart fail-
ure. People who were extremely obese – having a BMI above 35 – were
found to be twice as likely to develop heart failure as normal-weighted indi-
viduals. Additionally, the researchers found that heart failure risk rose pro-
portionally with BMI. For every five-digit increase in BMI, the heart failure
risk rose 32%. So, a person with a BMI of 30 has a 32% greater chance of
developing heart failure than a person with a BMI of 25.
The researchers also found that people with elevated troponin T levels had
an increased risk of heart failure, irrespective of their BMI. This suggests
that BMI and troponin T can affect heart failure risks independently. Com-
bining the effects of troponin T and obesity led to some staggering results.
Obese subjects with elevated troponin T levels were nine times more likely
to develop heart failure than those that were of normal weight and had un-
detectable troponin levels, even when other risk factors were accounted
for.70
Childhood obesity is also on the rise and is of great concern. In fact, approx-
imately 31% of children between the ages of 2 and 19 in the United States
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One study examined carotid IMT in over 70 children, 57% of whom were
obese. The average age was 13 years old. 75% of the children were found to
have advanced vascular age or arteries that would generally be characteris-
tic of a person who was 45 years old. Children who were obese and had high
triglycerides had the most advanced vascular aging. Obese or overweight
children are also more likely to develop adult diseases at a young age. They
may also carry their weight trend into adulthood. Some studies suggest that
anywhere between 40% and 80% of overweight children will become obese
adults.
While it is widely recognized that obesity in adulthood increases the risk for
a variety of diseases, particularly heart and cardiovascular diseases, adults
who were overweight or obese as children also may have a greater preva-
lence of risk factors for cardiovascular diseases. For example, adults who
were overweight or obese as children had a greater incidence of hyperten-
sion and abnormal blood lipids than obese adults who were not overweight
as children.71
If you are overweight, it is far more likely that your children are or will be-
come overweight. After all, most children are eating what their families eat,
and in similar portions as well. Parental obesity can lead to child obesity
simply through an adoption of similar habits. If you eat a few cheeseburg-
ers, fries and a milkshake for dinner before setting up shop on your sofa for
the evening, there is a good reason to believe that your child will follow
your footsteps. A study published in the Journal of Pediatrics found that 48%
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Being overweight or obese is not a life sentence. You can lose weight, you
can change the way you eat, and most importantly – you can change the
way you live your life. Reducing your weight does not mean you need to go
on some crazy diet, either. Simply eating more produce and less processed
food, along with increasing your activity levels, will actually help promote a
healthy weight along with countless other health benefits. The best way to
become healthy is not to follow a low-carb or a low-fat diet, or whatever the
current dieting trend may be. The best way to reduce your heart disease risk
is to eat healthy, wholesome foods that are nutrient-dense, engage in a dai-
ly physical activity and to cease unhealthy behaviors such as smoking.
Eating a more varied and wholesome diet and beginning an exercise routine
can also help reduce stress. Stress can be good in some ways. Stress on your
muscles causes them to grow stronger and increases endurance, for in-
stance. However, experiencing unrelenting stress for a long period of time is
not good for you. Unfortunately, many of us experience and accept exces-
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sive stress as part of life. Stress is part of life, but it is not supposed to be a
constant state. Consistent stress all day, every day for long periods of time
can be very damaging to your body. When stressed, the body releases a
hormone called cortisol. Some studies indicate that high levels of cortisol
from continual stress may lead to a rise in blood pressure, triglycerides and
cholesterol, and may promote the depositing of plaque along arterial walls.
Long-term stress may also lead to changes in the blood and how it clots –
increasing the risk of clot formation and stroke.73
Exercise can help reduce the harmful effects that stress has on your body,
and help relieve the emotion of stress that you are experiencing. Having a
good support system, such as a spouse, family or friends whom you can talk
to, or being part of a community or organization, can help reduce stress and
decreases your chances of developing heart disease. Studies suggest that
belonging to a group of some sort can help reduce your risk of developing
cardiovascular disease and lower your stress. Not having to feel like you are
facing life alone is truly helpful. Even if you already have heart disease, this
same support system can help prevent future heart attacks. Research also
shows that lacking a support system is associated with an increase in un-
healthy behaviors such as smoking, drinking and eating poorly.73
All in all, there are number of steps that you can take to reduce your risks of
heart disease when it comes to your lifestyle. You may not be able to reduce
stress at work, but you can choose to take the time to de-stress when you
get home. Taking your dog for a stroll, or taking up yoga or another activity
can help not only to reduce your stress levels but to increase your activity
levels also. Trying to reach and maintain a healthy weight through sustaina-
ble lifestyle modifications is beneficial in a multitude of ways and can great-
ly impact your overall health.
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There are many things that you can do, but remember that you don’t have
to do them all at once. Pick a change that you want to make and commit to
it. It is better to make small changes and be successful with them than to try
to change everything at once and become overwhelmed. Being successful
doesn’t mean that you have to be perfect. Being successful means that you
are putting in the effort to change. Being successful means that you didn’t
give up just because it was hard. Changing your diet, learning to exercise,
quitting smoking and losing weight are all things that can be very difficult to
accomplish. It’s not easy. If it were easy, everyone would be doing it al-
ready.
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Turmeric, for example, is a heavy hitter in the natural medicine world. Cur-
cuminoids are considered the active compounds in turmeric and are what
give the root its unique yellow-orange color. There are a number of curcu-
minoids that are present in turmeric. One of these compounds is named
curcumin, though sometimes the name may be used to refer to all curcumi-
noids. Curcumin is actually turmeric’s most studied compound, and it has
been shown to be nothing short of miraculous. Curcumin boasts incredible
healing abilities across a wide spectrum of diseases and conditions. It’s no
wonder that turmeric has been part of traditional Asian medicinal practices
for hundreds of years.
A second study surveyed the effect that curcumin had on arterial respon-
siveness to changes in blood pressure. Another 32 women were randomly
assigned to participate in a group receiving either a curcumin supplement or
placebo, or to participate in a group engaging in exercise while also receiv-
ing a supplement or placebo. The researchers found that the group not do-
ing exercise and receiving a placebo showed no improvements. The exercise
with placebo group and the curcumin supplement group showed similar
improvements in arterial responsiveness. The group that showed the most
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improvement, however, was the group that was exercising and taking a cur-
cumin supplement.
For the third and final study, the researchers wanted to assess what effects
curcumin and exercise had on the heart’s left ventricle and age-related de-
generation. The same four test groups were used for this final study, but
this time 45 participants were used. The researchers found that participants
who took a curcumin supplement and engaged in daily exercise had sub-
stantial increases in their heart health. In fact, the heart-rate-corrected aor-
tic augmentation index, which is used to gauge the efficiency of arterial
function, and aortic systolic blood pressure only decreased significantly in
the subjects who were taking the curcumin supplement and engaging in an
exercise routine.74
A research team from Chang Mai University at the University Hospital con-
ducted a study following 121 heart bypass operation patients who had un-
dergone non-emergency bypass surgery at the hospital between the years
2009 and 2011. Half of the patients were given a placebo pill, and the other
half was given one gram of curcumin supplement. Both groups received
their pills four times a day, three days before surgery and for five days after.
The researchers found that the curcumin group had a 65% reduction in risk
for post-surgery heart attack. The group receiving the supplement also
showed a reduced presence of oxidative stress and inflammatory markers in
their blood.76
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Another popular spice revered for its myriad of health benefits is ginger.
Ginger has been widely used in natural medicine practices across the globe
for many generations. The active ingredient in ginger is a compound known
as gingerol, but there are other potentially active ingredients in the root
known as phenolic compounds. Gingerol is thought to relax blood vessels
and improve circulation. Ginger also boasts powerful anti-inflammatory
benefits, making it ideal for preventing and treating a number of conditions,
including heart and cardiovascular diseases.
One study found that the consumption of ginger extract prevented the pro-
gression aortic atherosclerosis in atherosclerotic mice. Researchers associ-
ated this result with the dramatic reduction in plasma LDL cholesterol levels
that was seen in the mice. In another study, 20 healthy male human volun-
teers were given 5 grams of ginger daily. The results found that it was able
to decrease platelet aggregation, or the formation of blood clots.
Black pepper has also been indicated as a heart-healthy spice. It boasts im-
pressive antioxidant properties, aids digestion and promotes the breakdown
of fat cells. The active compound in black pepper is known as piperine. Pip-
erine has been shown to have a number of beneficial interactions in the
body. For example, piperine has been shown to help protect cells against
oxidative damage and free radicals.
Black pepper has also been said to influence fat metabolism, primarily
through the mobilization of fatty acids. In animal studies, rats fed a high-fat
diet and treated with black pepper had significant decreases in cholesterol
and triglycerides. The rats on a high-fat diet receiving black pepper also had
much higher levels of good HDL cholesterol and lower levels of LDL choles-
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Prevent and Reverse Heart Disease and Cardio-Related Events
terol than the rats that were fed a high-fat diet and did not receive supple-
mentation.
A small number of clinical trials have assessed the bioavailability, safety and
effects of astaxanthin on inflammation and oxidative stress which suggest
that it has relevance in the prevention and treatment of cardiovascular dis-
ease. For example, one study analyzed the effects of astaxanthin on sponta-
neously hypertensive rats. After 14 days of astaxanthin supplementation,
the rats experienced a significant reduction in blood pressure.77
Omega-3 fatty acids are also quite beneficial to the prevention and treat-
ment of heart disease. An article published by the journal Arteriosclerosis,
Thrombosis and Vascular Biology denotes the broad range of benefits seen
in cardiac patients by consuming omega-3 fats, as well as the number of
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Prevent and Reverse Heart Disease and Cardio-Related Events
Research has suggested that omega-3 fatty acids reduce heart disease risks
in a number of ways. For example, omega-3 fats can help inhibit the for-
mation of blood clots, which can trigger heart attacks and strokes. They can
also reduce triglycerides and lipoproteins in the blood as well as decrease
the growth and formation of arterial plaques associated with atherosclero-
sis. In addition to this, omega-3 fats can also improve and enhance endothe-
lial function and reduce inflammation. Omega-3 fatty acids are also associ-
ated with modest reductions in blood pressure.78
Flax seeds are a popular choice for supplementing omega-3 fatty acids in
the diet. They are one of the richest plant sources of the nutrient, especially
alpha-linolenic acid, or ALA. ALA levels have been inversely associated with
primary cardiovascular events in nine major studies. This means that a low-
er level of ALA is associated with a greater risk of having a first-time cardiac
event, such as a heart attack or stroke.
Secondary prevention trials have also been supportive of dietary ALA’s sub-
stantial heart-protective qualities. For example, the Lyon Diet Heart study
found that alpha-linolenic acid was related to a reduced risk of recurrent
non-fatal and fatal heart attacks. There was also a 73% decreased risk of
primary cardiac mortality and morbidity. A study conducted by the National
Heart, Lung and Blood Institute also found that consumption of dietary ALA
was also associated with a decreased incidence of hypertension and lower
systolic blood pressure. Another study of obese human subjects found that
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Whey protein, the popular ingredient in protein shakes, may also help boost
heart health. A study published by the journal Clinical Nutrition found that
just four weeks of whey protein supplementation led to substantial im-
provements in the test subjects’ blood lipid profiles. The team of Swiss re-
searchers behind the study noted that the data suggests that whey protein
could be protective against heart and cardiovascular disease. In the study,
11 obese, non-diabetic women were given 60 grams of whey protein a day
for four weeks. At the end of the four-week period, the women had some
amazing results. Intra-hepatocellular fat, or fat inside the liver, had de-
creased by about 21%; fasting plasma triglycerides had dropped 15%; and
there was a 7% reduction in total plasma cholesterol concentration. The
researchers also noted that the participants had no major changes in body
weight or body composition. The scientists stated that this evidence sug-
gests that following a high-protein diet supplemented with whey protein
may help fight against heart disease in obese patients.80
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are clear benefits to both, but some studies have sought to compare the
two.81
Grape seeds and grape seed extract are also a popular supplement with a
myriad of health benefits. Grapes and grape seeds have been celebrated for
their nutritional and medicinal values for centuries. It is thought that grape
seed extract can treat a variety of conditions, including cardiovascular dis-
ease. An analysis of healthy volunteers found that consuming grape seed
extract dramatically increased antioxidant levels in their bloodstreams. An-
tioxidants can help prevent damage to DNA by destroying free radicals.
Grape seed extract contains a potent combination of antioxidants consisting
of vitamin E, flavonoids, linoleic acid, resveratrol and oligomeric proantho-
cyanidin complexes, or OPCs. Resveratrol is a very popular antioxidant that
77
Prevent and Reverse Heart Disease and Cardio-Related Events
is still being studied for its efficacy in fighting against a number of diseases.
OPCs are also believed to treat a number of conditions and are considered
very powerful antioxidants.
Hypothetically, grape seed extract may help reduce high blood pressure by
protecting the blood vessels from becoming damaged. Maintaining the elas-
ticity and health of your blood vessels is imperative to preventing high blood
pressure and other related conditions. In preliminary trials, grape seed ex-
tract has also been effective at reducing LDL cholesterol levels.
Chromium is an essential mineral that is required for optimal lipid and car-
bohydrate metabolism. Chromium deficiency has been seen in people with
high blood glucose levels and abnormal blood lipid profiles. A wide variety
of foods contain chromium, such as egg yolks, meat, green beans, broccoli,
nuts and whole grains. Once absorbed, chromium is distributed throughout
the body. As people age, their total body chromium concentrations de-
crease anywhere from 25 to 40%. To make matters worse, most people in
the United States do not get enough chromium from their diet. This combi-
nation can lead to serious deficiency.
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Prevent and Reverse Heart Disease and Cardio-Related Events
Chromium may also play a role in the prevention of heart disease. There is
some interesting epidemiological data to be had on the relationship be-
tween chromium and the risk of heart disease. Some studies have found
that there is an inverse relationship between chromium levels in toenails
and the risk of coronary heart disease in men. Toenails are an excellent re-
flection of long-term nutrient intake. In case-controlled studies, higher lev-
els of toenail chromium was correlated with a decreased risk of having a
heart attack.
There are a number of herbs and other supplements available to help boost
your heart health. Supplements and other aids can only take you so far,
though. It is important to remember that supplements should only be used
to bolster other efforts, such as learning to eat more nutritious food and
exercising. A supplement is not a replacement for other key factors in living
a healthy lifestyle. A supplement is meant to complement your hard work.
With the exception of a whey supplement – which can effectively be a meal
or snack when combined with some other ingredients – none of these
things can replace or reverse other aspects of your life.
Taking a turmeric supplement doesn’t mean that your heart will be protect-
ed if you continue smoking, for example. Nutritional supplements can help
fill in dietary gaps and boost immunity and antioxidant intake, among many
other great things. They are very beneficial, but they are most powerful
when combined with other healthy lifestyle choices.
79
Prevent and Reverse Heart Disease and Cardio-Related Events
80
Prevent and Reverse Heart Disease and Cardio-Related Events
FOOD FORENSICS
The Hidden Toxins Lurking in Your Food and
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Resources:
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Naturalpedia.com
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Science.News
Statins.News
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Prevent and Reverse Heart Disease and Cardio-Related Events
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