Lynne McTaggart
See book keywords and concepts |  The prayer groups should have been instructed to ask for a specific outcome in cardiac symptoms or fewer cardiac stents placed during the study time or any other highly specific request, rather than a nebulous, highly generalized statement about the patient improving.
None of the studies tightly controlled for the number of people involved in the prayer groups or for either the frequency or length of time they were to pray; this again might have confused the mass intention. Perhaps, since they were using highly diverse prayer groups, their prayers were not equivalent. | | He enlisted 150 cardiac patients, recruited from nearby Durham Veterans Affairs Medical Center, who had been scheduled for angioplasty and stents. Besides prayer, Krucoff wanted to see whether "noetic" therapies, involving some form of remote or mind-body influence, could affect patient outcomes. He divided the patient population into five groups. In addition to standard medical treatmerit, four of the five were to receive one of the noetic treatments?stress relaxation, healing touch, guided imagery, or intercessory prayer. |
Dr. Steven R. Gundry
See book keywords and concepts |  Isaiah had been told that additional stents or bypasses were useless. When I reviewed the results of his blood test and dietary habits questionnaire, I immediately found the culprit. Isaiah subsisted on "white" and "beige" foods. Although he was quite thin, he had the characteristic gut of someone who was insulin resistant.
Isaiah started Diet Evolution immediately, and within three months was down 12 pounds with improved blood profiles. His wife, however, was most upset by his weight loss. "Look, he's wasting away," she said. "You're going to kill him! |
Andreas Moritz
See book keywords and concepts |  Topol points out that more and more people with no symptoms are now getting stents. In 2004, over one million Americans opted for a stent operation.
Although many doctors know that the old heart disease theory no longer holds true, they feel pressured to open blocked arteries anyway, regardless of whether patients have symptoms or not. Dr. | | Once you get on the train, you're getting the stents. Once you get in the cath lab, it's pretty likely that something will get done."
Dr. Hillis believes the American psyche is convinced that the worth of medical care is directly related to its aggressiveness. Hillis has tried to explain the evidence to his patients, but with little success. "You end up reaching a level of frustration," he said. "I think they have talked to someone along the line who convinced them that this procedure will save their life. They are told if you don't have it done you are, quote, a walking time bomb. | | In order to prevent this catastrophe
280pening of arteries by pushing plaque back with a tiny balloon and then, often, holding it open with a stent
29 stents consist of wire cages that hold plaque against an artery wall; they can alleviate crushing chest pain. They can also rescue someone in the midst of a heart attack by holding the closed artery open.
30 This is not quite true, since as long ago as 1986, Dr. | | Stents can also rescue someone in the midst of a heart attack by obliterating an obstruction and keeping the closed artery open, at least for a while.
But as it turns out, the vast majority of heart attacks do not originate with obstructions that narrow arteries. "There has been a culture in cardiology that the narrowings were the problem and that if you fix them the patient does better," said Dr. David Waters, a cardiologist at the University of California at San Francisco.
Heart researchers now know that most heart attacks do not occur because an artery is narrowed by plaque. | | For one thing, the increasingly popular aggressive treatments of
* * • 28 29 opening arteries with bypass surgery, angioplasty and stents do little or nothing to prevent the recurrence of an occlusion. Although bypass surgery was found to extend the lives of some patients with severe illness, it does nothing to prevent heart attacks. As we shall see, heart attacks don't occur because of an arterial blockage, as most people assume, but because of one of the four reasons mentioned above. | | According to a report published in the New England Journal of Medicine (October 15, 2004), the two stents that are currently approved by the Food and Drug Administration (FDA), the Cordis Cypher sirolimus-eluting stent and the Boston Scientific Taxus Express paclitaxel-eluting stent, have been associated with highly publicized adverse events after they were approved for marketing.
Bypass, angioplasty and stent operations are really not about preventing heart attacks per se. The obvious purpose of these procedures is symptom relief. |
Mike Adams, the Health Ranger
See article keywords and concepts |  But you can go in and put in catheters and little metal tubes called stents, and open up the artery and create blood flow again.
The most important thing that we have to understand even as interventional cardiologists, is that the patient came in and had a blocked artery. We took care of what we call the vulnerable lesion -- the area that's blocked. But it's not just the artery. There's also a patient with a vascular system that's part of that. |
Donald L. Barlett and James B. Steele
See book keywords and concepts |  In fact, diet and exercise alone yield better results than invasive procedures, whose primary benefits flow to surgeons and Wall Street investors in drug-coated stents.
Over time, surgical procedures often prove to be ineffective, unwarranted, or worse. In the 1940s parents were advised to have their children's tonsils removed to improve their health. During that same era newspapers reported on a new surgical procedure for curing the mentally ill: a lobotomy. In December 1943, the New York Times summarized a report on the operation published by the Journal of the American Medical Association. |
The Life Extension Editorial Staff
See book keywords and concepts |  According to Korean researchers, the excitement regarding stents appears to be justified. In fact, research suggests that some patients with coronary artery disease may be excellent candidates for multi-vessel coronary artery stenting, instead of bypass surgery. Dr. Seung-Jung Park (University of Ulsan, Seoul) reviewed observational data, evaluating 200 patients with multivessel coronary artery disease and normal left ventricular function. Half of the patients underwent bypass surgery and the other half had multivessel stenting. |
J.D. Kleinke
See book keywords and concepts |  More tellingly, the introduction of the drugs and stents broadened the overall indication for angioplasty, particularly among the sickest patients previously ineligible for any heart surgery. Per-patient costs are lower, especially over the short run, but aggregate costs to society because of the liberalization of the practice are higher. Although the new drugs and stents have both been shown to reduce the incidence of restenosis rates— necessitating that a percentage of those angioplasties be redone—the aggregate economic impact of these breakthrough technologies is additive, not cost-saving. |
The Life Extension Editorial Staff
See book keywords and concepts | | Optimizing angioplasty with coronary stents and drug regimens has significantly improved the early safety profile and long-term results of percutaneous intervention in acute myocardial infarctions (Stone et al. 2002).
In conclusion, The Lancet recently described the CAPTIM trial (a current appraisal of the worth of angioplasty compared to thrombolytic therapy). In CAPTIM, 840 patients (within 6 hours of the onset of a heart attack) were randomized to fibrinolysis with accelerated doses of tissue plasminogen activators or to primary PTCA. |
J.D. Kleinke
See book keywords and concepts | | At almost the same time, the medical device community introduced a class of products called stents, tiny wire scaffoldings that hold coronary vessels open after the angioplasty is completed; these added several hundreds dollars to each procedure. More tellingly, the introduction of the drugs and stents broadened the overall indication for angioplasty, particularly among the sickest patients previously ineligible for any heart surgery. Per-patient costs are lower, especially over the short run, but aggregate costs to society because of the liberalization of the practice are higher. |
Bob LeBow, M.D., M.P.H.
See book keywords and concepts |  Many heart attacks are now prevented by the placement of stents in narrowed coronary arteries.
• Many more people with mental illness can now be treated outside hospitals because of new, more effective antipsychotic and antidepressant medications.
Many of these advances, like the drugs that inhibit gastric acid secretion and have reduced the need for ulcer surgery, very likely have made health care less expensive. Blood chemistry panels have become incredibly inexpensive—pennies a test— because of new techniques. | | And then there is the panoply of extraordinarily expensive medications, sometimes at several thousand dollars a dose, that accompany hightech surgeries like the placement of cardiac stents or transplants. If I were a drug company CEO looking out for the financial welfare of my stockholders, I'd worry about exercise becoming "mainstream" in America. Ironically, his stockholders are probably the same people who can be found working out at the gyms.
I recently made an exercise-based suggestion to a sales "rep" from one of the large pharmaceutical corporations. | | People wouldn't require as much expensive remedial care, like cardiac stents, bypass surgery, or joint replacements.
Prevention, specifically community-oriented prevention, is the path to choose. But prevention will have to compete for dollars with new technologies. And right now, the medical-industrial complex is putting its money on new technologies, not prevention. A paradigm shift toward prevention is in order (see Chapter 17).
David Callahan, in his book, False Hopes. |
J.D. Kleinke
See book keywords and concepts | | Although the new drugs and stents have both been shown to reduce the incidence of restenosis rates— necessitating that a percentage of those angioplasties be redone—the aggregate economic impact of these breakthrough technologies is additive, not cost-saving. The liberal use of both new technologies for most angioplasties to avoid the complications associated with a diminishing minority of the procedures represents better care at a higher combined cost. And the progress on angioplasty continues. |
James A. Howenstine, MD
See book keywords and concepts |  There is one important exception to the remarks about considering medical therapy instead of angioplasty, stents or bypass and that is significant left main coronary artery obstruction. Because most of the blood flow to the heart comes from the left coronary artery, serious obstruction of this artery can cause sudden death.
Most experts recommend proceeding to coronary artery bypass surgery when left main coronary occlusion is nearly complete.
Angina Pectoris
Angina Pectoris is a very common cardiac condition with 6.5 million people in the USA suffering from it. | | Improved management of diet and antioxidants will decrease the number of patients receiving angioplasty, stents and bypass surgery in hospitals.
Many patients with autoimmune illnesses will become well and no longer be seen in hospitals (lupus, rheumatoid arthritis, multiple sclerosis, hepatitis B and C). Hepatitis C patients will get well and not require long hospitalizations for liver transplantation. |
Bob LeBow, M.D., M.P.H.
See book keywords and concepts | | New hearts, new lungs, new livers, new kidneys, stents in arteries, wondrous feats of medicine and surgery. But we bitterly oppose such measures as higher tobacco taxes, seat belt laws, regulations to limit pollutants, meaningful health education, and gun control. Part of the opposition comes from the American worship of individual rights, but another large part comes from corporate lobbyists who are protecting the financial interests of their industries. Public health does not have the financial clout to fight back. |
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