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Inflammatory markers (C-reactive protein & TNF-alpha) have important adverse properties in promoting acute coronary events. They are significantly reduced by statins but not by diet. People under statins & diet can be satisfied even if their lipid levels are not normalized since statins lower cardiovascular risk by through independant ways.
Source = Arterioscler Thromb Vasc Biol 2002;22:e19-e23
Smokers, Do Check your Homocysteine!
High Plasma Homocysteine associated with smoking increases tremendously the cardio vascular disease risk .
Smokers + Homocysteine superior to 12mmol/ml have 13 times more cardiovascular disease risk than non smokers with normal homocysteine! ( <12mmol/ml)
In general, smokers have higher homocysteine levels than non-smokers, less folate, vitamins b6 & b12.
There should be a great benefit to screen and treat these smokers.
Source = Eur Heart J 2002;23:1580-1586
Lack of sleep and long working hours increase myocardial infarction by 100 % in middle age population 5 hours or less of sleep per day and more than 60 hours of work per week for 1 year can cause an increase in myocardial infarction by 100 %. This is more enhanced by immediate stress during the last 7 days. People who are used to work hard and lack of sleep should avoid sudden stress.
Source = Occup Environ Med 2002;59:447-451
More Glasses of Water, Less Fatal Heart Events
Five or more glasses of water are much more useful than two : less blood viscosity, plasma viscosity, hematocrit, and fibrinogen concentration.
Up to 54 % reduction in fatal cardiovascular events!
Source = Am J Epidemiol 2002;155:827-833.
Hemodialysis patients may exercise during dialysisto lower their antihypertensive drugs.
This exercise is safe and can reduce blood pressure medication use.
Source = Am J Kidney Dis 2002;39:828-833
The British "Angina Plan":Relaxation techniques, learning heart risk factors and angina mechanism : Less anxiety, depression & angina.
Source = Br J Gen Pract 2002;52:194-201
Traditional Indian Medicine v/s Modern Medicine for cardiovascular prevention:Yoga exercises, natural walking, transcendental meditation, high intake of fruits and vegetables, low fat, antioxidant herbs : 4 times better decrease in atherosclerosis than : aerobic walking, standard multivitamins, dietary advice.This Indian combination is even better than Statins alone or Betablockers etc...
Source = Am J Cardiol 2002;89 April 15.Once again, atherosclerosis appears as a multifactorial disease. Prevention has to fight on all fronts.
Garlic reduces the primary lesion of arteriosclerosis if directly applied.The results seem moderate but very quick.The eaten effective dose is still to be determined.
Source = International Scientific Conference on Complementary, Alternative, and Integrative Medical Research in Boston, Dr. Gunter Siegel, of The Free University of Berlin.
For cardiac patients:Do rest at least for 5 hours after a High-Fat Meal. Postprandial Angina mostly to occur 5 hours after High-Fat Meals (Significant dcrease in coronary flow and increase in Triglycerides).
Source = Ann Intern Med 2002;136:523-528
Regular exercise reduces blood pressure more than salt & alcohol consumption reduction. Everybody 20-30 minutes exercise daily !
Source = Ann Intern Med. 2002;136(7):493-503
Heavy drinkers : cut your alcohol intake in half for just 3 weeks and lower imediately your blood pressure and heart rate.Moderate drinkers, keep on.
Source = Am J Hypertens 2002;15:125-129.
Vitamins C and E slow the progression of arteriosclerosis in heart transplant patients.Animal Studies : Vitamins C and E, can improve survival.
Source = Lancet 2002;359:1108-1113
Older white men and women have more coronary calcifications than older black men and women.High coronary artery calcium scores are : age, male sex, smoking, triglyceride levels and presences of cardiovascular disease.
Source = Arterioscler Thromb Vasc Biol 2002;22:424-430
The vulnerable morning periods: between 6 AM and noon. More cardiovascular events : Aortic Dissection, Myocardial infarction, Stroke etc...Prevention could include appropriate calm behaviour, progressive day start, better morning coverage treatment since most drugs are taken in the morning and their action is not immediate.
Source = American College of Cardiology (ACC) 51st Annual Scientific Session.