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Could statins be over-prescribed? What they don’t say on the commercials.

January 3, 2011 | Filed under: Drugs,General Interest,Heart Health

A new study questions whether statins, a cholesterol reducing drug, are over-prescribed.  The study indicated that measuring calcium levels (via CT scan) instead of CRP (C-reactive protein) levels may be a better way of understanding whether a patient needs a statin treatment.  However, CRP tests are much cheaper than CT scans, and CT scans increase exposure to radiation, so more research and testing is needed.  Read more from the MSNBC Health article here.

Top 8 Mediterranean Super Ingredients

November 17, 2010 | Filed under: General Interest,Heart Health,Nutrition

A study of the Mediterranean diet by researchers from the Harvard School of Public Health in Boston and the University of Athens Medical School in Greece discusses the benefits of eight foods that are the main components of the diet.

1.  Olive Oil  -  It can help lower cholesterol, but should be used in moderation.

2.  Lots of fruits and vegetables.  Researchers reported that once your diet is comprised of mostly vegetables and fruit (preferably at every meal), the additive benefits of other foods are small.   These should be a mainstay in your diet.

3.  Fish and Seafood.  Emphasis was made on eating wild fish and preparing fish in a healthy way.

4.  Nuts.  Walnuts and almonds are the best; they help with heart health, as long as they are not prepared with lots of salt and sugar.

5.  Beans.  They contain protein, fiber, iron and tons of nutrients.

6.  Alcohol — red wine, but only in moderation, can help prevent heart disease.  Too much can have an opposite effect.  The key ingredient is resveratrol, which is also found in grapes and pomegranates.

7.  Cereals.  Researchers emphasize that whole grain cereals are beneficial, while sugary, processed cereals are not. (Dr C note: I suggest sticking to the less common whole grains Emmer, Brown rice, Farro, Einkorn, Rye, Spelt,  Millet, Quinoa, Amaranth, and  Sprouted Grains.

8.  Cutting Back on Dairy. (Dr. C note: If you are doing dairy make sure it’s at least organic so you don’t have the hormones and antibiotics that are so prevalent. If you can find a local farmer at your farmers market who will provide you with fresh local milk that’s even better. I am also not a fan of non fat dairy because i think it converts to sugar too quickly in your body).

For more info, read the ABC News article here.

Does Your Blood Pressure Medication Increase Your Risk of Cancer? Chiropractic Reduces Blood Pressure without Side Effects.

June 14, 2010 | Filed under: Dr Cohen,Drugs,Heart Health

HiDoc-on-white

A new study,  published in the journal The Lancet Oncology, analyzes the results of a host of studies of popular blood pressure medicines and found that these “drugs in the class known as angiotensin-receptor blockers showed patients were 1.2 percent more likely to be diagnosed with a new cancer over four years than others who did not take the drugs.”(1)

“…Dr. Steven Nissen, a cardiologist at the Cleveland Clinic, said in a commentary the findings were ‘disturbing and provocative, raising crucial drug safety questions for practitioners and the regulatory community,’” reports Reuters.

This does not surprise me. Many times every month we hear that Drug A causes horrible side effects and may have to be removed from the market. Despite this pattern, the cycle repeats itself because people ask the wrong follow-up question. Instead of asking how to get off the drugs, we ask what drug will be developed or what competitor’s drug will fill the void. So then Drug B is marketed as the new and improved Drug A, only to cause a separate series of side effects – shoot, who knows – maybe enough to finally remove that drug from the market.

The sad thing is that society is going to keep repeating the mistake.

Not to get preachy, but when will people realize that DRUGS, all drugs, affect the biochemistry of the body and therefore change a process within the body? By definition, any chemical alteration will have side effects. When we address the symptom of a problem without treating the cause, we will create additional, new, unnecessary problems.

Here is what I, as a patient, would ask: why is my blood pressure high? What can I do to lower my blood pressure? If there is no option other than a pill (which, by the way, is not the case), what will happen if we suddenly lower my blood pressure with a magic pill?

Apparently, the answer is that I increase my risk of cancer.

Wouldn’t you want to know that? Wouldn’t you think twice about the pill if you knew that?

There are other options for addressing high blood pressure: deep breathing, exercise…and…

Chiropractic has been shown to decrease blood pressure within one visit and have lasting effects without the side effects of pharmaceuticals.And it certainly does not increase your risk of cancer.

Why is the media not talking more about this? Could it be that the billions of dollars the pharmaceutical companies pour into television, magazines and newspaper ads might influence the quality of the reporting of non-pharmacological treatments?

So, since the drug options for lowering blood pressure cause cancer and chiropractic lowers blood pressure without the cancer side effects…does that mean chiropractic can reduce your risk of cancer???

Viagra is Not The Answer, It Most Likely Is Hiding A MAJOR Problem

April 22, 2010 | Filed under: General Interest,Heart Health

This was a great article to read. For too long some physicians quickly wrote a prescription for Viagra if the patient complained of erectile dysfunction and saw the commercial and decided to ask his doctor.  The patient would leave and that may take care of the problem.  Men are typically happy once that issue is taken care of but having this issue in the first place is a sign something is wrong, quite wrong.

A study in the Journal Circulation from October 20, 2009 found: ED was predictive of all-cause death, which consisted of cardiovascular death, myocardial infarction, hospitalization for heart failure, and stroke.  The medications made no difference in this.  This is a BIG DEAL.

If there is a problem with blood flow to the penis it would make sense there may be a problem with blood getting to the heart tissue, the brain, etc.

Not to to be an alarmist, but I would like to see a similar study with individuals who constantly have poor circulation to their extremities and often complain of cold hands and feet. This once again is an issue of a decrease in the cardiovascular system’s output to provide oxygen to the extremities. Your brain is also an extremity so to speak — is it getting enough oxygen?  Are these people at a higher risk?  I like to look at this closer rather than simply writing it off as something to live with.

Basically the take home here is never use a medication to hide a problem.  Try to get to the bottom of it and find the root cause.

Women Avoid The Pizza, Rice, and Other Simple Processed Carbs.

April 19, 2010 | Filed under: General Interest,Heart Health,Nutrition

Italian Pizza

(Health.com) — “Women who eat more white bread, white rice, pizza, and other carbohydrate-rich foods that cause blood sugar to spike are more than twice as likely to develop heart disease than women who eat less of those foods, a new study suggests.

Men who eat lots of those carbohydrates — which have what’s known as a high glycemic index — do not have the same increased risk, however, perhaps because their bodies process the carbs differently, the researchers found.

Only carbohydrates with a high glycemic index appear to hurt the heart. Carbs with a low glycemic index — such as fruit and pasta — were not associated with an increased risk of heart disease, which suggests that the increased risk is caused “not by a diet high in carbohydrates, but by a diet rich in rapidly absorbed carbohydrates,” says the lead author of the study, Sabina Sieri, of the Fondazione IRCCS Istituto Nazionale dei Tumori, a national institute for cancer research in Milan, Italy.”

I really like the first few paragraphs of the CNN article so included it above but I loved the study title more, so I included the abstract as well (below).

Dietary Glycemic Load and Index and Risk of Coronary Heart Disease in a Large Italian Cohort

The EPICOR Study

Sabina Sieri, PhD; Vittorio Krogh, MD, MS; Franco Berrino, MD; Alberto Evangelista, BSc; Claudia Agnoli, PhD; Furio Brighenti, PhD; Nicoletta Pellegrini, PhD; Domenico Palli, MD; Giovanna Masala, MD; Carlotta Sacerdote, MD; Fabrizio Veglia, MD; Rosario Tumino, MD; Graziella Frasca, PhD; Sara Grioni, BSc; Valeria Pala, PhD; Amalia Mattiello, MD; Paolo Chiodini, PhD; Salvatore Panico, MD

Arch Intern Med. 2010;170(7):640-647.

Background Dietary glycemic load (GL) and glycemic index (GI) in relation to cardiovascular disease have been investigated in a few prospective studies with inconsistent results, particularly in men. The present EPICOR study investigated the association of GI and GL with coronary heart disease (CHD) in a large and heterogeneous cohort of Italian men and women originally recruited to the European Prospective Investigation into Cancer and Nutrition study.

Methods We studied 47 749 volunteers (15 171 men and 32 578 women) who completed a dietary questionnaire. Multivariate Cox proportional hazards modeling estimated adjusted relative risks (RRs) of CHD and 95% confidence intervals (CIs).

Results During a median of 7.9 years of follow-up, 463 CHD cases (158 women and 305 men) were identified. Women in the highest carbohydrate intake quartile had a significantly greater risk of CHD than did those in the lowest quartile (RR, 2.00; 95% CI, 1.16-3.43), with no association found in men (P = .04 for interaction). Increasing carbohydrate intake from high-GI foods was also significantly associated with greater risk of CHD in women (RR, 1.68; 95% CI, 1.02-2.75), whereas increasing the intake of low-GI carbohydrates was not. Women in the highest GL quartile had a significantly greater risk of CHD than did those in the lowest quartile (RR, 2.24; 95% CI, 1.26-3.98), with no significant association in men (P = .03 for interaction).

Conclusion In this Italian cohort, high dietary GL and carbohydrate intake from high-GI foods increase the overall risk of CHD in women but not men.

Watching TV Linked to Higher Risk of Death

January 15, 2010 | Filed under: General Interest,Heart Health,Kids

[heartbeat]
WSJ states:
The Australian study offers a different take. “It’s not the sweaty type of exercise we’re losing,” says David Dunstan, a researcher at Baker IDI Heart and Diabetes Institute, Melbourne, who led the study. “It’s the incidental moving around, walking around, standing up and utilizing muscles that [doesn't happen] when we’re plunked on a couch in front of a television.” Indeed, participants in the study reported getting between 30 and 45 minutes of exercise a day, on average.
Couch Potato
I’ve already posted on how TV exposure in young children leads to increased risk of ADHD. This study says it also increases the risk of death for the parents who are sitting next the children.

Would you eat 22.2 teaspoons of Sugar today?

August 25, 2009 | Filed under: General Interest,Heart Health,Nutrition

Most Americans are already, which means they are consuming double the upper limit of sugar recommended per day.

The American Heart Association published a study today indicating that 100g of sugar for women (6 teaspoons) and 150g (9 teaspoons)  for men is the recommended amount.

The study defined added sugars as “sugars and syrups that are added to foods during processing or preparation, including sugars and syrups added at the table.”

“Although trial data are limited, evidence from observational studies indicates that a higher intake of soft drinks is associated with greater energy intake, higher body weight, and lower intake of  essential nutrients,” which seems to make sense.

All you sugar fiends:  don’t think about taking the easy way out by switching to artificial sweeteners, because there are a wide variety of health concerns that have been touched on already on my blog.   Just play it smart and limit the amount of sugars in your diet to 100 or 150g max.  And remember, one 12-ounce can of cola contains 8 teaspoons of added sugar, for 130 calories, according to the study.

Study Reveals Risk with Common Bypass Surgery Procedure

August 14, 2009 | Filed under: General Interest,Heart Health

An ABC News article reports a new study (published in the New England Journal of Medicine in July 2009) that assesses the effectiveness of an endoscopic method of harvesting leg veins used for replacing clogged vessels in the heart.  The study reports that patients who underwent the endoscopic or “keyhole” method, which involves pulling the vein out of a small incision in the leg, experienced a higher risk of heart attacks, repeat surgeries, and death than patients who underwent the traditional “open” surgery to remove leg veins.

Dr. Alexander, who led the study, reported that the “keyhole” method does require some pulling on the vein to remove it, and that this new study will hopefully make doctors who utilize this method to take precautionary measures when it becomes difficult to remove the vein and avoid damaging the vessels.

The Mediterranean Diet is Effective

July 27, 2009 | Filed under: Heart Health,Nutrition

Research shows that the Mediterranean diet is more effective than low-fat diets in lowering participants’ blood pressure, cholesterol levels, and blood sugar levels. The Mediterranean diet is characterized by high intake of fruits, vegetables, legumes, cereals, fish, and unsaturated fatty acids (mostly olive oil); low intake of saturated fats, meat and poultry; low to moderately high intake of dairy products (mostly cheese or yogurt); and a regular but moderate intake of alcohol (primarily wine) with meals. It has also been shown to reduce the risk of Alzheimer’s Disease.

Relax and Reduce Your Blood Pressure

July 23, 2009 | Filed under: General Interest,Heart Health

Research shows that a single session of mental relaxation or slow breathing can result in a temporary fall in blood pressure. To find more information about hypertension, the University of Maryland Medical Center has helpful resources.