8/9/2019 Blocked Arteries
1/30
BLOCKED ARTERIESBLOCKED ARTERIES
Clean Them Out NaturallyClean Them Out Naturally
8/9/2019 Blocked Arteries
2/30
Drawbacks of Heart SurgeryDrawbacks of Heart SurgeryDrawbacks of Heart SurgeryDrawbacks of Heart Surgery Provides a temporary fixProvides a temporary fix
Does not correct theDoes not correct theunderlying causeunderlying cause
Permanent side effects canPermanent side effects can
occuroccur
High costHigh cost
8/9/2019 Blocked Arteries
3/30
8/9/2019 Blocked Arteries
4/30
Permanent HelpPermanent HelpPermanent HelpPermanent HelpYou can not help men permanently by doingYou can not help men permanently by doing
for them what they could and should do forfor them what they could and should do for
themselves.themselves.
Abraham LincolnAbraham Lincoln
8/9/2019 Blocked Arteries
5/30
Results of 26% Fat and 250 mgResults of 26% Fat and 250 mg
Cholesterol DietCholesterol Diet
Results of 26% Fat and 250 mgResults of 26% Fat and 250 mg
Cholesterol DietCholesterol Diet
Standard heart disease dietStandard heart disease diet
After 4 years:After 4 years:6% decrease in total cholesterol6% decrease in total cholesterol
6% decrease in LDL cholesterol6% decrease in LDL cholesterol
Angiography results:Angiography results:6% regression6% regression
15% no change15% no change
79% progression79% progression
8/9/2019 Blocked Arteries
6/30
Results of 25% Fat and 200Results of 25% Fat and 200--250 mg250 mg
Cholesterol DietCholesterol Diet
Results of 25% Fat and 200Results of 25% Fat and 200--250 mg250 mg
Cholesterol DietCholesterol DietAfter 3 yearsAfter 3 years
41% had progression41% had progression
After 7 yearsAfter 7 years
77% had progression77% had progression
After 5 yearsAfter 5 years
65% had progression65% had progression
After 10 yearsAfter 10 years
85% had progression85% had progression
8/9/2019 Blocked Arteries
7/30
Alfred Whiteheads PhilosophyAlfred Whiteheads PhilosophyAlfred Whiteheads PhilosophyAlfred Whiteheads Philosophy
Familiar things happen and mankindFamiliar things happen and mankind
does not bother about them. It requiresdoes not bother about them. It requiresa very unusual mind to undertake thea very unusual mind to undertake the
analysis of the obvious.analysis of the obvious.
8/9/2019 Blocked Arteries
8/30
Results of 10% Fat and 5 mg of CholesterolResults of 10% Fat and 5 mg of Cholesterol
Diet in the Lifestyle Heart TrialDiet in the Lifestyle Heart Trial
Results of 10% Fat and 5 mg of CholesterolResults of 10% Fat and 5 mg of Cholesterol
Diet in the Lifestyle Heart TrialDiet in the Lifestyle Heart TrialAfter one year:After one year:
24% decrease in total cholesterol24% decrease in total cholesterol
37% decrease in LDL cholesterol37% decrease in LDL cholesterol
Angiography:Angiography:82% regression82% regression
14% no change14% no change
4% progression4% progression
All lesions:All lesions:2.2% overall regression of atherosclerosis2.2% overall regression of atherosclerosis
9% increase in blood flow9% increase in blood flow
Lesions greater than 50% blockage:Lesions greater than 50% blockage:
5.3% regression of atherosclerosis5.3% regression of atherosclerosis
23% increase in blood flow23% increase in blood flow
8/9/2019 Blocked Arteries
9/30
Lifestyle Heart Trial ControlLifestyle Heart Trial Control
Group DietGroup Diet
Lifestyle Heart Trial ControlLifestyle Heart Trial Control
Group DietGroup Diet
5% decrease in total cholesterol5% decrease in total cholesterol
5% decrease in LDL cholesterol5% decrease in LDL cholesterol
31% regression31% regression
16% no change16% no change 53% progression53% progression
3.4% diameter overall progression of3.4% diameter overall progression of
atherosclerosis (all lesions)atherosclerosis (all lesions)
Angiography:Angiography:
30% fat, 200 mg cholesterol30% fat, 200 mg cholesterol
After 1 Year:After 1 Year:
Lancet 1990:336:129Lancet 1990:336:129--133133
8/9/2019 Blocked Arteries
10/30
Lifestyle Changes in the LifestyleLifestyle Changes in the Lifestyle
Heart TrialHeart Trial
Lifestyle Changes in the LifestyleLifestyle Changes in the Lifestyle
Heart TrialHeart Trial Low fat vegetarian dietLow fat vegetarian diet
Stress management trainingStress management training
Smoking cessationSmoking cessation
Moderate exerciseModerate exercise
Social and emotional supportSocial and emotional support
8/9/2019 Blocked Arteries
11/30
Diet Content in the LifestyleDiet Content in the Lifestyle
Heart TrialHeart Trial
Diet Content in the LifestyleDiet Content in the Lifestyle
Heart TrialHeart Trial No animal products except egg whites andNo animal products except egg whites and
nonfat dairynonfat dairy
75% complex carbohydrates75% complex carbohydrates
At least 15% proteinAt least 15% protein
Less than 5 mg of cholesterolLess than 5 mg of cholesterol
No caffeineNo caffeine
Calories not restrictedCalories not restricted
8/9/2019 Blocked Arteries
12/30
Exercise Program in the LifestyleExercise Program in the Lifestyle
Heart TrialHeart Trial
Exercise Program in the LifestyleExercise Program in the Lifestyle
Heart TrialHeart Trial
Walking 3 hours perWalking 3 hours per
week, at least 30 min perweek, at least 30 min persessionsession
Heart rate at 50Heart rate at 50--80% of80% of
maximum heart ratemaximum heart rate
8/9/2019 Blocked Arteries
13/30
Your Target Heart RateYour Target Heart Rate
Calculation for Aerobic ExerciseCalculation for Aerobic Exercise
Your Target Heart RateYour Target Heart Rate
Calculation for Aerobic ExerciseCalculation for Aerobic Exercise
Figure your maximum heart rate by subtractingFigure your maximum heart rate by subtracting
your age from 220.your age from 220.
Example: If you are 40 years old, your predictedExample: If you are 40 years old, your predictedmaximum would be 180 beats per minute.maximum would be 180 beats per minute.
Multiply that number by 0.5 to give the lowerMultiply that number by 0.5 to give the lower
end of your range and by 0.8 for the upper end.end of your range and by 0.8 for the upper end.Example: If you are 40 years old, this would beExample: If you are 40 years old, this would be
90 to 144 beats per minute.90 to 144 beats per minute.
Step 1Step 1
Step 2Step 2
8/9/2019 Blocked Arteries
14/30
Total Cholesterol Changes in theTotal Cholesterol Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
Total Cholesterol Changes in theTotal Cholesterol Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
227245
171
232
120
140
160
180
200
220
240
260
Baseline One Year
Total Cholesterol
Exp.Cont.
8/9/2019 Blocked Arteries
15/30
Reducing LDL Reverses HeartReducing LDL Reverses Heart
DiseaseDisease
Reducing LDL Reverses HeartReducing LDL Reverses Heart
DiseaseDiseaseReducing LDL in heart disease patients with high LDL wasReducing LDL in heart disease patients with high LDL was
more effective than conventional therapy as follows:more effective than conventional therapy as follows:
Reduced progressionReduced progression
frequency by halffrequency by half
Increased regressionIncreased regression
frequency by 200%frequency by 200%
Reduced cardiacReduced cardiac
occurences by 75%occurences by 75%
8/9/2019 Blocked Arteries
16/30
LDL Cholesterol Changes in theLDL Cholesterol Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
LDL Cholesterol Changes in theLDL Cholesterol Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
151
166
95
157
80
100
120
140
160
180
Bas lin n y ar
LDL h l st rol
p.
ont.
8/9/2019 Blocked Arteries
17/30
HDL Cholesterol Changes in theHDL Cholesterol Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
HDL Cholesterol Changes in theHDL Cholesterol Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
39
53
37
51
0
10
20
30
40
50
60
a eli e e ear
HDL ole erol
.
o .
8/9/2019 Blocked Arteries
18/30
Triglyceride Changes in theTriglyceride Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
Triglyceride Changes in theTriglyceride Changes in the
Lifestyle Heart TrialLifestyle Heart Trial
210216
256
199
150
170
190
210
230
250
270
Bas ar
Triglycerides
8/9/2019 Blocked Arteries
19/30
HeartHeart--Related Chest Pain in theRelated Chest Pain in the
Lifestyle Heart TrialLifestyle Heart Trial
HeartHeart--Related Chest Pain in theRelated Chest Pain in the
Lifestyle Heart TrialLifestyle Heart Trial
5.10
2.35
0.45
6.24
0
1
2
3
4
5
6
7
Baseline ne year
An ina frequen y/week
.
Cont.
8/9/2019 Blocked Arteries
20/30
Reasons for Rapid AnginaReasons for Rapid Angina
Reductions with Lifestyle ChangesReductions with Lifestyle Changes
Reasons for Rapid AnginaReasons for Rapid Angina
Reductions with Lifestyle ChangesReductions with Lifestyle Changes
Relaxation of blood vessels caused byRelaxation of blood vessels caused by
reduced serum cholesterol increases thereduced serum cholesterol increases theamount and effectiveness of nitric oxide inamount and effectiveness of nitric oxide in
the blood.the blood.
Further relaxation of arteries due to anFurther relaxation of arteries due to anincrease in arginine from vegetables (whichincrease in arginine from vegetables (which
produces more nitric oxide) occurs beforeproduces more nitric oxide) occurs before
blood cholesterol levels have lowered.blood cholesterol levels have lowered.
8/9/2019 Blocked Arteries
21/30
Arginine Content of FoodArginine Content of FoodArginine Content of FoodArginine Content of Food
American cheeseAmerican cheese 1 piece1 piece 0.20.2
EggEgg 1 ounce1 ounce 0.20.2
Nonfat skim milkNonfat skim milk 1 cup1 cup 0.30.3
Beef sirloin steakBeef sirloin steak 1 ounce1 ounce 0.50.5
Firm tofuFirm tofu cup cup 1.31.3
English walnutsEnglish walnuts cup cup 1.31.3Brazil nutsBrazil nuts cup cup 1.51.5
AlmondsAlmonds cup cup 1.61.6
Food ItemFood Item AmountAmount Arg (g)Arg (g)
8/9/2019 Blocked Arteries
22/30
Garbanzo beans/ChickpeasGarbanzo beans/Chickpeas 1 cup1 cup 3.63.6
Arginine Content of FoodArginine Content of FoodArginine Content of FoodArginine Content of Food
Black walnutsBlack walnuts cup cup 2.32.3
Food ItemFood Item AmountAmount Arg (g)Arg (g)
Baby lima beansBaby lima beans 1 cup1 cup 2.42.4
Red kidney beansRed kidney beans 1 cup1 cup 2.62.6
LentilsLentils 1 cup1 cup 4.24.2
SoybeansSoybeans 1 cup1 cup 5.35.3Roasted pumpkin kernelsRoasted pumpkin kernels cup cup 6.26.2
8/9/2019 Blocked Arteries
23/30
Regular Exercise Reduces Risk ofRegular Exercise Reduces Risk of
Death from Coronary Heart DiseaseDeath from Coronary Heart Disease
Regular Exercise Reduces Risk ofRegular Exercise Reduces Risk of
Death from Coronary Heart DiseaseDeath from Coronary Heart Disease
1
2.2
4.
1
2
3
4
5
Risk f
c rdi v scul r
m rt lity
2 1 0
Number f fitness tests p ssed
8/9/2019 Blocked Arteries
24/30
Changes in Psychological DistressChanges in Psychological Distress
in the Lifestyle Heart Trialin the Lifestyle Heart Trial
Changes in Psychological DistressChanges in Psychological Distress
in the Lifestyle Heart Trialin the Lifestyle Heart Trial
27.2
23.9
19
24.1
0
5
10
15
20
25
30
Baseline Oneyear
Exp.
nt.
Anxiety, depression, insomnia, & anhedonia indexAnxiety, depression, insomnia, & anhedonia index
8/9/2019 Blocked Arteries
25/30
Adverse Effects of Cheating inAdverse Effects of Cheating in
the Lifestyle Heart Trialthe Lifestyle Heart Trial
Adverse Effects of Cheating inAdverse Effects of Cheating in
the Lifestyle Heart Trialthe Lifestyle Heart Trial
0
1
2
3
4
5
6
% regress
f l d
vessel
l ge
M st dheren e Mediu
dheren e
Le st dheren e
Angi gr hi results
8/9/2019 Blocked Arteries
26/30
Lifestyle Heart TrialLifestyle Heart Trial
Experimental Group ResultsExperimental Group Results
Lifestyle Heart TrialLifestyle Heart Trial
Experimental Group ResultsExperimental Group Results
Improved quantitative arteriographyImproved quantitative arteriography
Improved thalliumImproved thallium--201 scintography201 scintography
Improved PET coronary circulationImproved PET coronary circulation
Improved psychosocial changesImproved psychosocial changes
Improved lipoprotein/apoprotein profilesImproved lipoprotein/apoprotein profiles
(although triglycerides increased)(although triglycerides increased)
Lancet 1990:336: 129Lancet 1990:336: 129--133133
After 1 Year:After 1 Year:
8/9/2019 Blocked Arteries
27/30
5 Years Later:5 Years Later:
Blood Flow Changes in Diseased BloodBlood Flow Changes in Diseased BloodVessels in the Lifestyle Heart TrialVessels in the Lifestyle Heart Trial
5 Years Later:5 Years Later:
Blood Flow Changes in Diseased BloodBlood Flow Changes in Diseased BloodVessels in the Lifestyle Heart TrialVessels in the Lifestyle Heart Trial
5%
-9%
-10
-8
-6
-4
-2
0
2
4
6
8
Percentc
n
e
W
rse
Better
Experiment l r up C ntr l r up
C n ein bl d circul t i n
Gould: JAMA, Volume 274(11). September 20, 1995. pp 894Gould: JAMA, Volume 274(11). September 20, 1995. pp 894--901.901.
8/9/2019 Blocked Arteries
28/30
Ornish: Let Us Not Hide the FactsOrnish: Let Us Not Hide the FactsOrnish: Let Us Not Hide the FactsOrnish: Let Us Not Hide the FactsIts a very paternalistic attitude to say,Its a very paternalistic attitude to say,
We know you wont even do it becauseWe know you wont even do it because
its too hard. The program is not forits too hard. The program is not foreveryone, but there is a largereveryone, but there is a larger
percentage of people interested inpercentage of people interested in
following a program like thisfollowing a program like thisthan many doctors mightthan many doctors might
believe.believe.
8/9/2019 Blocked Arteries
29/30
Three Choices of Diet:Three Choices of Diet:
Good, Better, and BestGood, Better, and Best
Three Choices of Diet:Three Choices of Diet:
Good, Better, and BestGood, Better, and Best
Cholesterol (mg)Cholesterol (mg)
8/9/2019 Blocked Arteries
30/30
The information
contained in thispresentation may be
found in
Call Toll-free
1-888-778-4445