Heart Disease, Inflammation, United States discussed on Mayo Clinic Radio
You know there are millions of people in this country heart disease. In fact, it's the number one killer of both men and women in the US and the majority of those people have cad or coronary artery disease, and that's when the major blood vessels that supply the muscles. Of Your heart they supply blood, they supply nutrients, they supply oxygen when they become damaged or diseased. It's called coronary artery disease and that of course is usually the result of cholesterol containing deposits called plaque along with a little information inflammation, and it is a process that we know as atherosclerosis. When the plaque buildup, it narrows your coronary arteries and that decreases the blood flow to your heart. Eventually, that can cause symptoms that you might recognize chest pain shortness of breath a complete blockage can even cause a heart attack and we know there's lots of things that you can do to prevent disease but what about? Reversing the damage that has already been done is that possible? Let's find out from Mayo Clinic Preventive Cardiologists Dr, Stephen Kobetski welcome back to the program. Thank you for having me Kopetski. Good to see you i. once heard you say that you wanted to start a coronary artery disease reversal clinic suggesting that in fact, if you're coronary artery disease, you could make them better. Yes. Very clearly you can. We have the clinic. We just don't call it that unfortunately, but the data the studies have shown you can reverse heart disease. You can reverse this narrowing of the arteries to the heart is you mentioned inflammation or the Of the lining of the artery is very important to reduce because that's what actually causes the blood clot to form in the heart attack to occur and why did you get the inflammation in the first place? Well, that's a great question. There are many things that cause inflammation smoking high blood pressure diabetes. If you don't do those, you stop the progression of Heart. Disease of the narrowing, but it's really diet stress control exercise. They will help not only stop the progression, but actually promote the regression or the opening up of the artery is one of those. That's most important diet stress control number one factor now for early death and disease in the United States, and soon to be the world diet diet, it used to be smoking. Smoking was. So when you say Diane does that mean you have to become a vegetarian to revert reverse damage or? Broth only from here on the right? No. No you don't need to be a vegetarian, but it helps if you go more towards more plant based. So in the Mediterranean Diet that we've talked about here before it has four things that aren't vegetarian in red meat, which it suggested three ounces a day, a deck of cards fish you know eat three or four times a week, a dairy products which is. It's very limited just like one pat of butter a day, and then things like poultry meat you know Turkey or chicken poultry if you can eat most of your calories being plant-based fruits, vegetables, legumes, whole grains, and then to get full on that stuff and add in a little bit of these other things. But the two things that Americans have forgotten about any ubiquitous is stress and social support and sleep they all think well, everybody's under stress. Don't worry about it and I don't get much sleep. I'm. Never I'M GONNA don't worry about that either those two are huge because they don't allow you to have resiliency in comeback and change your lifestyle can lower your stress. Love. Your heart can be healthier if you get better sleep and reduce your stress, there's no doubt about that. Now, what about cholesterol still worry about that the guidelines have come out and there'd be a newspaper probably soon, they'll say Klaly isn't that important? They said that a couple years ago and all the press picked up on was that clutch important. If they would read the article. It would say that we eat so much saturated fat in animal fat and saturated plant fat in this country that the cholesterol we take in isn't as important as it used to be. So you really ought to cut down both the cholesterol and the saturated fat, but you still believe in statins for people who have elevated cholesterol are you more suggesting that it can be controlled with diet in most patients it can be controlled with Diet but takes a pretty radical change and. We ask them to migrate to a new died over one to two years because you can't just do it tomorrow. So statins have been around for a long time and there are a lot of people taking statins. So dry any long term side effects that you've identified you know we've we have found that it lead to increase incidence of diabetes, but it's usually earlier occurrence of diabetes than if you weren't on the staten. So if you are obese have high fasting blood sugar have metabolic syndrome with a big punch. You'll go into become a diabetic about three months earlier than if you weren't on the staten but for every one patient gets diabetes five heart attacks prevented. We've heard that term metabolic syndrome a lot and it's difficult to understand for. US and our listeners. Yes. Netflix Metabolic Syndrome has five factors. What the main was the Big Punch big abdominal obesity, which is a very active fat. It puts out chemicals that are bad for us. It makes us more insulin resistant which for women going through menopause that's where you're likely to gain weight. Yeah, and women it's really a higher risk Falcon for them. Second is blood pressure. That's elevated. Third is the low HDL or good cholesterol. It cleans out the arteries and then the blood pressure those the factors that really lead to more inflammation and if you control those that you're much better off, we've heard you talk about fish oil before and as I recall, you're a proponent. I WanNa know if you still are and is that for everybody or is that just for people with heart disease? Well it. Helps a lot of people in not just people with heart disease in your recent study showed that High Dose Fish Oil Epa specifically a certain type of EPA, which is within you find the bottle. When you buy in the store will reduce a.