Within 6 years after a recognized
heart attack (MI), 18% of men
will have another heart attack ,about 22% will be disabled
with heart failure, 8% will have a stroke and 7%
will experience sudden death.1
On July 13, 2001 I had experienced a Myocardial Infarction (MI),
more commonly known as a heart attack. My critical LAD artery (also
known as the widow maker artery) contained a blockage of over 90%.
A blood clot was unable to navigate its way through it. The dedicated
Cardiology Department at Hadassah Hospital in Jerusalem did a fantastic
job on me; an angiogram, angioplasty (ballooning) and PCI (stent insertion)
were performed. On July 20, 2001 I was released from the hospital
with my new stent in place and a long list of prescription medications
to take, including a cholesterol lowering statin.
At the time, 'statin' was not a part of my vocabulary. Despite the
excellent care at Hadassah, little did I know then that I was about
to experience the
Double Whammy
Whammy #1: Statins,
because of their cholesterol lowering properties, have been the favorite
medicines of cardiologists to battle the heart disease epidemic. The
scorecard: Two decades of statins to lower LDL and fats in the blood
to prevent heart disease did indeed lower LDL levels, but have not
curbed the heart disease epidemic. To make matters worse, in many
cases there is a large personal and professional price to pay for
those lower LDL levels as I later found out first hand. Statins do
cause cognitive problems, memory loss, personality changes, and irritability
among other problems -- which this leads us to
Whammy #2: Traditionally,
there has been an apathetic response to negative statin-induced side
effects by those in particular who are entrusted with our medical
well-being -- the doctors prescribing us the statin medications. Prof
Beatrice Golomb, whose pioneering NIH study documented the negative
side effects of statins concluded:
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"Patients perceived
that physicians failed to appreciate the impact of the statin
adverse effects on their quality of life. Statements attributed
to physicians by many patients included: denial of existence
of any statin adverse effects, denial of specific statin adverse
effects (muscle, memory, neuropathy), attribution of symptoms
to age, attribution of symptoms to "imagination",
and dismissal of the importance of symptoms.
.. Subjects'
responses suggest that many physicians may be unfamiliar with
the spectrum of adverse events even for widely used preventive
agents; and that physicians may be perceived to convey a lack
of appreciation of the impact of symptoms on patients."2
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By the middle of 2003, I had learned that the medical world is not
at all unanimous in blaming cholesterol levels in the blood as the
major cause of heart disease (known as the lipid hypothesis). I became
aware of a growing movement of doctors and research scientists led
by Dr. Uffe Ravnskov, who have unequivocally substantiated that cholesterol
is not the cause of heart disease. His classic book "The
Cholesterol Myths" to me was truly revolutionary.
I discontinued the Statins in mid 2003 after suffering from statin
induced side effects for 2 years . Worrying about cholesterol levels
was no longer a part of my agenda. I also made life style changes
accordingly. It was on this background that I wrote "Surviving
a Successful Heart Attack", first released in 2004.
And now, the Stent Whammy
The implantation of the stent in a blocked artery is known medically
as PCI (Percutaneous Coronary Intervention). The development of this
process was an incredible achievement of technology. Just think about
it. Someone arrives to the emergency room in the midst of a heart
attack. A blockage is identified in an angiogram, angioplasty (ballooning)
is performed, and a stent is implanted (PCI) in the problem area to
keep the artery open. Next morning, the patient is on his feet; and
within another day or 2 he/she starts the return to a normal routine.
Stenting is a tremendous short term fix - but for how long?
For all of its wonder, the stent remains a foreign entity implanted
into a critically delicate part of the body. The body's defensive
mechanisms are not equipped to realize that the foreign stent is implanted
as a life saving endeavor.
The nightmare of cardiologists performing PCI is the eventual blockage
of the stent, a process known as restenosis. Restenosis literally
means the reoccurrence of stenosis, which is an abnormal narrowing
in a blood vessel. Stenting, as it turns out, is not a long term trouble
free solution. In many cases, stenting needs to be redone/reopened
every 1-4 years3. If you missed that the first time, I'll say it
again. Every 1 - 4 years!
What are the consequences when total restenosis occurs suddenly? If
you are lucky and happen to be at a hospital, an emergency bypass
operation may be in order. Many other scenarios, unfortunately resulted
in sudden death.
December 2006-Jan 2007 -- 5½ years after my heart attack, which
corresponds to
• 3½ years since abandoning the statins and
• adapting a life style change often contradicting
mainstream cardiology doctrine,
an angiogram following annual routine testing determined that the
stent in my critical LAD artery was blocked up 100% - 100% restenosis,
a condition known as Chronic Total Occlusion!
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No, I was not experiencing
chest discomfort. |
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No, I did not have another
heart attack. |
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No, I was not disabled with
heart failure. |
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No, I did not have a stroke. |
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No, I did not experience sudden
death. |
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Not only that, a bypass operation to circumvent the blocked artery
is not even in the works. My changing lifestyle over the last several years has promoted the generation and development of alternative blood vessels circumventing my blocked artery. A comparison of the May, 2001 (heart attack)
angiogram with the angiogram done in January, 2007 showed that besides
the blockage in the stent, there was no further deterioration in the
condition of my cardiovascular system!
2001

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| Name and Segment No |
Degree of Blockage |
| 4 - LAD mid |
>90% (angioplasty necessary) |
| 12 - CIRC distal |
Light |
| 14 - Second Margina |
50-70% |
| 18 - RCA mid |
Light |
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2007

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| Name and Segment No |
Degree of Blockage |
Location |
| 4 - LAD mid |
100% (angioplasty necessary) |
prox to stent |
| 14 - Second Margina |
50-70% |
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| 18 - RCA mid |
Light |
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Despite the restenosis, I am leading a very active life.
In "Chronic Total Occlusion: After the Heart Attack, the Statins
and Restenosis" (previously released as The Next 20,000),
I explain the life style changes that I have adapted, and substantiate
my reasons for doing so. If I can lead a full life with a blocked
critical artery and without the statins, what about you?