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Opening all arteries best when heart attack strikes in old age: Study
Medical Xpress / HealthDay / New England Journal of Medicine ^ | Aug. 28, 2023 | Steven Reinberg / Simone Biscaglia et al

Posted on 08/31/2023 8:40:48 PM PDT by ConservativeMind

After a heart attack, elderly adults have better odds for improved health and survival if all major heart vessels are cleared, not just the one that caused the heart attack.

Because these patients often have other medical conditions and may be frail, doctors frequently opt to open only the "culprit" blood vessel and leave other partially blocked vessels alone.

But new research on more than 1,400 patients aged 75 and older found that clearing all these vessels lowers the one-year risk for death, having another heart attack or stroke, or needing another procedure.

"What we found in the study is the exact opposite," Biscaglia said. "Complete revascularization should be pursued in older patients with heart attack and multi-vessel disease."

Other experts agree that treating all the arteries that are significantly blocked should become the standard of care regardless of a patient's age.

For the study, Biscaglia and his colleagues randomly assigned 1,445 men and women, half of them older than 80, to have only the culprit heart artery unblocked or all the major blocked arteries opened.

Among patients who had all their narrowed heart arteries opened, 9% died or had another heart attack within a year, compared with 14% of patients who only had one artery opened—a 36% reduction in risk, the researchers found.

For all the outcomes assessed together—death, another heart attack or stroke, or needing another procedure—16% in the complete revascularization group had one of these outcomes, compared with 21% of those who had only one artery unblocked. That was a 27% reduction in risk.

Moreover, the procedure was equally safe in both groups of patients, the researchers noted.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS: arteries; elderly; heart; heartattack; medicalxpress
Regardless of age, get all concerning arteries addressed.

Do note that diet and exercise and even supplements can reverse aspects of atherosclerosis, but the time and dedication involved, coupled with the level of likely success, is daunting.

I have previously posted about a study with large amounts of two types of Vitamin K reversing calcium plaques by 50% in just a couple months, and there as been solid soft plaque regression with other therapies, including a 50+% reduction in soft plaques using Arterosil over twelve months.

1 posted on 08/31/2023 8:40:48 PM PDT by ConservativeMind
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To: Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ProtectOurFreedom; matthew fuller; ...

The “Take Charge Of Your Health” Ping List

This high volume ping list is for health articles and studies which describe something you or your doctor, when informed, may be able to immediately implement for your benefit.

Email me to get on either the “Common/Top Issues” (20 - 25% fewer pings) or “Everything” list.

2 posted on 08/31/2023 8:41:41 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

If you can locate that Vitamin K study, I’d love to hear about it...


3 posted on 08/31/2023 9:04:37 PM PDT by grey_whiskers ( The opinions are solely those of the author and are subject to change without notice.)
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To: grey_whiskers

Here you go:

https://freerepublic.com/focus/f-chat/3803950/posts


4 posted on 08/31/2023 9:13:03 PM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Thanks!


5 posted on 08/31/2023 9:16:26 PM PDT by grey_whiskers ( The opinions are solely those of the author and are subject to change without notice.)
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To: ConservativeMind

“...can reverse aspects of atherosclerosis...”

Sometimes the cause of the problem is a major part of the determination as to the cure. An example is diabetes.

Atherosclerosis is thickening or hardening of the arteries caused by a buildup of plaque in the inner lining of an artery. Risk factors may include high cholesterol and triglyceride levels, high blood pressure, smoking, diabetes, obesity, physical activity, and eating saturated fats.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084712/#:~:text=Diabetes%20mellitus%20and%20atherosclerosis%20appear,in%20studies%20on%20diabetic%20patients.

There has been a misconception that diabetes kills people. It doesn’t. The fallout from the illness does. And hardening of the arteries is an incurable problem with type 2 in particular and especially hyper rather than hypo. And the damage done is not reversible due to its amount.

wy69


6 posted on 08/31/2023 9:58:07 PM PDT by whitney69
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To: ConservativeMind

“...can reverse aspects of atherosclerosis...”

Sometimes the cause of the problem is a major part of the determination as to the cure. An example is diabetes.

Atherosclerosis is thickening or hardening of the arteries caused by a buildup of plaque in the inner lining of an artery. Risk factors may include high cholesterol and triglyceride levels, high blood pressure, smoking, diabetes, obesity, physical activity, and eating saturated fats.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084712/#:~:text=Diabetes%20mellitus%20and%20atherosclerosis%20appear,in%20studies%20on%20diabetic%20patients.

There has been a misconception that diabetes kills people. It doesn’t. The fallout from the illness does. And hardening of the arteries is an incurable problem with type 2 in particular and especially hyper rather than hypo. And the damage done is not reversible due to its amount.

wy69


7 posted on 08/31/2023 9:58:07 PM PDT by whitney69
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To: ConservativeMind

.


8 posted on 08/31/2023 10:57:37 PM PDT by sauropod (I will stand for truth even if I stand alone.)
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To: ConservativeMind
"Complete revascularization should be pursued in older patients with heart attack and multi-vessel disease."

"...and away go troubles, down the drain!"

Seriously: How? By scraping and scratching?!

Regards,

9 posted on 08/31/2023 11:18:42 PM PDT by alexander_busek (Extraordinary claims require extraordinary evidence.)
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To: alexander_busek

10 posted on 08/31/2023 11:41:33 PM PDT by steve86 (Numquam accusatus, numquam ad curiam ibit, numquam ad carcerem™)
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To: ConservativeMind

Vitamin K should be taken with Vitamin D and Boron. Here is a good source for mega-dose vitamin K: https://www.k-vitamins.com


11 posted on 08/31/2023 11:57:52 PM PDT by UnwashedPeasant (The pandemic we suffer from is not COVID. It is Marxist Democrat Leftism.)
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To: ConservativeMind

Stents do not increase a cardiac patient’s long-term survival rate.

Prove me wrong


12 posted on 09/01/2023 1:52:11 AM PDT by nikos1121
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To: nikos1121

It’s been 10 years since my cardiac arrest. 3 stents...


13 posted on 09/01/2023 2:54:10 AM PDT by brooklin
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To: brooklin

That’s great. I am happy for you.

I’m talking about elective procedures


14 posted on 09/01/2023 5:20:37 AM PDT by nikos1121
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To: ConservativeMind

In 2007, I almost had a heart attack. I had what felt like the muscles in my left arm and the left side of my chest tensing up. I ended up in the hospital and a stress test the following day showed some abnormalities. It turned out, after an angiogram, that I had a coronary artery that was 65-70% blocked.

Due to my inflammatory bowel disease, the cardiologist decided it would be safer to put me on a statin, rather than put in a stent and give me blood thinners. While I was in the hospital, the stress test opened up a healing wound where my GI doc had removed a polyp a few weeks previous, causing a massive bleed and me blacking out just before the scheduled angioplasty.
The GI doc had to go in there the following day and seal up the leaker before the cardiologist could do his thing. Hence the statin rather than the stent.

A year to the day from the first completed angiogram, I had another, and the original blockage was totally gone. I can’t help but think that any other plaque deposits elsewhere were probably gone, as well.


15 posted on 09/01/2023 5:28:48 AM PDT by telescope115 (I NEED MY SPACE!!! 🔭)
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To: telescope115

Statins are a way to regress some plaques.

Excellent!


16 posted on 09/01/2023 6:41:36 AM PDT by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Thanks.
BKMK


17 posted on 09/01/2023 8:29:53 AM PDT by Faith65 (Isaiah 40:31 )
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