The pathologic diagnosis of the SST

The pathologic diagnosis of the SST was as follows: squamous cell carcinoma (n = 12), adenocarcinoma (n = 4), and large-cell undifferentiated carcinoma (n = 5). Three patients entered the protocol without definitive pathologic diagnosis before starting treatment, but the fine-needle aspiration showed malignant cells. In two patients after resection, only necrosis could be found in the surgical specimen; in the third patient, residual squamous-cell carcinoma was present.

Of the 21 patients who underwent a resection, three ribs were resected in 10 patients, four ribs in 6 patients, and five ribs in 2 patients. In 16 patients, a lobectomy was performed, 3 patients underwent bilobectomy, and 4 patients underwent pneumonectomy.

Because in most cases, the chest wall defect was covered by the scapula, in only seven patients (four patients with a large posterior, and all three patients with an anterior defect) a reconstruction was made using an artificial layer was used to obtain chest wall stability.

One patient died 1 week after the operation because of cardiac failure. The postoperative mortality is 1 of 23 patients (4%). Another patient was readmitted in the hospital with a bronchopleural fistula and sepsis, and died 7 weeks after surgery. Two patients had a prolonged hospital stay of > 3 weeks because of ARDS and pleural empyema; both recovered after intensive conservative treatment. In this retrospective analysis, no detailed information was available about functional morbidity and the use of analgesics.

In 21 patients, after a median follow-up of 18 months (range, 5 to 58 months), 8 patients were alive (37%), of which had no evidence of disease (median follow-up, 24 months; range, 6 to 58 months). Thirteen patients died, all but one with metastatic disease (63%). The first site of distant relapse was lung (n = 3), bone (n = 2), brain (n = 2), soft tissue (n = 2), and visceral (n = 2). The median survival after treatment Viagra Proffesional in Canada of SST for this group of patients was 14 months, and the median survival after distant relapse was 6 months (range, 1 to 15 months). At the end of the study, 18 patients (85%) were free from locoregional relapse (median follow-up of 18 months). All five patients who had a local relapse after 8 to 16 months (median, 11 months) underwent a R1 resection (macroscopic radical, but at microscopic examination no tumor-free margins). Two of them had a locoregional recurrence without distant metastases. The median survival of all patients with a relapse was 5 months (range, 1 to 15 months).

Chronic Pulmonary Aspergillosis

Chronic pulmonary aspergillosis (CPA) markedly reduces lung function through progressive lung destruction. To date, however, health status in patients with CPA has not been studied. This is due, in part, to a lack of adequately validated scales. The St. George’s Respiratory Questionnaire (SGRQ) is widely used for several chronic respiratory diseases, but not for CPA. We examined the reliability and validity of SGRQ in CPA.

Chronic pulmonary aspergillosis (CPA) is a usually incurable and progressive disease that causes significant lung function deterioration. It typically leads to death from respiratory failure, infection Antibiotics in Canada, or hemoptysis. Multiple underlying diseases are associated with CPA, including prior TB, nontuberculous mycobacterial infection, COPD, sarcoidosis, and allergic bronchopulmonary aspergillosis. Worldwide, the prevalence of CPA following TB has been estimated at about 1,2 million people. The disease is defined by the combination of at least one pulmonary cavity on thoracic imaging, with or without an aspergilloma, together with symptoms for > 3 months, and serology (positive Aspergillus-precipitating IgG antibody in blood) or cultures or histology implicating Aspergillus species. Given the condition’s long-term nature and disabling symptoms, it is reasonable to anticipate an impact on physical, social, and psychologic aspects of patients’ health status. To date, however, quantification of health status impairment in patients with CPA has not been undertaken. This is due, at least in part, to a lack of adequately validated scales that can be used in this population.

The St. George’s Respiratory Questionnaire (SGRQ) is a respiratory-specific, health-status measure that consists of three domains assessing the most common respiratory symptoms, activity status, and the perceived impact of respiratory illness on the patient’s daily life. The questionnaire has been well validated in COPD and asthma and also is used in assessing health status in several other respiratory illnesses, such as idiopathic pulmonary fibrosis, bronchiectasis, cystic fibrosis, and pulmonary TB. Moreover, the SGRQ has received wide acceptance and has been translated into in many different languages and validated in different cultures. However, to date, the scale has not been used, let alone validated, in assessing health status in patients with CPA. Therefore, we investigated the reliability and validity of the SGRQ in assessing health status in patients with CPA.

Stop Sugar Addiction That Fuels Inflammation & Heart Disease

Inflammation causes heart disease, cancer and diabetes. Controlling inflammation (not cholesterol levels) is critical if we are to reduce and even cure heart disease and those diseases of aging. As sugar ignites inflammation, it incites heart disease.

Investigators have been pleading with the medical community to pay more attention to helping patients manage inflammation. We now know that inflammation may be initiated by our own immune system in response to inciting events and sugar, more specifically fructose plays a critical role in the process.

High Fructose Corn Syrup And Sugar Addiction

Sucrose, with the chemical formula C12H22O11, is an equal combination of fructose, C6H12O6, and glucose. C6H12O6, is the most common of the sugars involved in this inflammatory process.

There has been a rapid increase in the use of fructose syrup from corn in food manufacturing. This high fructose corn syrup (HFCS) is significantly sweeter than sucrose, a much cheaper process for manufacturers but significantly more toxic to our liver, and cardiovascular system.

The inflammatory process that mediates heart disease, cancer, diabetes, and obesity is a result of rapidly rising blood sugar that results in toxic biochemical changes caused primarily by fructose in the cell.

Avoiding sugar and high-glycemic (simple) carbohydrates which the body will rapidly convert to sugar is a primary focus to stop sugar addiction thereby reducing inflammation. A marker of inflammation, C-reactive protein (CPR), plays a major role in heart disease.

Elevated CRP – Another Reason To Get Sugar Under Control

A recent study in the New England Journal of Medicine identified people with elevated CRP levels had four fold increases in having a heart attack.

Not only is elevated CRP more accurate than cholesterol in predicting heart attack risk, but high CRP levels have turned up in people with diabetes and pre-diabetes and in people who are overweight.

The CRP molecule is not found in foods. However, its levels in the body are strongly influenced by diet more specifically the increased amount of sucrose and fructose, not fat.

A recent Harvard Medical School study revealed that women who ate large amounts of high-glycemic (or diabetes promoting) carbohydrates which included potatoes, breakfast cereals, white breads, muffins, and white rice, had very high CRP levels.

If a woman ate those high-glycemic carbohydrates and was overweight, she had the highest and most dangerous CRP levels. So the link of elevated CRP, heart disease and sugar consumption becomes clearer.

Following high carbohydrate consumption, our body makes CRP from interleukin-6 (IL-6), a powerful inflammatory chemical. IL-6 is a key cell communication molecule. It activates our immune system to release CRP and many other inflammation-causing substances.

Sugar Addiction – Inflammation & Weight

Being overweight increases inflammation because adipose cells (particularly visceral fat cells around our abdominal organs) makes large amounts of cytokines and CRP. These cytokines cause elevated sugar levels because of insulin resistance. That results in more abdominal fat and increasing IL-6 and CRP levels.

This rapidly deteriorating cycle worsens by increasing obesity and higher blood sugar levels even more; in turn that increases the risk of heart disease induced by the burning embers of inflammation. It’s a vicious cycle.

The pancreas responds to excess glucose in the blood stream by pumping out large amounts of insulin. Then the body develops a resistance to persistent elevated insulin levels. Excess blood sugar results in glycosylation. This is the process when sugar can attach itself to collagen inside of blood vessels, organs, and muscles.

This material has the consistency of the outer coating of the dessert Crème Brulee and results in stiff blood vessels with inflammation and blockage, organ deterioration, and systemic inflammation.

High insulin levels and persistent elevated sugar levels results in our body creating long chain fatty acids that are stored inside the belly as visceral fat. Fortunately, when we are young, this process is blocked by progesterone. As both men and women age, progesterone falls to immeasurable levels in our forties and the belly fat battle begins.

The best way to stop sugar addiction and cravings is to control blood sugar and insulin by staying away from simple carbohydrates and eating more protein. That sounds so much easier than it is especially when sweets have the addictive qualities of crack cocaine and opium.

Of all the substances we consume that are damaging, sugar is the most harmful as it ignites inflammation and inflammation causes heart disease. We can see the result of excessive sugar in diabetes, obesity and cancer as well. Having seen the ravages of damaged hearts for 15 years as a heart surgeon, my goal today is helping patients prevent disease.

Heart Patient Diet Plan

For over 3,500 years people have recognized the amazing healing powers of garlic. Writings from ancient Egypt tell of garlic’s powerful healing properties with its ability to cure over 22 diseases. The Egyptians recognized that garlic was indispensable in healing those with heart disease, lethargy, and even tumors. Clay representations of garlic have been found in Egyptian tombs which represented their desire for good health during the afterlife.

Originating in Central Asia over 6,000 years ago, garlic as a healing and culinary herb spread to Asia, Africa, and Europe. Folklore tells of garlic’s ability to ward off the Evil Eye and even vampires. Sounds odd to us, but these were just some of the things that got the blame for illnesses. So garlic’s ability to ward off these evils may actually be closely associated with its health benefits.

Garlic is a potent herb. The smell comes from the sulfur compounds that also provide many of the health benefits. Areas of the world where garlic is used routinely have a much lower incidence of cardiovascular disease than Western countries, especially the United States, where heart disease is the number one killer of both men and women.

Although there is some conflicting data, some studies have shown that garlic helps normalize cholesterol levels. The allicin in crushed garlic is believed to stop the oxidation of LDL, a factor that leads to atherosclerosis. The antioxidant properties help protect blood vessels from the oxidative damage caused by free radicals, one of the main factors in atherosclerosis.

  • Garlic is also used to lower high blood pressure. Hypertension is one of the biggest risk factors in developing serious heart problems including heart attack, heart failure, and stroke.
  • Garlic also thins the blood, helping it to flow freely. Another risk factor in heart disease is blood sugar levels that are too high.
  • Garlic is effective in lowering blood sugar and aids in preventing late-onset diabetes.

There is a growing body of evidence that links bacteria responsible for periodontal disease to heart disease. Medical science has not determined yet the exact mechanism for this correlation, but there definitely is one. Garlic comes to the rescue again. One of the primary benefits of garlic is its strong antibacterial and anti-viral properties. The natural antibiotic nature of garlic helps the body fight infection. Whether it is periodontal disease, the flu, a cold or any other infectious illness, garlic has been shown to be as effective as many modern medications. Long used to fight serious diseases, it was utilized for typhoid, tuberculosis, and even the plague.

Although garlic supplements are an easy and less smelly way to get your garlic, adding high-quality garlic powder to recipes and sprinkling it on salads or sandwiches is an inexpensive and effective way to add garlic to your daily routine. Some of the benefits are lost with heat so add crushed garlic to soups and stews at the end of cooking.

Garlic can indeed help prevent heart problems. Make sure you include some in your diet each day!

Executive’s Guide to Strategic Living

Young executives need to take a strategic approach to planning their health outcomes, just as they plan their career path. Without this pro-active, preventive health plan, we see many hard-charging execs sidelined (or even flat-lined) at the peak of their life.

Prescription for a Heart Attack

A high-stress, driven lifestyle, combined with the high-fat meat-based diet should be recognized as the reason many up-and-comers keel over with a heart attack in their forties. This can easily be prevented, but it requires a willingness to look at the known medical facts and a willingness to change one’s diet.

No amount of pre-dawn runs and time spent in the gym can overcome arteries clogged by incautious eating, whether it is pizza, Chinese takeout, or gourmet surf and turf.

For this reason, many of the titans of industry are tending toward a vegan diet.

An article in the October 2010 Men’s Journal magazine (The Rise of the Power Vegan Diet) neatly debunked the myths that keep the average person from considering a diet of mainly plant foods. Especially noteworthy was the appeal of a vegan diet to professional and other top athletes of being able to shorten recovery time and boost performance.

Forbes’ Rich Karlgaard further documented the trend in his article “Extreme Fitness for A Hardcore Economy”. He can drop names of the rich and famous better than I can, so suffice it to say, he makes the case very convincingly.

Maintaining a trim, athletic body, and youthful appearance is always an asset, whether climbing the corporate ladder or building your own company. The competition is fierce and time-outs for illness are not allowed. The show must go on!

Then, too, longevity in your occupation permits you to accumulate a bigger pile of chips. Time off for major surgery, together with the accompanying medical bills, can put a dent in your attempt to build a business dynasty.

It would be a shame to build a substantial net worth, only to be forced by illness to leave a big chunk of it to doctors and hospitals.

Finally there is the social approval that comes from doing the right thing, not only for your personal health, but also for the environment and the hungry multitudes pressured by demands for more meat production. For example, one acre of land can feed one meat-eater or twenty vegans.

Which Side of the Trend Are You On?

The rainforests that are being cleared for grazing more cattle, means fewer pristine areas for you and your heirs to explore on your vacations.

There is a lot to gain by getting on the right side of the new “greening of the executive Diet” by a move toward a vegan diet.

Is It Really Hard to Have Your Cholesterol Levels in Check?

There are so many challenges that come with aging. You need to be more cautious with whatever thing you do to your body. If you don’t watch what you eat, you could see the levels of bad cholesterol sky rocketing in your body. At old age, Junk and fatty foods become a luxury you cannot afford. They can cost you a healthy heart, and eventually your life. A lifestyle change is inevitable if you wish to live your life to the fullest. Recovering from a heart attack or stroke is not easy especially if you have ever experienced one or two. On noticing unhealthy levels of bad cholesterol in your body, you need to take instant adjustments in your diet. You may also have to go on some form of medication. Start doing moderate exercises to avoid tiring yourself so much. Crown it all with a complete change in your way of life, dropping any unhealthy habits first.

If you are a smoker, you need to stop puffing. After all, you are already aware of the dangers smoking poses to your lungs. Smoking makes you run out of breathe easily, and exposes you to the risk of contracting lung cancer and emphysema. It also reduces your HDL cholesterol levels. With this level staggeringly low, you will not be able to keep active as before you started on this unhealthy habit.

You also need to make some changes in relation to your daily routines especially at work.

Try to avoid getting stressed out because it is harmful to your health. Too much stress has been associated to increase in blood pressure and heart rate at terrifying levels. More and more glucose and fatty acids are produced in your body if you are always eaten up by anxiety. These two substances have a tendency of making your liver produce more LDL cholesterols to enable them circulate what you eat all around your body. A high HDL level in your body is helpful in eliminating excess cholesterol and bringing it back to the liver for further processing. Look for ways to loosen yourself up should you get carried away by stress.There are many healthy ways out there you can opt for to let go of your frustrations.

Oh yes, you need to do exercise more regularly. Exercise is the best way you can be assured of strong muscles. As for your heart, you need cardiovascular exercises. With the muscles in your heart working at their best, you will be more able to lessen LDL levels and at the same time boost HDL levels in your body. A good work out is also helpful in unblocking clots formed in your blood vessels. If done regularly, exercises can tone your muscles within a couple of weeks. Some of the moderate exercises you can opt for are walking, cycling, and swimming. Just 30 minutes a day of one of these exercises or work outs is enough.

Avoid eating saturated fats as much as you can. Make it a habit to use more monounsaturated and polyunsaturated fats in your recipes. Eat lean meat, chicken and fish. Fish is a good source of Omega 3: a nutrient important for your body. Include foods rich in starch, vegetables, and fruits in your daily menu.

How To Lower Your Cholesterol Naturally And Keep It Low

It’s important that before you try lowering cholesterol you should learn as much as possible about how it works and how to naturally lower cholesterol.

Cholesterol: What is it? Cholesterol is found in the fats called lupids of your blood, a waxy-like substance, your body needs to function properly and stay healthy. Of course, as with just about everything in this life, too much of a good thing can soon morph into a bad thing. And so it is with cholesterol. But if your body did not have it, you couldn’t survive. Below is just a small list of the amazing ways cholesterol goes to work for you every day, keeping you healthy!

The Small List…

  • Directs the development of certain cells in a growing fetus.
  • Is a portion of the membranes that protect each and every cell in your body.
  • Is found in plentiful supply in your brain, which is composed mostly of fatty tissue. (Who knew?)
  • Helps to create hormones, including testosterone and the adrenal hormone, cortisone.
  • Is found in digestive juices, like bile.
  • Is needed for the creation of vitamin D, manufactured when sun activates the fatty tissues just under your skin.
  • Helps to build synapse, the vital structures through which your nerve cells send messages.

Many foods ingested contain cholesterol especially foods that come from animals. Red meats, eggs, whole fat dairy product like cheese, milk, and ice cream (my favorite). Foods such as vegetables, fruits and grains have no cholesterol and are some of the many foods which lower cholesterol when combined with moderate exercise (don’t groan guys) and better eating habits. (You notice I didn’t mention diet)

The Lipoprotiens-The Good – The Bad: There are two types. The (HDL) known as high-density lipoproteins and (LDL) low-density lipoproteins. The HDL is the good and the LDL is the bad. It can be confusing so here’s an easy way to remember which is which. The LDL starts with “L” for lousy and the HDL starts with “H” for healthy.

The LDL: Why is it so lousy for your body? Having too much LDL causes a thick hard deposit called plaque to build up in the wall of the arteries which restricts blood flow to the heart. This build up can lead to hardening of the arteries (atherosclerosis).

Hardening of the arteries can also affect the coronary arteries. These are the arteries that carry the blood to the heart. When these vessels become clogged or restricted with plaque it’s called coronary artery disease. There is also a chest pain called angina caused by the plaque build-up which restricts the oxygen-carrying blood to the heart.

Now keep in mind that other vital organs like kidneys and intestines can be damaged if the blood flow is restricted because of hardening of the arteries.

The Risk of Stroke: When the vessels that supply blood to the brain are affected by hardening of the arteries this condition is called cerebral vascular disease and puts an individual at risk of having a stroke.

HDL The Good Cholesterol: By removing cholesterol particles from the blood and tissues HDL helps the body rid itself of the bad cholesterol which is carried back to the liver where the particles can be processed and sent out of the body. The higher the HDL level, the lower the risk of heart disease.

Are You At Risk? Your Life Style, Eating Habits and Lack of Exercise contributes to some individuals having a greater risk for developing heart disease than others.

Some factors are beyond our control but others are within our ability to handle.

  • Being overweight for example, the risk is increased of developing higher levels of high LDL (bad) cholesterol levels and other serious health problems such as diabetes.
  • Eating habits and exercise are areas which we have control and the good part is losing weight can help increase the HDL (good) cholesterol level, decrease the LDL (bad) level and help reduce the chances of heart related diseases.

Family History and Age are two factors we can’t control.

  • The odds are if family members have high cholesterol levels (in the genes) then our chances of having problems have increased.
  • Ageing is a normal course in life. As we get older the greater the chances cholesterol levels will elevate.

Healthy Foods and Regular Exercise may work as well to naturally lower cholesterol as some cholesterol-lowering medications.

Before taking any supplement or starting any exercise program seek expert advice of your own personal physician or another licensed health care physician to determine medical risk factors and cholesterol levels.

How to Cure Diabetes Without Medicine

How to cure diabetes without medicine is relatively easy if you are vigilant about the management of your diabetes. It is important to make sure that you do not take it upon yourself to give up your medication without the consultation of your doctor first. You will have to work closely with your doctor to make sure that you do not cause yourself more harm.

How to cure diabetes without medicine can be achieved with a healthy well balanced diet and regular daily exercise. This will take some time to implement, but it will definitely be worth it once it is in place. The most valuable tool you can arm yourself with is a food and exercise diary, this will allow you to work out which foods and exercises do not work for you and by knowing this information you can avoid them altogether and be well on your way to curing your diabetes without medicine.
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Get yourself a notebook and start to write down everything you eat, what exercises you are doing as well as your blood sugar readings before and after meals and exercises. As I mentioned this will take some time to do, but by the end of it you will be well informed with what works for you as an individual. This is important to realise, because we all react to foods and exercises in different ways, not one person is the same.

You will need to mix and match your meals and exercises so that you can determine which foods and exercises are the culprit that makes your blood sugar rise.

Following are suggestions on how to track the information you require:

  • Record the date
  • Make a list of all the foods you eat for each meal, it is important that you note each individual food, for example, beef steak, beans, sweet potato and onion sauce
  • Make a list of the exercise you do as well as the length of time
  • Make a note of your blood sugar levels before and after your meals as well as your exercises
  • Work out which particular food or exercise has made your blood sugar to dramatically rise and make sure you note this down so that you can avoid it in the future


The best way to do all this is to have your self a diabetes diet plan, make a standard diet plan for one week, get a different diet plan for a few weeks. Then implement the week 1 plan, then week 2, and then week 3. Once you have reached the end of week 3 for example, go back to week one and take out one food item to see if it makes a difference to your blood sugar readings, this will be how you find out what works for you and what doesn’t.
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By implementing this diabetes diet plan you will be able to cure diabetes without medicine so that you can achieve optimum health.

Baby Eczema Natural Treatment

Every parent will agree that watching their baby suffer from eczema is the most heart breaking and distressing experience. Especially, if they have been told by their baby’s doctor that there is nothing they could do to make it go away. Itching that does not respond to scratching is agonizing to say at least, however it is also emotionally draining since prescribed medicine often does not work or the results are only temporary.

So what can a parent do to reduce the persistent itching and help their baby get rid of eczema for good if creams are not the answer? In answering that question, it is vital to understand the true cause of eczema.

Eczema, being an allergic reaction, is mainly triggered by eating specific foods or getting in touch with external allergens that penetrate and damage the skin barrier.

If some food is not tolerated well by your baby, it will act as an internal allergen that will in turn penetrate and damage their gut lining – also called “the inner skin”. Because of everyone’s individual make-up, it is possible to be allergic / intolerant to just about any food. This is because every food is composed of natural chemicals that our immune system may react to (e.g. salicylates, amines, tannins, caffeine, etc).You will find that some babies are sensitive to certain foods because their digestive and immune systems are still immature. Their skin is also much more sensitive because it is quite thin. This means that it is easier for toxins to penetrate through their skin barrier.

As babies grow older, food allergies become less of an issue. This is mainly because their digestive and immune system have grown more mature. Having said that, any ongoing allergy that goes untreated or that gets suppressed by steroid creams or anti-histamine medication may contribute to a compromised and hypersensitive immune system later on in life. The same food allergies may also develop into other allergies or manifest as asthma or hayfever (medical practitioners often maintain that most babies grow out of eczema however those individuals quite often develop asthma or other allergic conditions a few years down the line. Sadly, nobody seems to make the connection).

Sometimes however the main culprit is not food related. In such cases detergents could be the cause. Detergent related allergies appear to be on the increase since detergents are lurking everywhere from skin care and household products to washing powders and washing-up liquids. Detergents disrupt the skin barrier by interfering with the skin membrane permeability thus allowing for foreign particles (e.g. dust) to penetrate causing inflammation whilst at the same time decreasing the skin hydration which leads to dry itchy skin. Later on you will learn how to find out if detergents trigger your baby’s eczema.

It is important to keep in mind that everyone’s genetic make-up is unique, so the underlying factors that trigger each baby’s eczema will also differ. Often the primary contributing factor can be traced to the toxic load the baby inherits from their parents. By the toxic load I mean how healthy the baby’s parents were at a cellular level at the time of the baby’s conception. A status of parents’ cells does indeed affect the baby’s constitution and vulnerability to specific health conditions.

Unfortunately, eczema is not a result of only one factor. Rather it is caused by a complex interplay of several factors acting as triggers that eventually undermine the baby’s immune system.

If the triggering factors remain unaddressed for a continuous period of time, the immune system will be subject to a lot of pressure. Eventually, it will get thrown out of balance at which point the eczema becomes chronic.

In order to find a permanent freedom from eczema, it is crucial to delve deeper to get to the root cause of the condition. Eczema is an immune system disorder so our aim will be to strengthen and optimize your baby’s immune function as well as identify and eliminate the unique major triggers that set your baby’s eczema off.

Why Coronary Heart Disease Is Very Dangerous

Even though it is in charge of moving blood from place to place, your heart needs blood to keep it functioning. This is provided via your coronary arteries, of which there are four. They provide nourishment and oxygen to this vital organ.

Several things can go wrong with these arteries. The most common threat is when they are restricted by plaque, causing them to become hard. Cholesterol is usually the culprit in these cases. If the blood flow is low enough, parts of your heart will actually die. It can also cause an aneurysm, or a break in the arterial wall. That can cause you to bleed to death.

Prevention is the best bet, and it is possible even if you have a family history of this condition. Some of it will probably have to come from your doctor, but there are others you can do at home. It’s a good idea to sit down with your doctor and discuss exactly what is necessary.

At Home

  • Diet:

Burgers and fries taste great, but they are very high in fat and cholesterol. A heart healthy diet includes lean protein such as boneless/skinless chicken and turkey or fish. Lots of fruits, vegetables and whole grains are also essential.

How you cook is going to be as important as what you cook. There are three safe methods of food preparation: water, oven or grill. Frying is out unless you do it in a non-stick skillet or use cooking spray instead of oil. Steaming, boiling, braising, baking, roasting and grilled are better choices.

If you are already overweight, you may be tempted to skip meals and keep your calorie consumption far lower than what you burn. That is not going to be helpful at all. Keep your calorie deficit no higher than fifteen percent.

  • Exercise:

You should get into the practice of doing a cardio type workout a minimum of three times a week for at least twenty minutes per session. Ideally, this would be done with two days a week of toning exercises. This helps your body burn excess fat.

  • Herbs:

The most important thing about using herbs is that you coordinate it with your doctor. It would be a good idea to consult a qualified herbal practitioner as well. This is even more true if you already have a medical condition and take medication.

Garlic is very good in this area. It can help lower blood pressure and may help reduce LDL cholesterol. Although it’s a blood thinner in its own right, it usually is safe to take with other medications.

Red yeast rice may be another option, but this is controversial. It is a natural statin, and has the same side effects and drug interactions as the prescription medications. If you wish to use it, check with your doctor and be sure to get regular blood tests to make sure your liver is functioning properly.

Doctor’s Orders

  • Angiograms:

An angiogram can find blocked arteries. A dye is inserted into your blood stream. A camera is then inserted into an artery in your groin and threaded up to check out the condition of your arteries. If blockages are found, they can be opened via angioplasty, usually at the same time. Stints may be put in to keep them open.

  • Blood Tests:

Lipid panels can help you find conditions known to cause hardening of the arteries before any damage is done. Lipids include cholesterol and triglycerides.

  • Medications:

There are several categories of medications that can help reduce your risk of having or repeating coronary artery disease. They include such categories as blood pressure, cholesterol reducing and blood thinning medications. In fact, aspirin is usually on that list.

Preventing a heart attack is doable, but you will have to work at it. It’s easy to get lulled into complacency and slip back into old habits. Doing so could mean your life.