Post-stent chest pain

by Carolyn Thomas     @HeartSisters 

A friend’s daughter (who happens to be a cardiac nurse) phoned to check on me a few days after I was discharged from the hospital following my heart attack. I felt so relieved to hear Kate’s voice because  something was really starting to worry me:  I was still having chest pain.

Hadn’t the blocked coronary artery that had caused my “widow maker” heart attack just recently been magically unblocked? Wasn’t that newly revascularized artery now propped wide open with a shiny metal stent? Shouldn’t I be feeling better?

And that’s when I heard the words “stretch pain”  for the first time.    .       .  Continue reading “Post-stent chest pain”

10 things I didn’t know about angioplasty until I read this book

by Carolyn Thomas     @HeartSisters

heart-700141_1280 Being asked to write a book review is tricky. Authors hope you will be kind, while you hope the book at best might tell you something that every other book for heart patients hasn’t already told you. A review copy of the book Your Personal Guide: Angioplasty (Allen Jeremias, Susan S. Bartell)*  sat on my coffee table for weeks, until one day, I finally got tired of looking at this latest addition to my living room decor and decided to give it a go.   And within a very few pages, I learned some fascinating things I didn’t know before.   Continue reading “10 things I didn’t know about angioplasty until I read this book”

Did you really need that coronary stent?

by Carolyn Thomas  @HeartSisters

balloon-angioplastyA New York study has revisited the issue of stent-happy cardiologists implanting the tiny metal devices that help prop open – or revascularize – blocked coronary arteries. Essentially, this study(1) suggests that two-thirds of the justifications for this procedure in non-emergency patients were either “uncertain” or “inappropriate“. For any heart patient who has ever been told by those with the letters M.D. after their names that this type of cardiac intervention was recommended, it’s yet more troubling news. And the fact that this issue simply will not go away makes me wonder why cardiologists themselves are keeping suspiciously mum about the controversy.

When cardiologists do speak up, not surprisingly, many hasten to pre-emptively defend their interventional colleagues. An editorial that accompanied this study’s publication in the Journal of the American College of Cardiology, for example, explained:

“There are certain to be patients rated as ‘inappropriate’ for which almost all competent cardiologists would recommend intervention.”

In other words, pay no attention to the man behind the curtainContinue reading “Did you really need that coronary stent?”

Is your doctor telling you to “meditate, eat veggies, walk, quit smoking?” If not, why not?

by Carolyn Thomas  ♥ @HeartSisters

Newsweek once called his advice “the state of the art in psycho-cardiology” – a lifestyle regimen best known for the stringency of its ultra-low-fat diet, but with equal emphasis on exercise and stress reduction. And in The Atlantic, the famous preventive medicine guru Dr. Dean Ornish has written an essay called Why Health Care Works Better than Disease Care. Dr. O is founder and president of the non-profit Preventive Medicine Research Institute.

And his research studies were the first to claim that lifestyle changes can reverse cardiovascular disease without drugs.

He’s a rare duck: a man with the letters M.D. after his name who shuns the prescription pad and Big Pharma’s domination of what’s been called “marketing-based medicine”. Instead, he has long advocated preventing – and even reversing – heart disease without drugs or surgery through changing your lifestyle. He actually recommends two different diets:  the prevention diet and the reversal diet. The reversal diet is a very strict low-fat diet designed for people who have diagnosed heart disease.

Alas, so far I have yet to meet any heart patient who has been successful in sticking to this extremely restrictive diet for any significant length of time. Continue reading “Is your doctor telling you to “meditate, eat veggies, walk, quit smoking?” If not, why not?”