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Bypassing the Bye Pass

Posted Sep 23 2010 11:12pm 2 Comments
BYPASSING THE BYPASS – AN NON INVASIVE INTEGRATIVE SOLUTION TO CADBy Dr Gowthaman, Medical Director, rVita health center (www.rvita.com)  The heart is a strong muscular pump. The heart pumps blood to nourish all parts of the body, including itself. It is responsible for pumping about 3,000 gallons of blood throughout the body every day. The blood that nourishes the heart muscle flows through the coronary arteries. Coronary artery disease is caused by atherosclerosis, which is a gradual built up of plaque and fatty material inside the arteries. As the arteries narrow, less blood flows to the heart muscle. If a clot plugs one of these arteries or blood flow decreases enough, the muscle, starved for oxygen, dies and a heart attack takes place. Like other muscles in the body, the heart itself needs to receive a good supply of blood at all times to function properly. 

Coronary artery disease (CAD) occurs when the arteries that supply blood to the heart muscle (the coronary arteries) become hardened and narrowed. The arteries harden and narrow due to buildup of a material called plaque on their inner walls. The buildup of plaque is known as atherosclerosis. Some hardening of the arteries occurs normally as a person grows older. In atherosclerosis, plaque deposits build up in the arteries. Plaque is made up of fat, cholesterol, calcium, and other substances from the blood. Plaque buildup in the arteries often begins in childhood. Over time, plaque buildup in the coronary arteries can:

  
  • Narrow the arteries. This reduces the amount of blood and oxygen that reaches the heart muscle.
  • Completely block the arteries. This stops the flow of blood to the heart muscle.
  • Cause blood clots to form. This can block the arteries that supply blood to the heart muscle
As the plaque increases in size, the insides of the coronary arteries get narrower and less blood can flow through them. Eventually, blood flow to the heart muscle is reduced, and, because blood carries much-needed oxygen, the heart muscle is not able to receive the amount of oxygen it needs. Reduced or cutoff blood flow and oxygen supply to the heart muscle can result in Angina, Heart Attack, Heart Failure, Arrhythmias etc.Difference between an Angina and a Heart- Attack
AnginaHeart Attack
Is brought on by a brief period of poor blood supply to the heart muscle.Occurs when the blood supply tothe heart muscle is blocked for anextended period of time (often dueto a clot forming in a partiallyblocked coronary artery).
Does not cause permanent damage to the heart.Results in permanent damage tothe heart muscle.
Symptoms last just a few minutes and are usually relieved by rest and/or medications. Symptoms include chest pain or discomfort, shortness of breath, palpitations, faster heart rate, dizziness, nausea, extreme weakness and sweating. Symptoms usually last more thana few minutes and include chestpain or discomfort that lasts formore than a few minutes or goesaway and comes back; pain ordiscomfort in other areas of theupper body; difficulty breathing orshortness of breath; sweating or"cold" sweat; fullness, indigestionor choking feeling; nausea orvomiting; light-headedness;extreme weakness; anxiety; rapidor irregular heartbeats.
Symptoms are relieved by rest and/or medications within a few minutes.Symptoms are not relieved byrest or oral medications.

Does not require emergency medical attention; however, it is important to call your doctor if this is the first time you've experienced angina, if you have new symptoms or if they become more frequent or severe.Requires emergency medicalattention if symptoms last longerthan 5 minutes.
 THE SYMPTOMSSigns of a Heart Attack or StrokeUncomfortable pressure, fullness, squeezing or pain in the center of the chest lasting more than a few minutes, Pain spreading to the shoulders, neck or arms. The arm may be tingling or numb. The pain may be mild to intense. It may feel like pressure, tightness, burning, or heavy weight. It may be located in the chest, upper abdomen, neck, jaw, or inside the arms or shoulders. Please note that diabetic patients may not experience any pain at all. Chest discomfort with lightheadedness, fainting, profuse sweating, nausea or shortness of breath, Dizziness and weakness, Anxiety, nervousness and/or cold, sweaty skin, Paleness or pallor, Increased or irregular heart beating, Feeling of impending doom, Feeling of indigestion, Sudden numbness or weakness of the face, arm or leg, especially on one side of the body, Sudden confusion, trouble in speaking or understanding, Sudden trouble seeing in one or both eyes, Sudden trouble walking, loss of balance or coordination, severe headache with no known causeNot all of these signs occur in every attack. Sometimes they go away and return. If some occur, get help fast.IF YOU NOTICE ONE OR MORE OF THESE SIGNS IN YOURSELF OR OTHERS, DON'T WAIT. CALL EMERGENCY MEDICAL SERVICES RIGHT AWAY! Angina is a warning symptom of heart disease – but it is not a heart attack. The symptoms of a heart attack (also called myocardial infarction or "MI") are similar to angina.EJECTION FRACTION (EF%):Blockage of arteries starts from the very young age. Even a 10 years old child will have blocked arteries. Whatever the percentage of blockage one might have, the important factor is the ejection fraction.An ejection fraction is the percentage of blood pumped out of a heart chamber during the contraction phase of each heartbeat ( systole ). The term typically refers to a measurement of the left ventricle (the lower left chamber of the heart), which pumps oxygen-rich blood out to the body through the aorta. An ejection fraction can also be measured in the right ventricle (the lower right chamber), which pumps blood returning from the body to the lungs for oxygen. However, this measurement is nearly always referred to as a rightventricular ejection fraction.  An Ejection Fraction above 50 percent indicates that your heart is pumping normally and able to deliver an adequate supply of blood to your body and brain. An Ejection Fraction that falls below 50 percent could indicate that the heart is no longer pumping efficiently and not able to meet the body's needs. An Ejection Fraction of 35 percent or less indicates a weakened heart muscle and that the heart is pumping poorly, which can significantly increase a person's risk for Sudden Cardiac Arrest (SCA).Causes1.      Free radicals:The process of manufacture of margarine involves heating oil to very high temperatures. That high temperature unfortunately makes the oils to convert into free radical forms. Margarine is made from hydrogenated fats.2.      Cholesterol:If you also understand that the great bulk of cholesterol in the body was manufactured BY the body, not taken into the body as part of the diet, you will have a more accurate understanding of this stuff.  TREATMENTS AVAILABLE FOR CAD:Treatment options currently available for the management of myocardial infarction include both pharmacological therapy as well as surgical treatment.l BYPASS SURGERY: As the name states, it is nothing but bypassing the problem to improve the blood circulation. By cutting the blocked portion of the arteries, take out some artery from elsewhere of the body and graft. The blocked portion of the artery remains there as it was. How many grafting one can do? There is limitation. A Bypass surgery would cost from Rs. 2 lakhs to Rs. 4 lakhs.l ANGIOPLASTY BALLOONING: This is trying to open up the blocked portion with external pressure with the help of a die. An Angioplasty would cost from Rs. 50,000 to Rs. 85,000l STENT SURGERY: Stent is a small spring. It is inserted at the blockage and clears the artery for blood circulation. surgery would cost from Rs. 35,000 to Rs. 55,000l CHELATION THERAPY:   Chelation therapy is injecting certain chemical into the blood which clears the blockage. But, it has been reported that if sufficient care is not taken, there are undesired side effects and damages the kidney. Chelation Therapy would cost from Rs. 45,000.00 to     Rs. 60,000l EECP: Enhanced External Counter Pulsation is a therapy in which external pressure is applied on your body to facilitate opening of collateral artery. When one artery gets blocked, a new artery opens of its own which is called as collateral artery. EECP applies pressure on blood vessels and helps to open the collateral arteries and improve the ejection fraction. One may have to take 25 to 30 sittings. EECP will cost around Rs.80,000 to Rs.90,000But, none of the above remedies are permanent solutions. They are temporary and none of these remedies give guarantee that re-clogging of arteries will not take place. The problem with surgical procedures such as coronary artery bypass grafting (CABG) or angioplasty is that these therapies are localized, invasive and do not address the root cause of the disorder but only offer palliative treatment. For example; although angioplasty is amongst the most preferred treatments, it offers only temporary relief in the form of dilatation of the coronary arteries as re-stenosis can occur after a few months in some patients. Additionally, it does not protect against the formation of new atherosclerotic plaques and hence another attack of MI is always possible. The results of a recent study showed that although angioplasty can be lifesaving in the early hours after a heart attack, it often does no good if the heart attack occurred more than 25 hours ago. Concomitant use of drugs such as anti-platelet agents, beta-blockers and ACE inhibitors are necessary to prevent another attack. However, these drugs are not without their own side effects, which sometimes require discontinuation of the drug, for example; cough is one of the most common side effects for ACE inhibitors while beta-blockers have an unfavorable effect on the lipid profile. However these therapies for myocardial infarction have not proven to be sufficient enough in arresting the progress of the underlying disease.WHAT IS THE SOLUTION?Something is lacking in the Invasive & Non invasive schedules of treatment. People in both groups do suffer after some time in form of symptoms or functional outputs. Time required to attain full functional stability is also a consideration. Whether atherosclerosis reversal OR process halt and early recovery and functional stability is possible needs to be assessed.rVita solution to CAD/ CHDOur unique approach of combining the strength of Natural therapies with Ayurveda and yoga with modern diagnostics and well personalized diet & nutrition plans have answer for all questions. We have tried this with small group of patients and results were extremely encouraging.The concept is to combine Ayurvedic system of medicine and yoga with nutritional supplements with Modern medical Diagnostics & analyze the results at end of 3-4 months. Ayurveda, the Indian traditional system of medicine, offers a treasure of herbal remedies, which is yet largely unexplored. A number of plant preparations have been suggested for therapy of heart disorders in Ayurveda in a chapter encompassing Trimarmiya Chikitsatam Adhyaya (treatment of disorders of three vital organs viz., Heart, Brain and Kidney).   A number of Indian medicinal plants have been evaluated for their use in myocardial infarction mainly as add on therapy.Herbal ingredients used in Ayurvedic approach1.     Terminalia Arjuna   - Arjuna induces improvement of cardiac muscle function and subsequently improves pumping activity of the heart. The Arjuna promotes effective cardiac functioning, and regulates blood pressure and tones the heart.2.     Carum Roxburghianum   - This is credited with stimulant and carminative properties and is prescribed as a sedative and tonic. This is prescribed as a decoction or as a liquid extract. The fatty oil from seeds is used in many medicinal preparations as an antispasmodic and nerve stimulant. This is also credited with diuretic property3.     Tribulus Terrestis – It is considered as a miracle herb in India & used as a physical rejuvenation tonic. This herb is used in the treatment of urinary disorders and impotence, kidney diseases and gravel, diseases of the genito-urinary system, calculus affections, gout etc. It is also useful for diseases of the heart, and many other conditions4.     Punica Granatum   - Scientific research group tested pomegranate juice on both humans and laboratory mice which were genetically predisposed to develop heart disease.  They found that pomegranate juice decreased LDL ("bad cholesterol") and increased HDL ("good cholesterol") by 20% in humans.  The oxidation of LDL, which is believed by many researchers to be a major cause of heart disease, was reduced by up to 90%.5.     Vitis venifera - Enhances capillary strength and vascular function which helps the heart and decreases PMS problems, bruising, edema from injury or trauma varicose veins, leg swelling and retinopathy, enhanced immune resistance, increased peripheral circulation, improved vision, reduced adverse allergic and inflammatory response, reduction in skin aging and loss of elasticity6.     Piper longum - Inducing alterations in membrane dynamics and permeation characteristics along with induction in synthesis of proteins associated with cytoskeletal function resulting in an increase in the small intestine absorptive surface, thus assisting efficient permeation through the epithelial barrier.7.     Adhathoda vasica - The active alkaloid vasicine and ts auto oxidation product vasicinone have shown bronchodilator and ntihistaminic effects. Uterine stimulant activity and moderate hypotensive activity of the alkaloids were reported. Thrombopoeitic activity of vasicine has been observed.8.     Cinnamomum Cassia - Cinnamon is among the most grateful and efficient of the aromatics.  It is warm and cordial to the stomach, carminative, distinctly astringent, and, like most other substances of this class, more powerful as a local than as a general stimulant. .It is seldom prescribed alone, though, when given in powder or infusion, it will sometimes allay nausea, check vomiting, and relieve flatulence. It is chiefly used as an adjuvant, and enters into a great number of official preparations. It is often employed in diarrhea, in connection with chalk and astringents9.     Thriphala - This is laxative, alterative, anti inflammatory, carminative, expectorant, anti oxidant and anti microbial. Useful for digestion, lungs, skin, eyes and weight management10.Tenospora cordifolia - Used in general debility, dyspepsia, fevers and urinary diseases. The bitter principle present in the drug show anti periodic, antispasmodic anti inflammatory and antipyretic proper plant is used in Ayurveda rasayanas to improve the immune system and the body’s resistance to infections. It is used as immune-modulator in immune-suppression of obstructive jaundice, fibrosis, peritonitis and sepsis.11.Bacopa Monneri – improves mental stability, alertness, calmness, good for insomnia, depression, sleep related troubles, Low and High blood pressures, high and intermittent fevers, menstrual disorders. It is one of the powerful anti-oxidant herb widely used in Ayurveda for rejuvenation. Some successful case studies  Case 1: 47 years Male (before and after treatment)
Vessel20/12/200830/04/2009
LAD100%60%
LCX50%Normal
RCA100%Collaterals
AdviceSurgical RevascuPTCA or Medical
     Case 2: 63 years, Male
Vessel9/2/20082/06/2008
LAD80%Normal
LCX90Normal
RCA40Normal
Advice------
                  Case 3: 65 years, Male
Region1/06/200818/01/2009
AS41.49%5.38
IS37.64%3.22
L30.05%6.08
GBFDI42.22%2.37%
             Case 4: 73 years / male
Region8/07/200828/12/2009
AS43%4%
IS44%6%
L44%4%
GBFDI30.36%1.34%
             Case 5- 63 years male 
Region20/04/200208/10/2002
AS94%5.38
IS94%3.22
L95%6.08
GBFDI94%5%
           Thallium myocardial perfusion scan
   
 Suggestion and conclusionThe most common treatment available for CAD is Angioplasty, Bypass surgery, Stent surgery and chelation therapy. It has been reported that there are some side effects with chelation therapy if sufficient care is not taken during the treatment. With respect to angioplasty, bypass and stent surgery, it is known as bypassing the problem and not a permanent solution. Several cases have been reported of re-clogging of arteries after the bypass. There are cases where patients have undergone second and third time bypass surgery. There are instances where patients have undergone repeated angioplasty and stent surgery.In Post management 80 % cases show positive patient functional response and improvements in conventional investigations after 3-4 months recorded as:1. Improved Ejection fraction2. Improved Stroke volume3. Improved Myocardial perfusion4. Correction of Diastolic dysfunction5. Improved endothelial function6. Soft thrombus / clots dissolved7. Regeneration of collateral circulation8. Reduced & balanced levels of oxidant , Free radicals , Lipid profile9. Arterial compliance improved10. Symptomatic relief of Chest Pain, Heaviness in chest, Breathlessness11. Improved Walking stamina, Overall energy, Vigor, vitality, Functional stability12. Complete reversal of Myocardial Perfusion is noted in few cases on Stress Thallium Scans.13. Positive Changes noted in ECG, Stress test, CT Scan Brain, MRI Brain, Color DopplerrVita’s approach is a successful non invasive, Integrative, holistic time and result effective protocol for primary & secondary Prevention of Myocardial Infract. It is successful in reducing symptoms of CAD/IHD /Vascular blocks and useful in reduction of post incident, post CABG / Angioplasty / stent; Recurrence of symptoms, achieving functional stability soon. rVita approach offers “Healing the Heart” effectively, leading to Happy fully functional life in a short time period.   
Comments (2)
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Wrudved an ayurvedic capsule developed by Dr.S.S.Shepal (www.drshepal.in) based on the tridosha principles of ayurveda is very effective in management of coronar artery disease.
Yes, We are using Wrudved as one of the important medicine for CAD in our program
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