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stroke

ARE YOU TAKING THIS BLOOD PRESSURE MED?

June 13, 2011 by James Bogash

I remember being at a child’s birthday party and speaking with an attendee.  Turns out this person was a pharmacist teaching cardiovascular drugs to pharmacy students.  One could assume that all they are teaching to new students is evidence based and devoid of dogma.

I asked her if beta blockers were still being used given their high risk of creating diabetes (about 22%) and stroke (about 12%).  The pharmacist was unaware of any such association.  Considering that the study I was referring to was in a cardiology journal and involved looking at 95,000 patients, I was sure it was a familiar one.  I was apparently wrong.  Despite the pharmacist / instructor in cardiology drugs’ lack of knowledge in this area, there is no longer any doubt that the beta blocker class of drugs used to treat hypertension creates diabetes and stroke (heck–isn’t that what we’re trying to prevent!!??).  Think of the “ol” drugs like atenolol or propranolol.

But dont’ worry if you’re still on this class of drugs.  This article finds that giving an ACE-inhbitor (think “il” like lisinoprol or captopril) almost counteracts the negative effects of the beta blockers.  What magic!  So, the bottom line is that, if you are written a prescription for a beta blocker that will increase your risk of diabetes and stroke, make sure you get your doctor to write that second prescription to counteract the side effects of the first.

Or……..you could cut out enriched wheat flour, hydrogenated oils and exercise more….

http://www.sciencedirect.com/science/article/pii/S0002914911010277

Filed Under: Diabetes (Type 2), Heart Disease, Hypertension Tagged With: ACE inhibitors, beta blockers, diabetes, hypertension, stroke

Mesa AZ Chiropractor Gives Insight on the Effects of Asprin

June 10, 2011 by James Bogash

DOES ASPIRIN REALLY PROTECT OUR HEART?

Of course it does.  Right?  I mean…this has been drilled into our collective minds by Bayer and our doctors and other advertising for decades now, so it has to be true.  Wasn’t hormone replacement therapy good for us?  And dairy?  Isn’t dogma wonderful?

Unfortunately in medicine, we begin with a great concept (at least, from a “give a drug to everyone to prevent a single disease” mindset) but it may take decades before the studies catch up with the concept.  More often than not, the reality does not hold up to the promise.

Statins were all initially approved to lower risk of heart attacks.  Problem was, we didn’t actually test this.  We ASSUMED this because statins lowered cholesterol.  Turned out, years later, that they weren’t all that great at lowering heart attack rates.  Now the engine of statin use has been plugging along for so long that we’re finding it really hard to slow it down despite the evidence that they just suck at lowering first heart attack rates.

Back to aspirin.  It’s known that aspirin contributes greatly to bleeding ulcers.  To hemorrhagic stroke.  Even to pancreatic cancer (that’s a scary one we don’t hear too often!).  These negative things are glossed over when we talk about how great aspirin is.  But do they really work at protecting our hearts and brains?

Without much fanfare, in 2009 a dogma-destroying study was published that demonstrated no benefit for the average person taking aspirin on their vascular event risk.  The benefits were higher for those above 70, but below 70 the person would have to have a much greater risk of heart disease to see a benefit.  Get that?  NO BENEFIT for the average person.  This is another dogmatic concept that will die a very, very slow death.  Maybe not even in our lifetimes.  This current article looks at 90,000 patients and finds similar outcomes–while there was a small change in the risk for a non-fatal heart attack, no differences were seen in risk of death from heart disease, stroke or all cause mortality.  Overall, not much to hang our hats on.  Heck–combine aspirin with statins and salt reduction and you still can’t lower your risk more than a walk around the block!! 

Worse, all this flies in the face of REAL recommendations like the Mediterranean diet, which has consistently shown strong reductions in diabetic and heart disease risk.  Same thing with nut consumption (again–NO added oils!).  The problem with lifestyle and dietary changes is that the side effects of death are very high.  Heck, Jack LaLane only lived until 96 and worked out for 2 hours the morning before he passed.  If it didn’t work for him, what can us normal people hope for?

http://www.sciencedirect.com/science/article/pii/S0002914911010137

Filed Under: Heart Disease Tagged With: aspirin, cardiac death, heart disease, stroke

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