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heart disease when there are no interventions possible.
beansandfarley posted:
I have had a quadruple bypass and 12 angioplasties. Dr. says the only viable option is medication. I will have a heart attack and he thinks I will survive and be able to do ADL's. I am 54 years old, in good health otherwise. How does one do this?
CardiostarUSA1 responded:

"Dr. says the only viable option is medication."

If/when common procedures (first time or re-do) such as coronary angioplasty, with or without coronary stents (drug-eluting or bare-metal), and coronary artery bypass graft surgery (CABG) are not deemed viable/feasible, is not possible, as applicable, there may/can be other options that include:

FDA approved non-invasive Enhanced External Counterpulsation (EECP) treatments.

Are You a Candidate for EECP Therapy?

Surgical-based transmyocardial revascularization (TMR, FDA approved) and catheter-based percutaneous myocardial revascularization or channeling (PMR/PMC, FDA approval still pending), laser therapy.

Holmium:YAG laser

Patient education site

CO2 Heart Laser

Fibroblast Growth Factor - 1 (FGF-1)

It's known as gene therapy/gene transfer, which has been in experimental phases for quite some time now.

Growing your own "bio-bypass" (collateral vessels) around blockages in the heart, and in the legs.

As reported, over the last 20 years, gene therapy has moved from pre-clinical animal investigations (animal models) to human clinical studies for many diseases ranging from single gene disorders, to much more complex, multi-factorial, multi-conditional diseases such as dreaded cancer and cardiovascular disorders.

Readers Digest Online - February 2008

An experimental treatment is giving desperately ill heart patients a new lease on life.

A process called angiogenesis. The experimental procedure had shown great promise in two German studies, and the FDA had approved the launch of the first American clinical trial.

The technique involves injecting the heart with a protein called fibroblast growth factor 1 (FGF-1).

"The protein is like a seed that causes new vessels to sprout, creating a network of capillaries and small arteries."

FGF-1 occurs naturally in the body.


Clinical Trial Inquiry

Search for additional coronary artery disease clinical trials at -

Most important
, coronary artery disease (CAD) is a lifelong unpredictable (can exhibit periods of stabilization, acceleration, and even some regression) condition, requiring a continuum of care, and good doctor/patient-patient/doctor communication and understanding at ALL times.

Best of luck down the road of life.

Take care,


WebMD community member (since 8/99)



Be well-informed


Activities of daily living are those activities that people must be able to do routinely to be considered fully-independent.


Living with CAD

A chronic disease with no cure. When you have coronary artery disease, it is important to take....

This is especially true if you have had an interventional procedure or surgery to improve blood flow to the heart.../It is up to you to....

Recognize the symptoms. Reduce your risk factors. Take your medications. See your doctor for regular check-ups....

Coronary artery anatomy

Starting with the LAD, the most critical, next to the ultra-critical LM



"Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society


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DeadManWalking56 responded:

What is an ADL ?

Have you attempted any sort of exercise rehabilitation ?

Have you changed your lifestyle in all the significant ways to improve your heart health ?

Do you eat some of the few foods that help regress blockages, on a regular basis ?

I had a triple bypass, only 2 stents, but I also have a dozen other inoperable 80% blockages.
EngineerGuy responded:
Hi BeansAndFarley,

Dr. Dean Ornish was the first person to demonstrate reversal of atherosclerosis in human beings. His results were published in Lancet (1). In his experiment (1990), heart patients following his program of diet, exercise and stress reduction, without statins, showed reversal of atherosclerosis. The control group, following standard medical care, worsened. Since 1990, Ornish does, of course, prescribe statins, as they have demonstrated a valuable place in heart treatment.

Dr. Esselstyn has the best results ever published for heart patients. His diet is a stricter version of Ornish. Esselstyn includes statins and other appropriate medications. Dr. Esselstyn's excellent website has references for his publications, and much more.

Dr. McDougall is another valuable resource, with a similar program.

I personally followed the Pritikin diet for 30 years (very similar to the diets mentioned). Surprisingly, my IMT (carotid artery ultrasound) showed worsening of my average atherosclerosis, after the last 2 years of strict Pritikin. I have some nice pictures of lipid inclusions (fat pockets) in the artery walls. This is surprising, since most people get much better on the Pritikin diet. See www.pritikin.ORG for spectacular published statistics. For example, 80% of people attending the Pritikin Center to avoid cardiac bypass surgery, never got the surgery, in a 5 year followup. Dr. Ornish published the same 80% figure, in a 3 year followup.

3 years ago, I learned of Dr. Fuhrman, while attending the Pritikin Longevity Center. I modified my program to follow Dr. Fuhrman. After 2 years on strict Fuhrman, my IMT cleared up entirely.

My message to you is two parts. Yes, you do need appropriate medications. But your effort to regain your health must be centered around the most effective methods to improve your health - namely following the dietary recommendations of Dr. Fuhrman, weight loss, exercise, and stress reduction. The first month or two is very difficult, requiring lots of will power and determination. After that, it's smooth sailing, enjoying your improving health and joy of life.

I spend most of my time at the Heart Health Fuhrman Ornish exchange.

Best regards, EngineerGuy

(1) Lancet. 1990 Jul 21;336(8708):129-33.

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