Re: Sudden Death from Heart Attacks

[Guest guest]

Hello Bob and CR ALL:

Yes, heart attacks are like aging. They kind of sneak

up on you, and then whammo -- you are gone.

Sort of like aging and growing old ...

Calorie restriction -- staying healthy and very slim --

is exciting because it defeats almost all known factors

affecting aging. Aging is a multi-factorial phenomenon,

and calorie restriction is a multi-factorial solution.

A healthy toast of a glass of water (NOT champagne!)

to all calorie restrictors: Live long, stay healthy,

and stay healthy slim !!

-- Warren

============================== ===========================

On 13 Sep 2003, Bob Bessen wrote:

However, it would be wise to know that according to Dr.

, M.D. (cardiologist), and the one who started the " aerobics "

movement in the United States, in 40% of the people that die of heart

attacks, their first and only symptom is sudden death.

[Guest guest]

Actually, Warren, why not champagne? Or perhaps red wine might be even

better! Alcohol has a beneficial effect on lipid profile and protects

against cardiovascular disease.

>From: " Warren " <warren.taylor@...>

>Reply-

>< >

>Subject: RE: [ ] Sudden Death from Heart Attacks

>Date: Sat, 13 Sep 2003 10:05:41 -0700

>

>Hello Bob and CR ALL:

>

>Yes, heart attacks are like aging. They kind of sneak

>up on you, and then whammo -- you are gone.

>Sort of like aging and growing old ...

>

>Calorie restriction -- staying healthy and very slim --

>is exciting because it defeats almost all known factors

>affecting aging. Aging is a multi-factorial phenomenon,

>and calorie restriction is a multi-factorial solution.

>

>A healthy toast of a glass of water (NOT champagne!)

>to all calorie restrictors: Live long, stay healthy,

>and stay healthy slim !!

>

>-- Warren

>

>============================== ===========================

>On 13 Sep 2003, Bob Bessen wrote:

>

>However, it would be wise to know that according to Dr.

>, M.D. (cardiologist), and the one who started the " aerobics "

>movement in the United States, in 40% of the people that die of heart

>attacks, their first and only symptom is sudden death.

>

>

" Knowledge of the world has its roots in those who dare to be different. "

-- Joje Reyes

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[Guest guest]

You know, gynos claim they can see aortic blood flow

prenatally, with a sonogram, so I wonder why MRI's can't

find the beginnings of aneurysms?

I think the rec to exercise is good for the most of us

to avoid an MI.

Secondly, I notice a disjoint in the rec to exercise for

Jim Fixx at least. Maybe a diff rec is in order for

those with his family history. The third para below

seems to say limit the exercise. The fourth para

supports the notion of identifying whether we've had an

MI (and didn't recognize it).

Braunwald: Heart Disease: A Textbook of Cardiovascular

Medicine, 6th ed., Copyright © 2001 W. B. Saunders

Company

" Hypertension is a clearly established risk factor for

coronary heart disease and also emerges as a highly

significant risk factor for incidence of SCD.?? However,

there is no influence of increasing systolic blood

pressure levels on the ratio of sudden deaths to total

coronary heart disease deaths.[34] No relationship has

been observed between cholesterol concentration and the

proportion of coronary deaths that were sudden.[37]

Neither the electrocardiographic pattern of left

ventricular hypertrophy nor nonspecific ST-T wave

abnormalities influence the proportion of total coronary

deaths that are sudden and unexpected [34] ; only

intraventricular conduction abnormalities are suggestive

of a disproportionate number of SCDs.[35] A low vital

capacity also suggests a disproportionate risk for

sudden versus total coronary deaths.[35] This is of

interest because such a relation was particularly

striking in the analysis of data on women in the

Framingham Study who had died suddenly.[28] [29] A high

hematocrit also was predictive in women.[30].

The conventional risk factors used in most studies of

SCD are the risk factors for coronary artery disease.

The rationale is based on two facts: (1) coronary

disease is the structural basis for 80 percent of SCDs

in the United States, and (2) the coronary risk factors

are easy to identify because they tend to be present

continuously over time (Fig. 26-5) . However, risk

factors specific for fatal arrhythmias are dynamic

pathophysiological events and occur transiently.[76]

[76A] Transient pathophysiological events are being

modeled epidemiologically,[77] in an attempt to express

and use them as clinical risk factors[78] for both

profiling and intervention.

The Framingham Study, however, showed an insignificant

relationship between low levels of physical activity and

incidence of sudden death but a high proportion of

sudden to total cardiac deaths at higher levels of

physical activity.[35] An association between acute

physical exertion (especially in physically inactive

individuals) and the onset of myocardial infarction has

been suggested,[79] but it is not yet known if this also

applies to SCD.

Sudden Death and Previous Coronary Heart Disease

Although SCD is the first clinical manifestation of

coronary heart disease in 20 to 25 percent or more of

all coronary heart disease patients,[9] [12] [20] [25] a

previous myocardial infarction can be identified in as

many as 75 percent of patients who die suddenly. "

Regards.

----- Original Message -----

From: RJB112

Sent: Saturday, September 13, 2003 10:48 AM

Subject: [ ] Sudden Death from Heart

Attacks

This post is not about the Ritter situation.

However, it would be wise to know that according to Dr.

, M.D. (cardiologist), and the one who started the

" aerobics "

movement in the United States, in 40% of the people that

die of heart

attacks, their first and only symptom is sudden death.

(from an interview on his website, 02/19/03)

He strongly recommends an exercise stress test

(conducted by a

cardiologist, with EKG, etc.) for those over a certain

age (possibly

age 40), prior to starting an exercise program. Dr.

told Jim

Fixx, the famous running guru and author, to have an

exercise stress

test, because Fixx had a strong family history of heart

disease.

Fixx did not take his recommendation, and sadly, died of

sudden death

from a heart attack, even though he had been running for

so many

years.

There is also a very useful test known as the stress

thallium test,

where during the stress test they inject thallium (or

myoview) into

you at the point of your maximal exercise, and then scan

you later,

to determine the blood flow to the heart muscle. PET

scans are also

excellent for determing blood flow to the heart muscle,

but not that

many facilities have PET scanners, due to their very

high cost.

The exercise stress test is to determine any EKG changes

during

exercise, such as EKG changes indicative of myocardial

(heart muscle)

ischemia (lack of sufficient oxygen relative to the

demand for

oxygen).

In this interview, he points out that if you walk two

miles in 40

minutes, five times per week, it has the potential of

reducing deaths

from heart attack or stroke by 58%.

You can accomplish the same 58% risk reduction by

walking briskly and

cover two miles in 30 minutes, three times per week.

Or two miles of walking in less than 40 minutes, 5 days

a week.

He has published 18 books, and he personally recommends

The Aerobics

Program for Total Wellbeing.

His website is cooperwellness.com

is a legend in his own time. I have heard him

lecture twice,

and he always FILLS his lectures with research findings

to back up

every point he makes. He and his epidemiologist, Blair,

have

published a large amount of pivotal research.

Bob Bessen