The following program presents principles 00:00:01.98\00:00:02.95 designed to promote good health 00:00:02.96\00:00:04.10 and is not intended to take the place 00:00:04.50\00:00:06.02 of personalized professional care. 00:00:06.03\00:00:07.86 The opinions and ideas expressed 00:00:08.24\00:00:10.28 are those of the speaker. 00:00:10.58\00:00:11.55 Viewers are encouraged to draw their own 00:00:11.97\00:00:13.74 conclusions about the information presented. 00:00:13.75\00:00:16.10 Welcome to Wonderfully Made, 00:00:36.33\00:00:37.84 your host for today is Lee Wellard, 00:00:38.15\00:00:39.86 a lifestyle educator from Wildwood Lifestyle Center. 00:00:40.13\00:00:43.19 And today I have with me Dr. Scott Grivas 00:00:43.56\00:00:46.25 also from Wildwood Lifestyle Center, 00:00:46.57\00:00:47.97 thank you for joining us today Dr. Grivas. 00:00:48.31\00:00:50.38 Today we're gonna be looking at a very 00:00:51.02\00:00:52.77 important topic, one that afflicts millions 00:00:52.78\00:00:55.89 of people around the world every year 00:00:55.90\00:00:57.97 and one that you wanna pay special attention 00:00:58.38\00:01:00.86 to avoid. But today's topic is 00:01:01.20\00:01:03.13 "Coronary Artery Disease" and Dr. Grivas 00:01:03.14\00:01:06.85 this is something that is quite prevalent today, 00:01:06.86\00:01:09.41 could you elaborate as to how important 00:01:09.42\00:01:12.28 this disease is in avoiding. So, we can get 00:01:12.72\00:01:16.50 the good news of coronary artery health. 00:01:16.51\00:01:18.65 Right now, the coronary artery disease, 00:01:19.53\00:01:22.73 which results in heart attacks, 00:01:23.08\00:01:25.98 fatal arrhythmias of heart, irregular beating 00:01:27.65\00:01:31.20 and so forth heart failure. It is estimated 00:01:31.21\00:01:34.74 that this is probably the number one killer 00:01:34.75\00:01:38.27 throughout the, the westernize world, 00:01:38.28\00:01:41.78 especially here in the United States. 00:01:41.79\00:01:44.11 But it's interesting that if you look at global 00:01:46.44\00:01:48.53 statistics that it accounts for over 50 percent 00:01:48.54\00:01:52.31 of all deaths throughout the world. 00:01:52.32\00:01:54.49 So, it is a major epidemic, right, pandemic, right. 00:01:54.92\00:01:58.56 And is there something on the increase 00:01:58.92\00:02:00.60 or has it stabilized in the last few years. 00:02:00.61\00:02:03.23 We can thank the Lord that it is decreasing 00:02:03.56\00:02:05.88 over the last decade or so, there has been 00:02:05.89\00:02:08.58 decline in the incidence of coronary disease 00:02:08.59\00:02:11.70 and I believe that reflects a better public 00:02:11.71\00:02:15.49 awareness of this problem. 00:02:15.50\00:02:17.33 Right and what are some of the preventable 00:02:17.34\00:02:20.24 risk factors that lead to coronary artery disease. 00:02:20.25\00:02:23.13 The traditional risk factors that we have long 00:02:23.98\00:02:28.37 recognized have been the following, 00:02:28.38\00:02:31.79 the first and probably the foremost is the increase 00:02:32.71\00:02:36.28 in dietary fats, especially the animal fats, 00:02:36.61\00:02:40.87 the cholesterol, the saturated animal fats 00:02:40.88\00:02:43.67 which has tended to fuel that plugging 00:02:43.68\00:02:50.43 of the vessels. The others would include 00:02:50.44\00:02:54.62 hypertension, obesity, sedentary lifestyle, 00:02:54.93\00:02:59.90 smoking, stress, hereditary factors 00:03:01.17\00:03:05.88 and even those physical characteristics 00:03:06.40\00:03:11.54 that we now recognized vertex balding, 00:03:11.55\00:03:14.53 the earlobe crease. Now, what is vertex balding? 00:03:15.10\00:03:18.62 The male pattern balding where you begin 00:03:18.99\00:03:22.05 to lose the hair early, okay, on the top 00:03:22.06\00:03:26.21 of the head, hope I'm not showing any signs 00:03:26.22\00:03:28.72 of that today, could you, you mentioned about 00:03:28.73\00:03:31.46 traditional signs, are there some latest 00:03:31.47\00:03:34.35 discoveries that give in additional information 00:03:34.36\00:03:37.94 of some of the risk factors. 00:03:38.24\00:03:39.77 Sure, it has been a real concern in the medical 00:03:39.78\00:03:45.44 world that many people have their first event 00:03:45.45\00:03:49.50 as far as their heart attack, or their fatal 00:03:50.31\00:03:53.02 arrhythmia and we find that they don't have 00:03:53.03\00:03:59.39 any identifiable risk factors, at least 00:04:00.13\00:04:03.16 as far as the traditional concepts. 00:04:03.17\00:04:06.33 But yes, now we are recognizing there are 00:04:07.24\00:04:10.05 other markers and these are usually serum markers 00:04:10.06\00:04:13.81 that we are able to detect in the blood. 00:04:13.82\00:04:17.00 And there are a number of those, 00:04:17.72\00:04:19.47 one that is very important now is the 00:04:19.48\00:04:24.53 C-reactive protein which is a marker 00:04:24.54\00:04:29.10 and also probably a mediator of inflammatory 00:04:29.11\00:04:32.83 changes in the blood vessels themselves. 00:04:32.84\00:04:35.54 An elevated fibrinogen levels, which again is a 00:04:36.29\00:04:41.02 protein that helps in the clotting of blood 00:04:41.03\00:04:45.17 that contributes to the, the thrombus. 00:04:45.59\00:04:48.05 Now, can I go into the clinic get tested 00:04:48.58\00:04:52.13 and I could be perfectly fine as far as 00:04:52.14\00:04:54.97 serum levels, could I still have some tendency 00:04:54.98\00:04:58.44 towards coronary artery disease? 00:04:58.45\00:05:00.22 Yes, you could but it would be much less likely 00:05:00.70\00:05:03.86 without some of these other marker that 00:05:03.87\00:05:06.79 are prevalent, that's why we are calling 00:05:06.80\00:05:08.70 them the newer ones, lipoprotein A levels 00:05:08.71\00:05:12.54 and the classification of even the type of 00:05:12.55\00:05:16.71 LDL cholesterol. Now, let's talk about 00:05:16.72\00:05:20.98 cholesterol for a minute we've had a lot of 00:05:20.99\00:05:22.88 discussion on cholesterol and there are different 00:05:22.89\00:05:27.13 kinds of cholesterol. We have the LDL, 00:05:27.14\00:05:29.55 even within the LDL we have several types of LDL 00:05:29.56\00:05:32.50 and also your HDL, which we know to be the 00:05:32.51\00:05:34.92 good cholesterol. How important of a role does 00:05:34.93\00:05:39.04 cholesterol play, especially the oxidized 00:05:39.05\00:05:42.11 cholesterol is really what we're talking about 00:05:42.12\00:05:44.11 in laying the foundation for artery disease? 00:05:44.12\00:05:47.21 Well, it's, it's very important and we want 00:05:47.51\00:05:52.44 to try to keep the total cholesterol levels 00:05:52.45\00:05:55.86 at optimum level at least below 180 to 200. 00:05:56.37\00:06:02.04 We want the HDL, which is the good 00:06:03.70\00:06:06.77 cholesterol at nice reasonable levels, 00:06:06.78\00:06:10.12 we say at least above lets say 45 or so. 00:06:10.44\00:06:13.62 Preferable levels would be somewhere 00:06:15.16\00:06:16.85 between 50 and 70 and the LDL which is that 00:06:16.86\00:06:21.07 lipoprotein fraction which deposits 00:06:21.80\00:06:24.87 at the vessel site. We want to be low, 00:06:24.88\00:06:27.93 we use to say less than 130, 00:06:28.25\00:06:30.22 now we are recognizing if we can get that 00:06:31.02\00:06:34.09 level down below 100 the person is at much 00:06:34.10\00:06:39.49 less risk. Right now the Framingham studies 00:06:39.50\00:06:42.24 have been shown to suggest that between 00:06:42.25\00:06:45.47 150 and 200, which is about where 35 percent 00:06:45.48\00:06:50.21 of the heart attacks still occur within that range 00:06:50.22\00:06:52.60 is not perhaps the most ideal and yet some 00:06:52.86\00:06:57.56 medical research seems to suggest 00:06:58.45\00:07:00.27 that the idea was between 180 and 200, 00:07:00.28\00:07:02.92 could you elaborate on that? Well, the 180 to 200 00:07:02.93\00:07:09.32 ideal range I think came about Lee, because 00:07:10.65\00:07:13.36 of the concern for stokes, it's been shown 00:07:13.37\00:07:16.82 that when levels of cholesterol are lower 00:07:16.83\00:07:19.69 than 180 in the population there's in 00:07:19.70\00:07:22.20 increased incidence of hemorrhagic stroke, 00:07:22.21\00:07:25.18 right, in the brain, right. And so we're trying 00:07:25.66\00:07:28.58 now to, to find that common ground 00:07:28.59\00:07:31.73 where we are protecting from the heart standpoint 00:07:31.74\00:07:35.20 and levels lower than 150 certainly 00:07:35.21\00:07:38.29 are beneficial there. But also trying to protect 00:07:38.30\00:07:42.10 from the stroke standpoint, 00:07:42.46\00:07:45.17 I see, the levels have been allowed to go up 00:07:45.18\00:07:47.92 a little bit. Now, can we be too 00:07:47.93\00:07:49.61 low on a cholesterol. Well, yes, that's what 00:07:49.62\00:07:52.37 we're referring to and you know cholesterol 00:07:52.38\00:07:55.58 itself is not a bad material, right, right, 00:07:55.59\00:07:59.44 we must have cholesterol in the body. 00:07:59.45\00:08:01.61 But when it rises to high levels and when that 00:08:02.60\00:08:05.91 cholesterol becomes, especially the LDL 00:08:05.92\00:08:08.73 oxidized by free radical damage then 00:08:08.74\00:08:12.10 you've got bad news. Now, we also understand 00:08:12.11\00:08:15.31 that there's gotta be a good ratio between 00:08:15.32\00:08:18.19 the HDL the good cholesterol and also the 00:08:18.20\00:08:20.95 LDL the bad cholesterol what would be an 00:08:20.96\00:08:22.89 ideal ratio between the two? 00:08:22.90\00:08:25.20 Well, probably in the 4 to 4.5 range for the, 00:08:25.46\00:08:30.55 the average the lower you know the better. 00:08:30.88\00:08:32.98 So, if you're three that will be even better, 00:08:33.48\00:08:35.26 okay I see and how significant would you say 00:08:35.78\00:08:39.79 the dietary oxidized cholesterol is when it 00:08:39.80\00:08:44.09 comes to coronary artery disease, 00:08:44.10\00:08:46.00 would it be the most significant or the other 00:08:46.01\00:08:48.29 factors that go beyond the cholesterol. 00:08:48.62\00:08:51.70 You know, I think the dietary ingestion 00:08:51.71\00:08:54.88 of the cholesterol that is in the animal food, 00:08:55.19\00:08:58.56 this is one of the, the big concerns that we want 00:08:58.57\00:09:03.25 to try to help people to, to remove in order to 00:09:03.26\00:09:07.51 prevent the coronary artery disease. 00:09:07.52\00:09:10.02 It was an interesting article in the 00:09:10.76\00:09:14.06 Journal of American Medical Association 00:09:14.07\00:09:16.52 recently that estimated that if we could remove 00:09:16.53\00:09:19.72 from our population here in the United States. 00:09:19.73\00:09:22.90 The animal fats that we would, 00:09:23.36\00:09:26.34 we would prevent probably 95 to 97 percent 00:09:26.80\00:09:30.43 of coronary artery disease. 00:09:30.44\00:09:32.15 Wow, that's amazing, significant. 00:09:32.50\00:09:35.52 So, really what you're saying is, it's where 00:09:36.29\00:09:38.68 it's coming from that's really the problem. 00:09:38.69\00:09:41.08 Now there are people probably you at 00:09:41.68\00:09:44.64 home watching, you know someone who has 00:09:44.65\00:09:46.97 lived or seem to live a healthy life. 00:09:46.98\00:09:49.29 We have saying, as fit as a bull, 00:09:50.79\00:09:52.53 and they don't seem to have any signs 00:09:53.07\00:09:54.87 and one day you hear they've just dropped dead, 00:09:54.88\00:09:57.16 they've had a heart attack. Why is that? 00:09:57.17\00:10:00.82 Why does that happen and, 00:10:00.83\00:10:02.53 and can that be prevented? 00:10:02.66\00:10:04.04 Well, this is where we were making reference 00:10:04.87\00:10:09.09 earlier to other markers that we know can 00:10:09.10\00:10:13.68 contribute to inflammatory changes in the vessels, 00:10:13.69\00:10:18.20 clotting in the blood vessels plague build up 00:10:18.89\00:10:21.92 and those things are often associated with 00:10:22.24\00:10:25.13 hereditary factors such as lipoprotein A, 00:10:25.14\00:10:29.39 the type of the LDL cholesterol, 00:10:29.83\00:10:34.68 homocysteine levels, fibrinogen levels. 00:10:35.23\00:10:38.34 You see all of these factors play a role in the 00:10:38.63\00:10:42.90 fueling toward coronary artery obstruction 00:10:42.91\00:10:46.61 and so a person may not necessarily have the 00:10:47.28\00:10:50.85 traditional risk factors but still be moving 00:10:50.86\00:10:57.61 in that direction over the course of years because 00:10:57.62\00:11:00.47 of these other abnormal factors that 00:11:00.48\00:11:03.73 are taking place. Right, I see and lets talk 00:11:03.74\00:11:06.78 a little bit about stress and it's role in 00:11:06.79\00:11:10.50 coronary artery disease, we know that stress 00:11:10.51\00:11:12.67 elevates hypertension and it causes even changes 00:11:12.68\00:11:17.46 with blood sugar level and hormonal changes. 00:11:17.47\00:11:21.51 What part does stress play in laying the 00:11:21.99\00:11:24.92 foundation for coronary artery disease? 00:11:24.93\00:11:27.13 Well, I believe stress is a significant risk 00:11:27.96\00:11:31.66 factor there, you've mentioned the fact that 00:11:31.67\00:11:34.67 it activates the sympathetic nervous 00:11:34.68\00:11:37.13 system and when that takes place you get 00:11:37.14\00:11:40.16 an increase in your circulating adrenaline 00:11:40.49\00:11:44.57 like compounds, Epinephrine, 00:11:44.58\00:11:46.44 Norepinephrine, Dopamine and so forth. 00:11:46.45\00:11:49.21 And these things are shown to constrict 00:11:49.83\00:11:53.69 the blood vessels, they elevate the 00:11:53.70\00:11:57.03 cholesterol levels, they promote clotting 00:11:57.04\00:12:00.10 I mean there are a lot of things that, 00:12:00.11\00:12:01.73 that go on with these stress hormones. 00:12:01.74\00:12:05.86 You didn't mention cortisol, but one of the 00:12:05.87\00:12:08.13 adrenaline you know hormones, 00:12:08.14\00:12:10.30 cortisol is also elevated in stress and contributes 00:12:10.71\00:12:14.10 to higher levels of blood sugar and you know 00:12:14.11\00:12:19.93 the blood pressure and so forth. 00:12:19.94\00:12:23.66 Now, as we get older there are some changes 00:12:24.42\00:12:27.18 that take place in the arteries, is it harden to 00:12:27.19\00:12:31.23 reverse as we get older when this more 00:12:31.24\00:12:34.00 of a blockage in the arteries? 00:12:34.01\00:12:35.39 As one grows older are given an abnormal 00:12:36.55\00:12:40.50 lifestyle or inappropriate lifestyle, 00:12:40.51\00:12:42.98 and you then have years of crewel what you get 00:12:43.85\00:12:49.27 is not only just an actual plague formation 00:12:49.28\00:12:55.57 in the vessel, but you get a remodeling of the 00:12:55.58\00:12:59.22 entire wall of the vessel. 00:12:59.23\00:13:00.84 You get hypertrophy of the muscle layer, 00:13:01.30\00:13:04.92 you get stiffening, you get inelastic changes, 00:13:05.40\00:13:09.50 decrease complaints of that blood vessel 00:13:09.51\00:13:12.46 we called that hardening of the artery and that 00:13:12.47\00:13:15.80 takes years, right, and so while we may drop 00:13:15.81\00:13:19.13 cholesterol levels in a short time. 00:13:19.44\00:13:21.45 There is vascular changes take time to 00:13:22.00\00:13:25.24 remodeled, right, right, but thank the Lord 00:13:25.25\00:13:27.64 they can be remodeled, amen, 00:13:27.65\00:13:29.16 given a good lifestyle. And I'm glad you brought 00:13:29.17\00:13:31.35 that out because I remember a lady that 00:13:31.36\00:13:33.26 came to our lifestyle center, 00:13:33.27\00:13:34.58 she was in her 70's and she had 90 percent 00:13:34.93\00:13:39.13 blockage in one of her arteries. 00:13:39.14\00:13:40.87 In fact the doctors sent her home to die, 00:13:40.88\00:13:43.19 gave her three months to live and 00:13:43.66\00:13:45.98 she didn't wanna die, she decided she would do 00:13:45.99\00:13:48.46 something about it. And she came to Wildwood, 00:13:48.47\00:13:51.55 follow the program and in a matter of 00:13:51.56\00:13:54.20 three month she wasn't at Wildwood for three months, 00:13:54.71\00:13:57.38 she just was there I think about 18 days. 00:13:57.39\00:13:59.51 And in the matter of three months she went 00:14:00.25\00:14:02.22 back to see her physician and she had 00:14:02.23\00:14:05.04 total clean arteries. Amen. After being 00:14:05.38\00:14:08.53 90 percent blocked and she's still alive today 00:14:08.54\00:14:10.69 years later, so we do see that miracle 00:14:10.70\00:14:14.19 was even take place when we do make 00:14:14.20\00:14:17.26 that decision and we do cooperate with 00:14:17.27\00:14:19.78 God's plan, although some it's a little harder 00:14:19.79\00:14:21.76 isn't that for others? But you remember Lee 00:14:21.77\00:14:24.58 that these types of miracle changes that 00:14:24.59\00:14:29.82 you're talking about were first demonstrated 00:14:29.83\00:14:32.21 by Dr. Ornish back in the early 90's, right. 00:14:32.22\00:14:35.38 And when people begin to follow you know 00:14:35.84\00:14:39.85 a more of a plant base dietary, when they begin 00:14:39.86\00:14:44.46 to exercise, lose weight all of these things. 00:14:44.47\00:14:47.56 He studied those patients with angina 00:14:48.24\00:14:50.80 and coronary blockages at one point 00:14:50.81\00:14:53.59 and a year later he went back and studied them 00:14:53.60\00:14:56.06 and those plagues and those changes were 00:14:56.07\00:14:58.45 already starting to reverse. 00:14:58.46\00:15:00.22 It's interesting you should bring that up, 00:15:00.23\00:15:01.84 because just recently I saw an interview 00:15:01.85\00:15:04.66 with Bill Clinton, our previous President. 00:15:04.67\00:15:07.31 And he was so impressed by these studies 00:15:07.60\00:15:09.91 that he actually adopted a plant based diet 00:15:09.92\00:15:13.27 and he's following the program, it's amazing. 00:15:13.28\00:15:16.22 Now, you spoke of exercise, 00:15:16.23\00:15:17.69 could you elaborate as to what type of exercise 00:15:18.32\00:15:21.68 that you would recommend for someone 00:15:21.69\00:15:23.23 who has a problem with their arteries? 00:15:23.24\00:15:25.12 You remember not too many years ago we used 00:15:26.51\00:15:28.97 to talk about high intensity aerobic 00:15:28.98\00:15:32.78 exercise, to try to condition the heart, 00:15:32.79\00:15:35.87 but we've recognized that, that has been 00:15:36.77\00:15:39.33 actually dangerous for people. Because excessive 00:15:39.34\00:15:44.01 exercise at high intensity levels actually 00:15:44.02\00:15:48.06 promotes free radical production, damage, 00:15:48.07\00:15:52.16 it's Pro-arrhythmic so that persons who have 00:15:52.17\00:15:56.61 like coronary disease may actually be pushed 00:15:56.62\00:16:00.59 to develop ventricular tachycardia and 00:16:00.60\00:16:04.06 ventricular fibrillation, and that's when people 00:16:04.07\00:16:06.36 just pass out. Because they can't supply 00:16:06.37\00:16:09.33 the brain and the rest of the body with 00:16:09.34\00:16:11.92 enough blood, so what we now are 00:16:11.93\00:16:16.32 recommending in just the regular medical circles 00:16:16.33\00:16:21.03 are now low to moderate intensity exercising. 00:16:21.62\00:16:25.95 And for my patients I will recommend walking 00:16:26.46\00:16:29.92 as the best exercise, I believe that it is, 00:16:30.22\00:16:33.08 it exercises all the muscles and it doesn't 00:16:33.09\00:16:36.22 drive the body into this extreme of exercise. 00:16:36.90\00:16:42.96 But it provides the necessary changes in 00:16:43.36\00:16:47.57 coronary artery disease such as vessel dilation, 00:16:47.58\00:16:52.91 alright which you get, decrease in the 00:16:53.30\00:16:57.28 activation of the sympathetic nervous 00:16:58.05\00:17:00.99 system, so you get you know this relaxation, 00:17:01.00\00:17:03.56 a drop in pressure, a drop in that work 00:17:03.57\00:17:06.83 for the heart where you're stimulating 00:17:06.84\00:17:09.89 the heart too much with, with exercise. 00:17:09.90\00:17:13.15 So, the kinds of exercise are now that would 00:17:13.16\00:17:17.24 fall into that walking category also would be 00:17:17.31\00:17:20.87 just useful work, you know outdoors in the 00:17:20.88\00:17:23.73 fresh air. So, they don't have to go 00:17:23.74\00:17:25.58 to marathon, right. You know, it reminds me of a, 00:17:25.59\00:17:29.35 a gentlemen called Ben Levison, 00:17:29.76\00:17:31.45 he was in his early 90's he went to his physician. 00:17:31.90\00:17:34.95 He wasn't feeling too good and the physician 00:17:34.96\00:17:38.48 encouraged him, actually met a trainer, 00:17:38.80\00:17:41.58 that put him on a exercise program, 00:17:41.89\00:17:43.92 that he could be back to where he was in his 80's. 00:17:44.26\00:17:47.48 If he started on a good program and 00:17:47.49\00:17:50.01 would you believe the age of a 103, 00:17:50.02\00:17:52.01 he set the world record for shot-put over a 100. 00:17:52.40\00:17:55.99 Now, I didn't know how many competitors 00:17:56.27\00:17:57.80 he had but nevertheless he was a big improvement 00:17:57.81\00:18:01.08 to where he was. So, no matter what age we are, 00:18:01.09\00:18:03.54 we can make some improvement, 00:18:03.55\00:18:05.92 some gains towards improving arteries, 00:18:05.93\00:18:08.78 amen. So, never too late to start, okay, amen. 00:18:08.79\00:18:11.82 And what would you say would be the ideal 00:18:12.53\00:18:15.81 blood pressure that would be shooting for, 00:18:15.82\00:18:18.00 is there an ideal blood pressure. 00:18:18.01\00:18:19.90 Well, we used to think there was, 00:18:21.06\00:18:22.84 we would tell people that the ideal was around 00:18:23.15\00:18:25.85 you know 120/80 and I still think that's a good 00:18:26.43\00:18:30.48 blood pressure but we now have evidence 00:18:30.49\00:18:33.90 to suggest that whatever the pressure as, 00:18:33.91\00:18:38.67 as it begins to rise from that person's norm. 00:18:38.95\00:18:42.61 That there was an increased incidence 00:18:43.47\00:18:45.42 of vascular damage as one increases 00:18:45.43\00:18:48.96 and so now we are talking about pressures 00:18:49.65\00:18:54.21 that are like 130/85 as being not just normal 00:18:54.22\00:18:58.97 but we call it high normal where there 00:18:58.98\00:19:02.51 maybe associated increase risk for 00:19:02.52\00:19:04.72 vascular disease. And what about to our 00:19:04.73\00:19:07.79 blood pressure, is that also associative with 00:19:08.12\00:19:11.09 coronary artery disease? If we drop the 00:19:11.10\00:19:15.72 blood pressure too rapidly, lets say with 00:19:15.73\00:19:18.31 medications then you can precipitate problems 00:19:18.32\00:19:21.81 with blood flow to the heart muscle. 00:19:22.06\00:19:24.52 If the arteries are already abstracted, 00:19:25.13\00:19:28.36 so you have to be a little careful there 00:19:28.37\00:19:30.35 that you're not overshooting the mark 00:19:30.36\00:19:32.40 in trying to reduce blood pressure levels. 00:19:32.80\00:19:35.01 So, what would you suggest would be the most 00:19:35.64\00:19:38.14 effective ways to lower their blood pressure? 00:19:38.15\00:19:40.77 Well, we know that if we can get the person 00:19:42.21\00:19:45.68 to begin to exercise more with moderate 00:19:46.03\00:19:51.35 intensity to lose weight. 00:19:51.36\00:19:53.81 To start weighting their diet more toward 00:19:54.88\00:19:58.36 plant based foods, to get proper rest, 00:19:58.37\00:20:03.28 to try to reduce their schedule, 00:20:04.04\00:20:06.31 so that they're not so stressed, they're not 00:20:06.32\00:20:08.71 activating that sympathetic nervous system. 00:20:08.72\00:20:11.05 And then using a number of simple 00:20:12.26\00:20:16.34 either herbs, or supplements to help 00:20:16.74\00:20:19.04 lower the blood pressure, garlic, you know 00:20:19.05\00:20:22.09 hawthorn berry, those kinds of things simple 00:20:22.10\00:20:25.26 things that people can do at home will go along 00:20:25.27\00:20:29.76 way toward starting their reduction of that 00:20:29.77\00:20:33.48 hypertensive cycle. And let's talk a little bit 00:20:33.49\00:20:37.51 about sleep and its role with hypertension; 00:20:37.52\00:20:41.29 we know that, it's been a lot of studies 00:20:42.26\00:20:44.38 done at sleep. How much sleep is ideal, 00:20:44.39\00:20:47.03 even what time we should be going to bed? 00:20:47.04\00:20:49.31 What would you consider the, the best plan 00:20:49.32\00:20:51.42 as far as sleep goes? Well, we encourage 00:20:51.43\00:20:55.13 people to try to retire a little earlier, 00:20:55.14\00:20:57.74 what would that be like 10 O'Clock, 11 O'Clock? 00:20:57.93\00:21:00.71 No, not 11, it's a little late, I would suggest 00:21:01.36\00:21:05.03 more like about 9:30, 9:30, yeah, okay, 00:21:05.04\00:21:08.32 or 10 at the latest. And to try to get in 00:21:08.33\00:21:12.38 at least 7 to 8 hours of sleep, 00:21:12.39\00:21:15.51 and we know understand that in sleep physiology 00:21:17.10\00:21:20.81 that all of the repair hormones for the body 00:21:21.31\00:21:25.49 are released during the earlier hours of sleep 00:21:25.95\00:21:29.85 before midnight during deep, delta wave sleep. 00:21:29.86\00:21:33.84 Right, so we could be thinking we get 00:21:34.67\00:21:36.88 enough sleep, you maybe getting 7, 8 hours sleep, 00:21:36.89\00:21:40.36 but still if the sleep is at the wrong time 00:21:40.37\00:21:43.34 we could be missing out of this precious hormones, 00:21:43.94\00:21:46.71 it could be happening us to repair our body. 00:21:46.72\00:21:48.73 Growth hormone, melatonin those things, 00:21:48.74\00:21:51.07 sure, which could possibly elevate the 00:21:51.39\00:21:53.55 blood pressure the next day? The stresses. 00:21:53.56\00:21:55.89 I see okay, let's talk about water as well 00:21:56.25\00:22:00.05 and it's role in preventing the heart disease, 00:22:00.98\00:22:03.62 how much is you know the ideal amount for 00:22:03.92\00:22:07.07 consuming water? We usually recommend 00:22:07.08\00:22:09.48 anywhere from 6 to 8 glasses of pure soft 00:22:09.88\00:22:14.43 water a day, you talk of soft water 00:22:14.44\00:22:17.47 what are we talking about? Good water that 00:22:17.48\00:22:19.44 is not filled with a lot of the harsh chemicals. 00:22:19.45\00:22:22.79 Okay, just like calcium, right, chloride, iron 00:22:23.15\00:22:26.74 and those things. I see, yeah, okay, 00:22:26.75\00:22:28.61 so that can affect your arteries as well, sure. 00:22:28.62\00:22:30.62 Excess iron is a risk for coronary artery disease. 00:22:30.63\00:22:33.95 Okay, now is lifestyle a quick fix for 00:22:33.96\00:22:39.17 coronary artery disease, is it going to disappear in 00:22:39.18\00:22:42.80 a few days or you know does it usually take 00:22:42.81\00:22:46.29 a long time for changes to come? 00:22:46.30\00:22:48.44 Lee, I don't think that there is any quick fix 00:22:49.80\00:22:52.70 for any disease, you have to travel back 00:22:52.71\00:22:55.41 over that pathway that has led you 00:22:55.42\00:22:58.50 to this point, right, in reversal. 00:22:58.51\00:23:00.67 So, no I wouldn't say that there is a quick fix 00:23:01.30\00:23:05.71 but we do have encouraging information 00:23:05.72\00:23:10.17 from, you remember we talked earlier 00:23:10.18\00:23:12.23 about the Ornish study. And while he took 00:23:12.24\00:23:17.50 a year of treatment and then recath those 00:23:17.75\00:23:23.81 patients showing resolution of their 00:23:23.82\00:23:28.09 plagues or regression, what was interesting 00:23:28.10\00:23:32.55 is that it didn't take a year for the patients 00:23:32.56\00:23:35.44 to improve, within days to weeks, 00:23:35.45\00:23:38.90 their angina symptoms were disappearing, 00:23:39.27\00:23:42.63 exercise tolerance was increasing. 00:23:42.99\00:23:45.64 And so we can encourage people, 00:23:46.14\00:23:49.19 make those changes in lifestyle and you can 00:23:49.60\00:23:54.02 anticipate that soon. You're going to start 00:23:54.03\00:23:58.34 noticing the improvement, it may not be all back 00:23:58.35\00:24:00.80 to normal, right, but you're gonna be 00:24:00.81\00:24:02.41 benefiting, but you're on your way, 00:24:02.42\00:24:04.11 your own your way. So, even when we do 00:24:04.12\00:24:06.90 18 day programs at the Lifestyle Center, 00:24:07.29\00:24:09.58 we see that there is progress being made in, 00:24:10.88\00:24:14.97 in many times that. Even the medications 00:24:14.98\00:24:18.22 are lowered, someone says the blood pressure 00:24:18.23\00:24:20.98 is return back to normal, even just within a few 00:24:21.30\00:24:23.77 short days of following the healthy program. 00:24:23.78\00:24:26.12 Right and weight reduction with a good 00:24:26.13\00:24:29.14 dietary plan, okay let's talk about 00:24:29.15\00:24:31.50 weight reduction, what are some of the best 00:24:31.51\00:24:34.97 ways to lose weight without going into any 00:24:34.98\00:24:37.75 fat diets or you know magic pills, 00:24:37.76\00:24:40.96 let's just talk about some of the practical 00:24:40.97\00:24:43.26 simple things we can do on a day to day basis? 00:24:43.27\00:24:46.52 I would start with the foods that we eat in 00:24:47.69\00:24:52.00 terms of what kind, if we will weight over diet 00:24:52.01\00:24:55.66 more toward plant foods. We will have less calories, 00:24:55.67\00:25:01.09 because there is less of the fats 00:25:01.57\00:25:03.60 in the plant foods, we will have more fiber 00:25:04.03\00:25:07.73 so that we can eat less and feel more satisfied. 00:25:08.24\00:25:12.00 And then I would talk about the timing 00:25:14.64\00:25:18.64 of the meals, okay, when we eat. 00:25:18.91\00:25:20.84 So, it's important not just to eat two times 00:25:20.85\00:25:26.00 a day or three times a day but the actual 00:25:26.01\00:25:28.55 definite schedule time is that what you're saying. 00:25:29.02\00:25:31.56 Oh! It's very important that we have regularity 00:25:31.57\00:25:33.85 and for those that are over their ideal of weight, 00:25:33.86\00:25:37.60 they should really consider adopting 00:25:37.61\00:25:39.95 a two meal a day plan and trying to fast that 00:25:39.96\00:25:43.60 third meal. In our country here in America, 00:25:43.61\00:25:47.84 we usually start off with a very light breakfast, 00:25:48.25\00:25:52.60 maybe a larger lunch and by the time 00:25:52.61\00:25:54.77 we come home, a much larger meal. 00:25:54.78\00:25:57.89 But that is not the ideal for weight reduction, 00:25:58.77\00:26:02.72 because the calories that you put in later 00:26:03.02\00:26:05.83 in the day or in the evening you cannot burn, 00:26:05.84\00:26:09.38 you'll store though. So, the body says I've, 00:26:09.86\00:26:12.18 I've had enough, you fat cells can have everything. 00:26:12.19\00:26:15.27 That's right, that's right. Now, if you can give 00:26:15.28\00:26:18.53 just five principles, five of the biggest things 00:26:18.54\00:26:22.18 that people out there who are watching today 00:26:22.19\00:26:24.57 can do on a practical level at home without 00:26:24.58\00:26:27.66 much expense or little expense what would you 00:26:27.91\00:26:30.58 suggest to do? To reverse coronary disease 00:26:30.59\00:26:33.61 and to get on the right path I would begin 00:26:33.62\00:26:35.67 with the diet and I would suggest that a 00:26:36.20\00:26:39.52 person if you're taking in a fair amount of the 00:26:39.53\00:26:43.06 high fat animal foods, that you consider 00:26:43.07\00:26:46.68 prayerfully adopting plant based diet. 00:26:47.75\00:26:51.37 Looking at the weight, trying to reduce your 00:26:52.54\00:26:56.50 weight to ideal, this is a big risk factor for 00:26:56.51\00:26:59.63 coronary disease and adopting the plan that 00:26:59.64\00:27:06.95 we have mentioned about how to take that 00:27:06.96\00:27:09.29 weight off nicely. Increasing your exercise 00:27:09.30\00:27:13.60 program to where you're walking at least 00:27:13.61\00:27:17.58 20 to 30 minutes several times a day, 00:27:17.59\00:27:19.73 proper sleeping patterns, reducing your stress, 00:27:22.79\00:27:26.57 is that five. I think you covered more than 00:27:27.60\00:27:31.06 that and praying for the Lord's blessing. 00:27:31.07\00:27:32.80 Okay, thank you, thank you very much Dr. Grivas, 00:27:32.81\00:27:35.68 I hope this information has been a blessing to you. 00:27:35.69\00:27:38.65 You know God says in his word: 00:27:39.02\00:27:40.55 My people perish for a lack of knowledge, 00:27:40.56\00:27:43.49 you know we don't have to be another statistic 00:27:43.73\00:27:46.66 as we look at some of these simple principles 00:27:46.97\00:27:49.46 that you can implement into your life. 00:27:49.47\00:27:51.69 We can be encouraged that we could do a lot to 00:27:52.37\00:27:55.35 forward advances made in coronary artery disease. 00:27:55.36\00:27:59.20 My name is Lee Wellard, I hope you've enjoyed 00:27:59.21\00:28:01.65 today's program, please join us again 00:28:01.69\00:28:03.63 for another program of Wonderfully Made. 00:28:03.64\00:28:05.81