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New Angina Guidelines
by Dr. Bruce West
Health Alert, November 1999
From our book Bypassing Bypass, published in 2002


Angina affects more than 10 million Americans.  It occurs when there is decreased blood supply to the heart.  In effect, it is a muscle cramp.  The heart muscle begins to cramp when deprived of oxygen due to plaque in the coronary arteries, high blood pressure, disease of the heart valves, or nutritional deficiency.  These cramps can be induced by exercise, stress, or severe cold.

While most of the pain of angina is usually in the chest, it is not unusual for pain to occur in the jaw, back, shoulder, or arm.  Most angina is stable — it occurs during the stresses mentioned.  Stable angina is therefore predictable, while unstable angina is not.  This condition can occur at any time, even while resting.  Angina can predictably lead to high-tech medical procedures, including cardiac catheterization, which can then lead to angioplasty (widening of the coronary arteries), and bypass surgery, both of which carry the risk of death, stroke, and heart attack.

New Medical Guidelines

In an effort to clear up some of the treatment approaches to angina, the American College of Cardiology, the American Heart Association, and the American College of Physicians (whew!) published new guidelines for this treatment in June 1999.  The new guidelines state that the odds of having a heart attack for those with angina can be reduced 25% by taking daily aspirin.  Everyone with angina should take nitroglycerin tablets.  All beta-blocker drugs act about the same and are the preferred initial treatment.  Drugs to lower cholesterol and diabetes should be prescribed where appropriate.  Physicians are discouraged from using vitamins C and E, chelation therapy, or acupuncture because the committee found they had no scientific value.

None of the new medical guidelines correct the underlying causes of 75% of all angina cases.  For these 7.5 million people, angina can be controlled in the beginning by using some of the recommended medical procedures.  Once under control, angina can be reversed conservatively by adding supplements, the correct diet, and exercise.  This less invasive process is not happening because the American public has been duped into believing that angina is basically a plumbing problem.

There are some cases of angina that are indeed a plumbing problem.  A diseased heart valve that absolutely needs to be replaced would be one of these cases.  But for the vast majority of cases, the cause of angina is nutritional.  And until the nutritional problem is resolved, all the new medical guidelines and synthetic vitamins in the world are not going to permanently eliminate angina chest pain.

Enhanced Guidelines

In the very beginning, some of the medical guidelines should be used until you gain some control over your condition.  These treatments can be prescribed by your cardiologist and may include aspirin, nitroglycerin, and even blood pressure drugs.  But remember, medical treatments carry all kinds of risks and side effects, some worse than the original condition.  Aspirin can induce internal bleeding and facilitate strokes.  Beta blockers can cause heart arrhythmias, and when combined with diabetes medication, can induce hypoglycemia — which can take you by surprise, causing blackouts, falls, and possibly severe damage from falls if you are unlucky.  Cholesterol-lowering drugs have been implicated in liver disease and other serious side effects.

Nonetheless, if you suffer with severe angina from years of dietary or medical abuse, you may need to take aspirin, nitroglycerin, and blood pressure drugs until you begin to reverse the condition.  And the very first thing you need to do to reverse this condition is to supplement with the major missing nutrient — real, whole vitamin E complex.  In this case, only the whole nutritional complex made from food will work.  Since all store-bought ‘vitamin E’ is simply the small antioxidant portion of the whole nutritional complex, it is not surprising that vitamin E was found to be of little value in the treatment of severe angina.

So do not try to solve this deficiency with the antioxidant portion (tocopherols of any type).  Rather, you need Cataplex E2 from Standard Process Labs (at a dose of two to five, taken three times daily with food) until your heart cramps begin to subside.  Cataplex E2 is the live essence of vitamin E — rich plants and proteins like pea plants, beet roots, liver, adrenal, and more.  These include the naturally occurring nutritional counterparts — trace mineral activators, enzymes, etc. — all preserved in a patented process designed to retain the live integrity of the plant and animal nutrition.  In contrast, tocopherols are synthetically produced from tar or industrially stripped away from corn oil.  Cataplex E2 is the treatment of choice for people with angina.  And it should be employed in all cases of circulation blockages, including blood clots, claudication, etc.

In addition, like all muscle cramps, angina may also be aggravated by a calcium deficiency and a vitamin F deficiency.  Vitamin F is known as the ‘middleman’ or the delivery mechanism for calcium, allowing it to be infused into the cells of the heart muscle.  Cataplex E2 will naturally contain some vitamin F (isn’t nature wonderful?).  But in some cases, you will need to also take Cataplex F (also from Standard Process Labs) at a dose of one to two, three times daily with meals.

All people with angina need to be supplementing with products that will help them reverse the underlying condition of poor heart muscle tone, fatty arteries, high blood pressure, and abnormal fat levels (LDL cholesterol and triglycerides) in the blood.  For all angina sufferers, Cardio-Plus is a must (if you suffer from low blood pressure, substitute Vasculin), both from Standard Process Labs.  Cardio-Plus contains heart tissue extract, Cataplex E2, real, whole, vitamin C (not just the antioxidant portion which is called ascorbic acid), and calcium.  A dose of two to three, three times daily is good to start.

If you suffer from cholesterol problems with high LDL and low HDL, or if you suffer from diabetes, you will need additional supplements, at least temporarily.  I use two products from Standard Process Labs with great success — Cholaplex for cholesterol sufferers (two to three, three times daily) and Diaplex for diabetes sufferers (at the same dose).  With all angina sufferers, a tablespoon of raw flax oil daily for one to two years is a must.  It is not unusual for this supplement alone to reduce cholesterol by 50 points when necessary.

Always Treat the Cause

Let’s say you are now using modern medical treatments, and you have also started an initial nutritional protocol as outlined in this article.  Amazingly, Cataplex E2 alone will dramatically help almost all angina sufferers after only a short time.  And as your symptoms are relieved, you can discuss drug weaning with your physician.  But you still have work to do.  To fully regain your health, you must clean up your diet and eat foods that are compatible with your particular metabolism.

For angina and heart disease sufferers, the best way to eat is a Mediterranean diet with an overlay of the blood-type diet.  You can get the data on this system of eating by dropping me a line with a self-addressed, stamped envelope (SASE) and say MEDITERRANEAN DIET.  Or you can order the book Low Fat Lies by sending $15.95 (Californians add 7.25% tax) [write to Health Alert, 100 Wilson Rd #110, Monterey CA 93940 or call 800-231-8063].  I’ll rush you the book (20% off retail) and all the other information you need.  Once you begin eating properly and taking supplements to reverse the damage done throughout your life, you are on your way to eliminating the cause of angina.  And now is the time to begin exercise.

A Note on Angina

Everything we’ve talked about up to this point will end your angina.

If you start Dr Rath’s Cellular Medicine program, or Dr Schulze’s program or Dr Garry Gordon’s or Dr Bruce West’ makes no difference, your angina pains will begin to improve. Just as long as you start a program of nutrition and exercise.

And listen to Dr West here when he tells you that you might have to do some conventional medicines if you’ve spent years abusing your body.

One study we found at Medline showed that 150 mg per day of Coenzyme Q10 reduced the frequency of angina attacks by up to 46% while improving the capacity for physical activity in patients with angina.

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This is the brand your author uses, that is, until I find one better.

If your angina has been severe, exercise has been out of the question.  But as your symptoms clear, and your wind and endurance increase without pain, you must begin to exercise.  Your heart is a big muscle.  And just like any other muscle that has been subject to poor function, cramps, and weakness, you must exercise it.  The blood flow to your heart will increase from your protocol and dietary changes. Exercise will infuse vitamin E, C and F, calcium and other minerals, and omega-3 fatty acids into your heart cells.  And these nutrients are like high octane fuel to a race car.

As you get better, and your doctors give you the OK, start some light walking or aerobic exercise.  After a period of time, get to a gym and begin weight training.  Lifting weights is the fountain of youth for those with a weak heart.  After combining exercise, weight lifting, and the necessary dietary changes to regenerate a swollen, flaccid heart muscle for at least six to 18 months, you will feel 20 years younger.  And this is what treating the cause of the problem is all about.

The other option?  Become a medical statistic.  The routine goes like this.  You develop angina and see your doctor.  He starts you on drugs and you probably will develop side effects ranging from erratic heart beats to impotence.  Your angina will remain but be controlled to some degree.  If it worsens, you will be referred for cardiac catheterization which carries a 1.2 to 7% death rate just from the procedure.  If your cardiologist is an interventional cardiologist (one who feels compelled to intervene), you may be subjected to angioplasty or bypass.  And with five-year medical fees running around $55,000, what hospital wouldn’t want to intervene?


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