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  • Translator: Csaba Lehel Reviewer: Ellen Maloney

  • Coronary artery disease is the leading killer

  • of women and men in Western civilization.

  • Yet the truth be known, it is nothing more

  • than a toothless paper tiger that need never exist.

  • And if it does exist, it need never ever progress.

  • This is a food borne illness.

  • My story begins, actually, in the late 1970s, early 80s,

  • when I was chairman of the breast cancer task force at the Cleveland Clinic.

  • My frustration was that no matter for how many women

  • I was doing breast surgery, I was doing nothing for the next unsuspecting victim.

  • This led to a bit of global research.

  • It was quite striking to find that breast cancer rates in Kenya

  • were something like 30 or 40 times less frequent than in the United States.

  • And if you looked at breast cancer rates in rural Japan in the 1950s,

  • it was very infrequently identified.

  • And yet as soon as the Japanese women would migrate to the United States,

  • by the second and third generation.

  • they now had the same rate of breast cancer

  • as their Caucasian counterparts.

  • But even more powerful perhaps was data on cancer of the prostate.

  • In 1958, in the entire nation of Japan,

  • how many autopsy proven deaths were there from cancer of the prostate?

  • 18.

  • That's the most mind-boggling public health figure I think I've ever heard.

  • But I made a decision then,

  • that I was concerned that my bones would long be dust

  • before I could really get answers between nutrition and cancer.

  • And so I chose to deal with cardiovascular disease,

  • which is the leading killer of women and men in Western civilization.

  • And it was quite striking that in this global review

  • there were a number of cultures, by heritage and tradition,

  • that simply lack any cardiovascular disease.

  • They were plant-based.

  • And so with that information I came back to Cleveland.

  • And my wife and I decided to go on this plant-based diet for a year.

  • And then I asked cardiology if I could have

  • about 24 patients, which is the number

  • that I can handle and still carry out my surgical obligations.

  • And the 24 patients that I received,

  • were, as my late brother-in-law used to say, the walking dead.

  • But they were most cooperative

  • and it was within about, say, 15 months of starting this program

  • that we had something striking develop.

  • I was treating a 52-year-old gentleman who, in addition to his heart disease,

  • had a partially blocked artery in his right thigh.

  • And he told me about the fact

  • that when he was crossing the skyway to my office, he had to stop five times

  • because of pain in this calf, because of this blocked artery.

  • So I had him go to the vascular lab and we got his pulse volume.

  • And then I forgot all about his leg, so focused on his heart.

  • Eight months later, he said, "Dr. Esselstyn do you recall

  • when I first started seeing you,

  • I had to stop five times crossing the skyway here to your office?

  • This last month, it got to be four times, then it was three, two, one,".

  • He said, "I don't stop anymore, the pain is gone".

  • "Don, back you go to the vascular lab."

  • I think if you look here, you can see the difference in pulse volume

  • when I first saw him, and here we were eight months later,

  • it was now almost two times greater.

  • So the thing that was so exciting about this was,

  • in science we had demonstrated what we call "proof of concept."

  • Not only that, but this occurred one year before the invention of the statin drugs.

  • So this was so powerful, because it showed us that indeed with nutrition,

  • we can actually not only halt this disease, but we could reverse it.

  • And not shortly thereafter, what occurred, we saw this now in the heart.

  • This is a 54-year-oold security guard where our angiography core laboratory

  • described this as a 30% improvement.

  • But what really got our attention was a fellow surgeon at the clinic

  • who, at age 44 in 1996, began to get chest pain.

  • He did not have hypertension, he did not have diabetes,

  • he did not have a strong family history, he was not overweight

  • and cardiology worked him up in October of 1996, could find nothing.

  • Three weeks later, he was finishing his surgical schedule.

  • Sat down to write post-operative orders.

  • Splitting headache, immediately followed by this crushing elephant in his chest,

  • pain in his shoulder down his arm.

  • Joe was having a heart attack.

  • Whipped down to the cath lab, start the catheterization, cardiac arrest,

  • resuscitate, and finish the catheterization.

  • And then he was sent up to the floors

  • and discharged three days later, but very depressed.

  • Why?

  • Because what they identified was that

  • his left anterior descending coronary artery, in the front of the heart,

  • the entire lower third was moth-eaten and diseased,

  • over too long a segment to have stents, too far down the artery to have a bypass.

  • So he was very depressed about this,

  • so my wife Anne and I had him out to the house with his wife for supper,

  • two weeks after his heart attack.

  • "Joe you've been eating this typical Western diet.

  • You've got the typical Western disease.

  • We've got 10 years of data, how about going plant-based?"

  • "Okay Ess, I'll give it a shot, they couldn't offer me anything else."

  • He became the absolute personification of commitment to plant-based nutrition.

  • And over the next thirty months he then had another angiogram.

  • You know, up in the surgical suites, our offices are three doors apart.

  • And at noontime of the day that I knew earlier that morning

  • he had his follow-up angiogram,

  • I found myself letting myself into his office.

  • There he was sitting behind his desk,

  • "Joe, I understand you had the follow-up angiogram this morning,

  • Mind sharing with me, how did it go?"

  • Got up from around his desk, put his arms around me, "I think we're doing okay."

  • "Well, any chance I could see the follow-up angiogram?"

  • "Yeah!"

  • It was really quite striking and exciting to see what actually can happen;

  • when you give the body every opportunity it can.

  • The healing capacity is incredible.

  • So now let's talk a little bit about how do you injure the artery

  • in the first place, what seems to be going wrong.

  • Now on the right, there is a seriously diseased artery.

  • You're probably saying, "That's going to have a heart attack."

  • No, that only causes about 10% of heart attacks,

  • but it certainly will cause chest pain and shortness of breath.

  • What I really want you to notice is on the left,

  • and here, on the inside of this artery,

  • there's a very, very, tiny, little dark single layer of cell "magic carpet",

  • that all experts would agree is where the inception of this disease occurs.

  • This magic carpet is called the endothelium.

  • And the endothelium has an absolutely magic molecule that it produces.

  • It's a gas, nitric oxide.

  • Nitric oxide has a number of wonderful functions.

  • Nitric oxide keeps our blood flowing smoothly

  • like Teflon, rather than velcro.

  • Two, nitric oxide is the strongest vasodilator in the body.

  • When you climb stairs, the arteries to your heart dilate,

  • the arteries to your legs dilate.

  • Nitric oxide inhibits inflammation from the wall of the artery,

  • protect you from getting hypertension, and most importantly

  • nitric oxide, in plentiful amounts,

  • will protect you from ever developing blockages or plaque.

  • Alright, how do those 90% of heart attacks occur?

  • You will see here the artery is divided.

  • And what you're looking at in the first serial on the left,

  • is that when you start eating that cheeseburger,

  • the pizza, the milkshake, your blood flow gets sticky.

  • And certain elements like your endothelial cells get sticky,

  • your LDL cholesterol gets sticky, and then the LDL bad cholesterol

  • migrates into the sub endothelial space,

  • where it sets up this absolute cauldron of inflammation.

  • And that cauldron of inflammation begins making inflammatory enzymes

  • that gradually begin to thin out this delicate cap over the plaque.

  • It gets thinner and thinner until it's as thin as a cobweb,

  • and then the sheer force of blood going over that thinned out plaque ruptures,

  • and now we have spillage of plaque content into the flowing blood,

  • which activates our platelets, our clotting factor.

  • Now we are at the beginning of a clot, a thrombosis,

  • which is in and of itself, self-propagating.

  • So in a matter of minutes, now we have an artery that is totally blocked,

  • and all the downstream heart muscle has been deprived of oxygen and nutrients

  • and starts to die.

  • That's the heart attack.

  • But there is something absolutely magically exciting about this series,

  • because if I can convince you that all you have to do

  • is change your nutrition,

  • so your internal biochemistry is such

  • that you will not injure or thin out the cap over your plaque,

  • you will actually diminish your plaque,

  • and you will strengthen the cap over the plaque.

  • Alright, how do we do this?

  • It's very easy, we avoid the foods that injure the endothelium.

  • What are they?

  • Even pure virgin olive oil, corn oil, soybean oil,

  • safflower oil, sunflower oil, coconut oil, palm oil, dairy.

  • Anything with a mother or a face, meat, fish.

  • (Laughter)

  • Meat, fish, chicken, and turkey, and also caffeine in coffee, and fructose.

  • Alright what are you going to eat?

  • (Laughter)

  • All those marvellous whole grains for your cereal, bread and pasta.

  • 101 different types of legumes, vegetables,

  • which are red, yellow, and green leafy, and fruit.

  • But especially the green leafy vegetables are like water on the fire.

  • What green leafy vegetables?

  • Bok choy, swiss chard, kale, collards, collard greens, pink greens,

  • mustard greens, brussels sprouts, broccoli, cauliflower, cilantro,

  • parsley, spinach, and arugula and I'm out of breath.

  • (Applause)

  • But remember, no oil!

  • (Laughter)

  • Now conventional cardiology,

  • with all those procedures and all that expense,

  • is high mortality, high morbidity, and sadly it does not cure the disease,

  • and the expense is unsustainable.

  • However, when you're treating causality with plant-based nutrition,

  • no mortality with the diet, no morbidity with the diet.

  • And what happens with the passage of time, the benefits just continue to improve.

  • And lastly nobody has greater fear of another heart attack

  • than somebody who's already had a heart attack.

  • And how empowering it can be for them and their family to know

  • that they themselves can now become

  • the locust of control for this disease, destroying it.

  • Whereas in the past, it had been trying to destroy them.

  • And that, lastly, I want to just share with you,

  • this isn't just that original earlier study.

  • But what we're about to publish another 200 patients.

  • And the reason we have 91% compliance

  • is because we have a very strong intense single five hour counselling seminar.

  • That's the same amount of time the cardiac surgeon has,

  • but I have the patient when they're awake.

  • (Laughter)

  • So how do we do?

  • If we look at the vertical axis,

  • what you're seeing here is the average of about three independent

  • cohorts cardiology studies that are quite well known.

  • And the recurrent cardiac events, after four years,

  • run about 20% on average.

  • Our own, which is called "Treating The Cause,"

  • is a half of one %, that means roughly a 40 fold difference.

  • So in summary, it is so exciting what happens

  • when you treat the causation of disease.

  • Because it is not only prompt,

  • it is powerful, and it is persistent.

  • And for those who, in the future,

  • are coming down with cardiovascular disease,

  • I hope it is going to be unconscionable not to inform them

  • of the power of this option from which they can thrive.

  • Thank you.

  • (Applause)

Translator: Csaba Lehel Reviewer: Ellen Maloney

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讓心臟病發作成為歷史。Caldwell Esselstyn在2011年TEDxCambridge上的演講。 (Making Heart Attacks History: Caldwell Esselstyn at TEDxCambridge 2011)

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    Amy.Lin 發佈於 2021 年 01 月 14 日
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