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1.Nature
bypass therapy
Concept
Everybody knows that there are thousands of arteries in the heart.
The three main coronary arteries first give origin
to about 10 branches which in turn give rise to 100
branches and the hundred branches give thousands of
branches. These branches are called capillaries.
They all are connected to each other and can give or
receive blood from each other. These channels can be
a good source of blood to heart muscles when some of
the major or minor arteries get blocked. If,
somehow, these channels can open up or are made more
broad, the deprived heart muscles can get adequate
blood supply. This can be called a natural bypass.
These natural channels are very much present in sports persons or
athletes. As they do a lot of exercises throughout
their career, the heart muscles develop these
capillaries into broader tubes. Once these tubes are
developed the athletes do no get angina even if they
develop blockages to the extent of 80-90%. Their
heart muscles do not die even if they suffer from
the 100% blockage.
How to develop these Natural
Bypass Channels?
We can not make a heart patient run like an athlete. We can not ask
them to perform severe exercises, because on
slightest exertion, they will get angina. But now
scientists have designed a new machine which can
develop these parallel channels. This machine can
artificially increase the flow of blood in the
coronary channels by directly increasing the
pressure at the root of the coronary arteries. A one
hour treatment with this machine can start opening
this parallel artery/capillary system supplying more
blood to the heart muscles. This treatment has to be
continued for about thirty sessions to fully develop
the second natural channel.
The advantage of this treatment is that there is no admission to a
hospital, no withdraw from your work, no invasion to
the body and the cost is low. It has no side effects
of the surgery.
What does the machine do?
You must know that the blood flow to the coronary arteries occurs
during the phase when the heart muscles relax –
called the diastole. Blood can not enter majority of
the arteries during systole as the heart muscles
contract during this period making the flow
impossible. This machine supplies more blood to the
heart muscles during diastole. It has some pressure
systems which are wrapped around the body parts
which have extra blood storage. The pressure systems
are activated regularly synchronizing in such a way
that much more blood reaches the origin of the
coronary arteries during every diastole of the
heart. Thus the coronary arteries get filled up
completely with blood during these periods flushing
so much blood in the dormant but stretchable elastic
capillaries that they become broad.
In other words, this machine works on the heart arteries in 30
hours opening the arteries much more than the
athlete does in 30 years. It is much better than
bypass surgery or angioplasty.
Is this Natural Bypass
Accepted all over the world?
Yes, this machine has seen a lot of popularity in the last twenty
years. About 200 centers in USA use this machine. In
China it has almost replaced bypass surgery and
angioplasty. There are as many as 1000 centers in
China which are using this treatment for the heart
patients.
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2.Walking
for the Heart Disease
Walking is one of the most important steps for reversal of heart
disease. One must walk for a minimum of thirty five
minutes per day. What is more important for the
heart patient is to know the speed of walking and
safety factor while walking. Cardiologists scare the
patients when they advise them to undergo
angioplasty or bypass. After the scare the patients
stop walking, even if the patients have confidence
that he will have no problem in walking; the
relatives are so scared that they do not allow them
to walk. The following understanding will help them
to walk.
Why walking?
Walking is a must for a heart patient. It has many advantages. It
reduces weight, controls sugar, and reduces stress.
It gives the joints its adequate movement, fresh air
– if you walk in the morning. Regular walks help in
the control of blood pressure. It also reduces
cholesterol and triglycerides. But the most
important advantage is that – it gives fitness to
the heart. In other words, it gives the heart the
habit of working more efficiently. These can only be
achieved by regular walk of minimum 35 minutes per
day. Apart from reversal, walking also increases the
collateral vessels in the heart. For angina
patients—compared to any other form of exercise,
walking has another advantage – you can slow down or
stop immediately when you get angina and get relief.
How to know the speed of
walking scientifically?
Walking increases the heart rate. This increases the requirement of
oxygen in the heart muscles. This can lead to angina
in heart patients – if you do not know the correct
speed, which will vary from patient to patient. So,
you must know the correct speed. The main
determinant of the speed is how much blood is now
reaching the heart at present and this, in turn,
depends on how much blockages the patients have.
Let us consider how angina occurs. The “ resting heart rate” for a
person is about 70 per minute. It may vary from 50
to 90. You can count your pulse and know about it.
When a heart patient (who may have 70-90% blockage),
sits on his bed and remains at rest the pulse/heart
rate is about 70. He does not have angina now as the
blood reaching the heart is adequate. But when
he/she walks and gradually increases speed, the
heart rate goes up, the oxygen requirement of the
heart muscles also goes up. Now, depending on the
blockage or the blood reaching the heart muscles,
angina will come at a particular speed. This speed
is called “angina threshold.” Scientifically, a
heart patient should try not to reach this speed and
thus walk slower than the threshold. At this speed
the angina will not occur and the benefits of
walking will be achieved.
To know this threshold very correctly, one should do a TMT or
exercise stress test and know at what heart rate the
ECG changes occur or angina comes, Now, he/she
should count the heart rate during walking by
feeling the pulse for the first 10 seconds. Then
during walking keep your heart rate 20 less than the
maximum heart rate (heart rate achieved during TMT).
How to roughly judge the
walking speed?
Start walking slowly. Gradually increase the speed. Feel when the
angina (chest heaviness, pain, choking or
breathlessness) is about to come. Stop, the feeling
will go away. Walk again, but now the speed will be
slower than the last time. Keep walking now and the
angina will not come. This is the correct speed.
Advantages of walking:
1. Reduction of sugar or control of diabetes.
2. Reduction of blood pressure in high BP patient.
3. Burning of calories – thus reduction of weight.
4. Increased flexibility of leg joints.
5. Fresh air if walking in a park.
6. Stress reduction.
7. Increased lung capacity.
8. Increased fitness or cardiovascular fitness.
9. Increased energy level.
10. Reduction of cholesterol and triglycerides.
Depending on the rough speed we divide the angina patients into
four categories: Class I Angina is when the patients
can walk all right and only get angina on walking
fast or climbing inclines. Class II Angina patients
are those who get angina in moderate/ ordinary
speed. Class III patients get angina on slight
exertion – like going only 100 steps. Class IV are
those who get angina at rest.
How to start?
Suppose, you are at the stage of class I angina: start walking on
day one. Try to do about 30 minutes. For class II
angina group, walking should be slowly and they
should start initially with 10-15 minutes. They
should not walk fast. Class III angina patients
should start with one minute at home on empty
stomach. After two days, they should increase to two
minutes. Gradually they should increase the time but
not the speed. As they improve with treatment, they
can gradually increase their speed. Class IV angina
patients should not walk and report to the
allopathic doctor and take treatment.
After a patient recovers from a heart attack, walking should start
as soon as six-seven days. Start with one minute,
half an hour before breakfast, before lunch and
dinner. After two days increase the time to two
minutes. Add another one minute after two days. Once
you are at the level of 5 minutes three times a day,
you can go out for walk.
Special precautions on
walking:
Heart patient should know that walking should be ideally done on
empty stomach. Do not walk after meals for one hour.
While you climb up or go on a steep you should go at
much slower speed. Walking as a part of household
activity (i.e. going from one room to other) does
benefit only 10%, if the total benefit is considered
100% on proper walk. While you carry weight of more
than two kilograms, the speed of walking should be
slower.
Other dos and don’ts on
physical activity:
Heart patients must also know that they can do most of the activity
where the heart rate does not go up. Sitting in an
office, talking over the phone, discussing, driving
car are some of the activities which do not increase
the heart’s speed. But avoid all kinds of stresses,
as stress can increase the heart’s speed and also
lead to spasm of the heart tubes. When you reach
class I stage, you can do all the activities except
running or equivalents.
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