Bernie Sanders’ Heart Attack: Could It Have Been Prevented?

Our precision-medicine approach to heart attack and stroke prevention has six components:

• Education. Knowledge is power! Our patients learn how heart attacks and strokes actually happen. A common misconception is that arterial disease is a plumbing problem, like grease clogging a kitchen sink, causing an artery to become so obstructed that flow of blood stops, resulting in a heart attack or stroke. However, studies show that these events occur when plaque inside the artery becomes inflamed and ruptures explosively, leading to the formation of a clot that blocks the flow of blood to the heart or brain. Most heart attacks occur in arteries that are minimally blocked by plaque, with the clot creating the rest of the obstruction.
• Disease. Early detection and treatment of arterial plaque is a key element of our evidence-based approach to prevention. We use advanced laboratory and imaging tests to directly check each patient for hidden signs of CVD, including a painless 15-minute ultrasound exam called carotid intima-media thickness (cIMT). A recent study of more than 10,000 people found that adding cIMT and the presence of plaque to traditional risk factors dramatically boosted the accuracy of 10-year predictions of heart attack and stroke risk. This FDA-approved imaging test can detect plaque at an early, highly treatable stage in people who look and feel healthy, such as our patient Wayne Williams. Although Williams, then 48, had normal blood pressure and cholesterol, a CIMT test detected plaque. Without treatment, he would have had an 83 percent chance of having a heart attack or stroke by the time he was 58. “I learned then that [CVD] is a silent killer,” he told Fox News. Today, after four years of personalized treatment with our method that included medications, lifestyle changes and supplements, the plaque in his arteries is completely stabilized, enabling him to live well without fear of a heart attack or stroke
• Fire in the arteries. Chronic systemic inflammation, which we call “fire,” has been shown to be both a cause and an important treatment target for heart attack and stroke prevention. We use a “fire panel” of inexpensive blood and urine tests to check inflammatory markers. In 2017, results of the CANTOS trial published in the New England Journal of Medicine reported that anti-inflammatory therapies reduce risk for heart attack, stroke, other cardiovascular events and cancer by up to 50 percent. We also recommend natural ways to “fireproof” your arteries.
• Root causes. To put out fire inside the arteries, it’s essential to find out what’s causing it. For someone like Sen. Sanders, identifying the root cause is essential to prevent another heart attack. One possible culprit is his history of gout, since a 2018 study linked this inflammatory form of arthritis, which affects nearly six million American men and two million women, to increased risk for heart attacks, strokes and death from cardiovascular causes. An earlier study found that men with gout are 26 percent more likely to have heart attacks than those without it, even when other cardiovascular risks are taken into account. Our method checks for a wide range of root causes, including insulin resistance (the hidden cause of about 70% of heart attacks), metabolic syndrome, high blood pressure (the leading risk factor for stroke), sleep disorders and a dangerous cholesterol most doctors don’t check, even though it has been proven to actually cause heart attacks! One of our recent studies has been described as “landmark,” because it was the first to identify oral bacteria from gum disease as a contributing cause of CVD.
• Optimal goals. Just as a top-quality construction company may exceed the building code to make homes and offices even stronger and safer from fires, earthquakes and other catastrophes, in some cases, the BaleDoneen Method sets higher standards for treatment and prevention than those set by standard medical care. Work with your healthcare provider to set optimal, individualized goals to modify each of your risk factors. This approach, rather than one-size-fits-all goals set by the standard of care and based on average results from large studies, leads to superior outcomes and more effective heart attack and stroke prevention.
• Genetics. Basing care on each person’s unique genetic makeup is the ultimate in precision medicine. The BaleDoneen Method has used genetic testing for more than a decade both to identify patients with inherited risk for heart attacks and strokes and to guide the best personalized treatments of those risks, including a diet based on your DNA. In a 2018 study, we have also identified an easy, inexpensive way to lower heart attack risk for people who have type 2 diabetes, based on a one-time genetic test. Another recent study revealed that if people at genetic risk for CVD stay physically fit, their risk drops by about 50%, highlighting the amazing power of an optimal lifestyle to keep your heart healthy, no matter what is written in your DNA.