Should You Say No To Non-emergency Coronary Stent?

Majid Ali, M.D.
This question can only be answered by the individual facing the decision to have or not to have a coronary artery stent. To assist such an individual in making an informed decision, I raise and then answer the following questions:

* Do coronary stents address the factors that cause heart disease?
* Do stents improve the heart health five or more years after they are inserted?
* Is the individual facing the decision willing and able to undertake an effective and integrative program for heart health?
* Do effective and integrative programs for heart health exist? If so, what is the evidence for their efficacy?
* Does one coronary stent save an individual from more coronary stents?
* What is the probability of irreversible heart damage occurring if a non-stent program is tried first?
* Is the individual facing the decision willing and able to take responsibility of her or his health?
* Are the endo cells the guardian angels of the heart? If so, do coronary stents heal injured endo cells or do they further traumatize them?

I begin with the last question first.

Endo cells: The Guardian Angels of the Heart

Endo is my abbreviation for endothelium, a very delicate single-cell layer lining the inside of blood vessels. The intelligent evolutionary design of vascular architecture made the endo cells smooth surfaced and electro-negatively charged so that the blood flowing through the vessels does not stick to them. They are delicate and so get traumatized readily. However, the evolutionary design conferred upon them a most remarkable ability to self-heal—the process beginning as soon as injury occurs and sometimes completed within several minutes as the healthy endo cells in the vicinity of the injured endo cells divide and slide over to plug the hole. I discuss this crucial subject in:

* “Please, Know Your Endos”
* A five-article series entitled “The Paradox of More Plaques and Fewer Deaths”
* My book “Integrative Cardiology,” the sixth volume of my 12-volume textbook entitled “The Principles and Practice of Integrative Medicine.”

My crucial point here is: No one can make an intelligent decision about whether or not to say no to non-emergency coronary artery stent.

Do Coronary Stents Address the Factors That Cause Heart Disease?

The simple answer: No.

Do Stents Improve the Heart Health Five or More Years after They Are Inserted?

Absolutely not. How can they? They do not correct any of the problems that caused heart disease to begin with.

Is the Individual Facing the Decision Willing and Able to Undertake an Effective and Integrative Program for Heart Health?

The real answer to the question can only come from the individual. Most motivated people can do so if they are properly guided by knowledgeable and supportive doctors who know how to detect factors that injure the endo cells so they can heal. On the part of the patient, it takes a courageous journey of learning, understanding, knowing, enlightenment, and liberating one’s own self.

Do Effective and Integrative Programs for Heart Health Exist? If So, What Is the Evidence for Their Efficacy?

For professional readers, I suggest my book “Integrative Cardiology,” the sixth volume of my 12-volume textbook entitled “The Principles and Practice of Integrative Medicine.”

Does One Coronary Stent Save an Individual from More Coronary Stents?

Most people know individuals who needed more stents after the first, often within a year or two? Since stents do not address the causes of coronary heart disease, they cannot prevent the need for more stents.


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