September 25, 2011
Just One Day of Exercise Protects the Heart
         "JUST ONE DAY OF EXERCISE CAN PROTECT THE HEART 
AGAINST...(A HEART ATTACK)....  and this protection is upheld 
with months of exercise, making exercise one of the few 
sustainable preconditioning stimuli" (Journal of Applied 
Physiology. September 2011).  Wow.  
         HEART ATTACKS OCCUR WHEN A PLAQUE SUDDENLY BREAKS OFF 
FROM THE WALLS OF AN ARTERY SUPPLYING BLOOD TO THE HEART.   The 
plaque travels down the ever-narrowing artery until it completely 
blocks the flow of blood to a part of the heart's muscle.  The 
heart's muscle must receive oxygen from the bloodstream all the 
time.  When a part of the heart muscle is suddenly deprived of 
oxygen, it dies and you suffer a heart attack.  The dying heart 
muscle usually causes severe pain, in the chest, back or left 
arm.  Heart attacks are not caused by progressive narrowing of an 
artery.    
         LACK OF OXYGEN IS THE ULTIMATE CAUSE OF HEART MUSCLE 
DAMAGE.  Anything that increases the ability of the heart muscle 
to survive oxygen deprivation or increases oxygen supply to the 
heart muscle helps to prevent heart attacks.  
         Exercise helps to prevent heart attacks, and the more 
intensely you exercise, the greater the protection.  Researchers 
in Norway treated recovering heart attack victims with the same 
intense training methods used by competitive athletes (American 
Heart Journal, June 2009). They supervised them as they ran on a 
treadmill very fast for a few seconds, rested and then repeated 
their intense intervals.  For example, some of the patients ran 
fast for 30 seconds every five minutes. The interval-training 
heart attack victims were able to use more oxygen maximally 
(VO2max) and had their heart rates return toward normal faster 
than other heart attack victims who did slower continuous 
training.  This advantage persisted for 30 months after the 
patients completed their 12-week rehabilitation program.
         INTENSE TRAINING IS NOT ACCEPTED AS A TREATMENT FOR 
HEART ATTACK VICTIMS, particularly those who have chest pain with 
exercise or excessive shortness of breath.  Intense exercise can 
precipitate heart attacks in people with blocked arteries.  The 
exercise sessions are usually supervised by trained technicians 
using electrocardiograms, at least in the beginning.
         INTENSE EXERCISE DOES NOT DAMAGE HEALTHY HEARTS.  All 
known tests for heart function show no damage from intense 
exercise.  Post-exercise electrocardiograms and echocardiograms 
are normal, as are blood levels of heart-specific enzymes, 
creatine kinase and creatine kinase MB, and myoglobin (Medicine 
and Science in Sports and Exercise October, 2003).
         A WORD OF CAUTION: Before you start a program of 
cycling, running, tennis or anything else, realize that 
exercising intensely is far more likely to cause injuries and can 
cause heart attacks in people with blocked arteries leading to 
their hearts. You may want to check with your doctor before you 
start. Then get in shape gradually by exercising at an easy pace 
three to six days a week for at least six weeks.
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Reports from DrMirkin.com
How exercise strengthens bones
http://www.drmirkin.com/joints/bones_exercise.html
Healthful eating for children
http://www.drmirkin.com/nutrition/N251.html
High blood pressure during exercise
http://www.drmirkin.com/fitness/blood_pressure.html
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Impotent Men Are at High Risk for Heart Attacks
	A review of 12 studies on men who are unable to sustain an 
erection shows that impotence almost doubles a man's chances of 
suffering a heart attack, stroke, and premature death (Journal of 
the American College of Cardiology, September, 2011).
	Treating risk factors for heart attacks with lifestyle 
changes and/or medication helps to prevent heart attacks and 
improves impotence (Archives of Internal Medicine, September 12, 
2011).  More than 50 percent of North American men over 40 are 
impotent (JAMA, May 26, 1999).
	GET A MEDICAL WORK UP FOR IMPOTENCE: Check your male 
hormone, testosterone, and all risk factors for heart attacks.  
All conditions and behaviors that damage blood vessels can cause 
impotence: *diabetes, *depression, *stomach ulcers, 
*high cholesterol, *atherosclerosis, *high blood pressure, *nerve 
damage, *cigarette smoking, *taking more than two alcoholic 
drinks a day, and so forth.
	DRUGS THAT CAN CAUSE IMPOTENCE: diuretics, blood pressure 
medications, non steroidals (naproxin), ulcer medications 
(cimetidine, omeprazole, metoclopramide,  antidepressants 
(lithium, SSRIs), recreational drugs (marijuana, cocaine, 
heroin), and so forth.
	LIFESTYLE CHANGES THAT PREVENT AND TREAT IMPOTENCE: 
*Do not smoke or take more than 2 drinks a day 
*Avoid red meat, sugared drinks and foods with added sugars 
*Eat large amounts of fruits and vegetables 
*Exercise (caution: men with impotence are at increased risk for 
heart attacks during exercise)
 *avoid overweight, 
*get enough vitamin D (D3 blood level above 75 nmol/L).
***********************************************
More Benefits from Chocolate
	A few weeks ago I wrote about studies showing that 
chocolate can increase endurance 
http://www.drmirkin.com/public/ezine080711.html.  
This month, a review of seven scientific studies shows that 
those who eat chocolate are one-third less likely to suffer 
heart attacks, strokes or diabetes (Presented at the European 
Society of Cardiology 2011 Congress; BMJ, September 2011).
         Chocolate, coffee and tea all contain polyphenols that 
increase nitric acid which "leads to improvements in endothelial 
function, and reductions in clotting, blood pressure, insulin 
resistance, and blood fats". 
         Food manufacturers hide the bitter-tasting polyphenols 
in chocolate by adding large amounts of sugar and fats.  
Therefore, the best time to take chocolate should be during or 
immediately after exercise when contracting muscles prevent blood 
sugar levels from rising too high and damaging your arteries.
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Recipe of the Week:
Green Bean-Potato Curry
http://www.drmirkin.com/recipes/currygreen.html
You'll find lots of recipes and helpful tips in 
The Good Food Book
http://www.drmirkin.com/goodfood/index.html 
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Gabe Mirkin, M.D.
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