I participated in an online Q/A at the Washington Post's website ("Bill Clinton: Is There A Cure For Heart Disease") and tried to get the surgeons there to talk about diet & lifestyle modification. While they were willing enough to pay lip-service to it as an important element of ongoing treatment, it was clear that they did not regard it as a serious alternative to conventional therapy.
I submitted several questions--these are the two that they took a stab at answering:
Huntington, W.Va.: What are the dangers of cognitive dysfunction associated with coronary bypass surgery? Do you think heart patients are made sufficiently aware of these dangers as well as the alternative therapies related to diet and lifestyle that might allow them to avoid surgery?
Ron Waksman, M.D.: With CABG stroke rates are low around 1%.
Cognitive impairment is usually transient.
Stents are an alternative but for multivessel disease CABG is still the preferred strategy of revascularization.
Huntington, W.Va.: Is "coronary stenting" the same as "angioplasty"? If so, has it really shown to be effective at reducing mortality?
The Angioplasty Debacle http://www.drmcdougall.com/misc/2006nl/sept/angio.htm
Ron Waksman, M.D.: Not much in reduction of mortality mainly, reduction in chest pain (angina). http://www.washingtonpost.com/wp-dyn/co ... 01666.html
Wayne FergusonNutritional Education Trainer