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A way to reverse CAD?

Caldwell B Esselstyn1, Gina Gendy, Jonathan Doyle

  • 1The Wellness Institute of the Cleveland Clinic, Lyndhurst, Ohio, USA.

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|September 9, 2014
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Summary
This summary is machine-generated.

Plant-based nutrition can halt and reverse coronary artery disease (CAD). In a study of 198 patients, 89% adhered to a plant-based diet, experiencing significantly fewer cardiac events compared to non-adherent individuals.

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Area of Science:

  • Cardiology
  • Nutritional Science
  • Preventive Medicine

Background:

  • Previous small studies suggested plant-based nutrition could arrest and reverse coronary artery disease (CAD).
  • Skepticism existed regarding the scalability of plant-based diets for a larger patient population.
  • Cardiovascular disease (CVD) remains a leading cause of mortality, necessitating effective interventions.

Purpose of the Study:

  • To assess adherence rates to plant-based nutrition among 198 consecutive patient volunteers with established CVD.
  • To evaluate the clinical outcomes, specifically cardiac events, in patients adhering to plant-based nutrition.
  • To determine the efficacy of plant-based nutrition as an adjunct to usual cardiovascular care.

Main Methods:

  • 198 patients with established CVD were counseled to transition to a plant-based diet.
  • Adherence was defined as eliminating dairy, fish, and meat, and adding oil.
  • Patient outcomes were tracked, focusing on major cardiac events and adverse events.

Main Results:

  • A high adherence rate of 89% (177 out of 198 patients) was observed.
  • Adherent participants experienced a very low rate of recurrent cardiac events (0.6%, one stroke).
  • Non-adherent participants had a significantly higher rate of adverse events (62%).

Conclusions:

  • Intensive counseling effectively promoted plant-based nutrition adherence in most volunteer patients with CVD.
  • Sustained adherence to plant-based nutrition over a mean of 3.7 years resulted in a low rate of subsequent cardiac events.
  • Plant-based nutrition shows significant potential for managing the CVD epidemic and warrants broader investigation.