Vegetarian Diet Reverses Coronary Artery Disease

“A way to reverse CAD?” J Fam Pract 2014 Jul;63(7):356-364b.        

This study was a prospective cohort of 198 self-selected, adult patients with documented coronary artery disease (CAD), cerebrovascular disease, carotid artery disease, or peripheral arterial disease (PAD) who followed a strict, plant-based dietary intervention in addition to standard medical therapy.1 The study examined compliance with diet as well as adverse cardiovascular events in both adherent and nonadherent patients.

Study Results:

The mean age of participants was 62.9 (SD +/- 10) and the mean study follow-up was 3.7 years.  195 (98%) of the participants had documented CAD (myocardial infarction, positive stress test, or angiography/CT angiography); the remaining patients reported cerebrovascular disease, carotid artery disease, or PAD, respectively.  Of 198 who completed the study (2 had been lost to follow-up), 177 patients (89%) were determined to be compliant with the dietary intervention throughout the study course.

During the study, 13 of the 21 nonadherent patients (68%) experienced an adverse event (MI, stroke, CABG, PCI with stenting, endarterectomy, or sudden cardiac death).  No nonadherent patients showed symptom improvement or disease regression. 

Of the adherent patients, 18 (10%) suffered an adverse event, although 5 had were nonvascular-related deaths.  Many of the other events were explained by the authors as attributed to other than advancement of vascular disease, reporting that there was only a single vascular-related adverse outcome (<0.6%) attributed to advancing disease in an adherent group (P<0.001, Fisher’s exact test).   Of the 112 adherent patients who reported initial anginal symptoms, 104 showed improvement or resolution of anginal symptoms.

via Vegetarian Diet Reverses Coronary Artery Disease.

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