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Medical Treatment
What is AMT?
- Advanced Medical treatment at our hospital (also called Optimised Medical therapy or Aggressive Medical therapy).
- It includes High dose Statins, optimized dose Betablockers and ACE inhibitors in addition to others.
- Weight reduction of 1 Kg per week with zero fat, very low carb and parts of Mediterranean diet.
- Regular, graded, progressively increasing exercises under medical supervision.
- Stress relieving therapy including yoga and medicines.
- It has been conclusively proven in 2008 that AMT is far better than stents by two trials called “COURAGE TRIAL” and “OAT” Open Artery Trial.
Most
cardiothoracic institutes use very small doses of Beta blockers, ACE inhibitors,
Statins & Fibrates after Angioplasty (stenting) or bypass surgery. This results
in re-blockage
of arteries after 2-4years.
The advantage of EECP(ECP) combined with
AMT is that we can use suitable and full doses of protective drugs because the
patient is under such close observation for 35 days so there are no chances of
unobserved side effects. We exceed the targets set by AHA (American Heart Association),
ATP III panel for cholesterol management and by ADA (American Diabetes Association).
We aim to reduce Cholesterol to < 150, Triglycerides to < 100, LDL to <
70, VLDL to < 25 and increase HDL to > 45. It has now been proved
that if these targets can be achieved then disease progression is not only completely
stopped but even the existing blockages are removed. So after EECP(ECP)
and AMT there is a very good chance you may never have heart disease again
Advantages
of AMT
- Cholesterol
< 150
- Triglycerides
< 100
- LDL
< 70
- VLDL
< 25
- HDL
> 45
- Negligible
chance of unobserved side effects.
- Very
few chance of re-blockage after EECP(ECP) and AMT.
- 95%
success rate in relieving angina.
- Appropriate
weight loss achieved.
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