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Free PDF Change of Heart: Unraveling the Mysteries of Cardiovascular Disease

Free PDF Change of Heart: Unraveling the Mysteries of Cardiovascular Disease

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Change of Heart: Unraveling the Mysteries of Cardiovascular Disease

Change of Heart: Unraveling the Mysteries of Cardiovascular Disease


Change of Heart: Unraveling the Mysteries of Cardiovascular Disease


Free PDF Change of Heart: Unraveling the Mysteries of Cardiovascular Disease

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Change of Heart: Unraveling the Mysteries of Cardiovascular Disease

Review

“A detailed rendition of one of the most important studies in modern medicine, reinforcing the truth that each of us can control our life to foster health and stave off illness. It is a lesson that never grows old.” –Jerome Groopman, M.D., Recanati Professor, Harvard Medical School“This book holds many lessons for the present. . . . A Change of Heart is an easy but exciting read. We owe a lot to Framingham.” –Nature"This account of the Framingham study . . . does justice to the courage and commitment of both the medical scientists and the patients who contributed so much to advancing the field of cardiology." –The Boston Globe“The Framingham Heart Study contributed considerable evidence about the important risk factors for cardiovascular disease, effective lifestyle adjustments, and preventative steps. . . . Scattered through the book are important lessons for the prevention of heart disease. . . . An engaging account.”–Science

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About the Author

Daniel Levy, M.D., is the director of the Framingham Heart Study.Susan Brink is a senior writers for U.S. News & World Report.

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Product details

Paperback: 258 pages

Publisher: Vintage (February 14, 2006)

Language: English

ISBN-10: 0375727043

ISBN-13: 978-0375727047

Product Dimensions:

5.2 x 0.6 x 8 inches

Shipping Weight: 5.6 ounces (View shipping rates and policies)

Average Customer Review:

3.2 out of 5 stars

4 customer reviews

Amazon Best Sellers Rank:

#1,526,686 in Books (See Top 100 in Books)

I heard of the Framingham Heart Study (FHS) long ago, and I was interested enough to have studied some of the data from it as an undergraduate in Statistics many years ago, and later while in graduate school in Statistics. After that, I didn't think of FHS again until the other month, when representatives of a "boot-camp" style fitness fad (the ones doing the kipping pullups) were knocking it (along with the Harvard Nurses study) as deeply flawed, having no conclusions, only observational, etc. I've always heard FHS was top notch, but maybe I didn't look at it close enough in the past to see serious flaws.After doing medical journal searches online and reading some interesting studies, I looked here for a more breezy read, and found this great book. This book is a well-written page turner, covering the personalities, the thoughts at certain periods in history, and the science of FHS. From it, I have concluded that FHS is an embarrassment - of riches. Conclusions from a fitness fad aren't legitimate conclusions - you need to have science to make those.Thank you project managers, scientists, authors, and thank thank thank thank thank you to the thousands of men and women, their children, and grandchildren for donating their time and letting us take a glimpse at your lives. Making the world a better place sounds so cheesy and overdone, but words fail me here.

poorly written and boring. not really informative.

I was looking for a lot more based on the title. I'll admit at this point I haven't finished the book; I'm about 40% through. I stopped because I felt I was wasting my time. I could really care less about the history of how Framingham got started, or if they wanted to do this hold it to one chapter. At the 40% point where I'm reading that only one doctor had an office and they go on to provide me with the size and shape of that space. Some may find this kind on nonsense interesting but I wanted the specifics of what they found from the studies and how their ideas of what caused heart disease modified over time. What does the size of an office have to do with unraveling the mysteries of heart disease, especially when they are still talking about this kind of nonsense 40% through the book?And that's the problem with co-authored books; there is very little meat. I can almost visualize some marketing type approaching the doctor and telling him how much money he could make putting his name on a book. They go on to tell him it won't be much work on his part and that the co-writer will be doing 95% of it. And, that shows in the final product.I'll finish the book over time and hope to find the promise that the title made of "unraveling the mysteries of heart disease, or will I end up getting a full picture of how the doctors first bedroom was decorated?3/8/2015 updateI finished the book and am still disappointed. It is primarily a history of the Framingham study with the politics, financial problems, personalities of the researchers, and without much to say about the actual detailed findings of the study. What you do get is a repeat of the well know risk factors for heart disease with a healthy helping of the saturated fat theory which includes a chapter on Keys. If your primary interest is history this book is for you. If on the other hand you're interested in the actual detailed results of the studies I would look elsewhere.Oh yes, throughout the whole book they talk about fat and especially saturated fat the biggest evil in heart disease. The authors go on to say that they are glad that clinical trials are finally happening to point this fact out. They then cite Chris Gardners A to Z diet trial as a perfect example of making the point. However that isn't what Chris who is a vegetarian found. The authors say:"compared four popular diets: Atkins (low carbohydrates), Zone (moderate carbohydrates), Ornish (very low-fat vegetarian), and Weight Watchers (moderate fat). Volunteers were assigned to one of the diets, then left on their own to follow the plan. They ran into the chronic dieter’s dilemma: half the volunteers on the Ornish and Atkins diets dropped out after a year, as did 35 percent of those on the Weight Watchers and Zone diets. Those who stuck with any program lost weight. And, using the Framingham risk models, they lowered their predicted heart disease risk scores by differing amounts: Weight Watchers, 14.7 percent; Atkins, 12.3 percent; Zone, 10.5 percent; and Ornish, 6.6 percent. All but the Ornish diet significantly increased levels of protective HDL cholesterol.25 Matching diet to lifestyle might help people stick with weight loss efforts. But the long-term effects of a high-protein, high-saturated-fat, low-carbohydrate diet remain unknown."First, they got it wrong; the Atkins diet showed the greatest benefit in ALL risk factor and this particularly bothered the researcher since he was a vegetarian. Even if you take the number shown above, the Ornish diet which is lowest in all fats (under 10%) of all programs showed the WORST heart disease scores at 6.6 with the high fat Atkins at 12.3, which is 100% better than the ultra low fat Ornish. You can see a presentation by Chris Gartner on youtube of the A to Z study. It make interesting listening. So, the only clinical study noted was also a study that concludes the exact opposite of what the entire book is dedicated to. You either have to believe that Atkins is better for your heart than Ornish (Being vegan I don't believe this for a second) OR that risk factors in what are considered normal ranges are meaningless when it comes to heart disease. I'm not happy with either. That in the final analysis is why the book disappointed me. I guess that's the danger of having a Ghost Writer who has little idea about what they are writing about.

Nine years ago I suffered a heart attack at age fifty. My cardiologist recommended "Change of Heart," and I was not disappointed. It was in fact the first book I read while recovering in the hospital. Much of the book is about the Framingham Heart Study and how it changed our understanding of heart disease. But it is not a dry, clinical study likely to be found in a medical journal. Instead it is a lively and fascinating story of how heart disease touched the lives of individuals and their families. Through their stories, the changing nature of cardiac treatment in the last half century is revealed. Levy begins with an account of President Franklin Roosevelt's heart disease and death at Warm Springs in 1945. It is amazing to learn that FDR's blood pressure soared to heights that would be considered morbidly hypertensive today. But at the time, these numbers were considered normal for a man his age. When he died, his arteries were so clogged that the embalmers were unable to first find a suitable injection site. Indeed, the descriptions of cardiac treatment in the 1940's seem so primitive they might as well have come from the Middle Ages! The Framingham Heart Study provided data that helped create the paradigm that is now used to prevent and treat heart disease. The role of blood pressure, smoking, cholesterol, and other factors became apparent over time, and today we know that much heart disease can be prevented. What seems common sense today did not seem so fifty years ago, and doctors and the public had fierce debates over smoking and cholesterol that lasted for years. Over time the sense of fatalism associated with coronary disease-the belief there was little to prevent and treat it-yielded to scientific proof that it was a preventable illness in many cases. I am not a doctor or medical professional. Some specialists might disagree with the emphasis placed on certain areas of research. That is normal. However, I am a heart patient with first hand knowledge of the disease. My cardiologist admired it, which is high praise in my book. I would think that "Change of Heart" was written mainly for the general public. It aims to educate and entertain, and it does both well. "Change of Heart" taught me that there is much we can do to prevent and ameliorate cardiac problems. This was exactly what I needed after my heart attack. I became proactive and today I do everything (exercise, diet,etc.) to prevent anther one. I'll always appreciate this book for helping me get off on the right foot!

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