cover image Syndrome X: Overcoming the Silent Killer That Can Give You A Heart Attack

Syndrome X: Overcoming the Silent Killer That Can Give You A Heart Attack

Gerald M. Reaven. Simon & Schuster, $25 (288pp) ISBN 978-0-684-86862-2

First identified by lead author Reaven in 1988, Syndrome X, also known as ""insulin resistance syndrome,"" is as powerful a predictor of coronary heart disease as are elevated ""bad"" cholesterol levels. Reaver argues that it is poorly understood by doctors and patients because it is not one single disease, but a series of metabolic changes occurring in insulin-resistant individuals that can lead to diabetes and heart attack. Contrary to accepted medical practice as well as common lore, Reaver says that these individuals who have developed heart disease should not be on low-fat diets; rather, they should consume fat, carbs and proteins in a specific ratio that promotes the absorption of sugar into their blood cells. This comprehensive, clearly written volume should be a welcome addition to both patients' and their doctors' health shelves. It offers a detailed explanation of the causes and potentially devastating effects of Syndrome X, a six-step program to identify and manage the disease as well as a diet plan, complete with 1,200- and 1,800-calorie 30-day meal plans that incorporate the recommended ratio of fats to proteins and carbs. All this is served up in somewhat more scientific form than the more personal The Carbohydrate Addict's Healthy Heart Program and the bestselling Sugar Busters! (Mar.)