HEART FAILURE COUNCIL

HEART FAILURE COUNCIL

STICHES: Coronary Bypass Surgery in Patients with Left Ventricular Dysfunction  The STICH Extension Study (STICHES) now published in the New England Journal of Medicine has reported on nearly ten years of follow-up from the original study. Over the extended follow-up period a significant survival benefit was seen in the group randomised to medical therapy plus

STICHES: Coronary Bypass Surgery in Patients with Left Ventricular Dysfunction 

The STICH Extension Study (STICHES) now published in the New England Journal of Medicine has reported on nearly ten years of follow-up from the original study. Over the extended follow-up period a significant survival benefit was seen in the group randomised to medical therapy plus CABG. Rate of death was 16% lower in those assigned to surgical treatment with an absolute difference at 10 years on Kaplan-Meier analysis of 8%.

 

Ischaemic heart disease is the most common cause of heart failure in the industrialised world. Whilst the role of coronary artery bypass grafting (CABG) in angina is established, the role of revascularisation for ischaemic cardiomyopathy is not clear. Landmark CABG trials conducted in the 1970s and ‘80s excluded patients with severe left ventricular systolic dysfunction (LVSD) and few patients had a heart failure syndrome [1-3]. Whilst these important early studies demonstrated the safety of CABG, a survival advantage in those with either normal or impaired (LVEF 40-50%) left ventricular function was not seen. Though there are clear theoretical benefits in restoring blood flow to dysfunctional myocardium, assuming that myocardial injury is not irreversible, there were no randomised data to support this hypothesis.

The ‘Surgical Treatment for Ischaemic Heart Failure’ (STICH) [4] study was conducted to determine if medical therapy plus surgical revascularisation versus medical therapy alone would offer a survival advantage in ischaemic cardiomyopathy with severe left ventricular systolic impairment (LVEF <35%). The five year results of the study did not find survival benefit with CABG (HR 0.86, 95% confidence interval 0.72-1.04,  p=0.12). The early mortality in the CABG arm probably outweighed an apparent late survival benefit. However, as an intention to treat analysis treatment arm crossover rates of 17% may have obscured potential survival benefit of CABG.

The STICH Extension Study (STICHES) [5] now published in the New England Journal of Medicine has reported on nearly ten years of follow-up from the original study. Over the extended follow-up period a significant survival benefit was seen in the group randomised to medical therapy plus CABG. Rate of death was 16% lower in those assigned to surgical treatment with an absolute difference at 10 years on Kaplan-Meier analysis of 8%. Median survival in those assigned to surgical revascularisation was 7.73 vs 6.29 years in the medical arm demonstrating that with sufficient time the surgical risk of CABG, in this study 3.6% at 30 days, is more than offset by ten years. Therefore providing compelling evidence that patients with severe LVSD and coronary disease amenable to surgical revascularisation should now be offered CABG.

However an important caveat is the characteristics of the initial study population. Whilst the mean LVEF was 26% it should be remembered that patients were young (mean age 60 years), had predominantly NYHA class II heart failure and low rates of advanced renal disease and prior cerebrovascular accident, and as such may not be representative of a general ischaemic cardiomyopathy population. Subsequently the risk of surgical treatment in a non-study population may differ from that reported in STICHES. Therefore the cardiologist, surgeon and patient should carefully consider the short and long term outcomes of CABG prior to embarking upon surgical revascularisation with regard to each patient’s risk.

Another point of interest will be the role of viability testing in patient selection for surgical treatment. The initial viability sub-study of STICH [6] did not suggest that viability is of use in determining treatment strategy. However STICHES extended follow-up data may also clarify this important issue once presented.

 

References

  1. Coronary artery surgery study (CASS): a randomized trial of coronary artery bypass surgery. Quality of life in patients randomly assigned to treatment groups. Circulation, 1983. 68(5): p. 951-60.
  2. Eleven-year survival in the Veterans Administration randomized trial of coronary bypass surgery for stable angina. The Veterans Administration Coronary Artery Bypass Surgery Cooperative Study Group. N Engl J Med, 1984. 311(21): p. 1333-9.
  3. Yusuf, S., et al., Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration. Lancet, 1994. 344(8922): p. 563-70.
  4. Velazquez, E.J., et al., Coronary-artery bypass surgery in patients with left ventricular dysfunction. N Engl J Med, 2011. 364(17): p. 1607-16.
  5. Velazquez, E.J., et al., Coronary-Artery Bypass Surgery in Patients with Ischemic Cardiomyopathy. N Engl J Med, 2016. 374(16): p. 1511-20.
  6. Bonow, R.O., et al., Myocardial viability and survival in ischemic left ventricular dysfunction. N Engl J Med, 2011. 364(17): p. 1617-25.
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  • ANNA
    agosto 3, 2021, 10:51 am

    Thanks to God and also to Dr. OBINA, the great herbal man that cured me from HERPES. I contacted the virus from my partner three years ago, i almost spent all i had because i was restless and i need to get rid of the virus and i did not rest until i saw people testimony about Dr. OBINA recommendation online for how he has being curing HERPES with his herbs and i emailed him and tell him my problem and he prepare my cure and send it to me and gave me instructions on how to use the herbs and behold after i finish drinking it i went to the hospital for checkup and the result was negative and the virus was completely gone from my body. You can contact Dr. OBINA to get your herbs too and cure yourself from these virus. His Email: obinnaspelltemple@yahoo.com or add him on WhatsApp +19492293867 Dr. OBINA has cure so many different type of diseases with his herbs such as HERPES, HIV/AIDS. CANCER of all kinds, HSV 1&2, DIABETES and so many more. I want to thank God for using Dr. OBINA to cure me from herpes. Dr. OBINA is truly gifted by God. add him on WhatsApp +19492293867

    REPLY
    • Martha Jecorick@ANNA
      noviembre 14, 2022, 10:28 pm

      DR. OSATO`S CURE FOR HERPES1&2 – A NATURAL WAY TO GET HERPES1&2 CURED. If you have been looking for ways to naturally get rid of the herpes simplex virus from your body completely, then you are welcome to read further. Let’s face reality here, you have tried so many counter drugs and you are confused, weak and angry because nothing seems to work. Good News For you my friend…. Yes, I came with good news that will liberate you from the pains and stress of herpes outbreak, you will get total cure from this virus using Dr. Osato Herbal Methodology. Who is Dr. Osato? You may ask. Dr. Osato is a herbalist and a naturalist. He researched and identified some herbs and established a unique methodology to healing the human body using Herbal medicine that was confidently entrenched in his over 30 years of experience. According to him, he has the cure for so many diseases/virus like GENITAL HERPES, HIV, DIABETES, CANCER, HPV, HSV1&2, GENITAL WART, SHINGLES, VAGINAL INFECTION and so many more. You can reach Dr Osato on his email: osatoherbalcure@gmail.com or WhatsApp +2347051705853. You can also contact him through his website: https://osatoherbalcure.wordpress.com  I am using this medium to inform everyone how to get treated of herpes using Dr Osato recommended Herbal methodology.

      REPLY
      • Diana@Martha Jecorick
        agosto 2, 2023, 3:30 am

        The best herpes remedy online…

        Thank you D Robinson buckler for saving my life,

        I am cured from herpes.

        He can also restore broken.

        Relationship/marriage with spiritual prayer.

        He brought my ex lover back.

        My ex-lover loves me unconditionally.

        Cures the following..

        Shingles,

        Cold sore,

        HPV,

        HSV1&2,

        Fibroid,

        Erectile Dysfunction..

        His result is 100% guarantee….

        r.buckler11 (@) gmail.. com

        REPLY
      • HENRIETTE AMUNAZO@Martha Jecorick
        julio 13, 2024, 9:13 am

        ?☘️I WAS CURED OF HERPES SIMPLEX VIRUS BY DR WATER, THE GREAT HERBALIST. ?☘️
        i am so happy to share this testimony with the world because generally there are so many doubts about the cure of HERPES simplex virus. This is real take it serious, my name is HENRIETTE AMUNAZO and i am so happy that today i can give this testimony to the world and also help people who has been condemned just as i was. Who will believe that a herb can cure HERPES completely from the body?, i never believed that this will work, i have spend a lot of money getting drugs from the hospital to supress outbreaks, it got to a time that all i was wanted was death to come because i was broke and i already have strong outbreaks from the herpes virus. One day i was going through the internet asking questions online just to know more about the latest development in the medical sector to see if there is still hope then i stumbled on a post about this great man called DR WATER through an online friend who publicly made a testimony on how she was also cured of herpes simplex virus 2 by this herbal doctor who is well known for his strong ancient herbal practice for HERPES, HIV, WARTS and CANCER cure. At first i doubted both the woman and the doctor just as so many that see’s this post would doubt because medically it has been proven impossible but later i decided to give him a try so i emailed him. I did not believe him that much, I just wanted to give him a try. He replied my mail and needed some Information about me, then I sent them to him, he prepared a herbal medicine (CURE) and sent it through Online Courier Service for delivery. He gave my details to the Courier Office. They told me that 3-5 days I will receive the package and after receiving it, i took the medicine as prescribed by him at the end of 13days that the medcine lasted, he told me to go to the hospital for a test, and i went, surprisingly after the test the doctor confirm me Herpes simplex virus free, i thought it was a joke, i went to other hospitals and was also confirmed herpes free, i will say it was like a miracle. I waited to see if i will get any outbreaks again and its been 2 months now, i have not experienced any outbreak. Thank you sir for saving my life even if you cannot see this post, i shall never stop testifying the impact you made in my life by restoring back my life when i was being stigmatized and even avoided by family and friends. I promise I will always testify of your good works. if you have herpes simplex virus, HIV patient, Diabetes, human papilloma virus or genital warts, contact him and I am sure you will get cured, contact him via:
        email: Drwaterhivcurecentre@gmail.com
        or Call/whatsapp: +2349050205019
        THESE ARE THE THINGS DR WATER IS
        SPECIALISED
        . HERPES
        . HIV/AIDS
        . CANCER
        . GENITAL WARTS
        . KIDNEY STONES
        . ULCER
        . HEPATITIS B&C
        . PORT-RATE DISORDER
        . DIABETES
        . PROSTRATE CANCER
        . FIBRIOD, CYST
        . INFERTILITY [HUSBAND OR WIFE ]

        REPLY
        • Lili Buyana@HENRIETTE AMUNAZO
          julio 13, 2024, 9:14 am

          I have suffered with human papilloma virus (HPV) ever since I was a child but it’s only been the last few years I discovered that I have genital warts. So I started looking for a way to get cured permanently from this deadly virus, because it just won’t stop popping up around my genital organ. I visited so many gynecologists in search for a solution but it never worked out. So I started searching for a cure to my genital warts online. Few month ago I came across a site where a lady was sharing a testimony about Dr.Water, about how he had cured herpes virus and different diseases with natural herbs, so I decided to give it a try. I email the Doctor and he told me how I was going to get the remedy, so I did as he instructed. Few days later I received the remedy and I started taking the herbs as instructed by the Doctor. I was shocked two weeks after, when i noticed that the warts were all gone. I want to a gynecologist over and he ran some tests on me and told me that I was free from genital warts or HPV or condyloma. So I decided to let the world know how I was cured from genital warts by Dr.Water. You can reach Dr.Water through his email: DRWATERHIVCURECENTRE@GMAIL.COM Or WhatsApp/ +2349050205019 if you also want cure for your warts, herpes, HIV/AIDS or any disease listed below, also contact Dr.Water:
          1, Night sweats
          2, Lesions on your tongue or mouth
          3, Weight loss
          4, Frequent fever
          5, Persistent Diarrhea
          6, Skin rashes
          7, Tiredness
          8, Swollen lymph glands
          9, Pneumonia
          10, Memory loss
          11, Depression
          12, Swelling of the lymph glands
          13, Red, brown, pink spots on the skin, mouth, nose, or eyelids
          14, Sores of the mouth, anus, or genitals

          REPLY
          • José Celestino Ruiz@Lili Buyana
            julio 13, 2024, 9:15 am

            I had already given up on ever getting cured of Hepatitis B because i have tried many treatments and none of them worked out for me. I have even gone to different hospitals and they always tell me same thing, that there was no cure for Hepatitis B. Few weeks ago, i was going through the internet, then i came across a post about Dr.O.Water on the internet. It was a lady in England who he had cured of Diabetes, that was telling her story and recommending him. I took up his information from there and contacted him. He assured me that he could cure Hepatitis B, i told him that this was the first time someone is telling me that Hepatitis B can be cured and i am going to give it a try. I got his herbal medicine, and I used it just the way he instructed. I doubted at first because i have been to a lot of reputable doctors, tried a lot of medicines but none was able to cure me. But it felt like this was going to be the ultimate solution I have been praying for, so i didn’t want it to slip away. I commenced treatment with Dr.O.Water and used his products just as he had directed, and under 3 weeks i was completely healed and healthy, i felt very fine and all the symptoms were gone. I have gone for a test and i have been declared negative and free from Hepatitis B. I want to say a very big thank you to Dr.O.Water for what he has done in my life. Feel free to write him on email DRWATERHIVCURECENTRE@GMAIL.COM and also whatsapp +234-905-020-5019. thank you

            REPLY
          • Diallo Antoine@José Celestino Ruiz
            julio 13, 2024, 9:16 am

            My apologies to everyone, but i have to share this to help one or two people out there. What else can I say about him, today am equally very grateful to Dr.Water as I am finally cured of HIV disease that have been eating me up for over a year and 6 months. After searching for different means to get my self cured but nothing seems to work out, behold today i can boldly stand and testify to the world at large that with the help of herbal medicine, I have found myself back to my feet and healthy again in just after few weeks after i got in contact with a great herbalist, through help on a blog which talk about HIV cure. Few weeks ago, i saw an article of a lady eplainning how she was cured after using some herbal medicines which was sent to her by Dr.Water. So i decided to give this great man a try by contacting him via his email and mobile number. I explained to him what my problem was, and he promised me that all would be fine and well by the time i finish using his remedy. I just had to believe in him, which i did. Low and behold, today i am very happy. It was just all like a magic when my blood sample tested negative. That is why i have come here to testify to the world at large and also to share my experience because I know there are many people out there who are also searching for a cure to one disease or the other. You can as well get in contact with DR.WATER now for his herbal medicines, through his WhatsApp +2349050205019. Write him today, I fully believe he will be able and capable to cure your own HIV/AIDS and can also cure all of these diseases as well: HEPATITIS B, HPV WARTS, CANCER, HERPES SIMPLEX VIRUS, ALS, DIABETES TYPE1&2, INFERTILITY IN BOTH MALE AND FEMALE

            REPLY
      • HENRIETTE AMUNAZO@Martha Jecorick
        julio 13, 2024, 9:13 am

        ?☘️I WAS CURED OF HERPES SIMPLEX VIRUS BY DR WATER, THE GREAT HERBALIST. ?☘️
        i am so happy to share this testimony with the world because generally there are so many doubts about the cure of HERPES simplex virus. This is real take it serious, my name is HENRIETTE AMUNAZO and i am so happy that today i can give this testimony to the world and also help people who has been condemned just as i was. Who will believe that a herb can cure HERPES completely from the body?, i never believed that this will work, i have spend a lot of money getting drugs from the hospital to supress outbreaks, it got to a time that all i was wanted was death to come because i was broke and i already have strong outbreaks from the herpes virus. One day i was going through the internet asking questions online just to know more about the latest development in the medical sector to see if there is still hope then i stumbled on a post about this great man called DR WATER through an online friend who publicly made a testimony on how she was also cured of herpes simplex virus 2 by this herbal doctor who is well known for his strong ancient herbal practice for HERPES, HIV, WARTS and CANCER cure. At first i doubted both the woman and the doctor just as so many that see’s this post would doubt because medically it has been proven impossible but later i decided to give him a try so i emailed him. I did not believe him that much, I just wanted to give him a try. He replied my mail and needed some Information about me, then I sent them to him, he prepared a herbal medicine (CURE) and sent it through Online Courier Service for delivery. He gave my details to the Courier Office. They told me that 3-5 days I will receive the package and after receiving it, i took the medicine as prescribed by him at the end of 13days that the medcine lasted, he told me to go to the hospital for a test, and i went, surprisingly after the test the doctor confirm me Herpes simplex virus free, i thought it was a joke, i went to other hospitals and was also confirmed herpes free, i will say it was like a miracle. I waited to see if i will get any outbreaks again and its been 2 months now, i have not experienced any outbreak. Thank you sir for saving my life even if you cannot see this post, i shall never stop testifying the impact you made in my life by restoring back my life when i was being stigmatized and even avoided by family and friends. I promise I will always testify of your good works. if you have herpes simplex virus, HIV patient, Diabetes, human papilloma virus or genital warts, contact him and I am sure you will get cured, contact him via:
        email: Drwaterhivcurecentre@gmail.com
        or Call/whatsapp: +2349050205019
        THESE ARE THE THINGS DR WATER IS
        SPECIALISED
        . HERPES
        . HIV/AIDS
        . CANCER
        . GENITAL WARTS
        . KIDNEY STONES
        . ULCER
        . HEPATITIS B&C
        . PORT-RATE DISORDER
        . DIABETES
        . PROSTRATE CANCER
        . FIBRIOD, CYST
        . INFERTILITY [HUSBAND OR WIFE ]

        REPLY
      • Mariano Suarez@Martha Jecorick
        agosto 11, 2024, 6:11 am

        I was diagnosed of HSV (Herpes) few years ago and my doctor told me there was no permanent cure for the disease. I was given medication to slow down the progress of the virus. At the initial stage it was not so bad till it progressed to a stage were i had difficulties going about my daily activities because i constantly felt pains in my penis, and around my genital were i had these blisters. I was totally devastated and i was even ashamed to complain to anyone. I saw a publication about a doctor called Dr.Water, and from what i read, he was using herbal medicines to cure illnesses like HERPES, Human papillomavirus, ALS, Diabetes, HIV, and so on. I opted to contacted him via email, after a few dicussion, i ordered for his medicine. He prepared the medicine and shipped it to me. When i received the herbal medicine, I took it according to his instructions. After using it as instructed, few weeks later i went to the hospital to have a blood test and the test came out negetive. To my greatest surprise, i was cured of this stubborn virus just by using a simple herbal product.
        That is why i am here sharing my testimony as much as i can to create as much awareness as possible so that people can also benefit and be cured too. contact him for help, via his email: {DRWATERHIVCURECENTRE@GMAIL.COM} or WhatsApp (+2349050205019).

        REPLY
    • susan@ANNA
      abril 8, 2023, 7:20 am

      I GOT CURED FROM HERPES VIRUS:
      I’m so Happy to write this article because I know it will help a lot of people who are suffering from Herpes virus . I got positive to the deadly Virus called herpes. and I lost hope completely because I heard there was no cure . I want to thank doctor aba for getting. rid of my herpes with the help of his natural herpes eraser . I used the medicine as he instructed and I got cured after completing the dose of the medicine. It’s really like a dream but I’m so happy that’s the reason why I published this article. contact him for herpes cure or other disease cure via
      Email: dr.abaherbalhome@gmail.com.

      REPLY
    • Diana@ANNA
      agosto 2, 2023, 3:30 am

      The best herpes remedy online…

      Thank you D Robinson buckler for saving my life,

      I am cured from herpes.

      He can also restore broken.

      Relationship/marriage with spiritual prayer.

      He brought my ex lover back.

      My ex-lover loves me unconditionally.

      Cures the following..

      Shingles,

      Cold sore,

      HPV,

      HSV1&2,

      Fibroid,

      Erectile Dysfunction..

      His result is 100% guarantee….

      r.buckler11 (@) gmail.. com

      REPLY
    • Liz@ANNA
      septiembre 15, 2023, 12:43 am

      A client recommended me to contact this herbal Doctor for herpes cure. I purchased the herbal medicine. I followed the instructions on how to use it, after taking the medicine as instructed for 2 weeks, i went for check-up and the result came out negative and i was cured of herpes, I am now free from Herpes. I am still in shock on how this herbal medicine works. You can try and see for yourself, I won’t believe it works if i never gave a try. This is a miracle herbs. You can contact him on his email ………… Robinsonbuckler11@gmail.com

      REPLY
  • KATHRINE MELNICK
    agosto 8, 2021, 4:11 pm

    BEST URGENT EFFECTIVE LOVE SPELL TO GET YOUR EX/HUSBAND/WIFE BACK FAST AND TO SAVE YOUR MARRIAGE NOW CONTACT LORD ZULU ON WHATSAPP DIRECTLY +1 (424) 361‑7554. Hi everyone I’m here to testify of a great and powerful spell caster called Lord Zulu. I was so confused and devastated when my husband left me without a word, I needed him back desperately because I loved him so much. So a friend of mine introduced me to this powerful spell caster who had helped her in getting her lover back, so I contacted him and he promised that in less than 72 hours he will come back to me. After I did all he asked, to my greatest surprise my husband who had refused to speak with me came to my house and asked for forgiveness for all he had made me go through and now we are living happily together, if you have any relationship problem I will advise you contact him for your testimonies . Below are his contact details. Contact him on WhatsApp @ +1(424)361‑7554. BLOGSPOT: allsupremepowersolutionhome.blogspot.com EMAIL: Allsupremepowersolutionhome@gmail.com

    REPLY
  • KATHRINE MELNICK
    agosto 8, 2021, 4:11 pm

    BEST URGENT EFFECTIVE LOVE SPELL TO GET YOUR EX/HUSBAND/WIFE BACK FAST AND TO SAVE YOUR MARRIAGE NOW CONTACT LORD ZULU ON WHATSAPP DIRECTLY +1 (424) 361‑7554. Hi everyone I’m here to testify of a great and powerful spell caster called Lord Zulu. I was so confused and devastated when my husband left me without a word, I needed him back desperately because I loved him so much. So a friend of mine introduced me to this powerful spell caster who had helped her in getting her lover back, so I contacted him and he promised that in less than 72 hours he will come back to me. After I did all he asked, to my greatest surprise my husband who had refused to speak with me came to my house and asked for forgiveness for all he had made me go through and now we are living happily together, if you have any relationship problem I will advise you contact him for your testimonies . Below are his contact details. Contact him on WhatsApp @ +1(424)361‑7554. BLOGSPOT: allsupremepowersolutionhome.blogspot.com EMAIL: Allsupremepowersolutionhome@gmail.com

    REPLY
  • KATHRINE MELNICK
    agosto 8, 2021, 4:11 pm

    BEST URGENT EFFECTIVE LOVE SPELL TO GET YOUR EX/HUSBAND/WIFE BACK FAST AND TO SAVE YOUR MARRIAGE NOW CONTACT LORD ZULU ON WHATSAPP DIRECTLY +1 (424) 361‑7554. Hi everyone I’m here to testify of a great and powerful spell caster called Lord Zulu. I was so confused and devastated when my husband left me without a word, I needed him back desperately because I loved him so much. So a friend of mine introduced me to this powerful spell caster who had helped her in getting her lover back, so I contacted him and he promised that in less than 72 hours he will come back to me. After I did all he asked, to my greatest surprise my husband who had refused to speak with me came to my house and asked for forgiveness for all he had made me go through and now we are living happily together, if you have any relationship problem I will advise you contact him for your testimonies . Below are his contact details. Contact him on WhatsApp @ +1(424)361‑7554. BLOGSPOT: allsupremepowersolutionhome.blogspot.com EMAIL: Allsupremepowersolutionhome@gmail.com

    REPLY
  • KATHRINE MELNICK
    agosto 8, 2021, 4:11 pm

    BEST URGENT EFFECTIVE LOVE SPELL TO GET YOUR EX/HUSBAND/WIFE BACK FAST AND TO SAVE YOUR MARRIAGE NOW CONTACT LORD ZULU ON WHATSAPP DIRECTLY +1 (424) 361‑7554. Hi everyone I’m here to testify of a great and powerful spell caster called Lord Zulu. I was so confused and devastated when my husband left me without a word, I needed him back desperately because I loved him so much. So a friend of mine introduced me to this powerful spell caster who had helped her in getting her lover back, so I contacted him and he promised that in less than 72 hours he will come back to me. After I did all he asked, to my greatest surprise my husband who had refused to speak with me came to my house and asked for forgiveness for all he had made me go through and now we are living happily together, if you have any relationship problem I will advise you contact him for your testimonies . Below are his contact details. Contact him on WhatsApp @ +1(424)361‑7554. BLOGSPOT: allsupremepowersolutionhome.blogspot.com EMAIL: Allsupremepowersolutionhome@gmail.com

    REPLY
    • mary anne@KATHRINE MELNICK
      agosto 27, 2021, 10:46 pm

      Mensaje *

      REPLY
      • EMAN@mary anne
        junio 17, 2024, 8:33 am

        I’m EMAN, It’s been a while since I’ve
        written to thank Dr oduwa who helped me in my
        life. I was infected with HPV SIMPLEX VIRUS in 2020, I went to many
        hospitals for a cure but there was no solution, so I was thinking how I can
        get a solution so that my body can be okay. One day my Aunt Rosa
        introduces me to Doctor oduwa having seen so many testimony online
        about his herbal medication to cure HERPES and gave me his
        email, so I emailed him. He told me all the
        things I needed to do and also gave me instructions to follow, which I
        followed properly. Before I knew what was happening after one weeks the
        HERPES that was in my body vanished. so if you are you are having
        herpes or any kind of disease listed below.
        *DIABETES
        *CANCER
        *STROKE
        *INFERTILITY
        *HEART DISEASE
        *HIV
        *COLD SORES
        *GENITAL WARTS
        And you also want cure, you can also email him at: dr.oduwaspellhome@gmail.com or through his WhatsApp +2349169329172

        REPLY
      • judith@mary anne
        junio 21, 2024, 2:49 am

        I’m 49 years old female I tested genital herpes (HSV1-2) positive in 2019. I was having bad outbreaks. EXTREMELY PAINFUL. I have try different kinds of drugs and treatment by the medical doctors all to know was avail. Six months ago I was desperately online searching for a helpful remedies for genital herpes (HSV1-2) cure, which i come across some helpful remedies on how Dr Oduwa have help so many people in curing genital herpes (HSV1-2) with the help of herbal treatment because I too believe there is someone somewhere in the world who can cure herpes completely. As of the past 2 months, however, I’ve been following his herpes protocol via dr.oduwaspellhome@gmail.com and it stopped all outbreaks completely! To my greatest surprise I was cured completely by following the protocol of his herbal medicine. Don’t be discouraged by the medical doctors. There is a cure for HSV with the help of herbs and roots kindly contact him for more information via dr.oduwaspellhome@gmail.com or Whatsapp him on +2348070685053
        you tube/ https://youtu.be/qljIDs95XVg
        tiktok.com/@dralexoduwa0
        https:/www.facebook.com

        REPLY
        •   john danilla@judith
          julio 17, 2024, 5:00 am

          I am  john danilla  from UK( northern ireland), i want to share a
          testimony on how a powerful spell caster cured my HIV disease, i was
          diagnosed of this disease, in the year 2009, last week i saw a testimony on
          Dr. on how he cured an HIV patient, so i contacted him through phone
          call and he asked me to email him, which idid, so he told me that all my
          problems is over and then he decided to do an healing spell spell for me so
          after he finished it, he told me to wait for just 24 hours and then i
          should go for a test, so i really did as he had said, so my greatest
          surprised when i went to the hospital to go for an HIV test, the Medical
          doctor diagnosed that, i am now HIV negetative at first i was amazed and
          now i have come to realise that this spell caster Dr. believe is a very
          powerful one and a real spell caster. So viewers of this should please join
          me in my celebration for i am the happiest man on earth today and if you
          want to contact him, you can do this via his email
          (drbelieve921@gmail.com) or whatsapp him +2348105257464   

          REPLY
          •   john danilla@  john danilla
            julio 23, 2024, 9:46 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:52 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:52 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:52 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:52 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:52 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:52 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:53 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:53 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:53 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:53 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:53 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          •   john danilla@  john danilla
            agosto 2, 2024, 7:53 am

            I am  john danilla  from UK( northern ireland), i want to share a
            testimony on how a powerful spell caster cured my HIV disease, i was
            diagnosed of this disease, in the year 2009, last week i saw a testimony on
            Dr. on how he cured an HIV patient, so i contacted him through phone
            call and he asked me to email him, which idid, so he told me that all my
            problems is over and then he decided to do an healing spell spell for me so
            after he finished it, he told me to wait for just 24 hours and then i
            should go for a test, so i really did as he had said, so my greatest
            surprised when i went to the hospital to go for an HIV test, the Medical
            doctor diagnosed that, i am now HIV negetative at first i was amazed and
            now i have come to realise that this spell caster Dr. believe is a very
            powerful one and a real spell caster. So viewers of this should please join
            me in my celebration for i am the happiest man on earth today and if you
            want to contact him, you can do this via his email
            (drbelieve921@gmail.com) or whatsapp him +2348105257464

            REPLY
          • Aurora Theodore@  john danilla
            agosto 22, 2024, 9:39 am

            Cuando me enteré de que tenía HERPES GENITAL, sentí que era el fin del mundo, pensé que nunca volvería a tener relaciones sexuales… Cuando finalmente se lo conté a mis amigos, me enteré de que dos de ellos lo tenían y mi último novio también. Me di cuenta de que era muy común y no era tan grave como pensaba. Descubrí que la clave estaba en ganar la guerra en mi mente. El impacto emocional de que me diagnosticaran HERPES GENITAL era mucho peor que la enfermedad en sí y no se merece el malestar que causa. No quería ver a un terapeuta ni tener contacto con un grupo de apoyo cuando me lo diagnosticaron, no quería tomar ningún medicamento, así que probé terapias naturales. Estas funcionaron y no he tenido más brotes desde entonces. Si tus brotes son frecuentes, te recomiendo las terapias naturales a base de hierbas del DR. UDO. Funcionan. Las usé y funcionan, así que dejaría de contactar al DR. UDO para que puedas comunicarte con él. CORREO ELECTRÓNICO: DRUDOAZIBAHIVHEALINGCENTRE@GMAIL.COM. Y números de WhatsApp +2349058779670 o +2349131762873. EL HERPES GENITAL es una enfermedad muy persistente, cuanto antes se deshaga de ella, mejor para usted. Les recomiendo con confianza que se comuniquen con el DR. UDO para obtener soluciones permanentes.

            REPLY
          • Aurora Theodore@  john danilla
            agosto 22, 2024, 9:39 am

            Cuando me enteré de que tenía HERPES GENITAL, sentí que era el fin del mundo, pensé que nunca volvería a tener relaciones sexuales… Cuando finalmente se lo conté a mis amigos, me enteré de que dos de ellos lo tenían y mi último novio también. Me di cuenta de que era muy común y no era tan grave como pensaba. Descubrí que la clave estaba en ganar la guerra en mi mente. El impacto emocional de que me diagnosticaran HERPES GENITAL era mucho peor que la enfermedad en sí y no se merece el malestar que causa. No quería ver a un terapeuta ni tener contacto con un grupo de apoyo cuando me lo diagnosticaron, no quería tomar ningún medicamento, así que probé terapias naturales. Estas funcionaron y no he tenido más brotes desde entonces. Si tus brotes son frecuentes, te recomiendo las terapias naturales a base de hierbas del DR. UDO. Funcionan. Las usé y funcionan, así que dejaría de contactar al DR. UDO para que puedas comunicarte con él. CORREO ELECTRÓNICO: DRUDOAZIBAHIVHEALINGCENTRE@GMAIL.COM. Y números de WhatsApp +2349058779670 o +2349131762873. EL HERPES GENITAL es una enfermedad muy persistente, cuanto antes se deshaga de ella, mejor para usted. Les recomiendo con confianza que se comuniquen con el DR. UDO para obtener soluciones permanentes.

            REPLY
          • Aurora Theodore@Aurora Theodore
            agosto 22, 2024, 9:51 am

            Cuando me enteré de que tenía HERPES GENITAL, sentí que era el fin del mundo, pensé que nunca volvería a tener relaciones sexuales… Cuando finalmente se lo conté a mis amigos, me enteré de que dos de ellos lo tenían y mi último novio también. Me di cuenta de que era muy común y no era tan grave como pensaba. Descubrí que la clave estaba en ganar la guerra en mi mente. El impacto emocional de que me diagnosticaran HERPES GENITAL era mucho peor que la enfermedad en sí y no se merece el malestar que causa. No quería ver a un terapeuta ni tener contacto con un grupo de apoyo cuando me lo diagnosticaron, no quería tomar ningún medicamento, así que probé terapias naturales. Estas funcionaron y no he tenido más brotes desde entonces. Si tus brotes son frecuentes, te recomiendo las terapias naturales a base de hierbas del DR. UDO. Funcionan. Las usé y funcionan, así que dejaría de contactar al DR. UDO para que puedas comunicarte con él. CORREO ELECTRÓNICO: DRUDOAZIBAHIVHEALINGCENTRE@GMAIL.COM. Y números de WhatsApp +2349058779670 o +2349131762873. EL HERPES GENITAL es una enfermedad muy persistente, cuanto antes se deshaga de ella, mejor para usted. Les recomiendo con confianza que se comuniquen con el DR. UDO para obtener soluciones permanentes.

            REPLY
          • Aurora Theodore@Aurora Theodore
            agosto 22, 2024, 9:51 am

            Cuando me enteré de que tenía HERPES GENITAL, sentí que era el fin del mundo, pensé que nunca volvería a tener relaciones sexuales… Cuando finalmente se lo conté a mis amigos, me enteré de que dos de ellos lo tenían y mi último novio también. Me di cuenta de que era muy común y no era tan grave como pensaba. Descubrí que la clave estaba en ganar la guerra en mi mente. El impacto emocional de que me diagnosticaran HERPES GENITAL era mucho peor que la enfermedad en sí y no se merece el malestar que causa. No quería ver a un terapeuta ni tener contacto con un grupo de apoyo cuando me lo diagnosticaron, no quería tomar ningún medicamento, así que probé terapias naturales. Estas funcionaron y no he tenido más brotes desde entonces. Si tus brotes son frecuentes, te recomiendo las terapias naturales a base de hierbas del DR. UDO. Funcionan. Las usé y funcionan, así que dejaría de contactar al DR. UDO para que puedas comunicarte con él. CORREO ELECTRÓNICO: DRUDOAZIBAHIVHEALINGCENTRE@GMAIL.COM. Y números de WhatsApp +2349058779670 o +2349131762873. EL HERPES GENITAL es una enfermedad muy persistente, cuanto antes se deshaga de ella, mejor para usted. Les recomiendo con confianza que se comuniquen con el DR. UDO para obtener soluciones permanentes.

            REPLY

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