Stephen Sinatra

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Stephen T. Sinatra (born 1946) is a board-certified cardiologist specializing in integrative medicine. He is also a certified bioenergetic psychotherapist.[1][non-primary source needed] He has published journal articles on cholesterol[2][non-primary source needed] and coenzyme Q10.[3][non-primary source needed] He has appeared on national radio and television broadcasts, including The Dr. Oz Show, The Doctors, CNN’s “Sunday Morning News,” XM Radio’s “America’s Doctor Dr. Mehmet Oz,” and PBS’s “Body & Soul."[4][5][6][7][8][non-primary source needed] He is also the author of the monthly newsletter Heart, Health & Nutrition and founder of Heart MD Institute.

Training and practice[edit]

Sinatra graduated from New York’s Albany Medical College with an MD in cardiology in 1972, and earned his certification in internal medicine from the American Board of Internal Medicine in 1975.[9][unreliable source?] He is board-certified by the American College of Cardiology and has been a fellow of the American College of Cardiology since 1977.[citation needed] He has certifications from the Massachusetts Society for Bioenergetic Analysis (1992) and the Certification Board for Nutrition Specialists (2000). He has certification from the American Board of Anti-Aging Medicine (1998), which is not recognized by the American Board of Medical Specialties or the American Medical Association. American physicians cannot be officially board-certified in anti-aging medicine.[10] He is a fellow of the American College of Nutrition.[citation needed]

Having studied coenzyme Q10 in the prevention and treatment of heart disease,[medical citation needed] Sinatra has written on the subject.[11][unreliable medical source?][12][unreliable medical source?] His experience with CoQ10 led him to develop a new branch of cardiology[medical citation needed] in the United States: "metabolic cardiology." Metabolic cardiology involves preventing and treating cardiovascular disease at the cellular level with nutraceuticals which improve ATP production in heart cells.[13][unreliable medical source?][non-primary source needed][14][unreliable medical source?][non-primary source needed] Sinatra lectures about metabolic cardiology and energy medicine, focusing on the use of electroceuticals such as grounding or "earthing" to improve the body's capacity to heal at the cellular level.[medical citation needed]

Medical philosophy[edit]

In his books, newsletter, and interviews, Sinatra advocates treatment approaches that combine conventional medical therapies with nutritional and mind-body therapies that he thinks enhance the body’s natural bioenergetics and heal the heart. He promotes his ideas of five specific pillars of cardiac health:

  1. an anti-inflammatory diet rich in fresh fruit and vegetables, whole grains, fish, nuts, and healthy oils, similar to the Mediterranean diet [Sinatra has also developed an anti-inflammatory, low-glycemic nutrition plan called the Pan-Asian / Modified Mediterranean (PAMM) Diet];
  2. nutritional supplementation that includes a high-potency multi-nutrient, fish oil, magnesium, vitamin C, and coenzyme Q10;
  3. regular exercise;
  4. detoxification; and
  5. stress reduction.[15][non-primary source needed]

Sinatra believes in the impact one’s emotions have on overall health and the need to resolve so called emotional blockages as well as physical ones.[clarification needed] He has stated that “whenever you confront a person with an illness, you have to involve everything, including the spiritual.… Every illness has a psychological and a physical component.”[5] He points to such interconnectedness in the relationship between unexpressed negative emotions—anger and sadness, for example—and the development of high blood pressure and heart disease.[5][16] Sinatra also believes that heart disease manifests differently in women than in men, and that such differences ultimately affect diagnosis and treatment of heart disease in women.[17]

Sinatra presented his ideas about "metabolic cardiology" at the American College for Advancement in Medicine’s 2005 Conference on Scientific Integrative Medicine.[18][unreliable medical source?] His proposed treatments include giving patients supplemental doses of substances that occur naturally in the body which he believes enhance metabolic reactions in cells. Sinatra believes coenzyme Q10, D-ribose, and L-carnitine is important in this proposed process because of the roles they play in the production and use of adenosine triphosphate (ATP), the body’s basic cellular fuel.[unreliable medical source?] In this context, he has called coenzyme Q10 a “wonder nutrient,” especially for women, as he believes it helps the heart pump more effectively.[16][19][unreliable medical source?] His ACAM presentation also suggested that low levels of coenzyQ10 may result in the development of heart disease.

Sinatra has often been critical of what he sees as, an over-emphasis on cholesterol as an independent risk factor for heart disease and of what he considers the over-prescription of statin drugs.[20] Most statin drugs, which block an enzyme pathway necessary for the body to produce cholesterol, also block the enzyme pathway by which the body naturally produces coenzyme Q10.[unreliable medical source?] Sinatra acknowledges that these drugs accomplish their goal of reducing cholesterol, but maintains that they also deprive the heart and other muscles of a vital nutrient and thereby set the stage for potential heart failure.[citation needed]

Sinatra is also critical of refined sugar, which he has called “public enemy number one when it comes to heart disease, not cholesterol.”[21] He believes the surges of insulin that occur when too much sugar is consumed create a “yo-yo effect” that, over time, damages the inner lining of the blood vessels.[unreliable medical source?] He also believes that sugar is linked to the proliferation of cancer cells.[22]


Sinatra advocates a controversial alternative health practice called "grounding" or "earthing." According to the theory of grounding, the earth's surface is negatively charged and contact with the earth allows electrons to neutralize free radicals in the human body.[23] One study, published in a fringe journal, attempted to show a reduction in blood viscosity and blood pressure, a key factor in cardiovascular disease, but has been highly questioned due to improper methods and questionable results.[24] Advocates say this can be accomplished by lying or walking barefoot on grass, sand or earth, or by lying on a special pad connected to the earth by grounding wires or a rod, or plugged into a wall outlet with a "modern earth ground system". None of these "treatments" have proven to be legitimate.

Commercial interests[edit]

Sinatra formulates and sells nutritional supplements under the brand name "Advanced BioSolutions."

Books and publications[edit]

Sinatra is the author of the monthly newsletter Heart, Health & Nutrition (ISSN 1554-2467), and has written or contributed to the following books:

  • The Great Cholesterol Myth (Fair Winds Press, 2012)
  • Earthing - the most important health discovery ever? (Basic Health, 2010)
  • Bottom Line's The Healing Kitchen (Bottom Line, 2010)
  • The Sinatra Solution: Metabolic Cardiology (Basic Health, 2005, 2008, 2011)
  • Sugar Shock! How Sweets and Simple Carbs Can Derail Your Life—And How You Can Get Back on Track (Berkley Trade, 2006)
  • Reverse Heart Disease Now: Stop Deadly Cardiovascular Plaque Before It's Too Late (Wiley, 2006)
  • The Fast Food Diet: Lose Weight and Feel Great Even If You’re Too Busy to Eat Right (Wiley, 2006)
  • Spa Medicine: Your Gateway to the Ageless Zone (Basic Health, 2004)
  • Lower Your Blood Pressure in Eight Weeks (Ballantine, 2003)
  • Heart Sense for Women (Plume, 2001)
  • Tocotrienols and Vitamin E (Keats, 2000)
  • Heartbreak & Heart Disease: A Mind/Body Prescription for Healing the Heart (IBS Books, 1999)
  • Optimum Health: A Natural Lifesaving Prescription for Your Body and Mind (Bantam, 1998)
  • L-Carnitine and the Heart (McGraw-Hill, 1999)
  • Coenzyme Q10 and the Heart (McGraw-Hill, 1999)
  • The Coenzyme Q10 Phenomenon (McGraw-Hill, 1999)
  • Lose to Win: A Cardiologist’s Guide to Weight Loss and Nutritional Healing (Lincoln Bradley Publishing, 1992) 20:03, 31 August 2010 (UTC)

Heart MD Institute[edit]

In 2009, Sinatra founded Heart MD Institute, a free online educational resource about integrative medicine.[25] Heart MD Institute, or HMDI, is an educational platform through which people can learn about preventive and anti-aging lifestyle habits, nutrition, stress relief, and cardiovascular topics like cholesterol, blood pressure, heart disease, drugs and surgery, and metabolic cardiology, as well as various other topics like EMF sensitivity, obesity, diabetes, and alternative medicine.


  1. ^ Sinatra ST. Heartbreak and Heart Disease (Keats Publishing 1996, 1999).
  2. ^ "Is Cholesterol Lowering with Statins the Gold Standard for T... : Southern Medical Journal". Retrieved 2014-03-05.
  3. ^ "Relative bioavailability of coenzyme Q10 formulations in human subjects. - Abstract - Europe PubMed Central". Retrieved 2014-03-05.
  4. ^ "CNN Transcript". Retrieved 2014-03-05.
  5. ^ a b c "Body & Soul with Gail Harris". Retrieved 2014-03-05.
  6. ^ [1][dead link]
  7. ^ "Is Everything You Know About Cholesterol Wrong? Pt 1 | The Dr. Oz Show". 2012-12-12. Retrieved 2014-03-05.
  8. ^ "Video Library". Retrieved 2014-03-05.
  9. ^ "Malpractice & Sanctions Information for Dr. Stephen T. Sinatra, MD - Cardiology & Internal Medicine - Manchester, CT". Retrieved February 17, 2014.
  10. ^ "The Risks of Anti-Aging Medicine". Retrieved 2015-10-01.
  11. ^ "Coenzyme Q-10 and Heart Health". Retrieved 2014-03-05.
  12. ^ "Stephen T. Sinatra". American Dream Show. Retrieved 2014-03-05.
  13. ^ Sinatra ST. "Metabolic Cardiology: the missing link in cardiovascular disease." Altern Ther Health Med. 2009 Mar/Apr;15(2):48-50.
  14. ^ Sinatra ST. "Metabolic cardiology: an integrative strategy in the treatment of congestive heart failure." Altern Ther Health Med. 2009 May/Jun;15(3):44-52.
  15. ^ Stephen Sinatra’s Heart, Health & Nutrition, February 2008
  16. ^ a b Sinatra, ST. Heartbreak & Heart Disease: A Mind/Body Prescription for Healing the Heart. Keats Publishing: New Canaan, CT. 1996
  17. ^ "Women, Stress, and Heart Disease|Page:1 - Heart Disease". 2011-09-27. Retrieved 2014-03-05.
  18. ^ Stephen A. Feig; James Biddle; Eleanor Hynote; Neal Speight; Kenneth Bock; Allan Magaziner & Joseph E. Rich. "Summary of the American College for Advancement in Medicine November 2005 Conference on Scientific Integrative Medicine: Advancing Health Horizons". Evidence-based Compl. and Alt. Medicine. pp. 385–391. Archived from the original on 2006-11-12. Retrieved 2014-03-05.
  19. ^ "Heart Sense for Thyroid Patients". 2014-02-13. Retrieved 2014-03-05.
  20. ^ Stephen Sinatra’s Heart, Health & Nutrition, February 2008.
  21. ^ "Oprah Winfrey's Official Website - Live Your Best Life". Retrieved 2014-03-05.
  22. ^ Stephen Sinatra’s Heart, Health & Nutrition, November 2006.
  23. ^ Chevalier, G; Sinatra, ST; Oschman, JL; et al. (2012). "Earthing: Health Implications of Reconnecting the Human Body to the Earth's Surface Electrons". J Environ Public Health. 2012: 291541. doi:10.1155/2012/291541. PMC 3265077. PMID 22291721.
  24. ^ Chevalier, G; Sinatra, ST; Oschman, JL; Delany, RM (2014-01-24). "Earthing (Grounding) the Human Body Reduces Blood Viscosity—a Major Factor in Cardiovascular Disease". J Altern Complement Med. 19 (2): 102–10. doi:10.1089/acm.2011.0820. PMC 3576907. PMID 22757749.
  25. ^ "Heart MD Institute | Foundation for Alternative and Integrative Medicine". Retrieved 2014-03-05.

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