• Is That Light at the End of the Tunnel?

    Updated: 2010-08-31 16:49:55
       In the Journal of the American College of Cardiology V. 56, No.8, several controversial articles were published relating to my recent blog about putting powdered Lipitor on Big Macs.  Specifically, they discuss the rationale for starting lipid lowering therapy very early in childhood to possibly prevent coronary atherosclerotic heart disease.   First, some interesting facts you might [...]

  • More heart attacks in cooler weather

    Updated: 2010-08-31 01:53:47
    Lower outdoor temperatures are associated with an increase in the risk of heart attacks, as per a newly released study by researchers at the London School of Hygiene and Tropical Medicine (LSHTM). For the study (reported in the British Medical Journal and released online today at bmj.com), the researcher, led by Krishnan Bhaskaran of LSHTM observed that each 1 degree C reduction in temperature on a single day is linked to around 200 extra heart attacks........

  • Heart attacks jump in young Italian women

    Updated: 2010-08-31 01:53:47
    The occurence rate of acute myocardial infarction in Italy sharply increased, especially among young women, between the years 2001 and 2005, as per a comprehensive study funded by the Human Health Foundation (HHF), a nonprofit Italian charity for biomedical research and health education in Spoleto, Italy. The results were published in Aging Clinical Experimental Research.......

  • FDA Releases New List of Possible Drug Safety Concerns

    Updated: 2010-08-30 21:11:03
    Drugs on the list include the birth control pill Inplanon, the breast cancer drug Herceptin, and the heart drug Multaq.

  • Some Suggestions

    Updated: 2010-08-30 20:14:27
      The data shows that a Quarter Pounder contains 19 g of total fat and 1g of trans fat.  If you add cheese and a small milk shake you get 36g of total fat and 2.5 g of trans fat.  They don’t call it a “Whopper” for nothing.  The scientific data shows that by ingesting a [...]

  • Former V.P. Dick Cheney Goes Bionic With Left Ventricular Assist Device

    Updated: 2010-08-30 08:00:00
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  • Hypertension Meds Raise Blood Pressure in Some Patients

    Updated: 2010-08-27 21:46:01
    New research published in the American Journal of Hypertension suggests that some commonly used prescription blood pressure medications actually raise blood pressure in some patients.

  • Patients Prefer Pills to Chocolate for Lowering Blood Pressure

    Updated: 2010-08-27 21:35:05
    Australian researchers have found that when given a choice between a pill or a piece of antioxidant-rich chocolate to help control blood pressure, most patients will choose the pill.

  • Weight More Important for Blood Pressure Than Fitness: Study

    Updated: 2010-08-27 21:25:05
    According to a new study, people who are trying to bring their blood pressure to healthy levels should pay more attention to losing weight than to becoming more fit.

  • FDA Approves Teklamo to Treat High Blood Pressure

    Updated: 2010-08-27 21:17:04
    Teklamo is a combination of Tekturna (the successor to the drug Diovan) and the widely used calcium channel blocker Norvasc (amlodipine).

  • Breastfeeding study: Nursing for one month can cut mom’s risk of diabetes

    Updated: 2010-08-27 19:55:48
    Moms who breastfeed for as little as one month may cut their risk of developing Type 2 diabetes, according to a study published today. In a sstudy of more than 2,000 women in California, researchers found that 27 percent of hte women who did not breastfeed later developed diabetes.  Of the women who breastfeed for one [...]

  • Heart Attack Rates Rise as Temperature Drops: Study

    Updated: 2010-08-27 19:46:05
    In a recent study, researchers in the United Kingdom found that when temperatures dropped just one degree on a given day, there were an additional 200 heart attacks in that country over the next month.

  • Flu deaths: CDC says there’s no typical year

    Updated: 2010-08-27 19:37:47
    The number of deaths from the flu changes dramatically every season, according to a new report. Though people often quote 36,000 deaths per year, that number is an overestimate and doesn’t convey the wide range of deaths every year, the Centers for Disease Control said Thursday. In a 30-year period, deaths from seasonal flu ranged  from 3,000 [...]

  • Mountain States Have Lowest Heart Failure Hospitalization Rates

    Updated: 2010-08-27 19:34:00
    According to a new government report, the U.S. Mountain state region had the lowest average rate of potentially avoidable hospitalization for heart failure in 2006.

  • Care After Joint Surgery May Affect Heart Health

    Updated: 2010-08-27 19:14:01
    French researchers say the quality of care patients receive right after having orthopedic surgery may have a major impact on their long-term heart health.

  • They Are Kidding…Right?

    Updated: 2010-08-26 18:49:41
      On August 15, 2010 in the American Journal of Cardiology, a group of cardiologists reported on a concept and in doing so, unleashed a firestorm of controversy.  At first, lay people and physicians didn’t know if they were kidding and then became angry at the proposal.   What was this heresy?  These British cardiologists proposed that next to the [...]

  • What To Do When “Annie” Goes Down

    Updated: 2010-08-25 16:12:28
      This is not the end of the story.  We have a way to increase survival in sudden cardiac death.  Most people have seen the devices known as AED or automatic external defibrillators in public places.  The AED is a device, which when placed on a collapsed person’s chest, will automatically perform and allow the patient [...]

  • For Chocoholics: Both Good and Bad News on Heart Failure

    Updated: 2010-08-25 11:38:55
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  • But…I Thought I Was Doing it Right

    Updated: 2010-08-24 15:35:50
      One of the aspects of medicine and research that has always impressed me is the constant change.  We are very convinced as a group of people that this is the right drug or the right way to do things until someone points out our misunderstanding of the whole process.  This is very frustrating to the [...]

  • Poorest Have the Highest Heart Disease Risk: Study

    Updated: 2010-08-24 05:31:04
    How much money people make plays a more important role in determining their risk for heart disease than their race or ethnicity, a new study has found.

  • Vitamin B May Not Prevent Second Heart Attack, Stroke

    Updated: 2010-08-24 05:15:01
    According to a new study published in The Lancet Neurology, stroke patients who take vitamin B supplements may not be protected from having a second stroke or heart attack.

  • Hear sounds in cardiac failure

    Updated: 2010-08-24 02:46:53
    For emergency department patients with shortness of breath and a risk of heart failure, physicians usually grab one thing first: a stethoscope. It allows them to hear the S3, an abnormal third sound in the heart's rhythm strongly associated with cardiac disease and heart failure. However, the low-frequency, low-pitch sound is notoriously very difficult to hear with a stethoscope alone........

  • How to fix a broken heart?

    Updated: 2010-08-20 06:10:27
    These days people commonly don't die from a heart attack. But the damage to heart muscle is irreversible, and most patients eventually succumb to congestive heart failure, the most common cause of death in developed countries. Stem cells now offer hope for achieving what the body can't do: mending broken hearts. Engineers and physicians at the University of Washington have built a scaffold that supports the growth and integration of stem cell-derived cardiac muscle cells. A description of the scaffold, which supports the growth of cardiac cells in the lab and encourages blood vessel growth in living animals, is published this week in the Proceedings of the National Academy of Sciences........

  • Is Three Better than One?

    Updated: 2010-08-19 16:46:42
    One of the first things we learn in medical school is  - keep it simple.  This, in particular, refers to drug therapy but it is the most violated of all principles.  I constantly see patients struggling with 10-20 different drugs a day which usually includes several different types of insulin.   It is all but impossible to [...]

  • Add One More to the List

    Updated: 2010-08-19 16:13:22
          The third P2Y12 receptor antagonist was approved for release by the FDA Cardiovascular and Renal Drugs Advisory Committee and will certainly be approved for release by the FDA in the near future.  This drug is ticagrelor and will be known as Brillinta.   Why you ask do we need a third drug that does what Plavix does?  [...]

  • 3-in-1 Blood Pressure Drug Approved

    Updated: 2010-08-18 18:27:05
    Tribenzor combines Norvasc (amlodipine), Benicar (olmesartan medoxomil), and hydrochlorothiazide in one pill.

  • Generics as Good as Pricey New Blood Pressure Meds: Study

    Updated: 2010-08-18 18:11:00
    Results from a long-term, large study suggest that expensive, brand-name blood pressure drugs are no better at preventing cardiovascular disease than older, generic diuretics.

  • Even a Little Belly Fat Can Damage Blood Vessels: Study

    Updated: 2010-08-18 18:04:05
    According to a new study, people who put on even a little weight around their waist interfere with the function of cells that line the blood vessels.

  • FDA Approves Generic Lovenox

    Updated: 2010-08-18 05:56:05
    The U.S. Food and Drug Administration has approved the first generic form of the blood thinner Lovenox (enoxaparin sodium) for the treatment of deep vein thrombosis.

  • Low Blood Pressure Drug Pulled from the Market

    Updated: 2010-08-18 05:48:01
    Drugmaker Shire has decided to withdraw its low blood pressure drug ProAmatine (midodrine hydrochloride) from the market.

  • Whole Grains Lower Blood Pressure: So What?

    Updated: 2010-08-18 00:39:02
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  • Which Comes First the Chicken or the Egg?

    Updated: 2010-08-17 21:21:37
    Recently a study was published in the Journal of  Sexual Medicine regarding the association of depression, erectile dysfunction and cardiovascular events. J Sex Med 2010; 10.1111/j.1743-6109.2010 Erectile dysfunction has become another issue in patients with cardiovascular disease and risk factors and is fairly common in our society.  It is estimated that one in ten males suffer from it.  [...]

  • One More Word About Weight Loss

    Updated: 2010-08-12 20:27:48
    As I believe we can acknowledge that long term weight loss of large amounts of weight is about as challenging as climbing Mt. Everest — many try and few succeed, but the view is worth it.  It is hard enough losing and keeping off ten pounds let alone 75-100 lbs. There is a way if you [...]

  • "Is My Calcium Supplement Going to Give Me a Heart Attack?"

    Updated: 2010-08-11 08:00:28
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  • Share Our Mission to Heal

    Updated: 2010-08-10 16:40:41
    Holy Cross Hospital is seeking studio audience members for A Mission to Heal, a new show all about the heart.   Needed: 75 audience members for each show; Mix of demographics. No children under 18; Community groups are encouraged to have representation in the audience, as well as community leaders. Where A studio in Davie, FL. Details will [...]

  • Targeting valvular heart disease

    Updated: 2010-08-09 10:33:14
    The prevalence of valvular heart disease, in particular stenotic aortic disease, increases with age and reaches 13% in individuals over the age of 75. Despite this the aetiology and molecular mechanisms remain unclear although several lines of evidence have suggested that its pathogenesis shares similarities to atherosclerotic disease, namely infiltration of inflammatory cells and [...]

  • Rosiglitazone linked to increased vascular events

    Updated: 2010-08-09 10:28:35
    In 2007 a meta-anlaysis of 42 randomised trials involving rosiglitazone found 1.4-fold increase in the risk of acute myocardial infarction (AMI) compared with non-thiazolidinedione therapies. Subsequently, a meta-analysis of 19 pioglitazone trials found a significant reduction in a composite outcome of nonfatal AMI, stroke, and all-cause mortality. Therefore this study set out to [...]

  • Self-monitoring of hypertension in primary practice

    Updated: 2010-08-09 10:24:35
    Despite substantial advances in lifestyle and pharmaceutical interventions, only approximately half of people on treatment for hypertension have their blood pressure controlled to current recommended levels. Patient self-management with self-titration (i.e adjustment) of antihypertensive drugs has previously only been tested on small scale, therefore this study assessed whether self-management by people with poorly controlled [...]

  • Meta-analysis outlines true risks of diabetes

    Updated: 2010-08-09 10:20:07
    Although diabetes mellitus is an established risk factor for coronary heart disease (CHD) and stroke, a number of questions remain. For example, to what extent is diabetes associated with fatal vs non-fatal myocardial infarction? How much of the effect of diabetes on vascular risk is due to the effect of diabetes on lipids [...]

  • No role for B12/Folate Post Myocardial Infarction

    Updated: 2010-08-09 10:10:33
    Homocysteine has been noted to be consistently higher in patients with occlusive vascular disease than in controls, and this difference is also seen prior to the onset of disease.  Although previous large-scale randomised trials have failed to show any benefit from lowering homocysteine levels through the use of folic acid based supplements, the reasons for [...]

  • Which Is Healthier: Being Fit or Slender?

    Updated: 2010-08-05 00:53:01
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