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Atrial fibrillation Cycling Stuff Exercise inflammation

Long-term endurance increases the risk of arrhythmia — New post up on theHeart.org

The idea that long-term endurance exercise increases the risk of arrhythmia should no longer be considered counterintuitive. The list of published studies confirming this association is long, and this week, it got a little longer. In a study published in the European Heart Journal, researchers from Sweden report a cohort study of more than 52 […]

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Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban

Update on anticoagulation for atrial fibrillation: Encouraging news for rivaroxaban (Xarelto)

It’s time to do an update on the treatment of atrial fibrillation. It’s been a while, and there are worthy things to report from the real world. Stroke prevention in AF: Always start with basics: The most important aspect of treating atrial fibrillation is preventing stroke. Although there are some innovative devices and procedures in […]

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AF ablation Atrial fibrillation

Is it better to burn or freeze atrial fibrillation?

What a trouble it is! As a disease that associates with wear and tear, aging, obesity, sleep disorders, high blood pressure and inflammation, it’s no wonder the incidence of atrial fibrillation continues to rise. AF represents a huge health problem. For the individual patient, it can cause life-altering symptoms, increase the risk of stroke or […]

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Atrial fibrillation General Cardiology General Medicine Health Care Healthy Living inflammation

Stress is killing our hearts and bodies…But there is hope.

It’s an appropriate day to talk about stress. If you treat heart rhythm problems, you can’t miss the effects of stress. It matters so much. Both acute and chronic–though mostly chronic–stress wreaks havoc on the heart’s electrical system. And it’s not just the heart rhythm; the chronic inflammation that goes with long-lasting stress negatively impacts […]

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AF ablation Atrial fibrillation

Four commonly asked questions on AF ablation

I receive a lot of emails from people afflicted with atrial fibrillation. It is humbling that another person would share such highly personal information with me, a stranger. Thanks for that. It goes without saying that I cannot give specific medical advice. Though it is tempting. I’ll read a detailed story and think to myself…OMG, […]

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AF ablation Atrial fibrillation

Answering the critics of atrial fibrillation ablation

In the gratifying category, few things rank higher than vanquishing atrial fibrillation with catheter ablation. But yet, not everyone thinks so highly of a procedure that has come to dominate my medical career. Dr Rita Redberg, influential cardiologist and editor of the JAMA Internal Medicine “Less is More” series, said this about ablating AF: “Because […]

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AF ablation Athletic heart Atrial fibrillation Doctoring General Cardiology General Medicine Hospice/Palliative Care ICD/Pacemaker

Notes from ACC — Day 3 (Final Day)

Sorry this took most of the week to get out. (There was a good reason.) Better late than never I suppose. On Day 3 of the 2013 American College of Cardiology meeting, I woke up well rested and inspired to squeeze in as much learning as possible. The first order of business was putting the […]

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AF ablation Atrial fibrillation Cardiac Stem Cells General Cardiology General Medicine

Notes from ACC — Day 2

Those of you who run or ride know what the second day back after a break feels like. The first day is awesome. The body is fresh and snappy; there is an adrenaline rush at the start. It’s easy to overcook it on Day 1. Then there is me at the ACC on day 2. […]

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Atrial fibrillation

Notes from ACC – Day 1

The first day of the American College of Cardiology (ACC) meeting is like the first lap of crit or cross race. It’s a whirlwind. Your head spins. You are trying to get oriented, but as a part-time journalist, you also know that big news happens on the first day. And oh did it ever. One […]

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Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban

Is it safe to take aspirin and warfarin together?

The ultimate goal in medicine: protect the patient from stroke. Even a heart doctor has to admit the dominance of the human brain. Always think about preventing stroke. It’s one of the worst outcomes that can happen to a person. Life as a ‘normal’ human requires a healthy brain. A stroke irreversibly kills off part […]

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AF ablation Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban

New post up at theHeart.org: What were the best stories of 2012 in heart rhythm care?

As most of you know, I also write a column (Trials and Fibrillations) over at the online Cardiology news site, theHeart.org. My most recent article highlights what I thought were the top news stories in electrophysiology in 2012. There were many. Gosh were there ever. I broke a major rule of writing online articles: It […]