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Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban Healthy Living Knowledge

Getting the dabigatran (Pradaxa) story right… Correcting four common mistakes.

This purpose of this post is to clarify misstatements made in a recent New York Times article about the anticoagulant drug dabigatran (Pradaxa). The piece had three major inaccuracies, plus one thought-error from a cardiology leader. I write these words because the most valuable tool in the treatment of AF is knowledge. Getting it right […]

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Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban Social Media/Writing/Blogging

Mexico congress recap — Is it selfish for doctors not to be on Social Media?

When Dr Eduardo Hernandez Castillo (@CardioLeaks) asked me to come to Mexico to speak with a group of physicians about the power of social media, I paused. Should I go to Mexico? I have been traveling a lot; it was a long trip; I was just starting to get fit again, and the atrial fibrillation/anticoagulation […]

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Atrial fibrillation Doctoring

Shocking AF — What’s the rush?

This post is in introduction to my most recent column over at Trials and Fibrillations on Medscape | Cardiology. If I had just one thing to say to patients and doctors about the disease atrial fibrillation it would be this: Be as scared of AF treatment as you are of the disease. Yes, it is […]

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AF ablation Atrial fibrillation Doctoring Healthy Living

Two AF cases — and my changing view of AF

I receive many emails about AF. I don’t often answer them because it is bad practice to doctor without seeing the person. Recently, however, I received a note with more general questions. The sender suggested I could use the response as a blog post. The reason I am posting these two cases along with my […]

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Athletic heart Atrial fibrillation Cycling Stuff Exercise inflammation Uncategorized

Endurance exercise and the heart — a mention in the New Yorker

Do you exercise a lot? Have you been at it for years? Are you the type that rides around the neighborhood to make a 98-mile ride into a century? Do you get squeamish if you can’t exercise for 24 hours? Are you curious about that beautiful machine in your chest? You know, the rhythmic coordinated […]

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Atrial fibrillation Healthy Living

Alcohol and the risk of atrial fibrillation — it’s different than you may think

Life overflows with choices. And consequences. You can choose to smoke and then not be surprised to die a difficult death from cancer. You can choose to eat more calories than you burn and then buy bigger belts. You can choose to “need” more stuff and then, surely, remain unfulfilled. The more we learn about […]

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Atrial fibrillation Doctoring Health Care Health Care Reform

US healthcare, wait times and the truth…

It’s time for another post on truth and healthcare. (This almost sounds like a good series.) I’ve recently written that the VA healthcare system represents the truth—and that Americans should get over the Pollyanna view that triage, wait lists, and taking care of increasing numbers of increasingly sick patients can be managed with magic. The […]

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AF ablation Athletic heart Atrial fibrillation Social Media/Writing/Blogging

CardioStim 2014 Recap

CardioStim is the name given to the biennial gathering of the European Heart Rhythm Association (EHRA) in the Mediterranean resort city of Nice, France. This was my first (ever) trip to France. As most of you know, I write an electrophysiology column (blog) called Trials and Fibrillations over at theHeart.org, which is now called Medscape […]

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AF ablation Athletic heart Atrial fibrillation Exercise

Exercise, over-indulgence and atrial fibrillation — seeing the obvious

If you like thinking and writing, few topics are better than the excess exercise and heart disease story. Indeed it is a matter for the curious. Two studies published last week in the British journal Heart addressed the relationship of exercise and heart disease. (See references below.) Although these studies garnered mainstream media attention they […]

Categories
AF ablation Atrial fibrillation ICD/Pacemaker inflammation Social Media/Writing/Blogging

2014 Heart Rhythm Society Sessions — My massive recap:

Hey Everyone, I recently returned from the Heart Rhythm Society meeting in San Francisco. I attended the meeting as both a physician-journalist-columnist for theHeart.org and as a practicing electrophysiologist. As it so often is with international meetings, I returned energized and rejuvenated about the practice of medicine. Medical meetings are great this way. It’s quite […]

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Atrial fibrillation Reflection

Atrial fibrillation and philosophy…

Patterns. As a doctor, you learn to see patterns. Biologists call the patterns of organisms phenotype–as opposed to genotype, the genetic makeup. For twenty years, I have observed the phenotypes (patterns) of people afflicted with AF, and have come to believe, and data are beginning to confirm, that the disease doesn’t just happen. It’s not […]