Categories
Cycling Stuff Cycling Wed

Cycling Wednesdays: #4…

Today’s installment of “Cycling Wednesdays,” is yet another guest post. (Heck, if this keeps up, I will not ever have to write another myself.) Sam Hartman is new to the Louisville cycling scene.  I do not know him well, but I can say that his legs are distinctive.  Moreover, I can also vouch for his power […]

Categories
General Medicine Knowledge Reflection

142 seconds…

On a lighter note… Many years ago, in medical school there were a brave few who–for generous compensation–agreed to participate in various drug trials.  They were mysteriously sequestered and given various potions and elixirs and then poked and prodded. Here would have been a far more interesting trial to have been a subject of study. […]

Categories
Health Care Healthy Living

In heart health, we need more than just education…

Everyone knows that the heart health of Americans is dismal. Obesity, diabetes, and high blood pressure are all on the rise. For now, technological advances in cardiac care continue to maintain, or in some cases, lower the death rate from heart disease. Squishing blockages, ablating abnormal heart tissue, and installing cardiac devices have successfully kept […]

Categories
Doctoring Reflection

Memorial Day: A grateful citizen of an awesome country…

This Memorial Day makes me think of a recently deceased patient of mine. We had known each other for years. He benefited from many of our modern EP procedures and implanted cardiac devices, and I benefited from knowing him and his devoted wife. It was as he entered the final innings of his life, that […]

Categories
Healthy Living Nutrition

Surprising revelations from Cardiology leaders…

Six hundred seventy dollars per year is the cost for my membership to the American College of Cardiology. With this comes the bimonthly Journal of the American College of Cardiology (JACC). This May’s edition of JACC features two incredibly comment-able pieces. Exhibit A, in the better late than never category, is Dr Anthony DeMaria’s piece […]

Categories
General Medicine Knowledge

COPD and Beta-blockers: another myth dispensed…thanks to Twitter…

In medical practice, the words, “in my experience,” or “this is the way we have done it forever,” are scary. Do these words imply an out of date doctor who fails to embrace the new, or is it really true that older less expensive therapy is still better–like Classic Coke. So much of medical dogma lingers […]

Categories
Athletic heart Cycling Stuff Cycling Wed Cyclocross Reflection

Let them be Willy-Nilly…

As a cardiologist and advocate for healthy living through exercise, the bleak news of rising childhood obesity hits me hard.  But as an endurance athlete well versed in the inflammatory effects of excessive exercise, and a coach of middle school children, recent news reports on the over-training of American youth is equally troublesome. The over-training of […]

Categories
Cycling Stuff

Cycling Wednesdays: #3…

This third installment of “Cycling Wednesdays” comes as a guest post from Rachel Fagerburg. Rachel is a dear friend, mother of two young children, fellow cyclist, and wife of a teammate. She is famous in this area for her talent as a race announcer. I am grateful for her words… On May 19, my husband […]

Categories
AF ablation Atrial fibrillation

Do hundreds of left atrial burns reduce dementia risk?

Atrial fibrillation remains one of the most common cardiac diagnosis, and dementia is one of Neurology’s most frequent diagnosis.  Recently, a study from a Utah group of electrophysiologists showed that AF predisposes to all forms of dementia, especially Alzheimer’s disease. The study involved 37.000 patients, and was published in the prominent and well respected Heart […]

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Athletic heart Atrial fibrillation

Atrial Fibrillation 101…

What do I mean when I say, “rapidly conducting AF?” Explaining AF in a short blog is impossible. Massively thick books have been written, and week long symposium are routinely given on AF . That said, here is my best impression of Sal Khan, who can explain nearly anything in a 10 min video. When […]

Categories
Atrial fibrillation

Alas, a single success…

I have waited a long time to see even one dronedarone (Multaq) success story.  In the interest of having a fair and balanced blog, I report my first witnessed favorable therapeutic response to the controversial new Sanofi AF drug, dronedarone. Four months ago, I saw him in consultation for an inappropriate ICD shock due to […]