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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Admit it: You were surprised a legitimate study came out in support of Coenzyme Q10 supplements. You probably looked away at first, nervous a colleague would notice your interest in something complimentary or alternative. It’s shocking, isn’t it? What if the purveyors of supplements are right about something? Part of me so wants it to […]
Here is an edited email I received from an athletic colleague: John, Quick question…. A 50 year-old male healthy athlete has the new problem of occasional periods of premature beats. He (or she, it doesn’t matter) has visited the doctor and an ECG shows PVCs, or premature ventricular contractions. Otherwise the history, exam, ECG, ECHO […]
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Memorial Day — 2013
It’s easy to forget. We get up each morning to peace. I’m looking out my window now at the flowers, and birds, and walkers strolling by. They all look so free. It is all so easy. It goes without saying that all living creatures desire freedom. In the US, freedom comes as a default; it’s […]
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 […]
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 […]
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. […]
Before beginning to read, please know that what follows is just a long-winded introduction to a post that featured me as an expert. You can can scroll down to the link if you wish. — This is that time of year. It’s a nice time. Longer days, warmer temps and big doses of hope power […]
Blood pressure and cholesterol problems affect millions. These are the bread, butter and sugary drinks of Internal Medicine and general Cardiology practice. It stands to reason then, that the treatment of these basic maladies would be well agreed upon. Guidelines and expert consensus statements would be clear and up-to-date. But this is far from reality. […]
Being mid-week, I had planned to tell you about the recent news concerning the role of fitness as a predictor of real outcomes. Important as this is, it will have to wait. I’ve got something much better. Though it isn’t about exercise; it is about health and happiness and soothing inflammation. Writing this year’s best […]
It’s January 2nd. It’s past time for resolve. Since one of the themes of this blog is healthy living through good choices, it would seem self-evident that I would resolve to eat better, rest more and exercise smarter. Given my slow-twitch make-up, smarter exercise means more strength and flexibility work. These would be the easy […]