by Dr. Stephen Parker (Article selection and Commentary) on May 31, 2011
Your have to wonder why the findings from the 2007 COURAGE study that stents were no more effective than optimal medical therapy have not been put into practice. from the article: Most patients with stable coronary artery disease who undergo percutaneous coronary intervention are not being treated with optimal medical therapy, and the publication of [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 31, 2011
from the article: The addition of stents did not improve the ability of optimal drug therapy to prevent heart attacks and death in patients with stable CAD. When Should Stents Be Used in Coronary Artery Disease? COURAGE Study Challenges Use of Stents in Stable CAD Patients Richard N. Fogoros, M.D Updated May 23, 2011 If [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 30, 2011
from the article: Forty per cent of coronary-disease patients and sixty per cent of asthma patients receive incomplete or inappropriate care. Cowboys and Pit Crews Atul Gawande May 26, 2011 In his book “The Youngest Science,” the great physician-writer Lewis Thomas described his internship at Boston City Hospital in pre-penicillin 1937. Hospital work, he observed, [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 30, 2011
from the article: The results are part of a string of studies that suggest that what doctors thought they knew about cholesterol may be wrong… . New York Times Study Questions Treatment Used in Heart Disease GARDINER HARRIS May 26, 2011 WASHINGTON — Lowering bad cholesterol levels reduces heart attack risks, and researchers have long [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 30, 2011
from the article: Our results demonstrated improved clot properties and decreased thrombin [a clot promoter] formation after treatment with the fish oil capsules. Omega-3 Fatty Acids May Help Heart Patients With Stent May 26, 2011 (HealthDay News) — Combining omega-3 fatty acids with blood-thinning drugs may reduce the risk of heart attacks in patients who’ve [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 17, 2011
from the article: We now know that CAD is about far more than just blockages. CAD is a chronic, progressive disease that tends to be far more widespread within the coronary arteries than is implied by the presence or absence of actual blockages. Plaques are often present in arteries that appear “normal” on cardiac catheterization. [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 15, 2011
from the article Curiously, hospice care seemed to extend survival for some patients; those with pancreatic cancer gained an average of three weeks, those with lung cancer gained six weeks, and those with congestive heart failure gained three months. The lesson seems almost Zen: you live longer only when you stop trying to live longer. [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 13, 2011
I suspect that there is more to this than the need for stopping Plavix before surgery… Stent placements are not light-weight surgeries and the body will experience the procedure as a trauma –this is going to reduce the overall effectiveness of the mind/body system for a while and increase it’s vulnerability…. From the article: “The [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 9, 2011
From the article: People often say, ‘I want to get rid of all my bad (LDL) cholesterol,’ but the fact is, if you did so, you would die,” the Texas A&M professor adds. “Everyone needs a certain amount of both LDL and HDL in their bodies. We need to change this idea of LDL always [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 6, 2011
Today’s post continues reviewing information about interval training….
by Dr. Stephen Parker (Article selection and Commentary) on May 5, 2011
Disclaimer: Intense exercise increases the immediate risk of a heart attack. In the long run, both regular and intense exercise decreases the risk of a heart attack, Research is suggesting that high intensity interval training — what runners for years have called “fartleks” (which means “speed play” in Swedish) — is the most efficient way [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 3, 2011
From the article: More body fat doesn’t always mean greater heart risk. It’s where you carry the extra pounds. Patients with bulging waistlines, as measured by either waist circumference or waist-to-hip ratio, had a higher risk of death. They were 1.7 times as likely to die during the follow-up period as those with normal waist [...]
by Dr. Stephen Parker (Article selection and Commentary) on May 2, 2011
From the article: One of the strongest and best-studied factors that thickens someone’s arteries is age, and that happens at around 10 microns per year,” Shah says. “In our study, users of antidepressants see an average 40 micron increase in IMT, so their carotid arteries are in effect four years older. This implications of this [...]