From the category archives:

Heart Disease

Higher Doses of Zocor (Simvastatin) Linked to Muscle Myopathy…

by Dr. Stephen Parker (Article selection and Commentary) on June 9, 2011

All the more reason to really, really emphasize life style changes to reduce the risk of a heart attack. from the article: Patients taking 80-milligram doses of Zocor were more likely to develop myopathy, a type of muscle pain or weakness, than those on the 20-milligram dose. FDA suggests new limits on cholesterol-lowering drug Zocor [...]

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Money for Terrorism Versus Money for Heart Research….

by Dr. Stephen Parker (Article selection and Commentary) on June 8, 2011

Ten years to wait for this research to come to fruition? How about taking some of the billions from the money from the TSA/airport security and putting it to heart research. People apparently fear terrorism more than heart attacks…. Guess which one is more likely, by about 10,000 to one odds, if not more…. from [...]

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Mindfulness Meditation and Reducing Heart Disease

by Dr. Stephen Parker (Article selection and Commentary) on June 1, 2011

It has been a continuing theme of this Heartcurrents blog that psychology is often left out treatment for heart disease and heart issues. “Mindfulness meditation” has been gaining traction in psychotherapy as a means of reducing stress, anxiety, and depression — issues that always need to be dealt with for anyone who has experienced a [...]

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Optimal Medical Therapy vs. Stents: Research Doesn’t Change Practice

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 [...]

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To Stent or Not to Stent

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 [...]

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How Is a Doctor Like a Cowboy?

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, [...]

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Niaspan and HDL: Not What Doctors Thought They Knew About Cholesterol

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 [...]

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Stents + Omega 3′S = Good Idea

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 [...]

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Dr. Fogoros: The New Way of Thinking About Coronary Artery Disease

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. [...]

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“You Live Longer Only When You Stop Trying to Live Longer.”

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. [...]

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Complications After Stent Placement….

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 [...]

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LDL: Not All Bad….

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 [...]

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More Information on Interval Training

by Dr. Stephen Parker (Article selection and Commentary) on May 6, 2011

Today’s post continues reviewing information about interval training….

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HIT: High Intensity 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 [...]

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Mayo Clinic Research: Belly Fat Increases Heart Attack Risk

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 [...]

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Heart Attack Risk: Best Not to Get Up in the Morning…

by Dr. Stephen Parker (Article selection and Commentary) on April 28, 2011

The Rose Bower from the “Legend of Briar Rose” by Sir Edward Burne-Jones 1890 Buscot Park, Oxfordshire Heart Attacks in the Morning Are More Severe

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Jung’s Vision at the Time of His Heart Attack

by Dr. Stephen Parker (Article selection and Commentary) on April 12, 2011

From Memories, Dreams and Reflections It seemed to me that I was high up in space. Far below I saw the globe of the Earth, bathed in a gloriously blue light. I saw the deep blue sea and the continents. Far below my feet lay Ceylon, and in the distance ahead of me the subcontinent [...]

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Whac-a-Mole Cardiology

by Dr. Stephen Parker (Article selection and Commentary) on March 22, 2011

Whac-a-Mole From the article: Call it “Whac-a-Mole Cardiology:” yes, an angiogram or ultrasound may identify a series of blockages, but we still can’t predict which one will pop its head up out of the hole so we can bang it over the head with a stent. More evidence about just how important it is to [...]

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Twenty People, 96 Minutes of CPR, and 12 Shocks of a Defrillator

by Dr. Stephen Parker (Article selection and Commentary) on March 22, 2011

From the Mayo Clinic 96 Minutes and Counting… Marathon CPR Saves a Life! March 4, 2011 Joel Streed After a workout, Howard Snitzer stopped to pick up groceries for dinner and instead fell to the sidewalk with a massive heart attack. The volunteer response in Goodhue, Minnesota and the surrounding community was remarkable. More than [...]

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Ten Quotes From Rachel Naomi Remen, M.D.

by Dr. Stephen Parker (Article selection and Commentary) on March 22, 2011

When I was recovering from a severe heart attack, I desperately wanted to be fixed. I read everything I could about what to do — nutrition, exercise, supplements, meditation, visualization, stem-cell therapy — it may all have been useful, but it didn’t get to the core of the matter. The best books I read during [...]

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The Heart of Medicine

by Dr. Stephen Parker (Article selection and Commentary) on March 20, 2011

from the article: My philosophy about primary care is that the only person who has changed anyone’s life is their mother. The reason is that she cares about them, and she says the same simple thing over and over and over.” So he tries to care, and to say a few simple things over and [...]

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Health and Mindfulness

by Dr. Stephen Parker (Article selection and Commentary) on March 16, 2011

From the article: Research is indicating that mindfulness practices (exercises that increase present-moment awareness) are very beneficial to health and well-being, influencing a wide range of physiological and subjective states including: * Boosting the immune response in cancer and HIV patients. * Reducing pain in chronic pain patients, including sufferers of arthritis, back pain, and [...]

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Nutrition for Young Children: The Single Most Valuable Investment in the World

by Dr. Stephen Parker (Article selection and Commentary) on March 14, 2011

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Psychiatrists, Drugs and the Decline of the Culture

by Dr. Stephen Parker (Article selection and Commentary) on March 12, 2011

From the article: A 2005 government survey found that just 11 percent of psychiatrists provided talk therapy to all patients. Even though research shows that medical costs are reduced if you have accompanying mental health treatment, the medical world continues to shift to drugs as the solution to life problems. Why am I suddenly thinking [...]

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Three Diets Compared: Ornish, Atkins and South Beach

by Dr. Stephen Parker (Article selection and Commentary) on March 12, 2011

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Heart Nutrition: Fish Oil vs. Walnuts

by Dr. Stephen Parker (Article selection and Commentary) on March 10, 2011

Conclusion: Eat both Cleveland Clinic Heart and Vascular Health & Prevention Two Sources of Omega-3 Benefit the Heart – In Different Ways In a small study supported by the California Walnut Commission, diets containing walnuts or fish both derived cardiovascular benefit – although each diet had a different effect on lipid parameters. Twenty-five adults with [...]

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Caution in Using L-Arginine Following a Heart Attack

by Dr. Stephen Parker (Article selection and Commentary) on March 8, 2011

Doctor’s Lounge 9th January, 2006 Use of amino acid supplement following a heart attack may be harmful according to the VINTAGE MI clinical trial. Use of the amino acid supplement L-arginine following a heart attack does not improve certain cardiac functions and measurements and may be associated with an increased risk of death, according to [...]

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Weight Loss Strategy: Mental Imagery

by Dr. Stephen Parker (Article selection and Commentary) on March 6, 2011

The research article below suggests that by repetitively visualizing a food you are craving you can reduce the consumption of the food. This is a strategy that is a combination of “flooding” and visualization. (College students, of course, are not normal people and generalizing from this population to the population as a whole is problematic). [...]

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Weight Loss Strategy: Self-Compassion

by Dr. Stephen Parker (Article selection and Commentary) on March 6, 2011

In the last week, the most frequently e-mailed New York Times article was the one below on self-compassion and weight loss. Clearly, it hit an important nerve in the struggle to lose weight. Yes. Compassion at all levels is important, and the article has some useful suggestions. However, the ability to treat one’s self compassionately [...]

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Heart Nutrition: Apples, Antioxidents and Life Span

by Dr. Stephen Parker (Article selection and Commentary) on March 4, 2011

This is particularly good news for fruit flies. If I were a fruit fly I would want to live longer too. Medical News Today An Apple A Day Keeps The Grim Reaper Away March 4, 2011 Scientists are reporting the first evidence that consumption of a healthful antioxidant substance in apples extends the average lifespan [...]

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Heart Nutrition: Tomatoes

by Dr. Stephen Parker (Article selection and Commentary) on March 3, 2011

From the article “Research underscores the relationship between consuming tomatoes and reduced risk of cancer, heart disease, and other conditions. Tomatoes, The New Superfood Medical News Today 02 Mar 2011 – Eating more tomatoes and tomato products can make people healthier and decrease the risk of conditions such as cancer, osteoporosis and cardiovascular disease, according [...]

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The Lancet: Public Health Importance of Triggers of Myocardial Infarction

by Dr. Stephen Parker (Article selection and Commentary) on March 2, 2011

This is a follow-up to yesterday’s post, which was a media review of this article. It is a frustrating summary to read. (The full text costs $31.50. Hmm. A bit of capitalism here for public health. Clearly it is better to make money than save lives…). It does emphasize just how large a risk factor [...]

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Heart Attack Lesson: Don’t Get Stuck in Traffic, Drink Coffee and Have Sex

by Dr. Stephen Parker (Article selection and Commentary) on March 1, 2011

What is wrong with this research? Here are the increased risk factors listed: Cocaine: 23% Air Pollution: 7.4 % Physical Exertion: 6.2% Coffee: 5% Alcohol: 5% Negative Emotions: 3% Heavy Meal: 2.7% Positive Emotions 2.2% Having Sex: 2.2% Smoking Marijuana: 1% Clearly,the safest thing to to is to smoke dope. Just because an event preceded [...]

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The Optimisitic Heart and Pascal’s Wager

by Dr. Stephen Parker (Article selection and Commentary) on March 1, 2011

I am certainly hopeful that the research mentioned below is true, about 30% hopeful. However, once again “Correlation is not cause and effect.” Because heart patients who respond optimistically to these kinds of questions live longer does not mean that being, or trying to be, consciously optimistic is the cause of their living longer. Maybe, [...]

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Warfarin Increases Risk From Trauma

by Dr. Stephen Parker (Article selection and Commentary) on February 28, 2011

Although at present I can find no research about increased risks from Plavix because of a trauma, this research about Warfarin suggests that it may be a problem. One is told to stop Plavix about ten days before surgery due to increased bleeding; this suggests that one should also stop Plavix ten days before any [...]

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Heart Attack Risk Factor: Binge Drinking

by Dr. Stephen Parker (Article selection and Commentary) on February 26, 2011

“Heavy” Drinking Increases Risk After Heart Attack Even moderately heavy drinking is bad after myocardial infarction Richard N. Fogoros, M.D., July 04, 2007 Several studies have indicated that light usage of alcohol (one or two drinks per day) may help protect against cardiac disease. However, because alcohol causes so many medical problems, and because for [...]

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Uric Acid in Heart Disease: A New C-Reactive Protein?

by Dr. Stephen Parker (Article selection and Commentary) on February 25, 2011

“The available evidence has established a link between hyperuricemia and cardiovascular disease and this may be causal. Without waiting for the resolution of causality arguments, one can start using serum uric acid concentration as an inexpensive cardiovascular risk marker.”

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Heart Nurtrition, Inflammation, Alaskan Blueberries and ORAC

by Dr. Stephen Parker (Article selection and Commentary) on February 24, 2011

While (LDL) cholesterol reduction used to be focus of heart disease prevention — and it is still important — it is looking as if inflammation is the critical commonality in disease processes that needs to be addressed. Yesterday’s post mentioned blueberries — particularly Alaska blueberries — as beneficial for heart nutrition. The article below is [...]

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Heart Nutrition: Blueberries and Phytonutrients

by Dr. Stephen Parker (Article selection and Commentary) on February 23, 2011

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Ventricular Premature Beats and Heart Turbulence

by Dr. Stephen Parker (Article selection and Commentary) on February 22, 2011

This is interesting research, in that it focuses on factors affecting “healthy” people without known heart problems. Note that this can only be picked up by a Holter monitor, and that only one software program for the Holter monitor can do that. Hmm. Time for clinical practice to catch up with technology. I wonder if [...]

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