Tuesday, August 22, 2017

Coarse and fine grain distinctions in medicine

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  Coarse Grain,Fine Grain distinctions in Medicine. Jacob Bronowski in his "The Origins of Knowled...
Monday, August 21, 2017

The perfect country-western song -the perfect medical article

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The Perfect Country and Western Song-The perfect Medical article In the David Allan Coe song , "You never even called me b...
Sunday, July 30, 2017

In some , is college football enough to cause CTE?

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 I believe the answer is yes. 202 donated brains from former football players  were examined by the Boston University CTE center. Of thos...
Tuesday, June 13, 2017

Is subendocardial fibrosis a reason for the age associated decrease in diastolic function?

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It seems to be all about diastole.Simply put- the aging heart has more functional loss in ventricular filling than in  ejection of blood ( a...
Monday, June 12, 2017

After 40 plus years ABIM does audit to see if I have a medical license

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What is that all about?  I received a letter from the ABIM informing me that " during a recent audit, ABIM was unable to confirm that...
Monday, June 05, 2017

More on subclinical atrial fibrillation (SCAF) and what to do when we find it

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A 2014 study- Crystal AF - examined patients with cryptogenic stroke using a implantable cardiac monitor and reported that over a three year...
Friday, May 12, 2017

An increasing cardiac calcium score may not mean increased CVD risk

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The coronary calcium score (  for example as done with a EBCT heart scan) is well recognized as a tool to  estimate  cardiac risk, a higher ...
2 comments:
Tuesday, May 09, 2017

The annualized decrease in exercise capacity may be even worse than we thought

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The longitudinal decline in aerobic capacity is typically said to be 5 -10% per decade from age 40 to about age 70  then a more rapid declin...
Sunday, April 23, 2017

"Para Hisian Pacing" as well as selective Bundle of His pacing may bring about a hyper response

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I have written before about a sub group of Cardiac resynchronization patients (CRT)   who have a hyper response with marked improvement in i...
Friday, April 14, 2017

If peak load is the determing parameter runners should have more osteoarthritis

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Perhaps it seems counter intuitive that runners do not have a higher incidence of knee osteoarthritis or so the preponderance of epidemiolog...
Thursday, March 23, 2017

CRT-non-responders, responders and the rare super responder

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About one third of patients with heart failure (HF) do not benefit appreciably or respond to cardiac resynchronization treatment (CRT). Some...
Sunday, March 19, 2017

Do low levels of cardiovascular fitness predispose to cardiac hypertrophy?

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 There is evidence  that suggests low levels of cardiac fitness predispose to maladaptive cardiac remodeling  typically manifest as concentr...
Wednesday, February 22, 2017

Cardiac remodeling -some old and new theory and some data

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Following the 1975 echocardiographic study by Morganroth (1) of endurance athletes and resistance exercise athletes and several cross sec...
Wednesday, February 01, 2017

Parameters on Utopias-something politicians don't want

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Peter Boetke in his new book, " Living Economics" throws out the following: " Economics put parameters on Utopias". ...
Monday, January 30, 2017

The major barrier to third party payers control of medical costs is being dismantled

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A major barrier ( I argue the major barrier) to control health care costs by the third party payers has been and still is to a lesser degree...
Tuesday, January 24, 2017

Is the athlete's slow heart rate really due to increased vagal tone as conventional wisdom suggests

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An article from three British researchers makes a good case that vagal tone is not the reason for the athlete's bradycardia in a 2015 co...
Saturday, January 14, 2017

The minimum exercise levels of the 2008 guidelines won't prevent heart failure.

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IMPORTANT CORRECTION:Since this commentary was posted I  realized I misinterpreted the two articles I quoted leading to the title conclusion...
Saturday, January 07, 2017

High school and college football deaths average about 3 per year

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A recent report by KL Kucera et al give details on high school and college fatalities related to head and/or spinal injuries . From 2004 ...
Friday, January 06, 2017

two studies reassuring endurance athletes re long term heart damage

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Two, articles, one from Germany and one from Italy might provide some reassurance to long time endurance athletes worried about too much of ...

Can "too much" exercise increase risk of atrial fibrillation in men but not women?

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Can "excessive " exercise increase the risk of atrial fibrillation in men but somehow spare women hyper-endurance exercisers from ...