Wednesday, June 27, 2018

Why did the greatest "ancient marathoner" slow down signficantly in his 70s?

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Why did the greatest ancient marathoner of all time slow down so much in the decade of his 70s? At age 73 Ed Whitlock finished a marathon ...
Monday, June 25, 2018

Bundle of His Pacing an overnight game changer fifty years in the making may have reached tipping point

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Benjamin J. Scherlag,PhD, is credited as the first person to demonstrate an intra cardiac tracing of  His Bundle (HB) electrical activity. I...
Tuesday, June 12, 2018

age related decline in exercise capacity is not just decrease in 02 max

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It has been suggested that the study of the physiology (pathophysiology?) of aging might be informed by the study of aging athletes. Analy...
Friday, May 11, 2018

Is ablation better than drugs for A FIb? What did CABANA trial show?

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The results of the Cabana trial were presented at the Heart Rhythm Society meeting in May 2018. The full results will be published later. He...
Thursday, May 03, 2018

Argument for aerobic exercise in patients with Parkinson's disease.

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There ae no randomized clinical trials that demonstrate the benefit of regular aerobic exercise in delaying the progression of Parkinson...
Monday, April 09, 2018

People who are more fit have less atrial fibrillation and less strokes if they develop AF

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Individuals who are more fit ( have a higher functional aerobic capacity) are less likely to develop atrial fibrillation (AF) and if they d...
Thursday, April 05, 2018

More on the "lying"or at best really stupid electronic medical record

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My medical record at a well known medical center -which shall remain nameless-has labelled me as having atrial fibrillation and it seems to ...
Tuesday, March 20, 2018

If endurance exercise is the fountain of youth how much do you have to drink?

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 What are the arc (s?) of the normal aging heart ( the sedentary ageing heart and the exercising aging heart) One of the stories told  by ...
Sunday, March 18, 2018

Mitochondrial function in octogenarian endurance athletes

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Scott Trappe from Ball State University and colleagues from the Karolinska Institute studied 9 lifelong endurance athletes 80 years of age o...
Tuesday, March 06, 2018

What does reduced ejection fraction in elete athletes mean?

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Some NBA players  and  professional European cyclists (1) have been shown to have reduced cardiac ejection fractions (EF) and some NFL playe...
Monday, March 05, 2018

Reversing cardiac aging-maybe some but it isn't easy

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More about cardiac aging and aerobic exercise  from the Institute for Exercise and  Environmental Medicine  is found  the January 2018 issue...
Wednesday, February 21, 2018

diastolic heart failure-do we need a two (or more) hit theory?

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Warning The following represents the musings of a non-cardiologist,clearly unqualified by training to speak with much credibility on this su...
Monday, February 05, 2018

Might meta analyses and meta data dreging gaslight everyone

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Two dueling meta-analyses come to mind. There was a widely quoted meta analysis regarding Vitamin E which concluded it increased the risk ...
Friday, January 19, 2018

Has the modern electronic medical record made many physicians accomplices to lying?

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In the last few  years I have the opportunity to read my medical records  and those of  some extended family members. After reading these do...
Wednesday, January 17, 2018

Mayo study: higher cardiorespiratory fitness associated with lower risk of atrial fibrillation

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Data and analysis continues to address the issue of exercise level and risk of atrial fibrillation (AF)-sometimes referred to as the U-shape...
Monday, January 15, 2018

Not your father's internist any more

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This a very lightly edited version of a commentary that I made 12 years ago. Nothing has happened in the last 12 years to change my views an...
Saturday, January 13, 2018

LBBB associated non ischemic cardiomyopathy -more favorable remodeling if CRT started early

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 An article by the electrophysiology group at the University of Pittsburg highlights the importance of early CRT in cases of left bundle br...
Wednesday, January 10, 2018

The ABIM Foundation, "a foundation dedicated to what?"

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Following a revealing blog post regarding the ABIM  by DRWes, a  comment was made by Keith: " This is what happens when a non profit ...
Monday, January 08, 2018

The long term trend of how and where decisions are made

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I continue to be impressed by the depth of the insight found in Thomas Sowell's "Knowledge and Decisions". Here is my attemp...
Sunday, January 07, 2018

"..how little they really know about what they imagine they can design" -Mega medical hubris

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Frederick Hayek was talking about the "curious task of economics " That sentiment can as easily be applied to the central planner...