Friday, August 10, 2018

Many Kudos for the anti-MOC warriors and glimmers of hope

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Dr. Wes Fisher ,an EP Cardiologist from the Chicago area, has waged what was  for a long while a one man crusade about the questionable act...
Thursday, July 12, 2018

How well do the Echo guidelines work to estimate cardiac filling pressures ?

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Elevated filling pressure is thought to define heart failure as it is thought to be the driver for exercise intolerance and shortness of bre...
Sunday, July 08, 2018

The great social justice bait and switch courtesy of ACP,ABIM and RWJF

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Certain members of the leadership of the American College of Physicians,the American Board of Internal Medicine and the Robert Wood Johnson ...
Friday, July 06, 2018

Medicine is increasingly dominated by collectivist ideology.

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This commentary title is an truncated and slightly altered version  of the following quote from the brilliant essay by Dr. Michel Accad. ...
Thursday, July 05, 2018

Is the Choosing Wisely campaign a giant flim flam benefitting the thrid party payers?

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Is the choosing wisely initiative (CW) just a clever ploy to save money for the third party payer?  or Is it just about a sincere effort by...
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...