Friday, October 26, 2018

Cleveland Clinic article says the more fit live longer

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Dr. Kyle Mandsager and colleagues at the Cleveland Clinic reported on the long term mortality  ( median followup of 8.4 years)  on 122,0...
Friday, October 19, 2018

Changing status for use of aspirin in primary prevention of heart disease

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In the not too distant past based in part  on the results of the Physicians Health Study (1989) and the Women's Health Study (2005) it s...
Saturday, October 13, 2018

More physical activity may be needed to prevent HF than some other CVD events

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 The title is a reworded version of the title of the article which is designated as reference 2 in the footnotes. There are  2 (at least 2...
Tuesday, October 09, 2018

2018 U.S. exercise guidelines-or how exercise is good for just about everything

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The 2018 Physical Activity Guidelines Advisory Committee issued its report to the Secretary of HHS in February 2018.See here for link to fu...
Thursday, September 13, 2018

The impressive and alarming success of the American Board of Internal Medicine Foundation

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The American Board of Internal Medicine Foundation (ABIMF) is not the largest,most heavily endowed nor the best known of the many non-profit...
Thursday, September 06, 2018

Is the minimal level of recommended exercise sufficient to decrease the risk of heart failure?

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In January 2017, I posted a blog commentary entitled " The minimum exercise levels of  the 2008 guidelines won't prevent heart fai...
Wednesday, September 05, 2018

Does the notion that people have a duty to be healthy shatter traditional medical ethics

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First lets define what we mean by traditional medical ethics.This would include the medical ethical precepts that constituted medical ethics...
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 ...