September 2019

Answer to "How Long Will I Live?" May Be Revealed in a Stress Test

"Using this formula, we would tell a 45-year-old patient with a score of 55 that his stress testing performance is more consistent with that of someone 10 years older, and that he is not likely to live as long as his 45-year-old peers," cardiologist Serge Harb, MD, explains. "It makes it easy for patients to understand their risk. We hope it will encourage them to exercise more."   More...

In The News: September 2019

Many people take glucosamine supplements to relieve joint pain from osteoarthritis. The good news is that this practice may offer some protection against heart attack and stroke, as well. British researchers surveyed more than 466,000 patients, none of whom had been diagnosed with cardiovascular disease at the time. As reported in BMJ May 14, 2019, during the next seven years there were 5,745 heart attacks, 3,263 strokes and 3,060 cardiovascular deaths in the group. After adjusting for other risk factors, habitual glucosamine use was associated with a significantly lower risk of all types of fatal and nonfatal cardiovascular events.   More...

If You Have Trouble Controlling Your Blood Sugar, Don't Give Up

Subscribers Only — Between a Rock and a Hard PlaceSymptoms caused by very high and very low blood sugar levels can be frightening, and even dangerous. The extent and severity of symptoms interfere with quality of life. Many patients are unable to hold a job, or even make advance plans with confidence. Personal relationships can suffer. Some patients end up in the emergency department multiple times aweek.   More...

Advantages to Coronary Artery Bypass Surgery Come to Light

Subscribers Only — Most heart-attack-causing lesions occur in the upper one-third of an artery. CABG bypasses these lesions and much of the remaining artery by attaching the bypass graft far downstream in an area less vulnerable to disease. As the disease continues to evolve in the artery, the bypass graft continues delivering oxygenated blood to the heart muscle nourished by the artery. This is how CABG prevents future heart attacks from occurring.   More...

Learn What ‘Titration' Means

"You need adrenaline to run away from a bear, but your adrenaline level has to come down after the bear is gone," Dr. Taylor explains. "If you block adrenalin completely, the bear will catch you, so we block some of the adrenaline slowly and gradually. This allows you to react to the bear, while giving your heart time to get better and stronger between bear attacks. The next time we increase the dose, the heart tolerates it better."   More...

Managing A-fib with Food

In their place, Zumpano recommends adopting a Mediterranean-style diet. This diet eliminates or minimizes red meat in favor of fish and skinless poultry. Three-fourths of your plate should be filled with vegetables, whole grains or legumes. Olive oil replaces butter and other oils, and fruit and nuts are used for snacks.   More...

SuperSaturated Oxygen Therapy

Subscribers Only — When this type of heart attack, (an ST-elevation myocardial infarction, or STEMI) occurs in the left anterior descending (LAD) artery, it's called a "widow maker," because it is often fatal. SuperSaturated Oxygen Therapy was designed to increase the amount of oxygen in the blood serving the heart muscle affected by the heart attack (infarct)to help prevent the tissue from dying. The more muscle that is saved, the greater the likelihood the patient will survive.   More...

Ask The Doctors: September 2019

Such a group was studied in REDUCE-IT. This trial involved 8,179 patients with CVD or diabetes plus other risk factors and LDL levels of 40-100 mg/dL on statin therapy. Over five years, 4 grams a day of the fish oil icosapent ethyl reduced both first and subsequent heart attacks and strokes as well as CVD deaths by 25%. Although icosapent ethyl is a TG-lowering agent, the results appeared to be independent of patients' baseline TG levels. This suggests some benefit was due to independent actions, such as potent plaque-stabilizing properties. This fish oil product is currently FDA-approved only for treating TG levels above 500 mg/dL.   More...