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Heart Beat: August 2020

Metformin Appears to Protect Diabetic Patients Undergoing Surgery People with type 2 diabetes are at increased risk of complications and death from major surgical procedures. A study in the April 8 issue of JAMA Surgery suggests the diabetes drug metformin may offer them some protection. The retrospective study of more than 10,000 patients who had […]
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Ask the Doctors: LDL Cholesterol; Aerobic Exercise & Pacemakers

I had a heart attack and have been on statins. My doctor says my LDL cholesterol is not low enough. What should it be? What other treatment options exist? Since individuals with atherosclerotic cardiovascular disease (ASCVD), particularly those with a previous heart attack, are at high risk for a recurrent event, LDL treatment goals are […]
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Download The Full August 2020 Issue PDF

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Download The Full July 2020 Issue PDF

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At What Age Can You Stop Taking Preventive Medications?

We know that modifying certain risk factors can help prevent heart disease. Lowering high cholesterol, blood pressure and blood sugar levels are some of the ways we can avoid a heart attack. Bringing levels down to lower our risk usually requires taking medications, in addition to making lifestyle changes. Many of us will take these […]
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Could Diabetes Be Sneaking Up on You?

Diabetes is so common that many people fail to understand how serious it is. High sugar levels in the blood silently wreak havoc on blood vessels throughout the body. When large blood vessels are affected, the risk of heart attack, stroke and peripheral vascular disease increases exponentially. When the smaller vessels are affected, patients can […]
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When to Consider Genetic Counseling for Heart Disease

Most of us understand the role of risk factors in the development of coronary artery disease leading to heart attack. But heart diseases with underlying genetic causes are less well known. They include bicuspid aortic valve disease, hypertrophic cardiomyopathy, familial dilated cardiomyopathy, Brugada syndrome, long-QT syndrome, familial hypercholesterolemia and connective tissue diseases such as Marfan […]
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Symptoms of Heart Attack and Stroke Are a Medical Emergency!

An unexpected consequence of the COVID-19 pandemic has been the dramatic drop in the number of acute heart attack and stroke patients seen in emergency departments worldwide. Depending on their location, hospitals report 30% to 60% fewer patients with heart attack symptoms and nearly the same drop in patients admitted with symptoms of stroke. What […]
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Iron Deficiency in Heart Failure Is a Common, Fixable Problem

If you have heart failure, you know it often takes a lot of work—and a strong patient-physician partnership—to maintain a good quality of life. Staying well usually requires making dietary adjustments, such as adopting a low-sodium diet and restricting fluid intake. Multiple medications are usually required, as well. Yet many heart-failure patients are plagued by […]
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Ask the Doctors: Does Aspirin Prevent Heart Attacks; Elevated Triglycerides

I am 60 and do not have heart disease. Will taking aspirin help prevent a heart attack? Few would argue against aspirin use to prevent a recurrent event (secondary prevention) in someone with known cardiovascular disease. However, aspirin for primary prevention of a first heart attack, stroke or death remains controversial. After a study showed […]
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Heart Beat: July 2020

The Foods You Eat Help Determine How Well You Age Most of us would like to live a long life, but only if we’re healthy. No one would choose to grow frail, but that’s what often happens. We become less active, slow down and get easily fatigued. Over time, we need help managing ourselves and […]
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What You Should Drink (or Not Drink) When You Are Thirsty

It’s summertime, and the heat is soaring. The more you perspire, the quicker you get thirsty and the faster you want to quench that thirst. It may be tempting to reach into the refrigerator and grab anything cold. But if you have heart disease or its risk factors, what you drink matters as much as […]
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