Endurance exercise and the heart — a mention in the New Yorker

Do you exercise a lot? Have you been at it for years? Are you the type that rides around the neighborhood to make a 98-mile ride into a century? Do you get squeamish if you can’t exercise for 24 hours? Are you curious about that beautiful machine in your chest? You know, the rhythmic coordinated […]

CardioStim 2014 Recap

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CardioStim is the name given to the biennial gathering of the European Heart Rhythm Association (EHRA) in the Mediterranean resort city of Nice, France. This was my first (ever) trip to France. As most of you know, I write an electrophysiology column (blog) called Trials and Fibrillations over at theHeart.org, which is now called Medscape […]

Exercise, over-indulgence and atrial fibrillation — seeing the obvious

If you like thinking and writing, few topics are better than the excess exercise and heart disease story. Indeed it is a matter for the curious. Two studies published last week in the British journal Heart addressed the relationship of exercise and heart disease. (See references below.) Although these studies garnered mainstream media attention they […]

New post on Medscape/Cardiology: My take of the 2014 Atrial Fibrillation treatment guidelines

Atrial fibrillation affects millions of patients, and its incidence and prevalence are on the rise. It’s a peculiar disease in that it affects people so differently. When populations are studied, AF associates with higher rates of stroke, heart failure and death. But patients aren’t populations. In recent years, the treatment options for this pesky disease […]

New post up on Medscape/Cardiology: Ablation versus medicine as an intitial strategy for treating AF

Earlier this month I promised to put together teaching points from the Rich Peverley story. His was an interesting case of  sudden collapse that likely occurred as a result of atrial fibrillation therapy rather than atrial fibrillation itself. This was my original report: Important lessons from the collapse of NHL player Rich Peverley (BTW: It […]

How successful is AF ablation?

Let’s talk about success. At first glance, knowing whether a medical or surgical intervention achieves success seems quite simple. An antibiotic clears an infection–or it does not. A surgery removes a tumor with clean margins–or it does not. An angioplasty and stent open an artery during a heart attack–or it does not. In the case […]

Atrial fibrillation features prominently in Rich Peverley collapse

Professional hockey player Rich Peverley gave a news conference today in which he and his medical team announced surprising details about his heart condition. We learned that atrial fibrillation and its treatment featured prominently in his collapse during a game earlier this week. “A flare-up last week led Peverley to skip a road game, and […]

Important lessons from the collapse of NHL player Rich Peverley

Image from Wikipedia

Last night my Twitter stream lit up with the news that NHL player Rich Peverley collapsed from a heart arrhythmia. Fortunately, he was successfully treated, and is reported to be in good condition. Here is a link to the best story I could find. It sounds awfully significant. [Dr.] Salazar said of the treatment, “We […]

100 is the new 80…If you are good to yourself (and lucky)

“There has been a change in your prescription,” said the eye doctor, a wise and bald man, who could have been mistaken for an economics professor at Princeton. “It’s improved?” the 30 year-old cardiologist asked. Better, improved, always the reflex for athletic cardiologists. “Doctor…you have been to the pinnacle and passed it. Your eyes, like […]

Day 3 ESC2013 — Longevity of Tour de France cyclists, meeting old friends, social media, and big plans.

Two EP docs from across the world.

A general rule about writing a story is to lead with the important stuff. I’ve reviewed each of my ESC2013 updates, and as it turns out, each day I have led with the folly. Sorry about that. I’m going to continue the trend. If you had a blog, you could do this too. Before I’m […]

Heart disease 101: AF and Coronary Artery Disease — related, incidental or both?

There were many good questions raised on my last post. Thanks. One particularly relevant theme concerned the relationship of atrial fibrillation (AF) and coronary artery disease (CAD). There’s a great deal of misunderstanding out there on how these two common disease relate to each other. I thought a few paragraphs might be useful. On the […]