Athletes, AF, Anticoagulants, Statins, Peanuts, and Dishwashers

Here is an update on my recent writing. Athletes and AF: I was honored to be invited back to the Western AF symposium in Park City, Utah. Last year, I presented on social media. This year, Dr. Nassir Marrouche (University of Utah) asked me to tackle the topic of atrial fibrillation in athletes. This is […]

A new way to think about curing atrial fibrillation

The problem with AF treatment is that we do not (really) understand the underlying causes of the disease. Why does the heart fibrillate? What gets those pesky premature beats started? Why do intermittent episodes persist? Why does AF come back after shocks or ablation? AF has been thought of as its own disease. You have […]

Antibiotics and the heart — Think hard

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My colleague and friend Dr. Melissa Walton-Shirley wrote a nice review article on antibiotics and cardiac issues over at theHeart.org. It is worth a look. MWS is a heck of writer. Although she is writing to doctors, the issues she raises about antibiotics are relevant to everyone. I recently reviewed a case in which a serious […]

Is healthcare careful? Is it kind?

Research now indicates 50% of middle–aged people live with one chronic disease. Translation: half of middle-aged people are not healthy. (You don’t need a reference there. Just walk out into the world and look around.) This new normal creates a challenge for caregivers. How will we care for the onslaught of chronic disease? Surely not […]

Medicine, lifestyle disease and the pool-safety post

What follows is an introduction to my most recent post on theHeart.org | Medscape Cardiology. It was published yesterday. Many of the comments are excellent. The link is at the end of this post. You might wonder what pool-safety has to do with lifestyle disease. Here is how they relate: I am currently reading an […]

Does exercise have to look a certain way? Can Yoga deliver heart health?

One of my good friends, a guru of sorts, once told me during a ride that things change. He was 50 years-old at the time and the change he was referring to was cycling abilities and priorities. At the time, I was at the peak of my cycling prowess; we were part of strong masters […]

Will wearables and other gadgets make us healthier?

Is good health really all that digital? I am not so sure. I am a skeptic. I realize this is a risky thing to say these days. It’s hard to bet against Apple. And It was only seconds after Tweeting such doubt that John Nosta, an expert in digital health technology, tweeted back: @drjohnm Health […]

The year in Cardiology 2014 — a top-10 list

When the editors at Medscape asked me to put together an essay on the Top 10 stories in cardiology in 2014, I thought it would be an easy project. I was wrong. It turns out there was a lot to say about the happenings in cardiology this year.  In the end, the final essay had 37 references–a […]

Major breakthrough in AF ablation

A study published recently in the Journal of the American College of Cardiology will change a way of thinking about the disease atrial fibrillation. And it’s about time. One word describes AF therapy in the past decade: plateau. Ten years have passed and we have no new drugs and no real breakthrough in AF ablation. […]

Where is Cardiology in 2014? An AHA Review

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Last week, I attended the American Heart Association (AHA) 2014 Scientific Sessions in Chicago. I was there as both a learner and physician-writer for theHeart.org. Here are a few paragraphs on the meeting. The main purpose of this post is to introduce the five editorials I wrote. The links to the posts are at the […]

Sudden death and a common antibiotic

The longer I practice medicine, the more nervous I get about medications, especially when patients are already on other drugs for chronic diseases. I much prefer deprescribing. A recent study on the common antibiotic cotrimoxazole, which is a combination of sulfamethoxazole and trimethoprim, and often referred to by its brand name, Bactrim or Septra, lends […]