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AF ablation Athletic heart Doctoring Exercise Healthy Living inflammation

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 […]

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AF ablation Athletic heart Atrial fibrillation

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 […]

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AF ablation Athletic heart Atrial fibrillation

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 […]

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AF ablation Atrial fibrillation Social Media/Writing/Blogging

My Social Media Talk at the 2014 Western AF (atrial fibrillation) symposium

 How can social media improve AF patient and provider interaction? It was an honor to speak at the seventh annual Western AF symposium this past weekend in Park City Utah. Once in the shadow of the Boston AF symposium, Dr. Nassir Marrouche (@nmarrouche) and his colleagues at the University of Utah have elevated Western AF […]

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AF ablation Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban inflammation

13 things to know about Atrial Fibrillation

Here are 13 things I tell AF patients. I am sorry that you have AF. Welcome to the club, there are many members. (Three million Americans and counting.) I know how it feels. Your fatigue, shortness of breath and uneasiness in the chest are most likely related to your AF. AF may pass without treatment. […]

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AF ablation Atrial fibrillation Healthy Living inflammation

AF ablation and the hard truths about AF

Atrial fibrillation is a mysterious disease. We know a lot but surely not enough. We look at AF but are we really seeing it? I believe there are hard truths to this disease. Hard in a way that neither patients nor doctors like. More on that later. First to some news on a major AF […]

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AF ablation Atrial fibrillation Doctoring Health Care Healthy Living Hospice/Palliative Care

Two gifts and a consolation prize

President Obama has a few good ideas. He wants Americans to discuss healthcare this holiday season. That’s actually a really good idea. This blog aims to do some good in the area of medicine and health. What follows are two incredibly important essays. The consolation prize is an excerpt from my recent Top Ten post. […]

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AF ablation Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban Doctoring General Ablation General Cardiology General Medicine Healthy Living ICD/Pacemaker

Recap of 2013 American Heart Association Session

Just a few weeks before the 2013 American Heart Association Sessions, Shelley Wood, the managing news editor of theheart.org emailed to ask if I was up for going to the meeting. With trips to San Francisco, Denver, Athens and Amsterdam already in the books this year, I had counted 2013 as a win. I was […]

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AF ablation Atrial fibrillation Doctoring General Cardiology General Medicine Healthy Living Social Media/Writing/Blogging

New post up over at TheHeart.org-Medscape Cardiology — Part 2 of Progress in Cardiology

Part one of Progress in Cardiology was a sober look at the current lull in innovation. In part 2, as promised, I tell you what is right and optimistic about my field. There is a lot. The post touches on the return of the basics. Basics in doctoring and basics in therapeutics are huge new […]

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AF ablation Atrial fibrillation Doctoring General Ablation General Cardiology

New post up on theHeart.org/Medscape Cardiology…Where is the progress in Cardiology?

On the way home from the American College of Cardiology meeting this spring, I wrote a post about the lack of real progress in Cardiology. I got to thinking: Here I was attending major meetings all over the world, and few, if any, studies struck me as game-changers. Everything seemed so painfully incremental. So many […]

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AF ablation Atrial fibrillation Cycling Stuff Doctoring Exercise Healthy Living inflammation

Day 2 ESC — AF ablation and more bike commuting

Okay, I’m getting the hang of this. The Monday morning and evening commute in Amsterdam is something special. You talk about focus. It requires laser-like focus. You’ve got bikes, narrow lanes, buses, trams, pedestrians and tourists. Still though, traveling 6k by bike took 15 minutes; a cab from the convention center, more than 30. I […]