Athletic heart Atrial fibrillation Cycling Stuff Exercise inflammation Uncategorized

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 […]

AF ablation Atrial fibrillation ICD/Pacemaker inflammation Social Media/Writing/Blogging

2014 Heart Rhythm Society Sessions — My massive recap:

Hey Everyone, I recently returned from the Heart Rhythm Society meeting in San Francisco. I attended the meeting as both a physician-journalist-columnist for and as a practicing electrophysiologist. As it so often is with international meetings, I returned energized and rejuvenated about the practice of medicine. Medical meetings are great this way. It’s quite […]

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 […]

Health Care Healthy Living inflammation Nutrition

Dear Girl Scouts: It’s time to cut out the cookies

It happened while I was leaving a grocery store in the southeastern United States. The young girl who asked me if I wanted to buy Girl Scout cookies was strikingly perfect. She was thin, happy, and well spoken. So were her colleagues. The moms, too, were of healthy weight and cheer. It was as if […]

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. […]

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 […]

Cycling Stuff Doctoring General Cardiology General Medicine Health Care Healthy Living inflammation

NSAIDs — Yet another dubious “health” product at CVS

Now that the ‘healthiness’ of products sold at CVS stores is a matter of public discourse, it seems a perfect time to mention the common pain relievers known as Non-Steroidal Anti-inflammatory Drugs (NSAIDs). It just so happens that two FDA advisory committees are meeting today and tomorrow to discuss the cardiovascular risks of NSAIDs. The […]

Cycling Stuff Exercise Healthy Living inflammation

Prolonged exercise leads to heart damage — pro/con debate

Dr. Larry Creswell, of the Athlete’s heart blog, just posted an interesting debate from the Journal of Physiology. The question of whether longterm endurance exercise leads to heart damage is a hotly contested issue in cardiology. For those who are curious about this intriguing topic, his links lead to very readable prose. Larry suggests paying […]

General Cardiology Health Care Healthy Living inflammation Nutrition

Heart health is not about Telomeres…It’s much simpler than that

A recent study on healthy lifestyle changes got me thinking about why heart disease remains the most deadly human disease. A small study of just a few motivated men with low-risk prostate cancer garnered attention because it contained two important key words: Ornish and Telomeres. Everyone knows Dr. Dean Ornish. And most of us know […]

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 […]

Athletic heart Atrial fibrillation General Ablation General Cardiology Healthy Living inflammation Uncategorized

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 […]