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General Cardiology General Medicine Healthy Living inflammation

Statin drugs are much more than cholesterol lowering agents…

Statin drugs are in the news.  The real truth is coming out. The truth that statin drugs (Zocor, Lipitor, Crestor are a few of the more recognizable names) are much more than simple cholesterol lowering agents. This very informative WSJ piece presents the thesis–first published by renowned experts in the Annals of Internal Medicine this […]

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Healthy Living inflammation

Attitude…

Life sometimes gets in the way of daily posting.  Specifically, the treadmill of life sometimes roars too fast. But, as I strolled through the hospital this morning there was this plain piece of white paper taped to the wall around the nurses station. Although, I am not overly religious, and even highly conflicted about which […]

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Health Care Healthy Living

In heart health, we need more than just education…

Everyone knows that the heart health of Americans is dismal. Obesity, diabetes, and high blood pressure are all on the rise. For now, technological advances in cardiac care continue to maintain, or in some cases, lower the death rate from heart disease. Squishing blockages, ablating abnormal heart tissue, and installing cardiac devices have successfully kept […]

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Health Care Health Care Reform Healthy Living Nutrition

Banning toxins is not socialistic: It’s just smart…

Yesterday, I wrote that doctors might need help in getting our patients to make only modest changes in their lifestyle. Could our government help? Like the fat guy climbing the hill who needs a push, our patients need help. In Louisville, we have donuts worthy of feature stories in the local paper. The banning of […]

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Cycling Stuff Exercise inflammation

Just because the rigors of endurance athletics may be inflammatory doesn’t mean it isn’t fun…

A patient asks, “Doc, do you ride your bike to prevent heart disease.” I reply, “Heck no, I am hoping to live long enough to get heart disease.” The non-athletic patient looks quizzically at me as if trying to decipher what I mean, or whether I am serious.  Too long a story, so we move […]

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Athletic heart Atrial fibrillation Cycling Stuff inflammation

A cautionary note to my endurance athletic brethren…

Exercise is good for you. It forms one of the triads of health: good nutrition, good movement, and good sleep. However, like in life, too much of anything is counterproductive, even destructive.   I have long struggled to explain the steady stream of hyper-fit, uber-athletic endurance athletes who see me for arrhythmias.  A membership in […]

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Healthy Living inflammation Nutrition

Heart health in KY?

In athletics and in life, those in last place are usually there for a valid reason. Heart health in Kentucky is atrocious.  We are battling with Mississippi, WV and Alabama for dead last in most measures of public wellness. Yet, this week, Louisville’s director of Metro Department of Health and Wellness, Dr Adelawe Troutman, actually […]

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Exercise General Cardiology General Medicine Healthy Living

Go fast, it is good for the heart…

High intensity exercise was in the news today. Let’s do science: Don’t worry, I will make it easy. Background: It is known that exercise is good for the heart, even after stents or bypass. Historically, high intensity exercise was too scary to recommend for heart patients. Recently though, reports have suggested that high intensity exercise […]