Categories
Atrial fibrillation Dabigatran/Rivaroxaban/Apixaban

Thinning the blood with dabigatran (Pradaxa) and rivaroxaban (Xarelto) –Thoughts on fear and lack of reversal agents…

The good news: Patients with heart disease have enjoyed great advances in stroke and heart attack prevention in the last few years. The bad news: most of these advances have involved novel new blood-thinning drugs. The idea of blood thinners is quite simple: Heart attacks and strokes most often stem from clotted blood. The same […]

Categories
ICD/Pacemaker

My new (ICD-related) post is up over at Trials and Fibrillations

I’m still working on recapping the Heart Rhythm Society sessions from last month. It was an incredible meeting that offered vast amounts of worthwhile information. So much really–for patients, generalists and specialists alike. Part 2 of my favorite ICD-related posts from HRS 2012 is now posted over at Trials and Fibrillations at theHeart.org. It touches […]

Categories
Healthy Living Reflection

GoRed Friday!!!

What should a heart doctor talk about on the this wear-red-for-women’s-heart-disease day? (It’s sunny out this Friday afternoon, so I am keeping it brief.) Promoting women’s heart health is important. Even though pink made the bigger news this week, heart disease kills far more women than breast cancer. Wait, that’s a terrible line of reasoning; […]

Categories
Atrial fibrillation Doctoring Knowledge

On doing clinical research without a foundation

I learned a lot from putting together an abstract for a national heart meeting. More than just learning how to e-submit, e-upload and e-print a large poster; More than what t-tests and chi-squares measure; More than learning that females respond differently to AF ablation; And surely more than which coffee shop offers the best work […]

Categories
Doctoring Health Care Reform Reflection

A doctor who gets fifteen minutes with Mr Obama says…?

HCPLive , an online, medical news site tweeted this question: If you had the president’s ear for fifteen minutes, what would you say to him about the current state of our health care system? Ok then. This is a good one. You can just type it out free lance–for fun and all, snark-free, with a […]

Categories
AF ablation Atrial fibrillation General Cardiology

The best tool for treating atrial fibrillation

Today, I would like to tell you about the most effective way to treat the most common heart ailment, atrial fibrillation (AF). It’s not the novel anticoagulant drugs. Though it’s obvious that having stroke prevention options other than warfarin represents a significant advance. It’s not burning the left atrium with an ablation catheter. Though it’s […]

Categories
General Cardiology Reflection

Heart disease does not discriminate

To celebrate women’s health, our office was awash in red today. It’s true, despite the vigor of the pink-ribbon campaign, heart disease remains the number one cause of death for women.  That stinks, because like in men, death from heart disease is so preventable. Notwithstanding my free socks, in promoting heart health, I am redder […]

Categories
Doctoring Health Care ICD/Pacemaker

Prophylactic ICDs may not benefit women…

The heart of a woman may be much different than that of a man. The “Go Red” campaign would surely agree.  As would most masters of the obvious. But in the case of whether female hearts garner the same benefit from a prophylactic implantable defibrillator (ICD), women may be much different than men. As published […]

Categories
Doctoring Health Care Health Care Reform

Where is something available for nothing? Cambridge, Mass. perhaps…

It happened.  Guilty.  I confess. Reading about Dr Berwick’s recess appointment to lead CMS induced me to watch a Fox news clip.  Gosh, I feel bad about it.  It felt good, though. Patients–that’s you and me–should know that CMS controls doctors, nurses and especially hospital/practice managers.  They are ten times more scary than the radar […]

Categories
AF ablation Atrial fibrillation General Ablation

Atrial fibrillation ablation in women…Are there any real differences?

We all know that women have kinder hearts than do men. That’s an easy one. But what about their cardiac electrical system? The headline in the subject line of the email reads, AFib Ablation in Women: Are We Undertreating? I looked at this study a number of days ago, and initially thought–except for the number […]

Categories
General Cardiology General Medicine ICD/Pacemaker

A malignant arrhythmia from an antibiotic? Lessons to be had…

What can an interesting case of a simple infection which nearly led to sudden cardiac death teach us about health care, health care reform and our ways of knowing? Dr Wes’ blog recently described a post from a geriatrics (specialist in the care of the elderly) doctor that highlighted the challenges of caring for the […]