More evidence that NSAIDs are harmful to heart-failure patients

admin | January 30, 2009

Hellerup, Denmark - Further evidence that even commonly used nonsteroidal anti-inflammatory drugs (NSAIDs) are harmful to heart-failure patients has come from a new study [1].

The study, published in the January 26, 2009 issue of the Archives of Internal Medicine, shows dose-related increases in risk of death and rehospitalization for heart failure or MI with all COX-2 inhibitors or other NSAIDs.

Lead author Dr Gunnar Gislason (Gentofte University Hospital, Hellerup, Denmark), commented to heartwire: “Although our study is observational, and you can never exclude all confounding factors, we have very consistent results estimated using two different statistical methods. And these results are similar to many other previous studies. In addition, we see a strong dose-related response. I think the data are very convincing.”

Should angiplasty and stenting become a thing of the past?

admin | January 30, 2009

As time goes on we are learning more and more that angioplasty and stenting is only useful in acute (life threatening) coronary artery disease.  Unfortunately for the stent manufacturers and the invasive Cardiologists, this is less than 15% of the cases that are admitted to the ER with chest pain.

In short, it seems that the stent industry has convinced the invasive Cardiologists that any and all lesions should be stented, even though it has no impact on preventing a future heart attack or increase the patients life expectancy in non-lifethreatening disease.  So what are we missing here?

It’s time for women to unite against heart disease

admin | January 30, 2009


Attention all women: Heart disease is more common than you think!

Many of you may not be aware that more women than men die from heart disease each year. In the United States, a woman dies from heart disease almost every minute. This year, six times as many women (267,000) will die from heart attacks than breast cancer.

Heart disease doesn’t just strike older women. The rate of sudden cardiac death among women in their 30s and 40s increased 30 percent in the last decade. That’s much more significant than the increase seen in men the same age.

Statistics also tell us that one in three women don’t know that heart disease is their greatest health risk. That’s why we need to spread the word to our female friends, family members and neighbors.

All women should know the risks for heart disease and take steps to reduce those risks.


For example, have your blood pressure and cholesterol numbers checked regularly and work with your physician if they are not at goal.

If you smoke, you are two to four times more likely than nonsmokers to develop heart disease. Women who smoke have heart attacks nearly 20 years earlier than non-smoking women. Your best plan is to quit now.

Lack of physical activity increases your risk of coronary heart disease. It also increases the likelihood of other risk factors, such as high blood pressure and being overweight. If you have excess body fat, especially around your waist you are more likely to develop heart disease and stroke. Every pound you lose helps lower your risk.

Women with diabetes are two to three times more likely to have heart attacks, but that risk can be significantly lowered if the diabetes is well controlled.

When heart disease does strike, plans and lives are changed forever. The road to recovery can be overwhelming. People recovering from heart disease have to learn how to improve their eating habits. They have to focus on getting regular exercise, quitting smoking, taking medications faithfully, keeping healthcare appointments, and working with doctors to control blood pressure, cholesterol and diabetes. Taking these changes step by step can help promote success in finding a new, “normal” lifestyle.

While many women spend their whole lives putting the needs of others ahead of their own, it is essential that women recovering from heart disease place themselves and their heart’s recovery first above all else. Whether you are recovering from a heart attack, open heart surgery or angioplasty/stenting, or you are a healthy woman who is trying to prevent heart disease, getting and giving support is crucial in working toward a heart healthy lifestyle.

Morris Hospital & Healthcare Centers is providing an opportunity for women to connect and learn from each other through a new support group, Heart to Heart for Women. Our goal is to raise awareness of women’s risk for heart disease and provide an avenue for women to share knowledge and insight with each other on their path to prevention and recovery.

This group will meet for the first time from 6 to 7 p.m. on Monday, Feb. 16, in the Whitman Education Room at Morris Hospital. Women survivors of heart disease will be speaking “from their hearts” as they share their personal stories of hope and survival.

We can make a difference in the health of our community. Come and listen to these women share their stories on Feb. 16, and then help spread the word to your friends, daughters, sisters, mothers, aunts and grandmothers.

We can band together to beat heart disease through awareness, knowledge and action by living healthier lives.

Pat Cravens is a registered nurse and cardiovascular clinical educator at Morris Hospital & Healthcare Centers. For more information on the Heart to Heart for Women Support Group, call Cravens at  815-942-2932 , ext. 7832.

NFL players join the effort to address women’s heart disease

admin | January 30, 2009

TAMPA — The women, dressed in their sharpest red outfits, formed a wall of support Thursday in an Embassy Suites conference room as the still-grieving men shared their stories about those they loved and lost to heart disease.

Giants receiver David Tyree talked about how his mother felt pain in her shoulders and fatigue before she died of a massive heart attack in December 2007, just weeks before he made a spectacular catch during the winning drive in Super Bowl XLII.

Reported January 30, 2009 Study: Blood Pressure Predicts Heart Disease

admin | January 30, 2009

(Ivanhoe Newswire) — An inexpensive and non-invasive test can effectively indicate which kidney disease patients are at an increased risk of developing potentially fatal heart complications, according to a new study.

Doctors use pulse pressure, an indicator of arterial stiffness and aging that is derived from blood pressure readings, to measure coronary artery calcification in chronic kidney disease (CKD) patients on dialysis. These patients frequently die from cardiovascular complications.

The test is typically not done on patients with earlier stages of the disease who are not yet on dialysis. Italian researchers wanted to test if pulse pressure could predict coronary artery calcification on these patients.

Healthy Heart-Personal Story

admin | January 30, 2009

Yesterday I had an echocardiogram as a follow-up to one of my doctor’s appointments. One of my first appointments (along with my last pregnancy) a murmur was detected. I’m not super worried about it but I am thankful for a proactive doctor who is helping me get healthy!


An echocardiogram is an ultrasound of the heart. VERY INTERESTING! I’ve had A LOT of ultrasounds of my uterus and can tell exactly what things are down there but had no clue of what I was seeing of my heart. The technician would say, “As you can tell these are the four chambers of your heart” or “You probably already knew this is a valve” Uh, NO! Very cool. I almost asked her if I got a picture of my ultrasound like they’ve sent home with me from my pregnancy ultrasounds.

Alan Pergament: ‘Doctors’ house calls a hit in WNY

admin | January 30, 2009

But the 4 p. m. program, which replaced “PM Buffalo” on Channel 7 this fall, couldn’t be avoided any longer because it has done something that looked impossible only four months ago: “The Doctors” has helped revive the ratings for Channel 7’s late-afternoon newscasts.

During the November 2008 sweeps, the Buffalo market had higher ratings than the program had in the top 75 cities that carries it. And it competes locally with “Oprah” on Channel 4 and “Ellen” on Channel 2 for mostly female viewers.

Off-Pump Coronary Artery Bypass Graft Surgery in California, 2003 to 2005

admin | January 29, 2009

Study Question: What are the differences in outcome between off-pump coronary artery bypass grafting (OPCAB) compared to conventional coronary artery bypass grafting (CCAB) with cardiopulmonary bypass using California CABG outcomes reporting program data?

Predicting coronary artery disease, and treatment response, is a moving target

admin | January 29, 2009

Coronary heart disease, or coronary artery disease, the build up of atherosclerotic plaque that can cause myocardial infarction and death, remains the target of huge worldwide markets for treatment, yet the disease state represents a moving target for both predicting who will develop the disease, who has “vulnerable plaque”, who is likely to suffer events like MI, who is likely to benefit from angioplasty w/ or w/o drug-eluting stents (of which type), who is likely to benefit from coronary artery bypass versus stenting, etc.

Obstructive Sleep Apnea, Cardiovascular Consequences, and Treatment Options

admin | January 29, 2009

Obstructive Sleep Apnea affects approximately 20 million people in the U.S. alone, and millions more are affected worldwide. Over the last 10 years, significant research has been performed and now there is overwhelming evidence of the connection between Obstructive Sleep Apnea (OSA) and cardiovascular disease. Specifically, people affected by sleep apnea are at increased risk for hypertension (also known as high blood pressure), coronary artery disease (AKA atherosclerosis), heart attacks, strokes, cardiac arrhythmias, heart failure, diabetes, and even death.

Cardiac Care Options

Treatment
Cost
Invasive?
CABG
$$$$$
Yes
TMR
$$$$
Yes
Angio/Stent
$$$$
Yes
Medicine
$$
No
ECP
$
No
Rehab
$
No

For more information about each cardiac treatment please click on each treatment title or one of the tabs at the top of the page.

 


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