Heart Rhythm Medicine, Health, Cycling, Fitness.
Blood pressure and cholesterol problems affect millions. These are the bread, butter and sugary drinks of Internal Medicine and general Cardiology practice. It stands to reason then, that the treatment of these basic maladies would be well agreed upon. Guidelines and expert consensus statements would be clear and up-to-date. But this is far from reality. [...]
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On Wednesdays, I try to write on a topic of exercise and health. If you exercise but still have high cholesterol or other risks for heart disease, you may be interested in a new study from my old medical school proving ground–Hartford Hospital. The deftly named STOMP trial looked carefully at the effects of statin [...]
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Let’s talk about the newest cholesterol myth gone busted. I can hardly write; I’m so giddy. That’s what happens to me when simplicity and obviousness triumphs over complicated testing that adds nothing to (or even clouds) the big picture. They come to my office with pages of data dissecting the particle sizes and sub-fractions of [...]
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‘Good,’ I say. Let’s spread the word that pills do not hold the answer to preventing heart disease. And while we are shouting, let’s add this one: There’s no such thing as a free lunch! Medicines come with more than just a dollar cost. When an obscure AF doctor blogs about the limitations of statins [...]
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I can’t help myself. The draw is so strong. It’s simply not possible to stay silent on the recent news about statins. Yesterday, the FDA announced important changes in the safety language that comes in the package insert of statin drugs. (I’m late to the show here, as twenty-four hours is an eternity in medical [...]
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Important challenge to dogma alert: You may have heard that high cholesterol leads to heart disease. Most experts accept the important role that cholesterol plays in heart disease: High cholesterol, particularly LDL (the bad kind), favors build up of plaque, which then leads to obstructed arteries and heart attack. It’s simple. It makes sense. Even [...]
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