Cardiology

Latest News


CME Content


This recent comment from a patient during an exam led Dr. Pullen to reflect on the many things that physicians do during an office visit that may seem odd to patients.

A study of children living in King County, Washington, found that those who live in socially disadvantaged neighborhoods are more likely to be obese, and that these areas present many obstacles to maintaining a healthy weight.

With Barbara Walters' announcement that she is scheduled to undergo surgery to replace a faulty aortic valve (most likely caused by stenosis of the aortic valve, according to Sara Sirna, MD, of the Temple Heart Center), your patients may be asking you questions about stenosis, aortic valve replacement surgery, mitral valve regurgitation, and a other related topics.

I thought I lost a patient a few weeks ago. No, he didn't die, but after his office visit, I had the distinct impression that he might not come back. My job is to take care of my patients' health. But sometimes I'm just the messenger.

There's a concept in healthcare insurance where all risks in a community of interest, a market, are pooled - community rating; and then there's experience rating where the healthy are advantaged in more ways then one and the sick are marginalized, paying disproportionately more into the pool just to have a seat at the table.

Splenic artery aneurysm is the most common form of visceral artery aneurysm. Most present asymptomatically with incidental findings on CT or ultrasound which are diagnostic, although about 20% present with vague left upper quadrant abdominal pain. Treatment should be aimed at preserving splenic function whenever possible and endovascular treatments offer a less invasive option to patients than open surgical ligation or resection.

A study from Johns Hopkins has found that "routine prescription of extended-release niacin, a B vitamin (1,500 milligrams daily), in combination with traditional cholesterol-lowering therapy offers no extra benefit in correcting arterial narrowing and diminishing plaque buildup in seniors who already have coronary artery disease."

In his July 2009 editorial, Dr. Robert C. Like, MD, MS, wrote about the importance of creating "communities of practice" and the increasing role of the Web and collaboration in facilitating the development of learning networks. Here, he continues this discussion by sharing some perspectives from the field of library science about the impact of the Internet on clinical practice and public health.

Researchers are finding that interactive game systems like Nintendo's Wii are especially helpful for people with chronic health conditions. Playing the games increases physical activity and can even improve the ability to care for oneself.

"The Vine that Ate the South" may one day be known as "The Vine that Fought the Metabolic Syndrome," according to University of Alabama at Birmingham researchers.