Vein ablation. Laser and RFA treatment of vein disease

Invasive procedural therapy for vein insufficiency has been proven to be safe and efficient . The following procedures are FDA approved in US : Ablation with Laser or Radiofrequency – shrinking and collapsing the faulty vein, resulting in vein scaring Phlebectomy – removal of bulging varicosities Sclerotherapy – chemical destruction of the vein. What is a

Treatment options for menopause related symptoms

Menopause related symptoms can be bothersome and interfering with daily lifestyle and requiring treatment. 60% of women at menopause experience symptoms for five years around the menopause , but the majority of them can have some symptoms for 10 or 20 years after menopause. The most common is hot flashes ( or night sweats )

Is it safe to take Hormone Replacement Therapy ?

Estrogen offers protection from cardiac disease ; with menopause and lack of estrogen, the risk of cardiac events and stroke rise substantially .Hormone replacement therapy (HRT ) acts differently than natural estrogen. The biggest controversy about Hormone replacement therapy (HRT ) is whether its risks outweigh its benefits. Over the last 10 years several studies

Statins and Diabetes

American College of Cardiology and the American Heart Association aligns with The American Diabetes Association (ADA) Recommending statin therapy in patients with diabetes based on : age other risk factors for cardiovascular disease( CVD) established CVD ( already had an event ) I will reiterate first the statin therapy guidelines in diabetes and then I

Male menopause and Heart

Male menopause Hormone changes due to aging occur in both men in women triggering a variety of confusing symptoms and mimicking heart disease . Male menopause , andropause or commonly “midlife crisis” is a more gradual process with a steady decline in sex hormones over years , compared to a sudden drop in these hormones

Treatment of Atrial Fibrillation; a step by step approach

Treatment of  Atrial Fibrillation Atrial Fibrillation is a life long disease , without a cure but with multiple therapy options . A step up approach is usually used , starting with “minimal side effects ” medications and move to the next option, if symptoms are persistent; the next level therapy is more efficient but with more

“Healthy Hearts . Youth to Youth” Are we preventing too late?

Prevention means early identification. Are we preventing too late? You know  you need to care for your heart as you age, but what about when you’re younger? The Journal of the American College of Cardiology’s journal recently published an interesting letter revealing a strong correlation between high cholesterol and elevated blood pressure in younger adults

Good Shepherd Hospital opens its doors to the first TAVR procedure

TAVR is a minimally invasive procedure to replace the aortic valve in patients with severe aortic stenosis. Originally developed for patients who were too ill for open-heart surgical aortic valve replacement (SAVR), TAVR is now approved by FDA in any patients with severe aortic stenosis. TAVR requires a team of physicians with different expertise, working

“Broken Heart Syndrome” more common in Cancer Patients

Broken Heart Syndrome” or Takotsubo Heart Disease, is a temporary acute stress induced Heart failure, which mimics the presentation of a heart attack. A recent study in JAHA found that Broken Heart Syndrome is more prevalent in patients with malignancy and immediate recognition is essential since the syndrome may have negative long term prognosis in

Blood thinners – risk of stroke vs risk of bleeding in Atrial Fibrillation

Blood thinners – risk of stroke vs risk of bleeding in Atrial Fibrillation Whether to start or not blood thinners in Atrial Fibrillation depends on a strict mathematic formula, which depicts your risk of stroke versus your risk of bleeding The decision to start blood thinners is based on your risk factors for stroke calculated