“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

Hormonal Therapy for breast cancer and cardiac side effects

After surgery, women diagnosed with hormone-receptor-positive breast cancer usually take hormonal therapy medicine to reduce the risk of the cancer coming back (recurrence). Types of Hormonal Therapy Tamoxifen a selective estrogen receptor modulator (SERM)is used to treat both premenopausal and postmenopausal women. may cause hot flashes may increase the risk of endometrial cancer may increase

Angiogram or cardiac catheterization

What is an angiogram ? An angiogram or cardiac catheterization is a procedure to detect narrowing or blockages in your coronary arteries. Contrast dye is injected into the heart arteries while X-ray images are taken. The pictures provide a road map of your vessels visualizing blockages, narrowing, or other abnormalities of the arteries. The blockages found

Aortic aneurysms . What my patients need to know about abdominal aortic aneurysms (AAA)p

What is an Abdominal aortic aneurysm (AAA) Aortic aneurysms are separated into two categories, thoracic, which involves the ascending aorta, the aortic arch, and the first part of the descending aorta, and abdominal, which involves the descending aorta.  This article will focus on abdominal aneurysms Abdominal aortic aneurysms (AAAs) are relatively common and potentially life-threatening.

Twiddler’s syndrome – an uncommon and dangerous cause of pacemaker failure

The pacemaker-twiddler’s syndrome is an uncommon cause of pacemaker malfunction. It occurs due to unintentional or deliberate manipulation of the pacemaker pulse generator within its skin pocket by the patient. This causes coiling of the lead and its dislodgement, resulting in failure of ventricular pacing. More commonly reported among elderly females with impaired cognition, the

Vasovagal Syncope . The most common cause of fainting

What is Vasovagal ( VVS) syncope? VVS is the most common form of fainting occurring mostly in young adults, though it can occur at any age. It’s also called reflex, neurocardiogenic, neurally mediated syncope or vasodepressor syncope. It happens when the nervous system that regulates blood pressure and heart rate malfunctions in response to a

Cardioversion

“Electrical cardioversion” is a cardiac procedure that shocks the heart to convert an irregular rhythm back into a normal sinus rhythm. Most often is used to convert Atrial Fibrillation or Atrial Flutter into normal rhythm How do you prepare for cardioversion Fast (not eat or drink anything) for 6 hours before the procedure.  If you take