"Pump Head"

Decreased Oxygen blood levels in the brain during heart surgery correlates to increased risk of suffering from the mental impairment dubbed "pump head". Heart surgery patients in whom a heart-lung machine was used often find their brain function slipping for months or years afterward.
Studies have shown that 20-40% of patients set to undergo CABG surgery already had some degree of cognitive decline before the operation. It was assumed that this was a complication of the heart-lung machine. New studies however suggest this is caused by decreased blood flow through already diseased arteries to the brain.
References:

  1. Cerebral oxygen desaturation predicts cognitive decline and longer hospital stay after cardiac surgery.Slater JP, et al; Ann Thorac Surg. 2009 Jan;87(1):36-44
  2. Heart-Lung Machine May Not Be the Culprit in Post-Op "Pump Head" Syndrome

 

Diet soft drinks expose you to increased risks of stroke, heart attack, and vascular death

ScienceDaily, 02/01/2012

A new study finds a potential link between daily consumption of diet soft drinks and the risk of vascular events. Individuals who drink diet soft drinks on a daily basis may be at increased risk of suffering vascular events such as stroke, heart attack, and vascular death.

Most Risk Factors for Cardiovascular Disease are similar for men and women

Cardiovascular disease (CVD) is the leading cause of death, responsible for over 800.000 death/year in the US.

The major Risk Factors for CVD and Coronary Artery Disease (CAD) are similar for both men and women, with several additional risk factors for women associated with pregnancy and polycystic ovaries:

The 2010 Dietary Guidelines

A poor diet is responsible for a number of chronic illnesses such as high cholesterol, obesity, hypertension, and diabetes, resulting in as much as 75% of the cost of medical care in the United States.

Barry Manilow, spokesperson for “Get Back In Rhythm”

World-famous musician and singer Barry Manilow is one of the more than 2.5 million Americans living with Atrial fibrillation (AF, or AFib), a disease that causes your heart to race and beat out of rhythm, and make it hard to pump blood efficiently to your body.

Statin benefits questioned in low-risk patients

People without heart disease should think twice before taking cholesterol-lowering statins. In a review of the medical literature, researchers found the drugs did appear to slash deaths ever so slightly in patients at low risk of heart disease. But many of the reports they looked at -- all but one funded by drug makers -- were flawed.

Ivabradine

Ivabradine, a “sinus node inhibitor”, is now marketed in 27 European countries for the symptomatic treatment of chronic stable angina pectoris in patients with normal sinus rhythm who have a contraindication or intolerance to beta-blockers.

Bill Clinton a Vegetarian

Former President Bill Clinton has become a vegetarian and now weighs again what he did in high school, and was recently named PETA's 2010 Person of the Year.

The effect of Obesity on the Economy

Excessive weight affects virtually every organ system in the body, increasing the risk of diabetes, myocardial infarction, troke, cancer, sleep apnea, osteoarthritis, and other chronic diseases.

Improper Cardiac Stent Implantations

Senate Finance Committee Chairman Max Baucus (D-Mont.) and Ranking Member Chuck Grassley (R-Iowa) today released a Finance Committee report detailing the case of a doctor who reportedly implanted nearly 600 potentially medically unnecessary stents from 2007 through mid-2009 at St. Joseph Medical Center in Towson, Maryland, and his relationship with the manufacturer of the stents, Abbott Labs.  The Senators’ report found that the questionable stent implantations cost the Medicare program $3.8 million during that period.

Rahm Emanuel and reducing health care costs.

Rahm Emanuel said today city workers should take better care of themselves -- with City Hall's help -- as one way to  save taxpayers money by reducing health care costs.

Inaccuarte Risk Predictor Calculator sponsored by the Drug Industry?

A September 20, 2010, NYTimes article describes inaccurate outcomes with a point based tool to calculate your chances of developing coronary artery disease & stroke over the next 10 years. The simplified system was developed so doctors and patients would not need a computer. Each risk factor corresponds to a number of points; the more points you have, the higher your risk.

Stents and Stroke

LONDON - Stroke patients over 70 who get stents to keep their arteries open may be doubling their risk of having another stroke or dying compared to patients who get surgery instead, a new study says.

"Pump Head"

Decreased Oxygen blood levels in the brain during heart surgery correlates to increased risk of suffering from the mental impairment dubbed "pump head".

CT Coronary Angiography comes of age!

May 21, 2010

A non-invasive and much cheaper test for coronary disease is available when  a diagnosis of CAD is uncertain. Until recently, CT Coronary Angiography (CTCA) could not adequately identify coronary artery blockages. While not accurate enough to provide a pathway necessary to identify and treat these lesions, it avoids the risks and high costs of cardiac catherization, an important benefit. CTCA is most useful in patients with moderate risk for coronary artery disease.

Losing weight is hard work!

Losing weight is difficult, and keeping it off may be even harder. In a study, published in the March 24 issue of The Journal of the American Medical Association, middle aged women of normal weight needed at least an hour of moderate exercise a day to prevent gaining more than five pounds over a three-year period.

Unnecessary procedures

In a study, published on-line in the journal Circulation on April 13, 2010, cardiologists were asked under what circumstances they would order a cardiac catheterization. 29% of physicians ordered the test for other than clinical reasons, foremost amongst them malpractice concerns. About 25% of the doctors ordered more tests than were necessary, driving up costs. Others did it because of concerns of what competing colleagues would do in similar circumstances. The cardiologists indicated they rarely ordered a cardiac catheterization for financial reasons.

Excessive Stent Use

In a February 11, 2010 article published in the Wall Street Journal the excessive use of coronary artery stents was exposed. The COURAGE study, published in 2007, argued that 1 million PCI procedures are performed each year, with at least 30% being performed in stable CAD patients. Based on the COURAGE trial results, 300,000 of these procedures could be deferred.

Healthcare Costs

Calculate the cost of your Healthcare under the new Healthcare Reform Bill

This link from The Kaiser Family Foundation calculates the costs for persons aged 19-64 who have to buy their own health insurance. As a drawback of this calculator it doesn't compare with costs under the previous system.

http://healthreform.kff.org/Subsidycalculator.aspx?CFID=23012004&CFTOKEN=77740642&jsessionid=6030617e4563721fa11313c7d5a7c756271b

Reducing Your Health Care Costs

To Kristen Mack, The Chicago Tribune, December 20, 2010

(The Chicago Tribune today released a Rahm Emanuel statement in which he promises to reduce City workers' health care costs by $500M, or 20%, with "... just 4 percent of the city’s workforce accounting for roughly 65 percent of the city’s health care costs...")

The New Healthcare law

The new Healthcare Bill

With the passage of this new Health Care Reform Bill, do you think that the pros outnumber the cons?

Obama explained in its signing ceremony at the White House that “this legislation is not going to repair every thing that ails our health care system, but it moves us decisively in the proper course.

Will this $940 billion new Health Care Reform Bill be advantageous for the the vast majority of People in America? Let’s look at a number of the facts as we try to clarify the benefits and drawbacks of this new Health Care Reform Bill:

Will a testosterone shot have any adverse effects on an artery stent?

Testosterone supplementation has been shown to increase muscle mass and strength in healthy older men. However, a new study, reported in the New England Journal of Medicine 1), showed that in older men (>74 yo), testosterone treatment was associated with an significantly higher rate of cardiovascular adverse events.