Introduction Aortic dissection results from a tear in the inner layer of the aortic wall (called intimal tear). Blood pumped from the heart into the aorta pushes the layers further apart in an upstream or downstream direction (or both, see below) and block side branches that may include Your coronary arteries, causing a heart attack Arteries to your brain , …
The ORBITA Trial
Percutaneous Coronary Intervention in stable angina PCI was no better than a sham procedure at providing relief to stable angina patients, the ORBITA trial showed. Symptomatic relief is the primary goal of percutaneous coronary intervention (PCI) in stable angina and is commonly observed clinically. However, there is no evidence from blinded, placebo-controlled randomised trials to show its efficacy. The ORBITA …
Recurrent Chest pain
Question: Hello Dr T My name is Ray and I live in the UK. I suffered 2 heart attacks last March within about 5 days of each other (the first one wasn’t picked up on by the Paramedics). I had a stent in my right coronary artery. I am 78.5 KG and 5’10 ½” tall (Ed: BMI=24.78 – normal weight) …
High Cholesterol, high HDL, low triglycerides
Question: I’d like to ask a question about my recent cholesterol test results. I had it tested for the first time ever recently. I am a 38-yr-old female, 5’3″ and 115 lbs, no known health issues. I do cardio exercise 4 -6 days a week for a half hour. My diet is fairly healthy, as I actively avoid high …
Broken Heart Syndrome
Question: Hi. Can you please explain the difference between a heart attack and Broken Heart Syndrome. My daughter had a baby and then the next day was told she was having a heart attack. Her cardiac enzymes did elevate. Now the doctor is calling it Broken heart syndrome. Would cardiac enzymes elevated with broken heart syndrome or only in …
US General Surgery Residents Readiness for Independent Practice
“There’s increasing concern that U.S. general surgery residents are not ready to operate independently by the time they graduate.” In an article I published on this website in 2014, I commented on this lack of readiness in detail. Unfortunately, it appears that surgical training programs have made no progress since. It also appears that surgical skills training has been reduced …
Portland Community Free Clinic Golf Tournament
The 3rd Annual Golf Tournament to support the Portland Community Free Clinic is just around the corner! Join us with a golf foursome, sponsor, or both! Visit our golf website to learn more or to register! Where: Nonesuch River Golf Club, in Scarborough, Maine. When: Thursday, September 14, 2017. Time: 1 pm. Shotgun start. Purpose: To support the The Friends of the Portland Community Free Clinic, …
Mt. Katahdin Fundraiser
We have an exciting fundraising event planned for the Friends of the Portland Community Free Clinic. Twelve hikers have committed to climbing Mt. Katahdin on July 10-12, 2016. Each individual has pledged to raise at least $1,000–our total goal is to raise $15,000 for the PCFC through this event. This event was spurred on by a grant received last year …
What treatment for a heart blockage is best?
Question: I have been advised by my primary physician to schedule a cardiac catherization and possible stent placement procedure after having a Nuclear Stress Test with the following “Findings: The study quality is excellent. There is no transient LV ischemic dilatation noted. The left ventricular chamber dimensions are normal. There is a mild to moderately reduced perfusion defect of moderate …
Help!
Question: I’m 61 and on my last visit to my cardiologist, he wanted to do a heart cath to see if anything was going on in my heart. I had been to the emergency room 2X in the prior two months with high BP 200/110 on one occasion and 180/100 on the other. In both cases my heart rate …