Diabetes and Cardiac Health

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Diabetes affects nearly 26 million people, 8.3 percent of the U.S. population, or almost 100 million people if patients with pre-diabetes are included. The number of Americans with diabetes is projected to double or triple by 2050. Cardiovascular disease, and specifically, angina, is the number one killer in America. Diabetics are at a particularly high risk of developing heart attacks and stroke with …

“Cardiac perspectives from a heart surgeon”

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In March 2013,  I participated in a Podcast and several articles, published as “New fronts in heart disease: perspectives from a heart surgeon” in the Digital Journal. In it, I had the opportunity to discuss advances in the the treatment and prevention of heart disease. These were the questions that I addressed during the interview. For the answers I chose from …

Cardiac Surgery Risk Analysis

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 Since its first publication, our cardiac surgery risk calculator has proven very popular, with over 1000 completed questionnaires since August, 2010. Although the validity of the analysis is somewhat questionable, it has nonetheless shown some interesting results and showcases how this type of data can be utilized, especially if coupled with outcome analysis.   I have made some assumptions: While …

More about Coronary Artery Bypass Grafting

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While the buzz in treatment for Coronary Artery Disease (CAD) is all about Percutaneous Coronary Interventions (PCI) or “Stenting”, relatively little information about Coronary Artery Bypass Grafting (CABG) is available. CABG, despite often being labeled as painful, expensive and risky, is in many ways the opposite: an efficient method of returning blood flow to the heart back to normal. Relatively …

A patient with Coronary Artery Disease

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I thought to post a recent evaluation of a patient who contacted me for consultation: Mrs. XYZ, DOB: 1955 57 years old White Female, with low level Angina and progressive loss of exercise tolerance (fatigue, “can’t do much anymore”). (A significant factor in her care may well have included no health insurance, even though she rendered full payments at the …