Cardiology Quotes

Of all the systems of the body - neurological, cognitive, special, sensory - the cardiological system is the most sensitive and easily disturbed. The role of society must be to shelter these systems from infection and decay, or else the future of the human race is at stake. Like a summer fruit that is protected from insect invasion, bruising, and rot by the whole mechanism of modern farming; so must we protect the heart.

Intermittent fasting was associated with more than a 40 percent reduction in heart disease risk in a study of 448 people published in the American Journal of Cardiology reporting that “most diseases, including cancer, diabetes and even neurodegenerative illnesses, are forestalled” by caloric reduction.

physicians, Drs. Bill Castelli, Bill Roberts and Caldwell Esselstyn, Jr., that in their long careers they had never seen a heart disease fatality among their patients who had blood cholesterol levels below 150 mg/dL. Dr. Castelli was the long-time director of the famous Framingham Heart Study of NIH; Dr. Esselstyn was a renowned surgeon at the Cleveland Clinic who did a remarkable study reversing heart disease (chapter five); Dr. Roberts has long been editor of the prestigious medical journal Cardiology. BLOOD CHOLESTEROL AND DIET

Interventional cardiologists have gotten so used to treating chest pain with stents—metal tubes that pry open blood vessels—that they do so reflexively even in cases where voluminous research has proven that they are inappropriate or dangerous. A recent study found that cardiac patients were actually less likely to die if they were admitted during a national cardiology meeting, when thousands of cardiologists were away; the researchers suggested it could be because common treatments of dubious effect were less likely to be performed.

If you want to live long, sleep more and eat less. ... Intermittent fasting was associated with more than a 40 percent reduction in heart disease risk in a study of 448 people published in the American Journal of Cardiology reporting that 'most diseases, including cancer, diabetes and even neurodegenerative illnesses, are forstalled' by caloric reduction.

Among other things, HeartMath research tests theories about the electromagnetic field of the human heart using machines that measure faint magnetic fields, such as those that are often used in MRIs and cardiologic tests. Remarkably, the heart’s toroidally shaped electrical field is sixty times greater than that of the brain, and its magnetic field is 5,000 times greater than that of the brain. The heart generates the strongest electromagnetic field in the body, and its pumping action transmits powerful rhythmic information patterns containing neurological, hormonal, and electromagnetic data to the brain and throughout the rest of the body. The heart actually sends more information to the brain than the brain sends to the heart. In other words, the heart has a mind of its own. Studies reveal this electromagnetic field seems to pick up information in the surrounding environment and also broadcasts one’s emotional state out from the body. Their measurements reveal that the field is large enough to extend several feet (or more) outside our bodies. Positive moods such as gratitude, joy, and happiness correlate to a larger, more expanded heart field, while emotions such as greed, anger, or sadness correlate to a constricted heart field.

As the pumping engines for the circulatory system, ventricles must have a particular ovoid, lemonlike shape for strong, swift ejection of blood. If the end of the left ventricle balloons out, as it does in takotsubo hearts, the firm, healthy contractions are reduced to inefficient spasms—floppy and unpredictable. But what’s remarkable about takotsubo is what causes the bulge. Seeing a loved one die. Being left at the altar or losing your life savings with a bad roll of the dice. Intense, painful emotions in the brain can set off alarming, life-threatening physical changes in the heart. This new diagnosis was proof of the powerful connection between heart and mind. Takotsubo cardiomyopathy confirmed a relationship many doctors had considered more metaphoric than diagnostic. As a clinical cardiologist, I needed to know how to recognize and treat takotsubo cardiomyopathy. But years before pursuing cardiology, I had completed a residency in psychiatry at the UCLA Neuropsychiatric Institute. Having also trained as a psychiatrist, I was captivated by this syndrome, which lay at the intersection of my two professional passions. That background put me in a unique position that day at the zoo. I reflexively placed the human phenomenon side by side with the animal one. Emotional trigger … surge of stress hormones … failing heart muscle … possible death. An unexpected “aha!” suddenly hit me. Takotsubo in humans and the heart effects of capture myopathy in animals were almost certainly related—perhaps even the same syndrome with different names.

GLOBAL RISK SCORE (GRS) An answer based test score that looks at a person’s risk factors. The GRS weighs risk factors in importance and then gives a percentage risk of the patient developing heart disease or having a heart attack within the next 10 years. Goal values Less than 10% = low risk 10% to 20% = intermediate risk Greater than 20% = high risk GRS information is important to develop a plan to improve your cardiovascular health. Call the Preventive Cardiology and Rehabilitation Program at 216-444-9353 or toll-free 800-2232273, ext. 49353 to be evaluated and get started … Monday thru Friday, Eastern Standard Time.

HS-CRP, combined with a Global Risk Evaluation (GRE) can provide an overall view of cardiovascular risk. This information is important to develop a plan to improve your cardiovascular health. Call the Preventive Cardiology and Rehabilitation Program at 216-444-9353 or toll-free 800-2232273, ext. 49353 to be evaluated and get started … Monday thru Friday, Eastern Standard Time.

The emotional states associated with the heart include some that every life would benefit from: Empathy, which makes us feel what someone else is feeling Compassion, which motivates us to extend lovingkindness Forgiveness, which wipes the slate clean of old grievances and wounding Sacrifice, which allows us to put someone else’s good above our own Devotion, which inspires reverence for higher values None of these states is a term in cardiology, yet they have medical consequences

Furthermore, Choosing Wisely doesn’t emphasize the cumulative risk of these scans that involve ionized radiation.78–81 For example, a typical cardiology practice has its patients who

Suggested Strategies for Diagnostic and Therapeutic Management of Canine Degenerative Valvular Disease ACE, Angiotensin-converting enzyme; ECG, electrocardiogram; HF, heart failure; MR, mitral valve regurgitation; MVD, mitral valve disease.

pulmonary, cardiac, or neuromuscular condition and worsening dyspnea, the initial focus of the evaluation will usually address determining whether the known condition has progressed or whether a new process has developed that is causing dyspnea. For patients without a prior known potential cause of dyspnea, the initial evaluation will focus on determining an underlying etiology. Determining the underlying cause, if possible, is extremely important, as the treatment may vary dramatically based upon the predisposing condition. An initial history and physical examination remain fundamental to the evaluation followed by initial diagnostic testing as indicated that might prompt subspecialty referral (e.g., pulmonary, cardiology, neurology, sleep, and/ or specialized dyspnea clinic) if the cause of dyspnea remains elusive (Fig. 33-2). As many as two-thirds of patients will require diagnostic testing beyond the initial clinical presentation.

The ultimate biomedical illusion has been the view that the body is made of solid matter with fluid pumped through it by an unconscious heart and a powerful conscious brain that is the primary controller of the entire system. Energy cardiology suggests, however, that the heart and not just the brain is what holds this system together by a form of spiritual info-energy, in a temporary and ever-changing set of cellular memories we refer to as “the self.” This “self” is the dynamic gestalt of information that might be considered the code that constitutes our soul.

Energy cardiology suggests that the heart is the conductor that keeps all the cells playing the same score.

Joseph Galdun - Cardiology Hospitalist Physician Joseph Galdun was interested in the idea of practicing medicine even as a youth. This interest led to him becoming a cardiology hospitalist physician. He is compassionate about his patients' recovery which allows them to lead meaningful lives.

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In fact, a study done in Norway a few years ago looked at the issue of cholesterol and blood pressure targets in more detail. Using guidelines developed by the European Society of Cardiology (ESC) they established that, by the age of 50, over 95% of people would have a cholesterol level, or blood pressure level, considered high enough to require drug treatment.[2] This is despite the fact that the Norwegians are amongst the healthiest and longest-lived people on the planet. So God knows where that leaves the rest of us.

Other ex-lawyers become advocates in entirely different fields. Jen Atkins went from law to nursing, spending several years at home in between careers. As a cardiology nurse at Boston Children’s Hospital, she now advocates for the youngest patients at a critical time. One of her long-term goals is to become an advocate for improving health care on a national level. Counseling

According to the American College of Cardiology, fasting triggered a 1,300% increase in human growth hormone secretion in women, and an astounding 2,000% increase in men! This statistic alone is a definitive reason to drop what you’re doing and incorporate intermittent fasting into your lifestyle immediately. HGH, commonly known as your fitness hormone, plays a huge role in your health, fitness, and longevity. It actively promotes muscle growth, and even further boosts fat loss by increasing your metabolism. The fact that it simultaneously aids in muscle building and fat loss explains how HGH can help you get lean and lose weight without sacrificing your beneficial muscle mass you’ve worked so hard for.   The advantages of HGH go much further than muscle building and fat loss. It also works in the body to increase:

Recent evidence in the field of cardiology has shown that the nature of a patient’s emotional ties drastically affects whether or not this patient will get heart disease. Experiments have shown that a patient’s blood chemistry changes when that patient has a bitter thought. Doctors are now including, in their treatment of heart patients, training in becoming more loving and trusting. A person’s ability to love and connect with others lays the foundation for both psychological and physical health. This research illustrates that when we are in a

but in the normal heart the right ventricle is only one-third the mass of the left ventricle so the size and contour of the QRS complex is dominated by the left ventricle.

We’re unquestionably more at risk the hour a day that we run,” says Paul D. Thompson, MD, director of preventive cardiology at Hartford Hospital in Connecticut, “but the other 23 hours in the day, we are much less at risk. In balance, you’re much safer exercising than not exercising.

produce in a year? Only 70. Neurology does worse, with 63, cardiology a little better with 88 and oncology, the specialisation to treat cancers, only 15. And we hope to earn foreign exchange from medical tourism!

further investigated to rule out the possibility of AS, HCM, pulmonic stenosis, and ASD.

new onset AF or pulmonary HTN defined as a PA systolic pressure >50 mmHg at rest or >60 mmHg with exercise should also be considered for surgical intervention. Lastly, if severe chronic MR is due to a

The story was an 82 year old guy with a broken neck. He had apparently fallen in his bathroom that morning, cracking his 1st and 2nd vertebrae. I had a vague memory from medical school that this wasn't a good thing--the expression "hangman's fracture" kept bobbing up from the well of facts I do not use --but I had a much more distinct impression that this was not a case for cardiology. "And Ortho isn't taking him because?" I said wearily. "Because he's got internal organs, dude." I sighed. "So why me?" "Because they got an EKG." The MAO was clearly enjoying himself. I remembered he had recently been accepted to a cardiology fellowship. I braced myself for the punch line. "And?" "And there's ectopy on it. Ectopy." He then made a noise intended to suggest a ghost haunting something.

Informatics is the field of medicine that concerns itself with “the interactions among and between humans and information tools and systems.” In 2013, it became an official specialty, like cardiology or obstetrics, with its own board certification.

Then in March 1993, everything changed. My one-year-old son, Charlie, had his first seizure. There’s absolutely nothing funny about being the parent of a child with uncontrolled epilepsy. Nothing. After a year of daily seizures, drugs, and a brain surgery, I learned that the cure for Charlie’s epilepsy, the ketogenic diet—a high fat, no sugar, limited protein diet—had been hiding in plain sight for, by then, over seventy years. And despite the diet’s being well documented in medical texts, none of the half-dozen pediatric neurologists we had taken Charlie to see had mentioned a word about it. I found out on my own at a medical library. It was life altering—not just for Charlie and my family, but for tens of thousands like us. Turns out there are powerful forces at work within our health care system that don’t necessarily prioritize good health. For decades, physicians have barely been taught diet therapy or even nutrition in medical school. The pharmaceutical, medical device, and sugar industries make hundreds of billions every year on anti-epileptic drugs and processed foods—but not a nickel if we change what we eat. The cardiology community and American Heart Association demonize fat based on flawed science. Hospitals profit from tests and procedures, but again no money from diet therapy. There is a world epilepsy population of over sixty million people. Most of those people begin having their seizures as children, and only a minuscule percentage ever find out about ketogenic diet therapies. When I realized that 99 percent of what had happened to Charlie and my family was unnecessary, and that there were millions of families worldwide in the same situation, I needed to try to do something. Nancy and I began the Charlie Foundation (charliefoundation.org) in 1994 in order to facilitate research and get the word directly to those who would benefit. Among the high points were countless articles, a couple appearances of Charlie’s story on Dateline NBC, and a movie I produced and directed about another family whose child’s epilepsy had been cured by the ketogenic diet starring Meryl Streep titled First Do No Harm (1997). Today, of course, the diet permeates social media. When we started, there was one hospital in the world offering ketogenic diet therapy. Today, there are 250. Equally important, word about the efficacy of the ketogenic diet for epilepsy spread within the scientific community. In 1995, we hosted the first of many scientific global symposia focused on the diet. As research into its mechanisms and applications has spiked, incredibly the professional communities have found the same metabolic pathway that is triggered by the ketogenic diet to reduce seizures has also been found to benefit Alzheimer’s disease, ALS, severe psychiatric disorders, traumatic brain injury, and even some cancers. I

The survival rate for myocarditis is 80% after one year and 50% after five years.20 Figure 10.7 shows results from the paper “SARS-CoV-2 Vaccination and Myocarditis in a Nordic Cohort Study of 23 Million Residents,” published in the journal JAMA Cardiology in 2022.21 The lead author, Dr. Oystein Karlstad, is affiliated with the Department of Chronic Diseases at the Norwegian Institute of Public Health in Oslo, Norway. Participants in the study included 23,122,522 Nordic country residents ages 12 and older. Researchers observed the highest risk in males between 16 and 24 years of age after receiving the second Moderna mRNA-1273 (Incident Rate Ratio of 13.83 and a 95% CI of 8.08 to 23.68) or Pfizer BNT162b2 (Incident Rate Ratio of 5.31 and a 95% CI of 3.68 to 7.68) mRNA vaccine.

According to an article in Current Trends in Cardiology, “Within eight weeks of the public offering of COVID-19 products to the 12–15-year-old age group, we found 19 times the expected number of myocarditis cases in the vaccination volunteers over background myocarditis rates for this age group.

You are introducing chaos into my ordered world of cardiology. See this. This is your heart—a perfect pump. It's not just a pump. The heart is life, the holder of the soul. the keeper of dreams and the place inside yourself where you talk to the angels. -Cardiologist Angela Perkins getting schooled on the heart by medical student Michael Harper in High Risk

You are introducing chaos into my ordered world of cardiology. See this. This is your heart—a perfect pump. It's not just a pump. The heart is life, the holder of the soul, the keeper of dreams, and the place inside yourself where you talk to the angels. -Cardiologist Angela Perkins getting schooled on the heart by medical student Michael Harper in High Risk

Cardiomyopathy Sonnet (Medicine and Metaphor) Person's worth comes from their pulse, not from their purse. It's okay if your purse is anemic, so long as your veins got plenty pulse. It's your pulse that brings the world to life, Pulsating heart is radiator during this ice-age. Ice-age never went away, it just got internalized, As outwardly in appearance we became less savage. Human heart is in dire need of a green house, All the warmth is escaping rapidly. Melting ice caps will drown us later, We'll have kicked the bucket long before, from frostbitten cardiomyopathy. Brain's death is death of the body, Heart's death is death of the being. Kindness keeps the being alive long after the heart stops beating.

So we look at a state of the brain in response to a trigger, and in my personal work, this area, cingulate 25, becomes the nexus of the problem. How the rest of the brain responds to a trigger, as a function of your early life experience, your genes, and your temperament, indicates that what the brain is showing us is not the illness, but what the brain is trying to do to restore balance. We can enhance that through different teachings or different kinds of treatment. Consider the metaphor of heart disease. We all know that you shouldn’t smoke and that high cholesterol is a bad risk factor. You should exercise; you shouldn’t eat too many cheeseburgers. But at the point when you have the heart attack, it’s really easy to make the diagnosis that your heart muscle has died. At that point, you are no longer dealing with probabilities. Instead, a specialized test is done to determine the nature of your problem and to match it to the appropriate treatment. For example, if you have one heart vessel clogged, you need to have that single heart vessel opened. Somebody else, who has five heart vessels blocked, will need a different kind of treatment. The heart itself is telling us how it should be treated. Of course, you would like to promise to exercise more and eat fewer cheeseburgers—but only after you survive and have had whatever surgery you need. In cardiology, there is no problem with doing a test to identify how to optimize the short-term and longer-term return to health. We have to take the same approach to the brain, since we are reaching a point where knowing the signal in the brain is potentially very helpful. The state of the brain is really the response, not the cause. It is giving us a signal as to how we might optimize its return to normality. That’s a set of experiments that we are now trying to do. Jack Kornfield: A similar diagnostic process is needed both in meditation teaching and in insight therapy. When people come in to see a teacher, they present specific and unique difficulties, traumas, problems with circumstances in their life, or struggles with their mind and personality. Skillful teaching requires a subtle evaluative process to sense what particular intervention out of the many practices will be most helpful to a given individual. For example, for people with powerful self-critical and judgmental thoughts, a necessary part of meditation instruction will be teaching them how to work with these thoughts. If we don’t attend to this problem, they can do all kinds of other practices, but those self-critical patterns will keep repeating, “You’re not doing it right,” and as a consequence, the other practices they are engaging in may be quite ineffective. Jan Chozen Bays: I want to suggest that we study an intervention that I call media fasting. As I said, we’re not designed as an organism to take in the suffering of the whole world.

So we look at a state of the brain in response to a trigger, and in my personal work, this area, cingulate 25, becomes the nexus of the problem. How the rest of the brain responds to a trigger, as a function of your early life experience, your genes, and your temperament, indicates that what the brain is showing us is not the illness, but what the brain is trying to do to restore balance. We can enhance that through different teachings or different kinds of treatment. Consider the metaphor of heart disease. We all know that you shouldn’t smoke and that high cholesterol is a bad risk factor. You should exercise; you shouldn’t eat too many cheeseburgers. But at the point when you have the heart attack, it’s really easy to make the diagnosis that your heart muscle has died. At that point, you are no longer dealing with probabilities. Instead, a specialized test is done to determine the nature of your problem and to match it to the appropriate treatment. For example, if you have one heart vessel clogged, you need to have that single heart vessel opened. Somebody else, who has five heart vessels blocked, will need a different kind of treatment. The heart itself is telling us how it should be treated. Of course, you would like to promise to exercise more and eat fewer cheeseburgers—but only after you survive and have had whatever surgery you need. In cardiology, there is no problem with doing a test to identify how to optimize the short-term and longer-term return to health. We have to take the same approach to the brain, since we are reaching a point where knowing the signal in the brain is potentially very helpful. The state of the brain is really the response, not the cause. It is giving us a signal as to how we might optimize its return to normality. That’s a set of experiments that we are now trying to do.

to live until she was big enough to undergo extensive open-heart surgery. She had been followed since birth in our Pediatric Cardiology Clinic at the New York Hospital, and many of the pediatricians knew her and her family. Despite her physical difficulties she took full possession of all the hearts around her, including mine. When the time for her surgery finally came, her parents were deeply anxious. These were early days for many cardiac surgery techniques, and the risks were considerable, but without surgery, she would not survive childhood. As the senior pediatric resident, I met with Immy’s parents before the surgery to do an intake interview and summarize Immy’s long story. They were committed and ready and very pale. As we spoke, they sat close together holding hands. Afterward I took them

Since then, evidence has piled up pointing to apoB as far more predictive of cardiovascular disease than simply LDL-C, the standard “bad cholesterol” measure. According to an analysis published in JAMA Cardiology in 2021, each standard-deviation increase in apoB raises the risk of myocardial infarction by 38 percent in patients without a history of cardiac events or a diagnosis of cardiovascular disease (i.e., primary prevention). That’s a powerful correlation.

Cardiovascular disease (CVD) remains the leading cause of death in the United States, responsible for 840,768 deaths (635,260 cardiac) in 2016.

Cultivating the mind was the most significant pursuit. This war between the cranial (mind and understanding) and the cardiological (heart and emotions) continued for twenty centuries and is still an important issue in preaching in the twenty-first century.

Further, ABAC enables object owners or administrators to apply access control policy without prior knowledge of the specific subject and for an unlimited number of subjects that might require access. As new subjects join the organization, rules and objects do not need to be modified. As long as the subject is assigned the attributes necessary for access to the required objects (e.g., all nurse practitioners in the cardiology department are assigned that as the value for their departmental affiliation or department attribute), no modifications to existing rules or object attributes are required. This benefit is often referred to as accommodating the external (unanticipated) user and is one of the primary benefits of employing ABAC.

Put simply, LDL-cholesterol, despite all the hoopla, is a largly unreliable predictor of heart disease risk. Indeed, many researchers today argue that “high LDL-cholesterol” is no longer especially meaningful. “There is no scientific basis for treating LDL targets,” wrote a Yale cardiologist and his colleague in a 2012 open letter to the NIH published in the AHA journal Circulation. Or, as Allan Sniderman, a professor of medicine and cardiology at McGill University, described it to me, “LDL is a historical leftover.

What About the DASH Diet? What if you are among the seventy-eight million Americans who already have high blood pressure? How can you bring it down? The American Heart Association (AHA), the American College of Cardiology (ACC), and the Centers for Disease Control and Prevention (CDC) all recommend that patients first try lifestyle modifications, such as reducing body weight, limiting sodium and alcohol intake, getting more exercise, and eating a healthier diet.92 However, if their recommended lifestyle changes don’t work, then it’s off to the pharmacy.

Visitors stream in and out of the rooms and corridors. There are families to see, questions to answer, a new admission from the ED. It’s one thing after another—randomly, it seems—bouncing from one story to the next. Mr. Gunther, headed for the NIH, leaves with his wife. She gives me a long look as they head toward the elevator. I wish her well; living with Pascal’s wager can’t be easy. Mr. Kinney, a dapper corporate attorney, is also getting out of here after a rough two weeks. His pancreas is totally destroyed, replaced by puddles of necrotic fluid, yet he refuses to accept the fact that his fondness for single-malt scotch is the reason why. His wife gives me a long look, too, then they’re gone. Jim, the Cardiology fellow, shows me the echocardiogram he just did on Mr. Warner, our guy with HIV. Nothing there, Jim says, no vegetation, no sign of endocarditis. We consider what this means, make a plan. Up on 10 Central, Mr. Mukaj’s bladder irrigation backs up painfully again but there’s nowhere else we can put him, no empty beds in the ICU or Step-Down Unit, no place where he can have his own nurse with him all the time. We bounce this around, too, decide to try this, then that, we’ll see. Mr. Harris, our patient with Marfan syndrome, a plastic aorta, and a septic hip joint, spikes a fever again. Not good. We make a plan. And so it goes, on into the evening. On days like this, doctoring feels like pinball: nonstop random events—intercepted here, altered there, prolonged or postponed by this or that, the bells and boinks sounding all around—and sometimes you can’t be sure whether you’re the guy pushing the buttons, manipulating the levers, and bumping the machine, or whether you’re inside the machine, whether you’re the pinball itself.

trial published in January 2010 in the American Journal of Cardiology found that statin medications actually increased the risk of death.

A trial published in January 2010 in the American Journal of Cardiology found that statin medications actually increased the risk of death. Researchers in Israel followed nearly 300 adults diagnosed with heart failure for an average of 3.7 years, and in some cases up to 11.5 years. Those who were taking statin drugs and had the lowest levels of low-density lipoprotein (LDL) were found to have the highest rates of mortality. Conversely, people with higher levels of cholesterol had a lower risk of death.