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Hypercholesterolemia

Let’s return this week to a discussion of cardiac risk factors. I find that my patients get frustrated about the moving target for goals in treating hypercholesterolemia (high cholesterol). When I started my medical training in the 1980s, we generally looked at total cholesterol and considered it to be high if it was over 240. Eventually we learned to look at the different…

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COVID Redux (again)

I just posted a blog a couple weeks ago about the state of Covid in the new year. Monday I failed to post a blog in a series regarding cardiac risk factors—why? Because I got Covid, just under a year from my bout with it in 2022. I don’t know who I got it from, but it once again occurred when I was…

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Cardiac Risk Factors

Happy New Year to everyone. I’ll start out the year with a blog that discusses the most basic of concepts in cardiology: cardiac risk factors. That’s the phrase we use to refer to aspects in a person’s medical history that affect the likelihood of him or her having a heart problem—in particular, the heart problem of coronary heart disease—also known as coronary…

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Happy New Year!

I initiated this blog early in 2020 in anticipation of starting a new cardiology practice at Pima Heart & Vascular. I had always thought it would be fun to write about topics covering the breadth of problems that arise in the field of cardiovascular medicine and this career transition seemed like a good opportunity to achieve that aim. I hope…

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COVID-19: Settling In

For the third year in a row, I am writing a blog on the status of Covid-19.  As time goes on, there are fewer new things to say about it.  In addition, it seems that the public has made their peace with its presence, as it no longer is dominating conversations or is foremost amongst people’s fears. While it is…

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When Negative Is Not Reassuring

Last week I described a patient who had an abnormal stress echocardiogram, but turned out to have no significant blockage in her coronary arteries. This week I’ll tell you about a patient I saw not long ago who had had a normal nuclear stress test (see “Services” section of this website to learn more about this test), but ended up having…

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When “Positive” Turns Out To Be Negative

A couple weeks ago I had a conversation with a patient that surprised her. Her test result had been incorrect. She is a 57-year old woman who had been having chest pain for the last several months, though the symptoms weren’t necessarily with exertion. I had ordered a stress echocardiogram (see “Services” section of this website for a description of what this test…

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COVID Redux

Covid never went away, but “Redux” refers to a return of this topic in my blog.  For I have had Covid this week. I had thought I was going to escape this insidious infection, as I had been exposed multiple times to patients who turned out to be Covid positive. But I was infected by a friend with whom I was rooming…

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COVID-19: The End of the Beginning?

Last year at this time I wrote a blog asking if we were seeing the beginning of the end of Covid-19. The first vaccines were getting rolled out and we were all optimistic that the end was in sight. That hope was strengthened in the Spring, as we finally started seeing substantial decreases in the number of new Covid cases and associated…

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World Heart Day 2021: Gains and Hurdles

As we celebrate World Heart Day, I have to say that I have mixed feelings at what we have accomplished. On the one hand, we have made amazing strides in the last 30 years in decreasing coronary artery disease in the United States, not only preventing heart attacks, but treating them with new devices and medications that have dropped their lethality…

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