Tag: best cardiologist in Tucson

Takotsubo Cardiomyopathy: “Broken Heart Syndrome”

Takotsubo Cardiomyopathy: “Broken Heart Syndrome”

Before I leave the topic of our previous three blogs, I wanted to discuss a relatively new form of cardiomyopathy. Described first in Japan in 1991, Takotsubo cardiomyopathy or Takotsubo syndrome (hereafter abbreviated TTS) has been increasingly recognized as a fairly frequent type of cardiac dysfunction. Also called “broken heart syndrome” and “transient apical ballooning syndrome,” the name derives from the…

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Cardiomyopathy (Part III): When the Heart Muscle is Sick

Cardiomyopathy (Part III): When the Heart Muscle is Sick

In the last two blogs, we discussed what a cardiomyopathy is, paying particular attention to the categories of dilated and hypertrophic.  This week we’ll complete our review of cardiomyopathies with a look at the category of restrictive. While dilated and hypertrophic cardiomyopathies are defined by anatomic features (an enlarged heart chamber in the first and thickened ventricular walls in the…

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Cardiomyopathy (Part II): When the Heart Muscle is Sick

Cardiomyopathy (Part II): When the Heart Muscle is Sick

Last week we discussed what a cardiomyopathy is, including the three categories of dilated, hypertrophic and restrictive. We then focused on types of dilated cardiomyopathies, along with some discussion about their treatment.  Today I’ll continue our review of cardiomyopathies by focusing on hypertrophic. Whereas a dilated cardiomyopathy is defined by the heart chamber being enlarged, a hypertrophic cardiomyopathy is defined by…

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Cardiomyopathy: When the Heart Muscle is Sick

Cardiomyopathy: When the Heart Muscle is Sick

Over the last several weeks, we have been discussing the subject of CHF (congestive heart failure). I discussed the differences between heart failure from systolic dysfunction (problems with the heart contracting/pumping) and problems caused by diastolic dysfunction (problems during the relaxation phase of the cardiac cycle). These are clinical syndromes and are brought on by a variety of conditions, some of…

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My Ankles Are Swollen—Does That Mean My Heart is Failing?!

My Ankles Are Swollen—Does That Mean My Heart is Failing?!

Hardly a day goes by that I am not asked that question by a patient. The causes of swollen ankles are numerous, but most people’s biggest fear is that they have CHF (congestive heart failure).  Indeed, peripheral edema (edema fluid causing swelling of the extremities, usually the legs) is often seen with CHF, and probably is its most visible manifestation. In that…

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Cardiac Contractility Modulation: The Latest in Device Technology

Cardiac Contractility Modulation: The Latest in Device Technology

We have discussed heart failure and its various treatments over the last few blogs. Last week I delved into a particular class of medications, the so-called SGLT2 inhibitors, which are  the newest “kid on the block” in our pharmacologic armamentarium to help patients with CHF. Even more recently, I became aware of a new technology called “cardiac contractility modulation” or CCM. The device,…

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Succeeding with (Heart) Failure

Succeeding with (Heart) Failure

Last week we discussed what it means to have heart failure and how it affects the way we feel. This week we’ll discuss how we treat this condition. Treatment has two main goals: to help people feel better and to help them live longer.  Some of the treatments we use are for one purpose and some for the other—many are good at…

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Heart Attack: What Should You Look For?

Heart Attack: What Should You Look For?

What exactly does it feel like to have a heart attack? Below is a graphic that depicts what the symptoms men and women can feel when they are experiencing a heart attack (which doctors term a myocardial infarction or “MI”). I’d like to add a few points to that image: The difference in symptoms between men and women should not be taken…

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Coronary Artery Disease: What the “Risk Factors” Place You at Risk For

Coronary Artery Disease: What the “Risk Factors” Place You at Risk For

We have spent the last couple months discussing “cardiac risk factors”: the main things that increase a person’s risk of developing coronary artery disease, also known as coronary heart disease (abbreviated “CAD” and “CHD,” respectively). We now return to consider that disease entity in greater detail. CAD is the process of plaque accumulating in the coronary (heart) arteries (the blood vessels…

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Gregory Koshkarian, MD, FACC