October 27, 2016

What to Do When You Have Heart Disease is out of date…

Posted in Uncategorized at 11:58 am by keepyourhearthealthy

Its been awhile since I updated this blog.  About 5 years actually!  Unfortunately, my book What to do When You Have Heart Disease is a bit outdated now.  Since the book was published, medicines have changed, new diets have been discovered and heart disease treatment has progressed.  All great things for you as the patient!  It just means my book is no longer as helpful for our current patient population as it used to be.  I considered writing a new edition but the first one wasn’t such a big hit at the bookstores.  However, I could possibly be persuaded if there was enough interest.  If you would like a second edition, please comment below.  🙂

December 20, 2011

Generic Lipitor is Finally Here! But is it Cheaper?

Posted in Heart Disease in the News, Uncategorized tagged , , , , , , , at 11:48 am by keepyourhearthealthy

Image representing Pfizer as depicted in Crunc...

Image via CrunchBase

Many heart disease patients have waited years for the option of a cheaper Lipitor.  Now that the generic is being sold in pharmacies throughout the country, is it really providing the benefit of being a lower-cost option?

With Lipitor being a widely prescribed drug for heart di

sease patients, the concept of a cheaper version has been a long time coming.  Lipitor (atorvastatin) has avoided going generic for over 20 years by using big money to fund new studies and fight generic companies in court.  Pfizer, Lipitor’s manufacturer promised that they were really going to let it go generic this year.  It did indeed go generic just this past week!

News reports have stated that Lipitor’s sales have fallen by 50% just in this first week of generic availability.  However, other reports (an article in the New England Journal of Medicine) have brought up concerns over Pfizer’s tactics to compete with the new generic.  Deals have been struck between Pfizer and some large pharmacies to allow for Lipitor to be sold cheaper than it’s own generic!!

Currently there is only one generic available but after 6 months there will hopefully be more competition from other manufacturers.  The more generic pills available to the public would mean lower prices for everyone!  For now though, you may want to recheck the price of Lipitor at your pharmacy.  Many people are just automatically filling their prescription for the generic without actually discovering the new price of Lipitor.  While Pfizer’s tactics may be somewhat questionable, saving a few dollars in this tough economy is a top priority for many!

Generic Lipitor is Finally Here! But is it Cheaper?

Posted in Uncategorized tagged , , , , , , at 11:44 am by keepyourhearthealthy

Many heart disease patients have waited years for the option of a cheaper Lipitor.  Now that the generic is being sold in pharmacies throughout the country, is it really providing the benefit of being a lower-cost option?

With Lipitor being a widely prescribed drug for heart disease patients, the concept of a cheaper version has been a long time coming.  Lipitor (atorvastatin) has avoided going generic for over 20 years by using big money to fund new studies and fight generic companies in court.  Pfizer, Lipitor’s manufacturer promised that they were really going to let it go generic this year.  It did indeed go generic just this past week!

News reports have stated that Lipitor’s sales have fallen by 50% just in this first week of generic availability.  However, other reports (an article in the New England Journal of Medicine) have brought up concerns over Pfizer’s tactics to compete with the new generic.  Deals have been struck between Pfizer and some large pharmacies to allow for Lipitor to be sold cheaper than it’s own generic!!

Currently there is only one generic available but after 6 months there will hopefully be more competition from other manufacturers.  The more generic pills available to the public would mean lower prices for everyone!  For now though, you may want to recheck the price of Lipitor at your pharmacy.  Many people are just automatically filling their prescription for the generic without actually discovering the new price of Lipitor.  While Pfizer’s tactics may be somewhat questionable, saving a few dollars in this tough economy is a top priority for many!

May 23, 2011

Noninvasive Mitral Valve Repair May Not be Getting a Fair Shot

Posted in Heart Disease in the News, Helpful Heart Links, New Heart Studies, Uncategorized tagged , , , , , , , , , , at 12:00 pm by keepyourhearthealthy

MitraClip Mitral Valve Repair System.

from the Abbott website

MedPage Today reported promising results in a study yesterday involving noninvasive mitral valve repair.  Some clinicians feel the results could be much better if the patient population were different.

A new device called the MitraClip is getting significant publicity after initial results of the Everest II study were recently released.  The MitraClip is a small prosthesis used to treat severe Mitral Regurgitation (a condition in which too much blood is going through the mitral valve in the wrong direction).  This noninvasive repair process  invloves implanting the clip onto the mitral valve of the heart by a simple needlestick in the groin.

The procedure is very similar to a heart catheterization for placing stents in which a wire is guided up through a blood vessel into the heart.  According to the manufacturer’s website (Abbott), “The Guide Catheter is inserted into the femoral vein at the groin and provides access to the mitral valve. The Clip is used to grasp and fasten together the valve leaflets.”  Once the clip is holding the mitral valve together in the middle, the valve is no longer able to allow so much blood to flow backwards.  There is still plenty of flow forward around the clip.

The new study Everest II which is testing this device in up to 47 sites throughout the US and Canada has reported that “quality of life, and rates of re-hospitalization for heart failure improved significantly in the MitraClip-treated patients at one year” according to MedPage Today’s article.  This was determined only after they compared “high-risk” surgical candidates.  According to Bob Baeten, PA-C, at Piedmont Hospital in Atlanta, the new methodology for testing this device may be preventing it from getting better results.  He states, “We’re testing this on the sickest of the sick rather than the patients who could recover easily from surgery.  It’s the patients who get turned down for surgery that are tested with the MitraClip.  These people are already very ill which is why they were turned down for surgery in the first place.”

It should be noted that the MitraClip has been approved and used commercially in Europe for 3 years now.  The device is still seeking approval here in the U.S.  The only way an American citizen can obtain this noninvasive mitral valve repair currently is by entering into a study at participating study locations.

For more information about heart catheterization procedures and recovering from heart surgery, check out the book What To Do When You Have Heart Disease at Amazon.com.

May 5, 2011

Red Wine May Be Good For Your Heart but Is It Beneficial Inside Stents?

Posted in Heart Disease in the News, New Heart Studies, Uncategorized tagged , , , , , at 1:50 pm by keepyourhearthealthy

This image shows a red wine glass.

Image via Wikipedia

A new study is currently testing “red wine” stents in animals.

As far as eye-catching research goes, this one certainly has attracted some attention.  A new study of lab rats showed that a component of red wine used during angioplasty reduced the chances of plaque buildup.  Red wine has a high concentration of polyphenols which have been shown in past studies to reduce plaque buildup, thin the blood and promote positive vessel regrowth.

All of the good effects of red wine are hopefully going to be included in a new type of drug-eluting stent for humans in the near future.  The rat studies have been promising thus far.  Unlike other drug-eluting stents, the red wine polyphenols prevent re-blockage while also promoting healing.  The ability to heal safely without blocking the vessel is key to making the red wine stents successful.

March 17, 2011

Stents or Bypass? New Study Says They Are Equal One Year Later

Posted in Heart Disease in the News, Heart disease tips, Helpful Heart Links, New Heart Studies, Uncategorized tagged , , , , , , , , , , at 7:34 pm by keepyourhearthealthy

Three coronary artery bypass grafts, a LIMA to...

Image via Wikipedia

WebMD took a closer look at a new study comparing the benefits of stenting vs. bypass.

Well-informed patients with heart disease will certainly find this new WebMD article interesting.  Patients who undergo Coronary Artery Bypass Grafting (CABG) frequently ask the question, “Why did I have to get bypass instead of stents?”  Alternately, people with stents frequently wonder how they dodged the bullet by avoiding bypass.  Many more people may be dodging the bullet in the future thanks to this new study and the continual improvement in stenting procedures.

Several years ago, the decision for bypass was made whenever someone had more than 3 blocked arteries OR a significant blockage in the heart’s main artery (called the left main).  In the study, a group of 1800 patients who traditionally might have all gone on to bypass surgery were split into 2 groups: approximately half went ahead with bypass while the other half underwent stenting instead.  The results showed the 2 groups felt similar improvement after 1 year. In addition, the rate of heart attacks or death were about the same for both groups after one year.

There were some differences noted though when you look closely. People who got stents felt better much quicker and had a faster recovery than those who had bypass.  On the other hand, people with stents were more likely to need another stenting procedure within the first year.  Also, people who had daily or weekly chest pain prior to their procedure felt more relief of their chest pain with bypass surgery by 6 months out.

While this study may lead to more stents and fewer open heart surgeries, it won’t be making bypass extinct anytime soon.  Many patients dread the idea of bypass surgery but if you have 3 or more blocked arteries AND you get chest pain at least once a week, bypass will still be highly recommended.

Read more about the study at WebMD’s article which is listed below:

March 10, 2011

More Genetic Markers Implicated in Heart Disease

Posted in Heart Disease in the News, Uncategorized tagged , , , at 8:44 pm by keepyourhearthealthy

This image shows the coding region in a segmen...

Image via Wikipedia

Another 18 heart disease genes have reportedly been discovered…but are we any closer to a cure for the number one killer?

Despite the fact that 30 genes have now been implicated in the progression of plaque buildup in the heart arteries, scientists are estimating that we are only about 10% of the way there.  Of all the heart attacks which appear to be inherited, the genetic markers discovered thus far explain only about 10%.  What seems even more confusing is that some of these markers are common in the general population as well.

Some of the researchers feel they have made significant progress while others seem frustrated by the lack of knowledge after many years of research.  According to theheart.org’s article yesterday,  Dr Hugh Watkins  from the University of Oxford said,  “In terms of identifying risk, I don’t think these new discoveries add that much. There are still a large number of CAD genes out there yet to be discovered, but I would think their effects will all be small. This is bad news in terms of developing a test for heart-disease risk, as each culprit gene is responsible for only a very small incremental risk.”

March 9, 2011

Ways to Protect Your Teen From Sudden Death

Posted in Heart Disease in the News, Uncategorized tagged , , , , , , , , , , , at 10:20 pm by keepyourhearthealthy

A heart with a white EKG peak superimposed & s...

Image via Wikipedia

The tragic deaths of 2 young athletes has brought media attention back to the problem of Cardiac Arrest.

A 16 year-old track athlete in Florida and a 17 year-old basketball player in Michigan both passed away within the last week after strenuous activity.  Most people are shocked when they hear about these types of unexpected deaths.  Parents, teachers and coaches have no reason to suspect that a young, athletic student could have a serious heart problem leading to sudden death.  Even though it affects only about 1 out of every 250,000 young athletes, even that one tragic loss is too much for the loved ones left behind.

What can be done to prevent sudden death in teenagers? Traditionally, screening for heart problems that can lead to sudden death begins with questions about family history and concerning symptoms.  Some heart problems are genetic so expect your doctor to be concerned if anyone in your family has ever died suddenly.  Some people also may not realize they are having symptoms of a heart condition until it is too late.

In addition to questions about family history and symptoms, having an EKG test can be a useful tool for detecting heart trouble.  An EKG is a painless test that takes just a few minutes to obtain.  Unfortunately, a recent study out of Israel has discouraged mandatory screening with an EKG.  As a parent and a cardiac care provider, I will still encourage the voluntary testing with an EKG.  I firmly believe that everyone should be proactive when it comes to their health (and your kid’s health too!).

The first step in being proactive is to fill out a screening questionnaire and bring it to your teen’s pediatrician.  For the most part, your pediatrician will only need to address questions marked as “Yes.”  Next you can request that your teen get an EKG (electrocardiogram).  Your pediatrician will read the results of the EKG immediately and recommend further cardiac evaluation if needed.

If you are unable to obtain an EKG from a doctor’s office, there are several programs which provide free EKGs for high school students.

  1. Chicago
  2. Maryland
  3. North Carolina
  4. Tampa

If you need to find one in your area, use a search engine (google, yahoo, bing, etc.) to search for “high school heart screening” in your state.  You may not find anything within your vicinity right away.  Consider asking your school administrators if they could host a heart screening event.

Another way you can protect your teen’s life is to make sure that all of the sporting arenas they play at have AED’s (Automatic External Defibrillators).  When a person collapses and the pads are placed on their chest, AED’s provide life-saving electric shocks while waiting for an ambulance.

March 3, 2011

How to Find Out if You Are Eligible for Medicare, Medicaid or Other Healthcare Programs

Posted in Heart disease tips, Helpful Heart Links, Uncategorized tagged , , , , , , , at 1:37 pm by keepyourhearthealthy

A typical examination room in a doctor's office.

Image via Wikipedia

Healthcare is an expensive yet necessary part of life.  When times are tough, who do you turn to for help?

After getting bills from the doctor, hospital and testing centers you may be left wondering how you can possibly pay for it all.  Whether you had a simple doctor visit for the flu or if you were admitted to the hospital for a heart attack, you’ll probably get lightheaded when you see the bill.  Once you’re over the initial shock, then you need to work out a plan of action.  If you’re lucky enough to have a steady income, the first step is to call the doctor’s office, hospital or testing center who sent you the bill.  Most places will readily offer a payment plan with no interest and very low payments.

If you are currently unemployed or simply unable to pay for your medical bills, you may be eligible for government-funded programs like Medicaid or Medicare. The following website link offers an “Eligibility Wizard” quiz which will help you determine if you qualify for these types of programs:

http://www.realsolutions.com/healthcare/Pages/EligibilityWizard.aspx

February 22, 2011

Vein Harvesting May No Longer Be Needed in the Future

Posted in Heart Disease in the News, Uncategorized tagged , , , , , , , at 1:07 pm by keepyourhearthealthy

photo from Los Angeles Times news article

 

According to a recent article in the Los Angeles Times, researchers have found a way to engineer blood vessels needed for bypass surgery.

Bypass surgery is a complex and intimidating procedure that makes everyone cringe at the thought of having their chest cut open.  What some people may not realize is that smaller procedures are needed prior to bypass.  Other veins or arteries need to be cut out from other parts of the body in order to replace the blocked arteries in the heart.  For patients who require a second bypass or even a third, you start to run out of places to take veins for the heart.  Apparently, as many as 100,000 patients a year are unable to have bypass because they do not have enough suitable veins to put in the heart.

Luckily a new scientific procedure has a found a way to make vessels that are storable and ready-to-go at a moment’s notice. A company called Humacyte, Inc. created the vessels by shaping cadaver smooth muscle cells around a tube and letting the cells create their own collagen network.  After 2 months, a new vessel has formed and they wash away any of the remaining living cells.  What’s left behind is a clean, durable vessel that can be implanted right away or put on the shelf for later use.

Human trials are expected to begin soon using these new artificial vessels.  Animal testing in baboons and dogs have already shown promising results.  Other types of artificial vessels may also be emerging soon but none are close to being available to the public.  It may be another 5 to 10 years but the technology is evolving quickly and bypass patients may have more options soon!

Artificial blood vessels: In the Works – latimes.com.

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