@drportnay
Friday, October 30, 2009
Know Your Numbers!!!!!!!!!!!!!!!!!!
P.A.D. - Take steps to learn about Peripheral Arterial Disease
PAD develops when your arteries become clogged with plaque-fattty deposits that limit blood flow to your legs
Just like clogged arteries in the heart, clogged arteries in the legs mean you are at higher risk of having a heart attack or stroke.
Symptoms of PAD: fatigue, heaviness cramping or pain in the leg muscles during activity that goes away with rest
Other symptoms of PAD: leg or foot pain that disturbs sleep and/or sores/wounds/ulcers on the toes/feet/legs that are slow to heal
Risk Factors for PAD:
- age > 50
- African American
- current or ex-tobacco use
- Diabetes
- High blood pressure
- Personal history of vascular disease, heart attack or stroke
- Does my medical history raise my risk for PAD?
- Do I need to do anything about my blood glucose, blood pressure or cholesterol?
- Which screening tests or exams are right for me?
- If I have PAD, what steps should I take to treat it?
- What steps can I take to reduce my risks for heart attack and stroke?
- What can I do to quit smoking?
Researchers say aspirin use may be linked to Brilinta's effectiveness
Bloomberg News (10/30, Kelley) reports that "AstraZeneca Plc is looking into whether greater use of aspirin reduces the effectiveness of its experimental clot-busting medicine Brilinta [ticagrelor]." Earlier this year, the drug "beat Sanofi-Aventis SA and Bristol- Myers Squibb Co.'s blood thinner Plavix [clopidogrel] in a study, preventing 16 percent more heart attacks, strokes, and deaths." On Thursday, however, the drugmaker "said...that researchers noticed a link between higher doses of aspirin and Brilinta's potency." Reuters (10/29) also covered the story
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Thursday, October 29, 2009
Hot off the Press: Update on Diabetes
Diabetes cases rising rapidly in US, survey indicates.WebMD (10/28, Hendrick) reported that "diabetes cases are rising rapidly in the US, with the disease afflicting 11.3% of American adults in the third quarter of 2009, according to a new Gallup survey." Should "current trends continue," according to Gallup, "more than 37 million will be living with the disease by the end of 2015." WebMD added, "Not coincidentally, the survey shows the US obesity rate is up about one percentage point in quarter-over-quarter comparisons to 2008."
Diet, exercise may reduce diabetes risk in certain individuals, study suggests. The Chicago Tribune (10/29, Graham) reports that "interventions urging people to lose weight and get more exercise reduced the incidence of diabetes," according to a new study published in the journal The Lancet.
The Pittsburgh Tribune-Review (10/29, Fabregas) reports that "the study, known as the Diabetes Prevention Program Outcomes Study," is "sponsored by the National Institutes of Health." Researchers found "that lowering fat and calories in the diet and increasing regular exercise to 150 minutes a week cut the rate of developing type 2 diabetes by 34 percent in overweight and obese people."
Meanwhile, the Pittsburgh Post-Gazette (10/29, Templeton) reports, participants who "took metformin prevented the onset of type 2 by 18 percent, compared with the control group on a placebo." The Miami Herald (10/29, Tasker), MedPage Today (10/28, Gever), WebMD (10/28, Boyles), HealthDay (10/28, Reinberg), Reuters (10/29, Steenhuysen), and the UK's Press Association (10/29) and BBC News (10/29) also covered the story
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Wednesday, October 28, 2009
Diet Beats Drugs for Diabetes Prevention
"Lifestyle changes resulting in long-term weight loss of just a few pounds proved to be roughly twice as effective as drug treatment for preventing type 2 diabetes in an ongoing government-sponsored trial."
http://diabetes.webmd.com/news/20091028/diet-beats-drugs-for-diabetes-prevention?src=RSS_PUBLIC
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Swine Flu is Everywhere!!!
FYI: I've had many discussions with my Infectious Disease Specialist friends, Purell works as well (maybe even better since no really washes their hands well)
Get your flus shot too!!!
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Sunday, October 25, 2009
WEEKLY TWEETS - THIS WEEKS IMPORTANT AND RELEVANT NEWS, EDUCATION AND OPINION ON HEART DIEASE AND NUTRITION FOR THE EVERYDAY PERSON
- New Blog Posting: As expected and predicted -- Swine Flu back with a vengeance http://bit.ly/OwsFYabout 1 hour ago from twitterfeed
- Universal phone charger OK'd --- Thank God http://viigo.im/1hTGabout 1 hour ago from Viigo
- New Blog Posting: Seven tips from Dr. Oz to prevent a heart attackhttp://bit.ly/1YOG06about 6 hours ago from twitterfeed
- I agree with most of these recommendations - Seven tips from Dr. Oz to prevent a heart attack http://viigo.im/1hNqabout 7 hours ago from Viigo
- @jamesbeckerman thanks. Had not heard of this association previously. Just starting to follow now. #NAMCnewsabout 24 hours ago from SocialScope in reply to jamesbeckerman
- Orexigen obesity drug shows added benefits -- lowers cholesterolhttp://viigo.im/1htX3:20 PM Oct 24th from Viigo
- Autumn in Southern CT -- just beautiful http://twitpic.com/mqc9d9:09 AM Oct 24th from SocialScope
- Review: Statins reduce mortality and cardiovascular events in adults at risk for cardiovascular disease http://viigo.im/1hlq8:53 AM Oct 24th from Viigo
- Obama visited Stamford today -- nice to get a dose of presidential love once in a while7:15 PM Oct 23rd from SocialScope
- RT @theheartorg: heartwire: NT-proBNP "remarkable predictor" of incident atrial fibrillation http://bit.ly/1Jsj4l7:13 PM Oct 23rd from SocialScope
- I love this time of year in New England (the foliage is just beautiful and you can smell football in the air)6:42 PM Oct 23rd from SocialScope
- RT @heartdisease: Omega-3 deficiency may be hurting our hearts - http://trim.li/nk/sq76:39 PM Oct 23rd from SocialScope
- Poll: If there was a way to get more time in your day, how much time would you want/need? 0hr? 1hr? 2hr? 4hr? 8hr?6:37 PM Oct 23rd from SocialScope
- I'm convinced I need another 4 hours in everyday to do all that I need/want to do -- anybody know someone who can give me those hours?6:34 PM Oct 23rd from SocialScope
- The Mediterranean Diet for Heart Health http://viigo.im/1h375:45 PM Oct 23rd from Viigo
- The H1N1 Flu and Heart Disease http://viigo.im/1h305:42 PM Oct 23rd from Viigo
- Review: Statins reduce mortality and cardiovascular events in adults at risk for cardiovascular disease http://viigo.im/1h2Z5:41 PM Oct 23rd from Viigo
- Three Runners Die Suddenly During Detroit Marathonhttp://viigo.im/1h2O5:38 PM Oct 23rd from Viigo
- Why doctors should reconsider ordering a CRP to screen patients for heart disease http://viigo.im/1h2N5:37 PM Oct 23rd from Viigo
- Groups Develop New Algorithm for Type 2 Diabeteshttp://viigo.im/1h2K5:35 PM Oct 23rd from Viigo
- Liraglutide Beneficial for Non-Diabetic Obese Adultshttp://viigo.im/1h2z5:25 PM Oct 23rd from Viigo
- The Powerless Patient Syndrome - why do patients continue going to doctors they don't like ? http://viigo.im/1h2u5:23 PM Oct 23rd from Viigo
- Obese People Without Diabetes: Liraglutide Reduces Weight And Prevalence Of Risk Factors http://viigo.im/1gLv7:16 AM Oct 23rd from Viigo
- Relation of Troponin I Levels Following Nonemergent PCI to Short- and Long-Term Outcomes http://viigo.im/1gLm7:13 AM Oct 23rd from Viigo
- @Berci Well done my friend. I just opened up the latest edition of mdng magazine (prime care/card edit) & there Webicina is on page 1810:36 PM Oct 22nd from SocialScope in reply to Berci
- @perpetualwealth thanks for the follow.8:16 PM Oct 22nd from SocialScope
- Screening for Depression and Suicidality in Patients With Cardiovascular Illnesses http://viigo.im/1grP5:47 PM Oct 22nd from Viigo
- Was hoping for a Yankee v Dodger world series - esp from a historical perspective. Oh well, an Amtrack series (nyc vs philly) would b cool 26:24 AM Oct 22nd from SocialScope
- Very cool -- RT @DrVes: Google Chrome is available as a Portable download - no install needed, runs from a USB drivehttp://bit.ly/2i5lET12:10 AM Oct 22nd from SocialScope
- Iloprost prevents contrast-induced nephropathy in high-risk patients undergoing coronary intervention http://viigo.im/1fVc11:41 PM Oct 21st from Viigo
- Yeah!!!!! Coming to Google Labs: Social search resultshttp://viigo.im/1fUX11:34 PM Oct 21st from Viigo
- RT @TCTMD: Registry Data Show Less Angina as PCI Evolves...www.tctmd.com/show.aspx?id=...6:59 PM Oct 21st from SocialScope
- @HEARTSTRONG1 We now have Rx's in phase III trial that will make warfarin obsolete - direct thrombin inhibitors and factor Xa inhibitors6:55 PM Oct 21st from SocialScope in reply to HEARTSTRONG1
- @cardiosource less than 5%5:37 PM Oct 21st from SocialScope in reply to cardiosource
- Vegetable Juice Aided In Dietary Support For Weight Loss And Lower Blood Pressure http://viigo.im/1fIS5:25 PM Oct 21st from Viigo
- Current risk equations may overestimate CVD risk in diabetic patients http://viigo.im/1fIO5:24 PM Oct 21st from Viigo
- @Andrew_Large Here's the source of this novel mechanism of cardioprotection http://ow.ly/vLUL3:13 PM Oct 21st from HootSuite
- NPD Finds Moms' Eating Habits And Nutritional Knowledge Influences What Their Kids Eat http://viigo.im/1fpj6:43 AM Oct 21st from Viigo
- Statin drugs lower costs and complications of aortic surgeryhttp://viigo.im/1feP11:02 PM Oct 20th from Viigo
- Just one-third of heart-failure patients receive aldosterone antagonists http://viigo.im/1feL11:00 PM Oct 20th from Viigo
- LETTERS: Lipoprotein(a) Measurement and Determining Risk of Myocardial Infarction http://viigo.im/1feI10:57 PM Oct 20th from Viigo
- A diagnosis of CVD was significantly associated with risk of subsequent hip fracture http://viigo.im/1feH10:56 PM Oct 20th from Viigo
- Omega-3 Augmentation of Sertraline in Treatment of Depression in Patients With Coronary Heart Disease http://viigo.im/1feC10:55 PM Oct 20th from Viigo
- Is patent foramen ovale closure indicated for migraine?: PFO Closure Is Not Indicated for Migraine http://viigo.im/1few10:52 PM Oct 20th from Viigo
- Is patent foramen ovale closure indicated for migraine?http://viigo.im/1feu10:51 PM Oct 20th from Viigo
- I'm a big user of intravascular ultrasound - I never cease to be amazed at how often angio over/under-estimates dzhttp://viigo.im/1feg10:41 PM Oct 20th from Viigo
- Alternate-day fasting: a novel dietary strategy for weight loss and cardioprotection #Obesity, #eating disorders http://viigo.im/1fdX10:33 PM Oct 20th from Viigo
- More reasons to eat chocolate!!!! http://viigo.im/1fdS10:31 PM Oct 20th from Viigo
- Fiber, fiber, fiber -- the more you eat, the fuller you feel -- proven to be inversely related to fat levels http://viigo.im/1fdM10:30 PM Oct 20th from Viigo
- Intermittent fasting does not affect whole-body glucose, lipid, or protein metabolism http://viigo.im/1fdJ10:29 PM Oct 20th from Viigo
- Are energy-dense foods really cheaper? Reexamining the relation between food price and energy density http://viigo.im/1fdH10:28 PM Oct 20th from Viigo
- @Andrew_Large what's the source?10:25 PM Oct 20th from SocialScope in reply to Andrew_Large
- Not good!!!RT @heartdisease: ... A sperm donor passed on a potentially deadly genetic .. http://1cxrl.tk10:24 PM Oct 20th from SocialScope
- New Blog Posting: Facebook http://bit.ly/sIfzZ9:18 PM Oct 20th from twitterfeed
- SCAI Statement on JAMA Study Showing Reduction in Heart Attack Mortality http://viigo.im/1faZ8:36 PM Oct 20th from Viigo
- Timing of Noncardiac Surgery After Coronary Artery Stenting With Bare Metal or Drug-Eluting Stents http://viigo.im/1f4c4:53 PM Oct 20th from Viigo
- I could not agree more -- SCAI Can Not Support Draft Senate Finance Committee's Version of Health Care Reformhttp://viigo.im/1f4b4:52 PM Oct 20th from Viigo
- Comparative Effectiveness of ACE Inhibitors or Angiotensin II-Receptor Blockers for Ischemic Heart Disease http://viigo.im/1f494:51 PM Oct 20th from Viigo
- RT @HEARTSTRONG1: Support Women with Heart Disease with Heartscarves http://ow.ly/v0o13:56 PM Oct 19th from SocialScope
- RT @NutritionExpert Your body burns more calories post-workout after doing intervals than after doing a steady paced workout#exercise3:51 PM Oct 19th from HootSuite
- RT @heartdisease: Exercise Helps Brains Bounce Back -http://m1e1v.tk3:48 PM Oct 19th from HootSuite
- Reducing Cardiovascular Risks of Nonsteroidal Anti-Inflammatory Drugs by Using Topical Formulations http://viigo.im/1ejP2:01 PM Oct 19th from Viigo
- Is there a way to report twitter SPAM?10:54 AM Oct 19th from SocialScope
- Amazing, infuriating that SPAM has made its way to twitter!!!6:11 AM Oct 19th from SocialScope
- RT @fitoverfifty: 55% of early deaths are due to poor decisions: smoking, overeating, unsafe sex, etc. In 1900 it was 5%.5:47 PM Oct 18th from SocialScope
- RT @thegreatwarning: How Could Someone In Nearly Perfect Health Die From Cardiac Arrest? http://bit.ly/3caddP5:46 PM Oct 18th from SocialScope
- @Berci Interestingly, you can use the website for free as a tracker for activity and nutrition log without having to buy the device.5:44 PM Oct 18th from SocialScope in reply to Berci
- @Berci I like the idea. I'm a fan of anything that motivates people to get healthy and fit. Way too expensive though!5:42 PM Oct 18th from SocialScope in reply to Berci
- Meta-Analysis Finds Flu Linked to Heart Attack and Deathhttp://viigo.im/1dQA5:40 PM Oct 18th from Viigo
- Many Factors Figure Into Cardiovascular Risk Estimationhttp://viigo.im/1dQz5:40 PM Oct 18th from Viigo
- Well done Strick - you are a great Doc: Physician of the Year at St. V's called compassionate - http://9vf1t.tk3:29 PM Oct 18th from HootSuite
- Wear Fitbit all day long... Interesting looking device - thanks @Berci: http://ow.ly/v4iz10:09 AM Oct 18th from HootSuite
- @dryadusingh Thanks for the follow9:47 AM Oct 18th from HootSuite in reply to dryadusingh
- Fish Oil Deemed Safe for Antiplatelet Therapy Patientshttp://ow.ly/v3Ws9:33 AM Oct 18th from HootSuite
- How to Know You Won't Have a Sudden-Death Heart Attack Over the Next Ten Years http://ow.ly/v3Wg9:07 AM Oct 18th from HootSuite
- Controversial -- Folate Linked to Fewer Deaths in Coronary Artery Disease http://viigo.im/1dDM8:53 AM Oct 18th from Viigo
- The Heart Truth: what's that little red dress all about?http://viigo.im/1dDL8:53 AM Oct 18th from Viigo
- Wise owls tweet with #HootSuite. http://hootsuite.com7:22 AM Oct 18th from HootSuite
- RT @fitoverfifty: RT @HarvardHealth: high BP increases risk of cognitive impairment http://bit.ly/1fWjgV (so #exercise & watch#sodium)7:21 AM Oct 18th from HootSuite
- By increasing levels of HDL by just 1%, the risk of heart disease can be reduced by 2% in men and 3% among women11:59 PM Oct 17th from SocialScope