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Not Just Acid Reflux: The Need to Think Worst First
Discussion Heart disease is the leading cause of death in the United States.1 This year, 720,000 Americans will have a new coronary event—defined as first hospitalized myocardial infarction (MI) or coronary heart disease death—and around 335,000 will have a recurrent event. Approximately 35% of people who experience a coronary event in a given year and around 14% of patients who have an acute coronary syndrome will die from it.1 Roughly 60% of patients with an acute coronary syndrome are transported to the emergency department via ambulance.2–4. Up to one-third of patients experiencing an MI may not complain of chest...
Source: JEMS Special Topics - January 13, 2019 Category: Emergency Medicine Authors: Stephen Sanko, MD, FACEP Tags: Exclusive Articles Cardiac & Resuscitation Source Type: news

Anesthetic management of off-pump simultaneous coronary artery bypass grafting and lobectomy: Case report and literature review
Rationale: Survey data show approximately 10% patients with lung cancer may present concomitant coronary heart disease. Simultaneous surgery is a challenge for anesthetist. We review our experience in the anesthesia with 5 patients who required simultaneous off-pump coronary artery bypass grafting (OPCABG) and pulmonary resection for lung cancer. Patient concerns: Between 2014 and 2016, 5 patients with ASA (American Society of Anesthesiologists) grade II or III, underwent combined OPCABG and lung resection in the first Affiliated Hospital, Zhejiang University School of Medicine. Diagnoses: All five patients were di...
Source: Medicine - December 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Utility of Duranta, a wireless patch-type electrocardiographic monitoring system developed in Japan, in detecting covert atrial fibrillation in patients with cryptogenic stroke: A case report
Rationale: Subcutaneous implantable electrocardiographs are highly effective in detecting covert atrial fibrillation (AF) in cryptogenic stroke. However, these invasive devices are not indicated for all cryptogenic stroke patients, and noninvasive improvements over conventional Holter-type ambulatory electrocardiography are needed. We evaluated the clinical application and effectiveness of Duranta (ImageONE Co., Ltd.), a wireless patch-type electrocardiographic monitoring system developed in Japan for chronically ill patients or home-based patients at the end of life. A Duranta device was used to detect covert AF in patien...
Source: Medicine - February 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

4 Things You Should Know About Hospice Care
"Do everything, Doc." That's typically what many family members say when a loved one is diagnosed with a terminal illness, and can no longer make health decisions independently. Even when they are told that any further interventions may be futile, they often still say "do everything". In many ways, that is an easy response --- it's the answer many family members think society wants them to say, and it seems "safe." It often is much harder to put limits on the amount of medical care a loved one receives. And I understand when family members say "I'm not ready to let go." Death is never an easy topic to talk about, and yet ...
Source: Healthy Living - The Huffington Post - June 29, 2016 Category: Consumer Health News Source Type: news

Fatness, Affluence, Adaptation and Hope
Colleagues and I recently submitted a grant application to a large foundation, seeking funds to support the True Health Initiative. The funds, should we be fortunate enough to secure them, will accelerate the development of a global communication campaign to convey the evidence and consensus-based fundamentals of healthy living, and notably, healthy eating. In particular, the grant would support a rigorous evaluation so that we could demonstrate the replacement of widespread confusion and doubts about consensus related to healthful, sustainable eating at baseline, with clarity and understanding by virtue of our efforts. Th...
Source: Healthy Living - The Huffington Post - February 23, 2016 Category: Consumer Health News Source Type: news

Design Your Healthy and Happy Life With 3 Quick Makeovers: Small Steps Equal a Big Impact
Design your healthy and happy life with these super quick makeover tips that will have you wanting more. A healthy and happy life is about living blissfully, with passion and purpose, not just about the absence of disease. The great news is that we can design our own healthy lifestyle plan just like interior designers create beautiful spaces; we can design it no matter where we are in your own health journey; dealing with an illness, or recovering from an injury. What's even better news is that we don't need to do a complete overhaul. Who doesn't love a quick makeover? Sometimes, all it takes is new throw pillows or a bold...
Source: Healthy Living - The Huffington Post - September 29, 2015 Category: Consumer Health News Source Type: news

The Southern Diet: Dead on Arrival
We probably could have predicted the outcomes of a recent and well done study. Does a typical Southern diet, rich in fried foods, fatty foods, eggs, processed meats like bacon and ham, organ meats, and sugar rich drinks, promote heart disease? Some clues were available. The yearly map of rates of obesity by state in the U.S. show the Southeast to have the greatest problem with weight. Paula Dean and her cooking led to her declaration that she had diabetes and changes in her recipes. Now researchers from the National Institutes of Health have put the "sugar coating" on the topic by providing strong data condemning this patt...
Source: Healthy Living - The Huffington Post - August 13, 2015 Category: Consumer Health News Source Type: news

Make Halloween healthy: If you dare!
Meaghan O’Keeffe, RN, BSN, is a mother, writer and nurse. She worked at Boston Children’s Hospital for nearly a decade, in both the Cardiac Intensive Care Unit and the Pre-op Clinic.  She is a regular contributor to Thriving. Happy Halloween! This is a festive time of year when kids get excited to dress up in fantastical costumes and enjoy some light-hearted scares. But let’s be honest. Most kids dream about one thing and one thing only: the enormous bounty of candy that awaits them. Didn’t you? Besides tasting great, sugar intake heightens the pleasure and reward centers of the brain. Feel-good hormones like dopa...
Source: Thrive, Children's Hospital Boston - October 21, 2014 Category: Pediatrics Authors: Meaghan O'Keeffe Tags: All posts Source Type: news