Cardiology

Shifting gears: Navigating identity and role changes throughout a physician’s career

Physician
May 15, 2024

Physicians dedicate their lives to healing others, often at the expense of their own well-being. This intense focus on professional success can, over time, become a kind of addiction. As physicians progress through different stages of their careers, it becomes crucial to adapt and redefine their professional identity beyond the confines of clinical practice.

The evolving roles of physicians

The concept of a physician’s role is dynamic and ever-evolving. Early career stages …

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Autoimmune disease? You’re more likely to get heart disease. Here’s why.

Conditions
May 13, 2024

The prevalence of coronary artery disease (CAD) and stroke is increased in patients with chronic inflammatory diseases such as rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). These are also known as IMID: immune-mediated inflammatory diseases. Rheumatic IMIDs, including rheumatoid and osteoarthritis, are associated with multiple cardiovascular issues with an enhanced cardiovascular risk, including premature coronary artery disease. Lupus can also increase coronary artery disease because of the elevated chronic …

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Preventing amputations and saving lives starts with bringing PAD into the 21st century

Conditions
April 18, 2024

There’s a condition that is crippling Black and brown communities at a disproportionate rate and causing 400 amputations each day in the U.S. That may sound scary, but the most frightening part? A new consumer survey found that 70 percent of Americans have never heard of the most common vascular disease, peripheral artery disease (PAD) – PAD kills more people than three of the top cancers (breast cancer, …

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How microplastics harm your health

Conditions
April 5, 2024

The New England Journal of Medicine recently published a paper titled “Microplastics and Nanoplastics in Atheromas and Cardiovascular Events,” which detected the presence of microplastics and nanoplastics (MNPs) in carotid artery plaque, with a higher risk of a composite of myocardial infarction, stroke, or death from any cause at 34 months follow-up than those in whom MNPs were not detected. Although this study did not establish a causal effect, …

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Did you know that colder weather can complicate blood pressure control rates and treatment?

Conditions
March 4, 2024

Next time you hear “cuffing season,” think of blood pressure cuffs. As winter has properly set in with shorter, darker, colder days, you might see the impact on blood pressure control rates.

A new study examined the health records of more than 68,000 adults being treated for hypertension and found that on a population level, BP control rates decreased by up to 5 percent during the winter months …

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A people-first approach to cardiac rehabilitation

Conditions
February 7, 2024

How do you change the paradigm in a rigid system? When the COVID-19 pandemic emerged in 2020, my team and I didn’t have a choice. We had built our hospital’s in-person cardiac rehabilitation program from the ground up, but this was a moment of reckoning. Our program would need to incorporate virtual care.

Completing cardiac rehabilitation can increase a patient’s life expectancy by up to five years, Read more…

My battle with atrial fibrillation

Conditions
December 31, 2023

A while ago, I wrote about my experience during an attack of atrial fibrillation (afib), lamenting the fact that my management never included a proper physical exam. Nevertheless, chemical cardioversion was successful, and my hospital stay was brief.

The episode was precipitated by a small pulmonary embolus acquired during sinus surgery the day before. I had experienced an episode of afib some 15 years previously and had remained free, I think …

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ECMO spotlight: Expanding access for improved survival rates

Conditions
November 14, 2023

The recent coverage of ECMO by the Wall Street Journal has shone a spotlight on a therapy that, despite its decades-long existence, remains relatively obscure and underutilized. While the article thoughtfully delved into the ethical considerations surrounding the extended use of this life-saving therapy, it’s important to recognize that many hospitals have yet to offer ECMO as an available treatment option. The priority focus should be on expanding access to …

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The lifesaving power of CPR: a 30-year journey

Conditions
October 20, 2023

A woman who asked us to call her Strawberry taught me cardiopulmonary resuscitation (CPR) for the first time, more than thirty years ago. I was getting my Girl Scout badge in babysitting, and it was a requirement. The class involved an overview of the “ABC’s” and half-hearted compressions on our friends. We did a craft afterward.

A few years later, I took my second CPR class in my high school natatorium. …

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Using the language of art to create work-life balance

Physician
September 25, 2023

Most physicians cite work-life balance as a top priority. Yet there is little clarity on what exactly work-life balance means.

Some prefer the term work-life integration, suggesting that work and personal life should be intertwined. Work-life integration is a common buzzword in managerial circles. However, for most physicians, this way of life is already a reality. Taking calls, working late, and keeping up with CME and recertification already mean that much …

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Personalized hypertension care in pregnancy: Beyond evidence-based thresholds

Conditions
August 11, 2023

There has always been a research bias against the case of one. A success story that isn’t part of a research pool is called “anecdotal.” The implication is that no doctor should base treatment on a story of one. Then we devised the term “evidence-based” to reinforce the notion that physician decisions should be based entirely on numbers in research studies. However, the physician’s prerogative has always been to read …

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Princess Diana: Unraveling the enduring fascination of gossip and our innate curiosity

Physician
August 8, 2023

“What heart surgeon did Diana date?”

According to data from a popular search trend analysis website, this is one of the most highly searched phrases about heart surgery.

According to Cosmopolitan, Princess Diana dated cardiac surgeon Hasnat Khan for years and called him “Mr. Wonderful.” Mehera Bonner did a lovely job discussing this topic.

Nonetheless, it left me to ponder the following: Why do we want to know who the Princess of …

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Ensuring accurate blood pressure measurement [PODCAST]

Podcast
July 28, 2023
YouTube video

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We talk with Jordana Cohen, an internal medicine physician, about the importance of accurate blood pressure measurement. With the rise of telehealth and at-home monitoring, ensuring reliable readings is crucial. Jordana discusses concerns regarding device accuracy and …

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Unmasking the truth about ECMO [PODCAST]

Podcast
July 23, 2023
YouTube video

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Join John R. Mehall, a cardiothoracic surgeon and physician executive. We explore the lasting impact of the global pandemic on hospitals in the United States, uncover the underlying financial crisis often overlooked by headlines, and discuss innovative …

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The evolution of lighting vs. cholesterol treatments: a tale of innovation and value

Policy
July 20, 2023

An excerpt from Why Not Better and Cheaper: Healthcare and Innovation by James B. Rebitzer and Robert S. Rebitzer with permission from Oxford University Press, © 2023 by Oxford University Press.

In a famous essay, Nobel prize-winning economist William Nordhaus studied the evolution of lighting. From medieval times until the …

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Triathlete defies odds, qualifies for world championship after grueling half Ironman race

Physician
July 3, 2023

Rick Taylor was swimming the race of his life. The Virginia half-Ironman (70.3 miles) was underway, and Rick swam the 1.2-mile course in the Carvin Cove Reservoir in 30 minutes and 43 seconds, coming out of the water first in his age group at a blistering pace of 1 minute and 35 seconds per 100 m (1.36/100 m). What was more incredible was that his heart rate through that effort …

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Burnout and compassion fatigue: chronic workplace stress and emotional withdrawal

Physician
June 29, 2023

Over the past five years, the term “burnout” has become closely associated with the health care field. It has reached the point where more than 60 percent of surveyed physicians reported experiencing burnout in 2021, indicating that it has become an epidemic within our profession.

It’s important to understand that burnout is not a personal flaw or a psychological disorder; rather, it is a response to chronic stress in the workplace. …

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CME Spotlights