Heart and cardiology

1,642 articles · Since 2004

Articles, page 3

You can’t stent a capillary: Why aging starts in your smallest blood vessels [PODCAST]

May 12, 2026May 12, 2026

What if the real driver of aging isn't your mitochondria or your telomeres but the tiny capillaries you never think about? Double board-certified emergency and internal medicine physician Kenneth Ro returns to the show to make a compelling case that…

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What if the real driver of aging isn’t your mitochondria or your telomeres but the tiny capillaries you never think about? Double board-certified emergency and internal medicine physician Kenneth Ro returns to the show to make a compelling case that microvascular decline is the overlooked upstream force behind nearly every disease …

The Podcast by KevinMD

Bolus or drip? What the DOSE trial actually showed about heart failure [PODCAST]

The Podcast by KevinMD

May 11, 2026May 11, 2026

What if one of the most common escalation strategies for acute heart failure doesn't actually improve outcomes? Internal medicine physicians Benjamin P. Geisler, Jeffrey L. Greenwald, and Kathy May Tran, editors of 50 Studies Every Hospitalist Should Know, join the…

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What if one of the most common escalation strategies for acute heart failure doesn’t actually improve outcomes? Internal medicine physicians Benjamin P. Geisler, Jeffrey L. Greenwald, and Kathy May Tran, editors of 50 Studies Every Hospitalist Should Know, join the show to break down what the DOSE trial really tells us …

The Podcast by KevinMD

Your doctor saved your life but won’t return your call [PODCAST]

The Podcast by KevinMD

May 7, 2026May 7, 2026

What happens when a physician who spent decades treating patients suddenly finds himself on the other side of the exam table, unable to get a simple answer about his own aneurysm? Jeffrey Junig, a psychiatrist and addiction medicine specialist, shares…

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Conditions and diseases

Rethinking blood thinners for atrial fibrillation patients

Saurabh Gupta, MD

May 3, 2026May 3, 2026

At the American College of Cardiology meeting, a new trial was shared that might change how we view one of the world's most common heart conditions. At its core, the study asked a simple but disruptive question: Do patients with…

At the American College of Cardiology meeting, a new trial was shared that might change how we view one of the world’s most common heart conditions. At its core, the study asked a simple but disruptive question: Do patients with atrial fibrillation really need to take blood thinners for the rest of their lives to prevent stroke? For decades, the answer has been yes. This trial suggests the answer …

2026 cholesterol guidelines: LDL goals, Lp(a), and coronary calcium scoring [PODCAST]

The Podcast by KevinMD

April 30, 2026Apr 30, 2026

This episode is sponsored by Novartis Pharmaceuticals Corporation. In this sponsored episode from Novartis Pharmaceuticals Corporation, a leading preventive cardiologist walks through the 2026 cholesterol guideline update and what it means in practice. Seth J. Baum, a Columbia-trained preventive cardiologist,…

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This episode is sponsored by Novartis Pharmaceuticals Corporation.

In this sponsored episode from Novartis Pharmaceuticals Corporation, a leading preventive cardiologist walks through the 2026 cholesterol guideline update and what it means in practice. Seth J. Baum, a Columbia-trained preventive cardiologist, founder of Flourish Research, chairman of the Family Heart Foundation, and past …

Conditions and diseases

When a stomach bug is actually an atypical heart attack

Karim Ali, MD, MBA

April 29, 2026Apr 29, 2026

A patient arrives in the emergency department vomiting. Not once or twice, but repeatedly, leaning over the bedside basin, pale and sweating, clearly miserable. Between episodes, he tries to explain what happened. Earlier in the day he felt completely fine. Then the nausea started suddenly, followed by vomiting, cramping, and a cold sweat that made his shirt cling to his back. By the time he arrived in the emergency room, …

Conditions and diseases

Why heart failure care requires spaced repetition for doctors

Vimal George, MD

April 22, 2026Apr 22, 2026

It is 4:50 p.m. on a Thursday. Your last patient is a 67-year-old with heart failure with reduced ejection fraction. He has been hospitalized twice this year. His medications look familiar. A beta-blocker. An ACE inhibitor. A loop diuretic. But something is missing. You scroll through the chart. No mineralocorticoid receptor antagonist. No SGLT2 inhibitor. No ARNI. You pause. You know the guidelines. You have heard the talks. You …

Conditions and diseases

Finding humanity in medicine after a sudden illness

Salina Mansukhani

April 15, 2026Apr 15, 2026

The morning my mother passed away began like any other. She was getting ready for work. She finished her morning chai and just stepped out of the shower with the sunlight filling the bedroom. There was nothing unusual about that morning that was particularly alarming. And then, in a moment so small I almost missed it, she paused and pressed a hand to her back. “I don’t feel right,” she …

Conditions and diseases

Why cardiovascular medicine should focus on patients, not environmental advocacy

Kurt Miceli, MD, MBA

April 8, 2026Apr 8, 2026

The treatment of cardiovascular diseases has advanced at an extraordinary pace over the past half-century resulting in an age-adjusted 60 percent reduction in heart disease death rates. This dramatic decline is directly attributable to primary and secondary preventive therapies such as statins and small interfering messenger RNAs along with disruptive technologic advances in procedural techniques. New pharmacologic options for thromboprophylaxis and novel therapies for heart failure …

Conditions and diseases

GLP-1 agonists and weight loss: Treating the disease, not the number

Richard M. Fleming, MD, PhD, JD

April 2, 2026Apr 2, 2026

Modern medicine loves numbers. LDL. A1c. BMI. Tumor diameter. Pounds lost. They are easy to measure, easy to track, and easy to celebrate. But none of them are the disease itself. As GLP-1 prescribing accelerates and insurers increasingly define success…

Modern medicine loves numbers. LDL. A1c. BMI. Tumor diameter. Pounds lost. They are easy to measure, easy to track, and easy to celebrate. But none of them are the disease itself.

As GLP-1 prescribing accelerates and insurers increasingly define success by weight reduction, we are repeating a familiar mistake: Elevating a surrogate marker to the status of a biological endpoint.

BMI was never designed to diagnose disease in individuals. Adolphe Quetelet created …

Drugs and prescribing

Statin safety and efficacy: What recent studies reveal

Cliff Dominy, PhD

March 28, 2026Mar 28, 2026

Are you concerned about statins? In the past two weeks, cold hard statistics have cut through the fog of misinformation surrounding these best-selling drugs, focusing instead on the safety and efficacy of lowering your blood cholesterol level. No emotions or bias, just numbers. Welcome information for anyone who has enjoyed numerous trips around the sun and is looking forward to many more.

Middle age, that point in life when your invincibility …

Physician voices

How competency-based education is driving medical education reform

Ben Reinking, MD

March 23, 2026Mar 23, 2026

As a pediatric cardiologist, I have spent my career watching children grow. During clinic visits, we track their height, weight, and milestones. We also sit with families and ask what makes their children smile. We might send a toddler to physical therapy for gross motor delay while we also encourage her love of art or music. Years of listening to parents share what their child enjoys has taught me that …

Conditions and diseases

Managing acute heart failure: evidence from the DOSE trial

Benjamin Geisler, MD, MPH & Jeffrey L. Greenwald, MD & Kathy May Tran

March 22, 2026Mar 22, 2026

An excerpt from 50 Studies Every Hospitalist Should Know. Debbie Lin Teodorescu, MD, MEng, a cardiologist, and Hugo Torres, MD, MPH, an endocrinologist, authored this article. The DOSE trial provided good insight into the dosage and frequency for administering loop…

An excerpt from 50 Studies Every Hospitalist Should Know.

Debbie Lin Teodorescu, MD, MEng, a cardiologist, and Hugo Torres, MD, MPH, an endocrinologist, authored this article.

The DOSE trial provided good insight into the dosage and frequency for administering loop diuretics in patients presenting with acute decompensated heart failure. Physicians can prescribe intravenous loop diuretics with confidence that their decision is evidence-based, efficacious, and safe.

Research questions

Among patients with hemodynamically …

Physician voices

When side effects are actually a cry for help with medication costs

Shuchita Gupta, MD

March 19, 2026Mar 19, 20262

"Doc, I cannot sleep well at night since I started taking the blood thinner (apixaban/Eliquis)." "Hmm, that is not a typical side effect of the blood thinner. Have you considered any other changes to your routine that could be affecting…

“Doc, I cannot sleep well at night since I started taking the blood thinner (apixaban/Eliquis).”

“Hmm, that is not a typical side effect of the blood thinner. Have you considered any other changes to your routine that could be affecting how you sleep at night?”

“Doc, I also have joint pains and diarrhea since I started the blood thinner. Can I stop it?”

(The patient has had joint pains and diarrhea pre-dating the …

Conditions and diseases

How the microvasculature drives the human aging process

Kenneth Ro, MD

March 16, 2026Mar 16, 2026

For years we have searched for the causes of aging inside the cell. Researchers study mitochondrial dysfunction, DNA damage, and the accumulation of senescent cells. But the real bottleneck in aging may not lie inside the cell at all. It may lie in the system that keeps those cells alive. During my years working in emergency medicine, I often saw patients whose blocked coronary arteries had been successfully opened during …

Conditions and diseases

Why quality of life in health care is often overlooked

Jeffrey Junig, MD, PhD

March 11, 2026Mar 11, 2026

I switched beta blockers a few days ago. Four or five, maybe. Nothing dramatic. No crisis. No near-miss. But my fingers are warm again, for the first time in months. And I'm sleeping better than I have in a long…

I switched beta blockers a few days ago. Four or five, maybe. Nothing dramatic. No crisis. No near-miss. But my fingers are warm again, for the first time in months. And I’m sleeping better than I have in a long time. Those aren’t headline outcomes. They’re not the things medicine congratulates itself for. They are just noticeable. Modern medicine is very good at preventing death. It’s less good at noticing …

Conditions and diseases

Pharmaceutical advertising ethics: Why TV drug ads mislead patients

M. Bennet Broner, PhD

March 10, 2026Mar 10, 2026

Previously, I wrote about the patient's responsibility to gain knowledge about their condition and treatments, and how this is not always easy to do. This is increasingly important, however, as clinicians have decreased time with patients for reasons often beyond…

Previously, I wrote about the patient’s responsibility to gain knowledge about their condition and treatments, and how this is not always easy to do. This is increasingly important, however, as clinicians have decreased time with patients for reasons often beyond their control.

This need for knowledge applies not only to medical visits, but also to advertisements for nostrums (e.g., Neuriva) and for legitimate drugs. Both create enticing visions on TV and …

Physician voices

The Mamba Mentality of an immigrant physician’s journey

Joshua Salabei, MD, PhD

March 8, 2026Mar 8, 2026

There is a kind of discipline that develops quietly over time, shaped not by certainty, but by persistence. I often think of it as the Mamba Mentality: a commitment to steady improvement, resilience, and focus on the process rather than…

For many immigrants, this mindset is not aspirational. It is necessary.

My own journey reflects this reality.

Before coming to the United States in 2007, I spent one year in the …

Physician voices

Why hospitals shouldn’t own physician practices: 6 key reasons

David Wild, MD

March 8, 2026Mar 8, 2026

Over the past two decades, hospital systems have increasingly acquired physician practices, arguing that integration improves care coordination, lowers costs, and stabilizes struggling practices. In reality, this consolidation has often produced the opposite effect: higher costs, reduced physician autonomy, diminished innovation, and care that is less responsive to patients’ needs. While hospitals and physicians must collaborate closely, ownership is not collaboration, and hospital systems should not be in the business …

Conditions and diseases

Silent heart attack symptoms: my missed diagnosis story

Brian Ferri

March 6, 2026Mar 6, 2026

Most people expect a heart attack to announce itself with unmistakable force, crushing pain, shortness of breath, a dramatic collapse. Mine arrived quietly, unnoticed, and remained hidden for years. What I discovered in 2026 forced me to revisit events from 2018 and 2019 and confront how easily critical medical information can slip through the cracks when communication fails.

A routine appointment reveals a hidden past

On Jan. 8, 2026, during a routine …

Heart and cardiology

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