Tag Archives: Dr. John Mandrola

The Sitting-Rising Test: what’s your score?

4 Jan

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by Carolyn Thomas    @HeartSisters

Back when I was a run leader at the Y Marathon Running Clinic, we’d have an overflow crop of eager new participants at our first Sunday morning run of each New Year. Some even told me that this was finally going to be the year in which they quit smoking, lost 30 pounds, and ran a marathon! “Pick one!” was my pragmatic response to such announcements . . .     Continue reading

Size matters – but not in coronary artery blockages

21 Dec

by Carolyn Thomas      @HeartSisters

It’s not about your cholesterol numbers, and it’s not even about big fat blockages clogging up your coronary arteries. Did you know that inflammation is likely the culprit in most heart attacks? As cardiologist Dr. John Mandrola neatly describes it:

“Heart disease is about inflammation.  The same mechanisms that cause the throat to swell from an infection, the skin to redden after an insect bite, and a scar to form after a cut are what cause heart problems.”

Studies continue to show demonstrable links between heart disease and other inflammatory conditions.
Continue reading

Women and statins: evidence-based medicine or wishful thinking?

14 Dec

by Carolyn Thomas    @HeartSisters

Are you:

A.  a healthy woman who’s never had any issues with your heart, but . . .

B you know heart disease is the #1 killer of women, so . . .

C.  you’re wondering what you can do to help prevent B from happening to you?

Warding off a first heart attack is what physicians call “primary prevention”. It’s also what respected cardiologists representing both the American Heart Association and the American College of Cardiology are now telling us can be effectively accomplished by taking one of the cholesterol-lowering drugs known as statins.

But it turns out that many other equally-respected cardiologists don’t believe that taking a powerful drug every day for the rest of your natural life for a disease you don’t even have is appropriate for primary prevention – particularly in womenContinue reading

Dr. John Mandrola: “AFib is your body talking to you”

10 Mar

by Carolyn Thomas  @HeartSisters

If you or somebody you care about has been diagnosed with Atrial Fibrillation (AF),  you likely already know this about the diagnosis: it’s an irregular heart rhythm affecting the heart’s upper chambers (the right and left atria) – and it’s also the most common heart-related reason for hospital admission. As Kentucky cardiologist Dr. John Mandrola likes to describe the disorder:

“AF is both a disease and a consequence of actions. It’s your body talking to you.”

Dr. John is a bike racer and one of my favourite writers in cardiology. As my heart sister Jaynie Martz once sized up his writing: “concise, charming, compassionately light, adult-to-adult, uber-digestible with nary a whiff of condescension or pomposity.” Amen, Jaynie.  His particular cardiac specialty is electrophysiology, the diagnosis and treatment of heart rhythm disorders. Here’s his overall take on the diagnosis of atrial fibrillation, as delivered to a Utah conference of his fellow electrophysiologists recently: Continue reading

Stress test vs flipping a coin: which is more accurate?

1 Mar

by Carolyn Thomas  @HeartSisters

You may not have any signs or symptoms of coronary artery disease while you are just sitting there quietly reading this post. In fact, your symptoms may occur only during exertion, as narrowed arteries struggle to carry enough blood to feed a heart muscle that’s screaming for oxygen under increased demand. Enter the diagnostic stress test, used to mimic the cardiac effects of exercise to assess your risk of coronary artery disease.

During stress testing, you exercise (walk/run on a treadmill or pedal a stationary bike) to make your heart work harder and beat faster.  An EKG (also called ECG) is recorded while you exercise to monitor any abnormal changes in your heart under stress, with or without the aid of medications to enhance this effect.

But consider this blunt warning from Dr. Kevin Klauer:   Continue reading