Updated on Jun 30, 2022 | Cardiology, Diabetes, Health Tips, Heart Disease, Primary Care, Vascular Health
Recent media reports have caused some alarm and confusion about newly published guidelines for statin drugs. Statin drugs reduce cholesterol levels and also decrease cardiac and vascular disease, independent of their cholesterol-lowering effect. Statins provide multiple benefits, but the mechanisms of their actions are not yet fully understood. Like any medication, there is a risk of side effects, which can occur in up to 18 percent of patients and most often consist of muscle pain or temporary derangement of liver function. Rare serious side effects have been described. (more…)
Oct 23, 2013 | Cardiology, Endovascular, Heart Disease, Surgery, Vascular Health
A recent article in the financial press (Bloomberg) drew wide attention to inappropriate and excessive use of stents in patients with coronary artery disease (disease in the vessels that supply blood to the heart). Stents are tiny mesh tubes placed in a diseased coronary artery to “prop” it open after a narrowed segment of it has been expanded by a balloon. (more…)
Sep 4, 2013 | Cancer, Cardiology, Endovascular, Vascular Health
Pulmonary embolism is a common and dangerous condition that occurs when blood clots (deep venous thrombosis, or, DVT) break loose and travel from where the clots formed—mostly the leg veins (or, uncommonly, veins elsewhere)—to the pulmonary arteries, which conduct blood from the heart to the lungs. Sometimes these clots are small and may not cause clinical symptoms, because the surface area of the lungs, when opened out, would cover the surface of two tennis courts! However, occasionally, a pulmonary embolism can be massive and rapidly fatal. (more…)
Updated on Jun 30, 2022 | Diabetes, Endovascular, Vascular Health
By Jeffrey M. Levine, MD, AGSF, and Michael Cioroiu, MD, FACS, CWS
Peripheral arterial disease (PAD) of the lower limbs, in which plaque builds up in the arteries that carry blood to the legs, is an often-overlooked cause of poor wound healing, particularly in elderly individuals. While PAD affects roughly 12% to 14% of the general population, it increases with age, affecting up to 20% of patients older than 75 years. (more…)
Mar 13, 2013 | Nephrology, Surgery, Transplant, Vascular Health
When patients come to my office with a diagnosis of kidney failure or end stage renal disease (ESRD), most of them are nervous about what the next steps are to continue the activities of their daily life, now that their kidneys are no longer functioning. It is not always a surprise that they have kidney failure; however, the options can be overwhelming.
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Updated on Jun 30, 2022 | Surgery, Vascular Health
Guest blog post by Gary Gwertzman, MD, FACS, RPVI
No, it won’t!
The term “vascular laboratory” is unfortunate, because the word “laboratory” can conjure up some unpleasant thoughts. Patients who are sent to a vascular laboratory have little to worry about, and can learn a lot about their vascular (circulatory) health without exposure to harmful radiation or needles. (more…)
Recent media reports have caused some alarm and confusion about newly published guidelines for statin drugs. Statin drugs reduce cholesterol levels and also decrease cardiac and vascular disease, independent of their cholesterol-lowering effect. Statins provide multiple benefits, but the mechanisms of their actions are not yet fully understood. Like any medication, there is a risk of side effects, which can occur in up to 18 percent of patients and most often consist of muscle pain or temporary derangement of liver function. Rare serious side effects have been described. (more…)
