December 22nd, 2010 by John Mandrola, M.D. in Better Health Network, Health Tips, News, Opinion, Research
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It’s the time of the year when dietary temptations lurk around every corner of the hospital. And since completely abstaining is not always possible, the best antidote for this holiday deluge of inflammation is obvious: Exercise.
No doubt, within the boundaries of common sense, all exercise is good. But is there a best time of day to exercise?
Tara Parker-Pope’s New York Times piece suggests that the most “productive” time of day to exercise is before breakfast. In concisely reviewing a Belgian exercise physiology study, Ms. Parker-Pope points out that, in blunting the undesirable effects of a high fat and sugar diet, pre-breakast (fasting) exercise was metabolically more efficient than was exercise later in the day. That’s really good news for the overweight middle-agers who consistently say: “I really don’t eat very much. I must have a slow metabolism.”
Scientific studies are one thing, but are they validated in the court of real life? Read more »
*This blog post was originally published at Dr John M*
December 12th, 2010 by John Mandrola, M.D. in Better Health Network, Opinion, True Stories
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The human heart resides in a lighltless 98.6-degree chest cavity. Its contracting muscles are further cushioned by the well-lubricated glistening smooth pericardial sac. One wouldn’t think that the heart could sense the time of year. The heart’s rhythm should remain independent of the holiday season. But then there is December in the EP lab. They are as busy as the malls.
Is it the depressing weather? Or the short days? Or a post-Thanksgiving hangover? It’s hard to say, but every year for as many as I can remember, the EP lab rocks in November and December. And with the advent of deductible health plans, this holiday phenomenon has only intensified.
The I-90 of the heart, the AV node, seems to give out more in the holidays. I’ll never forget the Saturday in December many years ago when I did five “urgent” pacemakers — and neither will the pacemaker rep. Read more »
*This blog post was originally published at Dr John M*
December 2nd, 2010 by John Mandrola, M.D. in Better Health Network, News, Opinion, Research
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In treating atrial fibrillation (AF), this year has witnessed some real excitement. And not all the good news has to do with new pills. Recently, there has been a flurry of encouraging and objective news on ablating AF. Here are some comments on three notable studies that address three important questions:
1. What are the “long-term” success rates of AF ablation?
On this important question comes an American Heart Association (AHA) abstract from the highly-regarded lab of Dr. Karl-Heinz Kuck in Hamburg. They report on a relatively young cohort of 161 patients who underwent AF ablation (using standard pulmonary vein isolation techniques) in 2003-2004. At an average of five years of follow up, more than 80 percent were either AF-free or “clinically improved.”
Real-world impression: Although late recurrences of AF years after successful ablation have been reported, my impression (having started with AF ablation in 2004) is that most who are AF-free off drugs after one year have remained AF-free thus far. Read more »
*This blog post was originally published at Dr John M*
November 25th, 2010 by John Mandrola, M.D. in Better Health Network, Humor, True Stories
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A mom who took care of us kids far better than she did herself, always. A Dad whose advice grew better with years, although it was good then. Two brothers and a sister to share a driveway basketball court with, rain or shine. The infinite love of grandparents, who lived within hollering distance over an old Connecticut stone wall.
A high school guidance counselor who said I wasn’t smart enough to go to medical school. A college biology professor who rolled out a cart of beers on that first Friday evening research conference. That I watched the movie “Hoosiers” and thought to look at Indiana University for residency, and while there met so many dedicated cardiology teachers.
That I have so many great colleagues to work with now. Immersing oneself in a sea of committed people helps the heart. Medical peeps are a cool crowd. That technological wizardry has allowed us on opportunity to alleviate the heart’s most common hiccup, the AF.
That our family has found some great pals to hang with. Friends that allow us to wear tank tops, shorts and crocs with socks when we visit. But most of all, I am thankful for a family that I would not change one bit — a loving wife who is a best friend, and smart healthy kids who like themselves, each other, and their parents (at least most of the time).
Thanksgiving.
JMM
Oops…I am thankful that I am a master bike racer, too. Only I wish that I was faster.
*This blog post was originally published at Dr John M*
November 19th, 2010 by John Mandrola, M.D. in Better Health Network, Health Tips, News, Research
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“Hey…where did those cupcakes go?”
Like a never-ending western North Carolina climb where each switchback reveals another uphill, and the finish is shielded by tall pines, the struggle to lose weight and to stay lean is incessant.
In wrestling weight gain, competitive cyclists share the same mat as “regular” Americans. Like jockeys, all competitive bike racers strive for maximal leanness. It’s physics: Weigh less and the same number of watts push you farther and faster, especially when going uphill or accelerating from a slow speed. Remember those velocity problems in Physics 101?
But is it conceivable that losing weight — even if accompanied by lower cholesterol levels — could be detrimental to long-term wellness? Obviously, the question answers itself.
Unless your Internet connection has been interrupted in the last few days, you have probably heard of the “Twinkle diet.” Kansas State University nutrition professor Mark Haub tested the hypothesis that if he reduced his daily calorie consumption from 2600 to 1800 he would lose weight. Read more »
*This blog post was originally published at Dr John M*
It’s the time of the year when dietary temptations lurk around every corner of the hospital. And since completely abstaining is not always possible, the best antidote for this holiday deluge of inflammation is obvious: Exercise.
