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www.DrGeorgesChoueiri.cjb.net
The First Cardiologist Site in Lebanon

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All Medical Information provided in this website are only informative. Ask your Physician for any personal application.

Thursday, 11 May, 2006  Edition 11:12:51English Version

Version Française

Arabic Version 

 

Cardiologist in the United States

1.3% are active smokers,

89% exercise regularly,

72% drink red wine at least once a week.

4% have coronary problems,

28% have dyslipidemia,

14% are hypertensive,

0.6% are diabetics.

These statistics show much better lifestyle among Cardiologists than general population and even compared with other physicians.

Source = Am J Cardiol 2006;97:1093-1096

Early agressive statin therapy :  pretty simple to save lives

Less  mortality, reinfarction, and revascularization need

 when Statins are initiated during

the acute phase of an ischemic event.

follow-up :15 months

aggressive statin therapy : 25% risk reduction.

Source =  ACC 55th Annual Scientific Session March 13, 2006 Abstract 821-5

Sleep duration

Sleep duration between 6 and 8 hours at night has a U-shaped distribution of risk concerning diabetes in men: risk of diabetes increase by 2 % for less than 6 hours sleep duration and by 3 for those men who sleep more than 8 hours.

Reminder: this sleep duration risk has been reported previously for coronary heart disease, diabetes in women and all cause mortality.

Source = Diabetes Care 2006;29:657-661

Methotrexate and chronic heart failure

 

Inflammatory mediators TNF-alpha, MCP-1, sICAM-1, and CRP reduction by early low dose administration of methotrexate for twelve weeks improve  symptoms and quality-of-life in chronic heart failure patients.

Improvement occurs for  NYHA functional class, 6-minute walk test distance, and quality-of-life scores.

 

Source = Am Heart J 2006;151:62-68

Survival in chronic heart failure.

Beta blockers increase fat mass which seems to significantly improve survival in CHF patients.

 

 

Source = Int J Cardiol 2006;106:319-322

Less severe infection with statins

Statins have

lipid-lowering

anti-inflammatory

antioxidant properties

endothelial function improvement

cellular immunity modulation

all that may contribute to Reduced Sepsis Risk by 19 %.

 

Source = the January 25th online issue of The Lancet

Cardiovascular events are linked to composition, morphology, and stability of plaque more than the amount of atherosclerotic plaque.

Statins' anti-inflammatory and plaque-stabilising properties reduce stroke incidence.

High LDL cholesterol and mortality risk:

In younger patients, High LDL, high mortality

In elderly patients, High LDL, lower mortality

Caution about LDL value interpretation is required.

Source = J Am Geriatr Soc 2005;53:2159-2164

The 'goal LDL' concept is outdated.

Patients with an LDL cholesterol level of 80 mg/dL or lower are at 29.0% risk of death, reinfarction, or stroke at six months.

Same patients who were discharged on statin therapy have  9.5% risk of death, reinfarction, or stroke at six months.

Source : Am J Cardiol 2005;96:1491-1493

The identification of patients at risk for acute plaque rupture events may be possible in the near future by reagents under development to detect overexpression of activated MMP-9.

Source = J Clin Invest 2005

Alzheimer's disease patients have othostatic hypotension, low Heart rate variability time because of autonomic cardiovascular dysfunction.

Source = J Am Geriatr Soc 2005;53:2135-2139

Although  Blood Pressure and cardiovascular mortality are lower in hot months and higher in cold months,  Blood Pressure is higher in the elderly during hot weather nights.

Source = Hypertension 2005;47

Prevention of chemotherapy chronic cardiotoxicity can be obtained by ARB.

 

Source = Cancer 2005;104:2492-2498

HSP60 and early carotid atherosclerosis

sHSP60 and chronic infection increase the risk of early atherogenesis.

Source = Stroke 2005;36:2571-2576

Low meat and high vegetable intakes prevent the development of elevated blood pressure.  

Dairy consumption does not have a consistent effect on blood pressure

Source = Am J Clin Nutr 2005;82:1169-1177

 

 

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09 946 177

 

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Kafarhata Koura, LIBAN
06 643 555
06 642 542 Fax
03 344 147 Mobile + GPRS

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Horaires
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  English version     Front.Page    Previous.Front.Pages    Drugs.Latest   catheterism.latest    rhythmology.latest    diabetes.latest    openheart.latest     heart.stroke.latest   stroke.latest  hypertension.latest    diet.latest    lipids.latest    geriatrics.latest    women.latest    heart.failure.latest     What's.New.Page      Useful.Practical.Information      Useful.Drugs  The.Blood.Pressure.Page     The.Diabetes.Page      The.Atherosclerosis.Page   Favorite.Links      Photo.Page      Arabic.Page     Useful.Food   Dangerous.Food    Useful.Behavior   Hospital.Phones   

   version française en construction   Recherche  Première.Page     Editions.Précédentes    Médicaments.Dernière   Cathétérisme.Dernière  Rythmologie.Dernière  Diabète.Dernière  Coeur.Ouvert.Dernière  Infarctus.Dernière  Hypertension.Dernière  Régime.Dernière  Lipides.Dernière   Personnes.Agées.Dernière   Ménopause.Dernière   Insuffisance.Cardiaque.Dernière      

 

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