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Friday, October 11, 2013

STUDY FINDS SPORTS-RELATED SUDDEN DEATH MORE COMMON IN MEN

Reuters (8/14, Pittman) reports that a study published in the Journal of the American Medical Association, found that men who participate in sports are 20 times more likely to die of sudden heart problems than their female athlete counterparts. Study author Dr. Eloi Marijon, of the Universite Paris Descartes at the Sorbonne Paris Cite in Paris, said the “study is the first to demonstrate the low incidence of sudden death among women in the general population is not only related to a lower sport participation.” Marijon cited two possible reasons for the difference: that men start activity quickly exerting all their energy immediately, whereas women build up to full exertion; and buildup and blockage of the arteries to the heart are more likely in men than woman.

HealthDay (8/14, Reinberg, 2K) adds that the “deaths varied by sport among men, but not among women.” According to Marijon, “whether this finding is related to the way of practicing sports or constitutional – for example, difference in terms of coronary heart disease and risk of arrhythmia during acute coronary syndrome – needs further study.”

MedPage Today (8/14, Gever, 185K) also reports on the study.


POSTED BY:  Steven Almany M.D.

Thursday, October 10, 2013

HEART HEALTHY RECIPE- SLOPPY JOES

You can eat healthfully and still enjoy some old favorites.  Here is a pared-down version of Sloppy Joes with perked-up flavor.

Sloppy Joes
                                                                                                                                               
                                                                         Sauce:
                                                                         8 oz. can no-salt-added tomato sauce
                                                                         ½ c. low-sodium ketchup
1 ½  T. Worcestershire sauce
1 tsp. prepared mustard
1 tsp. molasses
1 clove garlic, finely minced or ½ tsp. bottled minced garlic
½ tsp. dry mustard

Meat:
1 lb. lean ground beef (90% lean)
½ small onion, finely chopped
Hot pepper sauce to taste (optional)
                                                                         6 whole-wheat hamburger buns, toasted if desired

In a small saucepan, combine sauce ingredients.  Simmer, stirring occasionally, while preparing meat.

Heat a nonstick skillet, at least 10 inches in diameter, over medium-high heat.  Add beef and sauté, stirring occasionally, for about 5 minutes, or until meat is no longer pink.  Pour beef into a strainer or colander and rinse under hot water.

 Add onion to skillet and sauté, stirring frequently, until translucent.  Add beef and sauce to onion in skillet and heat for 3 minutes, stirring occasionally.  Add hot pepper sauce if desired.  Spoon about ½ c. mixture over each bun half and cover with bun top.

Nutrition Information:  per 1/6 recipe
Calories 249, Total fat 5 g, Cholesterol 47 g, Sodium 324 mg, Carbohydrate 30 g, Protein 23g

Wednesday, October 9, 2013

IS DICLOFENAC POTTASIUM SAFE IN HEART DISEASE?

SI increased risk...

Diclofenac is an NSAID which are primarily used as antiinflammatories and analgesic agents in patients with acute or chronic inflammation  As a class, these meds carry a small absolute cardiac risk increase primarily triggered by a 1-2% incidence of fluid retention or BP elevation (which can destabilize a cardiac patient.  For most this is not too high a risk and is offset by the benefits.

POSTED BY:  Steven Ajluni, MD

Tuesday, October 8, 2013

HEART HEALTHY RECIPE- PARMESAN OVEN FRIED CHICKEN

Parmesan Oven-Fried Chicken

 4-4oz boneless chicken breasts,  washed and patted dry
¼ c. low-calorie Italian salad dressing
Vegetable oil cooking spray
½ c. fine, dry Italian bread crumbs
1/3 c. Parmesan cheese, grated
2 T. fresh parsley, washed and chopped
¼ tsp. garlic powder
¼ tsp. pepper


Marinate the chicken in the salad dressing overnight.  Preheat the oven to 350.  Spray a 9x13 in. baking dish with the cooking spray.  In a small bowl, combine the Italian bread crumbs, Parmesan cheese, parsley, garlic powder and pepper.  Turn the chicken over in the salad dressing to moisten all sides.  Dredge the chicken in the bread crumb mixture.  Place in the prepared dish and bake uncovered for 35-45 minutes or until tender.

Nutrition Information: per ¼ recipe
Calories 291, Total fat 9 g, Saturated fat 3 g, Cholesterol 104 mg, Sodium 448 mg, Carbohydrate 10 g, Fiber 0.5 g, Sugar 1 g, Protein 41 g 

Monday, October 7, 2013

2013 BEAUMONT MICHIGAN HEART GROUP HOLIDAY SCHEDULE

Beaumont Michigan Heart Group closes in observance of all the major holiday'sThe 2013 days are listed below.  We ask, in order to ensure your prescriptions are refilled in time, please call at least one week prior to the holiday.  Calls taken after 10:00 am, the day before closing, are not guaranteed to be called in.

Monday
May 27, 2013
Memorial Day
Thursday
July 4, 2013
Independence Day
Monday
September 2, 2013
Labor Day
Thursday
November 28, 2013
Thanksgiving
Friday
November 29, 2013 
Day after Thanksgiving
Tuesday
December 24, 2013
Christmas Eve
Wednesday
December 25, 2013
Christmas Day
Tuesday
December 31, 2013
New Year’s Eve (1/2 day)
Wednesday
January 1, 2014
New Year’s Day


Thank you:
The Beaumont Michigan Heart Group Sta

Friday, October 4, 2013

HEART FAILURE MEDICATION MAY NOT BENEFIT AFRICAN AMERICANS AS MUCH AS OTHER ETHNIC GROUPS

MedPage Today (8/17, Kaiser, 185K) reported that research published online in Circulation: Heart Failure suggests that “African Americans with heart failure and reduced left ventricular output may not derive the same benefit from spironolactone as other ethnic groups.” Investigators found that while “patients in the trial taking spironolactone (Aldactone) exhibited an overall significant increase in potassium levels (mean increase 0.28 mmol/L, P<0 .001="" 0.29="" black="" ethnic="" for="" groups="" in="" increase="" interaction="" mmol="" nbsp="" other="" p="0.03" patients="" potassium="" significantly="" smaller="" span="" than="" the="" versus="" was="">

MedPage Today added that “American Heart Association/American College of Cardiology guidelines for mineralocorticoid receptor antagonists (MRAs), the class of drugs to which spironolactone belongs, recommend they be prescribed, along with standard medical therapies, in patients with heart failure class III or IV with reduced left ventricular ejection fraction (LVEF), and in patients after acute heart attack with concomitant symptoms of heart failure and reduced LVEF,” but physicians often do not prescribe spironolactone due to the side effects associated with its use


POSTED BY:  Steven Almany M.D.

Thursday, October 3, 2013

HEART HEALTHY RECIPE- POACHED SALMON WITH DILL SAUCE

This flavorful salmon is a cinch to prepare, and the dill weed adds a distinct flavor to the sauce.

Poached Salmon with Dill Sauce


1 medium onion, peeled, ends removed, sliced
1 cube chicken bouillon
1 ½  c.  water
1 T. lemon juice
4 salmon steaks (6 to 7 ounces each)

 Sauce:
1 T. tub margarine
1 T. finely chopped onion
 2 T. flour
1 tsp. dill weed
1/8  tsp. white pepper
1 c.  skim milk

In a skillet large enough to hold fish in a single layer, combine the onion, bouillon,  water and lemon juice.  Heat to a boil over high heat.  Add the salmon steaks and simmer, tightly covered, about 10 minutes or until the fish flakes easily with a fork.

In small saucepan, melt the margarine over medium heat and sauté the chopped onion until tender, about 3 minutes.  Stir in the flour, dill weed and pepper.  Add the milk, mixing well.  Heat until the mixture boils and thickens, stirring constantly, about 2 minutes.  Remove the salmon to a platter.  Pour the dill sauce over the salmon and serve. 

Nutrition Information:  ¼  recipe
Calories 292, Total fat 10 g,  Saturated fat  2 g, Cholesterol 62  mg, Sodium 351 mg,
Carbohydrate 10 g, Fiber 1 g, Sugar 4 g, Protein 38 g

Wednesday, October 2, 2013

HOW CAN I DIFFERENTIATE BETWEEN HEART PAIN (RELATED TO HEART DISEASE) AND HEART BURN?

History helps.  Heart disease pain (angina) more typically occurs with activity/exertion, is a tightness associated with shortness of breath and reduced exercise tolerance.  Heartburn is typically a burning ache that comes on with rest or aggravated when recumbent, with symptoms made worse by eating.  Symptom relief might occur with antacids.  That said either condition might occur atypically.

POSTED BY:  Steven Ajluni, MD

Tuesday, October 1, 2013

HEART HEALTHY RECIPE- FRESH STRAWBERRY PIE

Fresh Strawberry Pie

                                             1 ½ tsp. unflavored gelatin
                                             1 T. water
                                             6 c. fresh strawberries, rinsed and hulled
                                             3 T. cornstarch
                                             ½ c. sugar
                                             1 c. water
                                             Few drops red food coloring
                                             1 9-inch pie shell, baked and cooled

In a small bowl, combine gelatin and 1 tablespoon water.  Set aside. 

Measure 4 cups whole strawberries of uniform size.  Place strawberries, points up, on bottom of pie shell.

Place remaining 2 cups strawberries in a bowl and crush with a fork or potato masher.  Place in a saucepan over medium heat.  Add cornstarch, sugar and water.  Cook, stirring constantly, until thick and clear.  Remove from heat and add gelatin.  Cool and add food coloring.

Pour into pie shell, cover and refrigerate.  Chill several hours before serving.  Serves 8.

Nutrition Information:  per serving
Calories 244, Total fat 10g, Saturated fat 1g, Cholesterol 0g, Sodium 90g, Carbohydrate 38g Protein 3g

Monday, September 30, 2013

HEART LIGHT...A NATION WIDE NEW TRIAL AT BEAUMONT OFFERS HOPE TO THOSE THAT SUFFER FROM ATRIAL FIBRILLATION!


EKG of Atrial Fibrillation
Heart Light is an exciting National Research Trial using new technology to treat Paroxysmal Atrial Fibrillation.  William Beaumont Hospital is one of only 22 centers in the United States to offer this trial also one of the highest for enrollment.   Michigan Heart Group's own Dr. Kutinsky is the principle investigator at Beaumont.

The technology is called Cardio Focus, an endoscopic laser balloon system used to isolate the pulmonary veins and cure Paroxysmal Atrial Fibrillation.  The technology is cutting edge for many reasons, first the operator can visualize how and where the treatment is being directed and second it has increased efficacy and success for curing Atrial Fibrillation.  If you want more information or are interested in seeing if you are eligible for the trial, please visit, www.cardiofocus.com.  The deadline for applications is October 1st TOMORROW!!