Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 48-year-old man with newly diagnosed hypertension is referred for an echocardiogram to assess findings of left ventricular hypertrophy noted on the electrocardiogram. He is asymptomatic, and his medical history is unremarkable other than hypertension. His only medication is chlorthalidone. On physical examination, blood pressure is 128/70 mm Hg, pulse rate is 60/min ...

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September first was a big day for me. After over 25 years of practicing invasive cardiology, I sent an affidavit to CMS to indicate for the next two years I was opting out of their insurance program. As of October first, I have begun accepting patients on a direct patient care (DPC) model that will not involve insurers, ICD-10, or billing fees. Why would a specialist consider this dramatic move? Practice enjoyment ...

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It’s no secret that I have a special place in my electronically-regulated heart for evidence. There’s a good reason for that. Our primary job as physicians is to avoid harming our patients, but it’s followed closely by our calling to help them in some way. The problem is that, until we test our theories, we don’t really know which treatments will help our patients (or which ones might harm them), ...

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Emergency physician and smooth rhymin' rapper Christopher Hahn with a fantastic rap about right heart strain.

Robert was the picture of health. He had run eight marathons and finished countless 5K and 10K races. He tracked everything from sleep to food intake, logging his exercise parameters religiously. A seven-minute mile was a routine workout for Robert. But over the course of a few days, he noticed that he felt more winded during his run. One morning, when he awoke and checked his heart rate variability (HRV), it ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old man is evaluated during a routine visit. He is asymptomatic and walks 1 mile most days of the week. Medical history is significant for aortic stenosis, type 2 diabetes mellitus, hypertension, and hyperlipidemia. Medications are aspirin, metformin, lisinopril, metoprolol, and rosuvastatin. On physical examination, the patient is afebrile, blood pressure is ...

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It would appear that I was a much more efficient cardiologist 20 years ago at age 50.  I had my share of the “worried well” -- patients with non-cardiac chest pains, benign palpitations, innocent murmurs and normal variation EKGs.  In most cases, a focused cardiac history and physical followed by some words of reassurance resolved the problem. For those with more serious cardiac problems, a battery of tests such as echocardiograms, ...

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It has occurred to me that this is a terrible idea. In fact, it’s possibly the least beneficial thing for the general health of a population to have gained momentum in recent years. I’m not discussing cigarettes or e-cigarettes or low-yield cancer screening procedures. I’m not talking about diet drinks or sugary drinks. I’m talking about home blood pressure monitoring. It’s a terrible idea. OK, I get it. The idea sounds benign. Buy your own ...

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My father recently visited his internist with complaints of vague chest symptoms and was referred to a cardiologist who recommended coronary CT, ultrasonography, and angiography.  A cardiac workup would seem to be a reasonable course of action given that he has a history of coronary artery disease (CAD) with prior angioplasty. However, upon further exploration, I felt that his chest symptoms were due to stress and were not of cardiac origin.  ...

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After having an echocardiogram recently, I saw a cardiologist, which seemed the prudent thing to do.  I was not symptomatic, and I think the echo was pretty much unremarkable -- to use a bit of doctor's lingo.  I saw the word "mild" here and there in the report describing processes of my heart's functions.  When you're over seventy-three, "mild" sounds pretty all right.  Better than the word "acute," I figure.  ...

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