Dr Hussien Heshmat public
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In this episode of CardioBuzz, host Dr. Hussien discusses advanced CPR techniques and challenges from a cardiologist's perspective, featuring Dr. Naeem Toosy, a consultant in emergency medicine. The conversation delves into critical aspects like when to stop resuscitation, use of mechanical circulatory support devices, and the effectiveness of mech…
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In this episode of Cardio Buzz, host and guest Dr. Daniel Jones discuss contrast nephropathy, a kidney injury caused by contrast agents used in medical imaging, and a promising intervention to reduce its incidence. Dr. Jones explains that inorganic nitrates, which are naturally found in green leafy vegetables, have shown significant potential in pr…
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Microplastics are small pieces of plastic less than five millimeters in size that result from the degradation of larger plastic items. Derived from synthetic materials such as polyethylene and polyvinyl chloride, plastics are known for their durability and low cost but pose significant environmental and health risks due to their inability to biodeg…
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With #diabetes projected to affect 783 million patients globally, understanding its connection to #coronary disease, #heartfailure , and #kidneydisease is crucial. We explore the latest guidelines from the European Society of Cardiology and break down the essentials, from diabetes diagnosis to cardiovascular risk assessment, lifestyle modifications…
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لدينا جميعاً شعور أن حالات الموت المفاجئ ☠️ دون سابق إنذار قد زادت بين أوساط الشباب والرياضيين 🏃‍♂️🏃‍♂️ وعندما اجتاحتنا الكورونا 😷😷😷 في سنة ألفين وعشرين وزادت معها معدل الوفيات طبعا وزاد معها شعورنا بكثرة حالات الموت المفاجئ ونسبها البعض الى الكورونا نفسها ونسبها البعض الآخر للتطعيمات أو اللقاحات واختلط في ذلك العلم.. بتأويلات مدّعي العلم وبنظريات …
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في قديم الزمان ، كان البشر يعتقدون أن أقدارهم محددة في النجوم والأفلاك والكواكب ولايزال الكثير ممن أعرفهم يعتقدون أن أبراجهم الفلكية ترسم شخصياتهم وتحدد مصيرهم في الحياة أما في الطب الحديث، وبدلاً من رسم خرائط الأبراج الفلكية ، يمكننا رسم خرائط للجينات. وقد خريطة الجينات هذه على التنبؤ بمن سيمرض ومتى سيمرض وبأي مرض سيصاب. ولكن أيهما أكثر تأثير على …
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Welcome to ESC this year from Amsterdam, the city known of charming canals, cycling, and attractive architecture. There were 5 new guidelines, tens of session and 30 late-breaking clinical trials. In this episode, I've handpicked just seven trials. The choice was made based on the importance of the topics, the ability of the results to shake up the…
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تستوستيرون هو هرمون الذكورة الذي يمنح الرجال القوة والدافع والعزيمة لتحقيق الأهداف. انخفاض مستويات التستوستيرون يؤدي الى فتور الرغبة الجنسية وضعف الانتصاب والإرهاق وضعف العضلات والاكتئاب والدوار وانخفاض كثافة العظام.  هل يؤثر ذلك على صحة القلب؟ ماذا يحدث إذا قمنا بتصحيح نقص التستوستيرون باستخدام التستوستيرون الخارجي؟ هل سيؤذي القلب أم يشفيه؟ ماذا ت…
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Hypertension affects one third of humans. Untreated hypertension, shortens life expectancy by five years because it's a major cause of heart failure, renal failure, strokes, and coronary disease. The mortality due to hypertension has increased more than 30% in the last three decades. And the sad fact is that hypertension is uncontrolled in the majo…
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Testosterone is the primal essence of manhood. Testosterone is the gift that gives men the strength, the drive, and the resolve to achieve goals. It's part of what makes man a man.  But what happens when testosterone levels drop? Does that affect the heart's health? What happens if we correct testosterone deficiency with exogenous testosterone? Wil…
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I've got several questions and comments all related to the cause of atherosclerosis. Most of the questions and comments were skeptical and doubting the causal effect of cholesterol atherosclerosis. In this episode we elaborate more on how modern science arrives at conclusions on the cause of diseases, especially chronic degenerative diseases like a…
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Vaping, or electronic cigarette use, is becoming increasingly popular, especially among youth and young adults. While it is perceived as safer than tobacco cigarettes, the exact composition of the liquids used in e-cigarettes is not publicly known, making it difficult to predict the health effects. E-cigarette contents include nicotine, flavors, ch…
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Lipoprotein a is a molecule produced by the liver, similar to LDL in structure, with a peculiar protein that gives it wide variability. Elevated lipoprotein little (a) is causal of atherosclerotic disease, recurrent strokes, and aortic calcification. Smaller forms of LPa are riskier. LPa is not a risk factor for venous thromboembolism The levels ar…
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Sleep is the single most effective way to reset our brain and body health each day. Sleep is a foundational element of human biology and is a requirement for life. We spend roughly one-third of our lives asleep. A famous quote is, “Happiness is nothing more than getting enough sleep”. Sleep disturbance is a common condition in modern society, with …
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Smart gadgets are all around, in TVs, phones, cameras, cars, kitchens, and also on our skin! Bands, watches, rings, earbuds, and even shirts can monitor our bodies and give insights into our health and disease. The global Wearable Technology Market size was worth about 115.8 (USD billion) in 2021 and is predicted to grow to around 380.5 (USD billio…
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How to tailor medicine for each and every individual person? Mixing clinical variables, genetic variants, and molecular profiles, all into Artificial Intelligence can lead to "Precision Medicine"... Interviewing Prof Maha Saber-Ayad, Professor of Pharmacology at Sharjah University on Pharmacogenomics and the quest for precision medicine.…
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Paris is not only the city of light, love, and culture but it is also the home of the biggest interventional cardiology meeting Paris Course on Revascularization PCR. Last week, the meeting was back in person after two years of COVID-imposed virtual attendance. Eight thousand attendees inside the “Palais de Congress”, tens of sessions, live cases, …
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Drawing a map of genes might help us predict who will get sick and when we will get sick of heart disease or cancer. And we have seen Angelina Jolie, the famous actress, going for a preventive mastectomy because she had a faulty gene for breast cancer. But Is it the inevitable destiny, or can we change it? Do genes decide who will have heart diseas…
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With all its health benefits, cheap, and with few side effects, Aspirin is in every house. Aspirin reduces mortality in acute myocardial infarction. It is intuitive to use it for prevention, not only for treatment. Some studies supported that practice.But in the 21st century, we realize that aspirin is a gastric irritant and can cause bleeding. We …
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The new heart failure guidelines were released this month. Last week, we summarized staging, classification, and diagnostic workup points. You can find the contents of the first part as an audio in the last week of cardio buzz or on the Cardio Buzz Youtube channel.This week we will summarize the management of heart failure. Bring in your coffee bec…
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The AHA, ACC, and HFSA have all joined efforts and just released the latest guidelines on heart failure. If you are a clinician, a nurse, or a healthcare provider involved in the care of patients with HF then these guidelines are for you. The full text comes in a big document of 138 pages. I will summarize the main points here over two episodes. Th…
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We all know that heart disease is the number 1 killer worldwide. And patients die either because of acute coronary syndromes (myocardial infarction) or because of left ventricular dysfunction (heart failure). And, as an interventionist, being trapped with both evils; severe coronary stenosis and left ventricular dysfunction is scary. The only solut…
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Washington was calm, cold, and rainy in the first days of Ramadan but it was totally worth it because the American college of cardiology ACC meeting was back in person after two years of virtual attendance.In this episode of cardio buzz, we are bringing you, what we think are, the best late-breaking trials announced in the ACC meeting last week. Mo…
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It is the first day of Ramadan, the holy blessed month observed by 1.8 billion Muslims around the world. This is a month with a mix of religious rituals, historical traditions, and family gatherings. It happens also to be an occasion for big meals, TV serials, and commercials! So I must say to all of you… Ramadan KareemBut when patients ask me “doc…
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Lots of interactions between the kidneys and the heart. Cardiometabolic medicine is evolving with exciting news for both cardiac and renal patients.Should a patient with kidney disease fast in Ramadan or not.All these questions were answered in this interview with Dr. Nizar Atallah.By Dr. Hussien Heshmat
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https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2788582We are in March, a month that marks international women’s day and also mothers’ day in the middle east, some African countries, and many European countries. Speaking of women's health, we tend to focus emotionally on depression, breast cancer, and osteoporosis. Whereas in fact, car…
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It was back in the 19th century, exactly in the year 1816, Rene Laënnec, a French doctor was walking alone in the Louvre Palace in Paris. The 35-year-old physician and surgeon, observed two children playing by sending signals to each other using a long piece of solid wood and a pin. One child scratched a pin on a side of the wooden piece and the ot…
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https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-22/salt-and-hypertension-current-viewsWhen you hear the word “salt” What’s the first thing that comes to the mind White crystals that give food its taste, pickles, potatoe chips, snacks, high blood pressure and low blood pressure…Whatever came across your mind, we must admit …
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You probably recognize the minions. Those tiny yellow characters featured in three motion pictures. I personally love them. Capsule-like small creatures with wide eyes, blue overalls and peculiar cheerful funny laughs and squawks. And I share with them their love for bananas!Kevin, Stuart, Dave and Bob are four of the most familiar minions. Individ…
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Seafood is a classic heart-healthy food. It is part of the Mediterranean diet that can lower blood pressure. Fish consumption was shown in several studies to lower the risk of death in patients with coronary artery disease. Seafoods are traditionally low in saturated fats, rich in iron, iodine and in omega-3 fatty acids. But also seafoods contain M…
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Surgical revascularization “coronary bypass” known as CABG is the most commonly performed cardiac surgery procedure worldwide with roughly one million procedures annually. We have seen in previous episodes that Cardiac surgery community was not happy the latest ACC revascularization guidelines. However, these guidelines have got lots to say on the …
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The middle east is not only an area of diversity and brisk transformations, it is also a region where cardiovascular diseases are rampant. Traditional risk factors for atherosclerotic disease are more prevalent than most regions around the globe; In the middle east, one in five will have either diabetes, obesity, hypertension, or smoking. Dyslipide…
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Fixing coronary blockade without opening the chest is an attractive option to patients and their families… No surprise, Percutaneous coronary intervention PCI growing steadily since 1980s. 4 million PCIs are performed annually round the globe. A market size of 10 billion dollars!! What’s the best practice in PCI? Access, Assessment, gadgets, adjunc…
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A big question in revascularization, surgical or percutaneous? In the last decade, advanced technology has granted PCI more of the surgical territories. But what does the evidence say on choosing CABG versus PCI? Let’s see what the new ACC AHA guidelines have to tell us.Why the surgical community refused to endorse these guidelines?…
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Coronary revascularization; the bread and butter of modern cardiology practice and it got new guidelines! Jointly issued by the American Heart Association, American College of cardiology and the sky, and also reviewed by American Association for Thoracic Surgery, the guideline document was published simultaneously in JACC and in circulation less th…
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Big news this week. The FDA approves a new therapy for cholesterol lowering “inclisiran”. So what is this new therapy? Why did the FDA approve it and to whom? What does it mean for patients and where does the new therapy stand among other similar lipid lowering drugs currently available?By Dr. Hussien Heshmat
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Heart failure is like cancer. The mortality is high and the burden on the economy is huge. We have almost dozen medications to treat heart failure and most of them work. So what combination of drugs give the best effect in heart failure? A new research suggests a "fantastic four" approach to be the best. Listen here to know the answer!…
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