All posts in Cardiac

Belly fat is linked to health problems

Belly fat is linked to health problems

Weight can be an indicator of overall health, especially were you’re carrying it. A disproportionate amount of belly fat is a stronger indicator than just obesity of your risk for having type 2 diabetes, high blood pressure, high cholesterol, and heart disease. This is because fat cells can increase hormones and inflammatory substances. Measuring belly fat is done by measuring at the level of the belly button, making sure the measuring tape is straight. If it is over than 40 inches for men or 35 inches for women consider trying to come up with a weight loss plan with your doctor.

More

Pilates

Pilates

Pilates is a century old form of exercise developed by Joseph Pilates. Its’ purpose is to build strength and endurance in the core(abdominals, low back, hips, and glutes) allowing for stability, control, and flexibility. It can be done on a mat on the floor or with equipment such as the reformer machine. Pilates aims to work on breathing, alignment, control, core or powerhouse, balance, and coordination. People who perform Pilates regularly note increased posture, endurance, smaller waist lines, and less pain.

More

Another benefit of statins

Another benefit of statins

Lipitor

NEJM JW Neurol May 22 2012
  
For years, patients have thought of STATIN medications (Lipitor, Crestor, etc.) as just being good for lowering cholesterol. However, we have known about other anti-inflammatory effects of statins for years.
In a recent study in the New England Journal of Medicine, these medications also have immunomodulatory effects that are independent of their effect on cholesterol. A reduction in brain atrophy has been shown in patients who take statins and have multiple sclerosis.
The importance of this study is not really just about multiple sclerosis, but rather the anti-inflammatory effects of statin drugs (which are more important than you think in decreasing heart disease) that are not found in ANY OTHER CHOLESTEROL LOWERING PRODUCT-EITHER PRESCRIPTION OR OVER THE COUNTER!
By Harvey Mishner, M.D.
MAXhealth Lakewood Ranch
More

Exercise instead of rest for heart patients

Seniors exercisingA study published over 5 years ago showed that patients who had congestive heart failure had a 11% reduction in deaths and hospitalizations if they were exercising 3 times a week. The reductions were found after only 12 weeks! 

So why don’t we prescribe medically supervised exercise more? 

We do! For years Medicare would not cover it and I have found that almost every patient refused to pay for it “out of pocket”. Our own Cardiac Rehab failed only because we could not get third party reimbursement. 

According to a front page article in the Wall Street Journal, it looks like Medicare may start to cover Cardiac Rehabilitation. 

So I guess our government has finally figured out that it is cheaper to spend a couple hundred dollars/month on exercise than $250,000++ on hospital bills! 

Harvey Mishner, MD

More