Heart Attacks

Essential Guide to Heart Attacks

Main article for the Heart Attack section

Weight. My weight and bad news from my doc. Join me in losing weight

man falling     dr rybacki fishing You can see it in the fishing picture. I failed. It's the genes, it's the food, it's the exercise, it's not my fault. Bull.

LATITUDE falls off the map and CARIN careens off the road

insulin ebook  conference Late breaking clinical trials (LBCT) at ACC are always very very interesting, but today we apparently learned two new ways how NOT to make a light bulb and HOW we might design

FIRE and ICE and atrial fibrillation at the ACC meeting 2016

ACC 2016 After a stellar day of GAUSS-3 and mhealth yesterday, the start fo the week brings FIRE AND ICE and LATITUDE-TIMI 60. #CNN Time to head out to #ACC16. Should be another great day of science and FIRE AND ICE with LATTITUDE. More to follow and prevention too! Or should it be great information on PREVENTION and more to follow.

Live opening session from the American College of Cardiology meeting in Chicago 2016

sears tower Opening session at the American College of Cardiology meeting was fascinating.

Starting with Michelle Obama and her call to prevent childhood obesity. MO, noted that PREVENTION is a key to living longer, healthier lives. Couldn't agree more.


Flu vaccine is now widely available. Did you get your vaccination?

beach scene Summer is over now and the leaves are starting to fall. I got my flu shot yesterday. How about you?

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beach scene Summer is over now and the leaves are starting to fall. I got my flu shot yesterday. How about you?

Influenza vaccine as your doctor would call it, was somewhat controversial recently as the predominant strain didn't match well to the strains in the flu shot. This can happen. No one can control this. Each year flu strains are chosen on a best science estimate of the future. Scientific wild guess? Maybe for cynics, but a reasonable, rational attempt to prevent problems. I've said many times in The Essential Guide to Prescription Drugs, it's always better to prevent a disease or condition than to have to treat it.

The CDC recommends flu vaccine for everyone more than 6 months old without a specific reason not to get it (contraindication). This even includes pregnant women. There was important data from the 2013 season that showed that for seniors (a study of Medicare claims data for 930,000 high-dose shots for those over 65), the high-dose gave about a 22% lower rate of flu and flu-related hospitalizations. Important outcomes to be sure.

I think most clinicians would suggest quadrivalent vaccine when it's available. You'll remember that there is a nasal spray, regular shot and high-dose shot depending on how old you are. My decision was based on my opinion that the benefits outweigh the risks for me, I have a history of heart disease (and there are data to show that flu shots can actually help prevent heart attacks-especially for those with recent acute coronory syndrome) and I just do not want to get sick. At the very least, the shot will challenge my immune system and at best will protect me 80% of the time or make it so I have a much less sever flu case if I do come down with the flu.

Always better to prevent any disease or condition. Have a family talk about flu vaccine and get it done. Become a powerful person and maximize your chances to avoid being  a flu patient.

This website is not intended as medical advice, and you should consult your doctor before changing or adding any medicines or vitamins to those you may now be taking and about applying any strategies BEFORE you adopt any approach in this report. While diligent care has been taken to ensure the accuracy of the information provided during the preparation of this edition, no claim is made that all known actions, uses or side effects, strategies for cost containment, targets or cholesterol pathways are included in this report. The accuracy and currentness of information are ever subject to change relative to new guidelines, new information derived from drug research, development and general usage.