Harvard Medical School Commentaries: Healthy Heart

Jul202010

Do You Need C-Reactive Protein Testing?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

For the last decade, the drumbeat has been building. New tests have come along that supposedly will improve our ability to estimate a person's risk of a heart attack. Right now, you are supposed to... read more

Category: Healthy Heart

Jul202010

Are You Paying Too Much for Your Heart Medications?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

First, let me say right up front that I don't view drug companies as "bad guys" — their investments in research have produced dozens of medications that are responsible for most of the progress in... read more

Category: Healthy Heart

Jul202010

Erectile Dysfunction: The Bad News and the Bad News

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

More bad news about erectile dysfunction? Men must be wondering, "How much worse can it get?" Sexual performance issues aside, it is slowly dawning on doctors — and some of their patients — that... read more

Category: Healthy Heart

Jul202010

New Year's Resolutions for Cardiac Patients

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

About the best thing you can say about New Year's resolutions is that you only have to make them once per year. That said, the end of one year and the beginning of the next represent an opportunity... read more

Category: Healthy Heart

Jul202010

When The Heart Can't Relax

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Heart failure does not actually mean that the heart is on a downward spiral toward loss of all function. Heart failure means that the heart is not pumping as effectively and as efficiently as it... read more

Category: Healthy Heart

Feb232010

The Perfect Diet (Really!)

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Many people feel overwhelmed by information on diets, and just want to know what to do. After all, there are so many diets out there right now, most doctors are every bit as confused as their... read more

Category: Healthy Heart

Feb232010

When The Lights Go Out

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

He has always been squeamish, but it’s never been more than part of his charm. He has fainted when having his blood drawn, and gotten very woozy upon seeing the victim of an auto accident.

But now... read more

Category: Healthy Heart

Jan112010

Obesity Surgery: Is It for You?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Every doctor can tell you their names — the patients who change their diet, begin exercising, and lose 40, 50, even 100 pounds. Along the way, those patients also lose something else: medical... read more

Category: Healthy Heart

Jan112010

Raising Your 'Good' Cholesterol

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

For years now, everyone's attention has been on the "bad" cholesterol — LDL, or low-density lipoprotein cholesterol. The goals were to get it below 130 milligrams per deciliter (mg/dL), then 100, and... read more

Category: Healthy Heart

Dec82009

How Low Should Your Blood Pressure Be?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Blood pressure is increasingly looking like the new cholesterol. Like cholesterol, blood pressure tends to go up as we get older — especially if we are getting fatter at the same time. Also, like... read more

Category: Healthy Heart

Dec22009

Broken Heart Syndrome

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

It sounds too cute to be true — or, at least, too cute to be important. "Broken heart syndrome" is the name being given to the condition of 19 patients who developed heart failure after sudden... read more

Category: Healthy Heart

Dec22009

Vitamin E Supplements: Rest in Peace

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Just a few years ago, many cardiologist, myself included, were encouraging you to take daily vitamin E supplements. The reasoning went like this: There are dangerous waste products called oxidants... read more

Category: Healthy Heart

Dec22009

Can Exercise Be Bad For You?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

You feel fine, but you feel fat. The warmer weather is coming. It’s time to start working out. After all, dieting has not really done the job of shedding pounds picked up during the holidays. So you... read more

Category: Healthy Heart

Dec22009

Home Monitoring Of Blood Thinners Comes Of Age

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

There are a lot of annoying things about living with the need to take the anticoagulant warfarin (Coumadin). This "blood thinner" is used to prevent strokes and other complications from blood clots... read more

Category: Healthy Heart

Dec22009

Fit And Fat -- Does It Matter?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

It is true that exercise is beneficial even if you don't lose weight. However, being physically fit while remaining overweight leaves you with health risks that you just don't need. If you can lose... read more

Category: Healthy Heart

Nov92008

What Should Your LDL Cholesterol Be?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Over the last few years, people have bragged if their LDL cholesterol (the "bad" cholesterol) was less than 100 milligrams per deciliter (mg/dL). However, the publication of two major trials... read more

Category: Healthy Heart

Oct122008

Taking An Individualized Approach To Your Heart Care

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

In this information age, it's nearly impossible to avoid health advice, especially when it comes to heart disease. Whether from books, magazines and television, or talking with friends and families,... read more

Category: Healthy Heart

Oct92008

Why Angioplasty May Not Be Right For You

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

No doubt about it — coronary angioplasty is one of the great advances in cardiology of our times. And the new drug-coated stents are wonderful, greatly reducing the recurrence of narrowings in... read more

Category: Healthy Heart

Oct72008

When Wrong Advice Is Good News

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

In recent years, a succession of studies and news articles have come out that have turned conventional medical wisdom on its head. As a result, people are learning that many things their doctors have... read more

Category: Healthy Heart

Oct72008

Angioplasty Or Bypass Graft Surgery?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

You are in the hospital after being admitted with a bad episode of chest pain. Your doctors tell you that, fortunately, you do not seem to have had any damage to your heart — but it was close. All... read more

Category: Healthy Heart

Aug122008

How Much Exercise Is Enough?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Everyone should exercise for 20 minutes three times per week. No, make that five times per week for 30 minutes. No, make it more like an hour every day. No, scratch that — short bursts of intense... read more

Category: Healthy Heart

Aug122008

Debunking the 50-50 Heart Disease Myth

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

You don't get enough good news, and, in all likelihood, you recently missed some very important reassurance that should dampen fears of heart disease for hundreds of millions of people worldwide —... read more

Category: Healthy Heart

Aug112008

How To Stay Young -- Really!

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

The baby boomers are getting older, and it's not pretty. A lot of money is being spent on Botox, liposuction, plastic surgery and personal trainers. Ultimately, these efforts to continue to look good... read more

Category: Healthy Heart

Aug72008

Are All NSAIDs Dangerous?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

All of the nonsteroidal anti-inflammatory drugs, or NSAIDs, have been tainted by stories of potential heart problems; that is, all of them except aspirin. First, Vioxx was withdrawn from the market,... read more

Category: Healthy Heart

Aug72008

CT Scans: The Next Wave in Heart Care

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Back when medical technology was in the dark ages — and I am talking about March 12, 2002 — I wrote a column titled "Should You Get a CT Scan of Your Heart?" The conclusion at that time was "No." The... read more

Category: Healthy Heart

Aug72008

Tests You May Not Need

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

One of the more painful trends in health care is that an increasing percentage of costs are being shifted to the patient. You probably are seeing this in several ways. You may have to pay a higher... read more

Category: Healthy Heart

Aug52008

Air Pollution: How Dangerous For Your Heart?

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

No one has ever made the argument that air pollution is good for you, but just how harmful is the secondhand smoke, sulfur and other particles floating around in the air? And what should you do about... read more

Category: Healthy Heart

Aug12008

Living With Amiodarone

by Thomas H. Lee, M.D.
Brigham and Women's Hospital

Not everyone with a serious heart rhythm problem ends up on a defibrillator — one of those devices that is the size of a hockey puck and the price of your car, which gives you a big electric jolt... read more

Category: Healthy Heart