<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:georss='http://www.georss.org/georss' xmlns:gd='http://schemas.google.com/g/2005' xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-21155520</id><updated>2012-02-02T17:27:30.256+08:00</updated><category term='Clopidogrel'/><category term='RAAS'/><category term='Vioxx'/><category term='Merck'/><category term='Cancer'/><category term='Sanofi Aventis'/><category term='T2DM'/><category term='Obesity'/><category term='cholesterol'/><category term='Ivabradine'/><category term='Public Health'/><category term='Late Stent Thrombosis'/><category term='Acomplia'/><category term='Scam'/><category term='FDA'/><category term='Public Healthcare'/><category term='PPI'/><category term='SCD'/><category term='Rimanobant'/><category term='CRF'/><category term='Hospitals'/><category term='LST'/><category term='DES'/><category term='MSD'/><category term='Siemens'/><category term='Omeprazole'/><category term='CCF'/><category term='Links'/><category term='Novartis'/><category term='Thiamine'/><category term='Folic Acid'/><category term='statins'/><category term='JnJ'/><category term='Guidant Stent'/><category term='Boston Scientific'/><category term='stem cells'/><category term='AHA'/><category term='Hypertension'/><category term='Chocolate'/><category term='Rosiglitazone'/><category term='Diabetes'/><category term='Natrilix SR'/><category term='Cox'/><category term='AICD'/><category term='homocysteinemia'/><category term='Sulphonylurea'/><category term='PCI'/><category term='Aliskerin'/><category term='Taxus'/><category term='Gadget'/><category term='CAD'/><category term='Cordis'/><category term='Obese'/><category term='The'/><category term='Athelete&apos;s heart'/><category term='Atrial Fibrillation'/><category term='Malaysia'/><category term='Metformin'/><category term='Avandia'/><category term='BP'/><category term='Ultrasound'/><category term='restenosis'/><category term='Pharmaceuticals'/><category term='ADOPT'/><category term='COURAGE'/><category term='Proton Pump Inhibitor'/><category term='Pfizer'/><category term='IJN'/><category term='Esomeprazole'/><category term='Stent'/><category term='Pollution'/><category term='torcetrapib'/><category term='BMS'/><category term='aged'/><category term='NST'/><category term='indapamide'/><category term='Trans Fat'/><category term='Education'/><category term='coversyl'/><category term='Plavix'/><category term='Cypher'/><category term='MSCT'/><category term='ACC'/><title type='text'>The heart of the matter</title><subtitle type='html'></subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default?max-results=100'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><link rel='next' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default?start-index=101&amp;max-results=100'/><author><name>SC NG</name><uri>http://www.blogger.com/profile/07301519594039247770</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>925</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>100</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-21155520.post-733795719582168282</id><published>2012-02-02T17:22:00.003+08:00</published><updated>2012-02-02T17:27:30.270+08:00</updated><title type='text'>TAK NAK 1CARE PRESS CONFERENCE TODAY</title><summary type='text'>Surprise, surprise. The press briefing went very well. The room was crowded and we have to add chairs. All the major print media was there, including Star and Straits Times. Of course our friends from Malaysia insider and Malaysia kini were there.Basically, it was a good gathering.Syabas.Lets see what is printed tomorrow or eventually.</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/733795719582168282/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=733795719582168282' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/733795719582168282'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/733795719582168282'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/02/tak-nak-1care-press-conference-today.html' title='TAK NAK 1CARE PRESS CONFERENCE TODAY'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8163578838131038247</id><published>2012-02-02T08:53:00.004+08:00</published><updated>2012-02-02T09:04:32.416+08:00</updated><title type='text'>TAK NAK 1 CARE PRESS CONFERENCE TODAY</title><summary type='text'>Today, at about 3 pm, we will be holding a press conference to brief the press on this "Tak Nak 1 Care" issue, and to give them press kits and more information. This will be held at Global Business and Convention Center too.We have invited all the press - print media and also internet media. Lets see how many, and who appears.I know that my letter to Star, in response to their article on Tak Nak </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8163578838131038247/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8163578838131038247' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8163578838131038247'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8163578838131038247'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/02/tak-nak-1-care-press-conference-today.html' title='TAK NAK 1 CARE PRESS CONFERENCE TODAY'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://4.bp.blogspot.com/-Dy7PaEJ0Ogo/Tyng60CRH_I/AAAAAAAAAGM/U-7cEaytW4Y/s72-c/Healthcare.%2BPublicForum.%2B120212.1.jpg' height='72' width='72'/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7324535414484808068</id><published>2012-01-31T10:19:00.003+08:00</published><updated>2012-01-31T10:42:44.428+08:00</updated><title type='text'>THE IMPORTANCE AND RELEVANCE OF INTERARM BP</title><summary type='text'>An interesting paper was published in the online edition of Lancet on 30th Jan 2012, senior author Dr Christopher Clark of University of Exeter. It was also presented at the ongoing European Society of Hypertension. Of course it was picked up by BBC news and so it becomes a public discussion. What are the facts?.Dr Clark and colleague identified 28 papers, all published before 2011, that had </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7324535414484808068/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7324535414484808068' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7324535414484808068'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7324535414484808068'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/importance-and-relevance-of-interarm-bp.html' title='THE IMPORTANCE AND RELEVANCE OF INTERARM BP'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8915153773218889004</id><published>2012-01-27T08:41:00.009+08:00</published><updated>2012-01-27T08:58:35.531+08:00</updated><title type='text'>FALLING RATES OF HEART ATTACKS AND DEATH FROM HEART ATTACKS IN UK. 2002-2010. HOPE FOR MALAYSIA</title><summary type='text'>The 25th Aug issue of the British Medical Journal, has an article by Dr Kate Smolina of Oxford, UK. She and colleagues looked into hospital records and mortality data for UK from 2002 - 2010, to examine the number of heart attack cases and also death from heart attacks.They found that over the period of 2002-2010, there 861,134 heart attacks in 840,175 patients.From 2002 -2010, the death from </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8915153773218889004/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8915153773218889004' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8915153773218889004'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8915153773218889004'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/falling-rates-of-heart-attacks-and.html' title='FALLING RATES OF HEART ATTACKS AND DEATH FROM HEART ATTACKS IN UK. 2002-2010. HOPE FOR MALAYSIA'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://4.bp.blogspot.com/-P7zkAeVhPa8/TyH0Ml6-uiI/AAAAAAAAAFo/omoLSCwXYOs/s72-c/BMJ.%2BFall%2Bin%2BAMI%2Brates%2Bin%2BUK.%2B270112.1.gif' height='72' width='72'/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7002835266525901964</id><published>2012-01-25T19:00:00.003+08:00</published><updated>2012-01-25T19:29:09.823+08:00</updated><title type='text'>NOT ALL FRIED FOODS ARE BAD FOR THE HEART. SPANISH STUDY SHOWED THAT FOOD FRIED IN OLIVE OIL OR SUNFLOWER OIL IS OK</title><summary type='text'>It has always been thought that fried foods, full of lard is bad for the heart as it promotes cholesterol deposits in the coronary arteries.That remains true. A recently reported study now tells us that not all fried foods are bad. How you fry and wht oil you use is also important.Prof Pilar Castillion and colleagues at the Autonomous University of Madrid has published their study in the 24th Jan</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7002835266525901964/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7002835266525901964' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7002835266525901964'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7002835266525901964'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/not-all-fried-foods-are-bad-for-heart.html' title='NOT ALL FRIED FOODS ARE BAD FOR THE HEART. SPANISH STUDY SHOWED THAT FOOD FRIED IN OLIVE OIL OR SUNFLOWER OIL IS OK'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5471715606379592516</id><published>2012-01-21T09:03:00.004+08:00</published><updated>2012-01-21T09:15:56.608+08:00</updated><title type='text'>PILLOW TALK. AHA ADVICE ON SEX AFTER AMI</title><summary type='text'>The online edition of Circulation carries a scientific statement ( means medical advice by AHA ), on the issue of sex after a diagnosis of CAD or heart attack. The lead author is Dr Glenn Levine of Baylor's Houston.Sex after AMI, or a diagnosis of CAD, is a rarely discussed issue by cardiologist with their patients. maybe it is a question of "shyness" as many of us are uncomfortable talking about</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5471715606379592516/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5471715606379592516' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5471715606379592516'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5471715606379592516'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/pillow-talk-aha-advice-on-sex-after-ami.html' title='PILLOW TALK. AHA ADVICE ON SEX AFTER AMI'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4341331183137604791</id><published>2012-01-19T16:47:00.002+08:00</published><updated>2012-01-19T16:53:21.410+08:00</updated><title type='text'>SELANGOR / KL HEALTHCARE PUBLIC FORUM. 12th February 2012.</title><summary type='text'>Calling all friends for change. Please attend and bring as many friends as possible along.</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4341331183137604791/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4341331183137604791' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4341331183137604791'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4341331183137604791'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/selangor-kl-healthcare-public-forum.html' title='SELANGOR / KL HEALTHCARE PUBLIC FORUM. 12th February 2012.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://2.bp.blogspot.com/-Nj0bNDf3kVc/TxfZrfVLzXI/AAAAAAAAAFc/kiBPfKE4qIY/s72-c/Healthcare.%2BPublicForum.%2B120212.1.jpg' height='72' width='72'/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7564884005265307528</id><published>2012-01-16T09:04:00.004+08:00</published><updated>2012-01-16T09:17:34.255+08:00</updated><title type='text'>NEW STENTS DO BETTER THAN OLD STENTS.</title><summary type='text'>The Swedish Coronary Angiography and Angioplasty Registry ( SCAAR ), have just reported their latest report in the 9th Jan 2012 European Heart Journal. Dr Stephan James and colleagues reviewed 95,000 patients who had stents implanted. 64,631 patients with bare metal stents, 19,202 patients with the first generation DES ( Drug Eluting Stents ) ,and 10,551 patients with the second generation DES. </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7564884005265307528/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7564884005265307528' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7564884005265307528'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7564884005265307528'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/new-stents-do-better-than-old-stents.html' title='NEW STENTS DO BETTER THAN OLD STENTS.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2469404642497002494</id><published>2012-01-16T08:47:00.004+08:00</published><updated>2012-01-16T09:04:10.447+08:00</updated><title type='text'>AsiaPCR / SingLive 2012. 12-14th Jan 2012.</title><summary type='text'>I spend my last weekend in Singapore, taking part in AsiaPCR / SingLive 2012. This year the meeting seems better attended. I was told registration was 1,800. The meeting halls are scaled down and so the rooms look full, especially for the morning sessions. As I walk around the booths, I was told that the booths are very reasonably priced ( less booths this year ), but the registration fees for </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2469404642497002494/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2469404642497002494' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2469404642497002494'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2469404642497002494'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/asiapcr-singlive-2012-12-14th-jan-2012.html' title='AsiaPCR / SingLive 2012. 12-14th Jan 2012.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8280291289269227514</id><published>2012-01-11T08:57:00.004+08:00</published><updated>2012-01-11T09:18:51.933+08:00</updated><title type='text'>REVIEWING OLD NEWS. THE STORY OF ASPIRIN IN HEART ATTACK PREVENTION</title><summary type='text'>I remember speaking at a public forum on aspirin back in the 80s on the role of low dose aspirin in preventing heart attacks. The audience was thrilled and convinced, and low dose aspirin was launched bigtime into the Malaysian market. That marketing blitz was sponsored by Rekitt Coleman ( at that time ), and they were launching cardiprin.Well much water has gone under the bridge, and much mor </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8280291289269227514/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8280291289269227514' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8280291289269227514'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8280291289269227514'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/reviewing-old-news-story-of-aspirin-in.html' title='REVIEWING OLD NEWS. THE STORY OF ASPIRIN IN HEART ATTACK PREVENTION'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7113372417722812068</id><published>2012-01-06T11:33:00.003+08:00</published><updated>2012-01-06T12:12:41.463+08:00</updated><title type='text'>PROBLEMS WITH AF ABLATION</title><summary type='text'>Much has been written about radiofrequency ablation in the treatment of atrial fibrillation. Since, the pioneering work of Dr Michel Haissaguerre in 1990s, this technique has gain popularity as it avoids the risk of cardiac surgery and the Maze-Cox procedure to try and eradicate atrial fibrillation. I have been following the work, and although all my colleagues tell me that the procedure is good,</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7113372417722812068/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7113372417722812068' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7113372417722812068'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7113372417722812068'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/problems-with-af-ablation.html' title='PROBLEMS WITH AF ABLATION'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-269931148753125471</id><published>2012-01-05T17:11:00.004+08:00</published><updated>2012-01-05T17:15:08.010+08:00</updated><title type='text'>MEDICAL COST OF PUBLIC HOLIDAYS</title><summary type='text'>&lt;!--[if gte mso 9]&gt;        &lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;     Normal   0               false   false   false      EN-MY   X-NONE   X-NONE                                                                                             &lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/269931148753125471/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=269931148753125471' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/269931148753125471'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/269931148753125471'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/medical-cost-of-public-holidays.html' title='MEDICAL COST OF PUBLIC HOLIDAYS'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2071982698467017393</id><published>2012-01-03T09:10:00.008+08:00</published><updated>2012-01-03T10:08:59.352+08:00</updated><title type='text'>THE MITRACLIP DEVICE</title><summary type='text'>Two weeks, one of our English national daily ( my patient did not tell me which one ), carried an press release by my colleagues at the IJN, stating that they have implanted the MitraClip device in some of their patients. Of course, the patients who asked me were also suffering from mitral incompetence, and they wondered whether they were candidates for the mitraclip device.I suppose, I should </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2071982698467017393/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2071982698467017393' title='4 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2071982698467017393'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2071982698467017393'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2012/01/mitraclip-device.html' title='THE MITRACLIP DEVICE'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://3.bp.blogspot.com/-FY3-0vbrYNU/TwJa_wj3hGI/AAAAAAAAAE4/KyPNNrHrNhg/s72-c/mitraclip.video.1.jpg' height='72' width='72'/><thr:total>4</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4100212247921365286</id><published>2011-12-30T08:20:00.003+08:00</published><updated>2011-12-30T08:30:14.684+08:00</updated><title type='text'>ANOTHER NEW ANTI-HYPERTENSIVE COMBO PILL. THIS ONE WITH A DIFFERENCE</title><summary type='text'>I have just read that the US FDA have just approved Edarbyclor by Takeda. This is a combination anti-hypertension pill combining Azilsartan ( an ARB by Takeda ) with chlorthalidone ( a diuretic ). So what, you may say. There are so many combo pills with ARB + diuretic in the marketplace. But please note that this one has chlorthalidone as a diuretic.One of the great mysteries that I could not </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4100212247921365286/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4100212247921365286' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4100212247921365286'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4100212247921365286'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/another-new-anti-hypertensive-combo.html' title='ANOTHER NEW ANTI-HYPERTENSIVE COMBO PILL. THIS ONE WITH A DIFFERENCE'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6058020871043558208</id><published>2011-12-26T11:30:00.002+08:00</published><updated>2011-12-26T11:33:26.868+08:00</updated><title type='text'>1CARE, PRIORITISE,NOT PRIVATISE.</title><summary type='text'>This response from me was published in Malaysia Kini on 24th Dec 2011We refer to the letter from the Director-General, Ministry of Health: 'Gov't not abdicating responsibilities thru 1Care' on Dec 17.We  fully agree with the need to improve the quality and delivery of health  services for the rakyat, provide more choice to patients and preserve  the strengths in our current health system.Our </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6058020871043558208/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6058020871043558208' title='2 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6058020871043558208'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6058020871043558208'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/1care-prioritisenot-privatise.html' title='1CARE, PRIORITISE,NOT PRIVATISE.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>2</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1611568645659433884</id><published>2011-12-23T08:05:00.004+08:00</published><updated>2011-12-23T08:22:05.181+08:00</updated><title type='text'>TREATING HYPERTENSION IN THE ELDERLY, AFTER 22 YEARS, WHAT HAPPENS?</title><summary type='text'>Very seldom do we see trial results after 22 years. well, in hypertension, we are seeing. Dr John Kortis and colleagues of New Brunswick, USA reported their SHEP results after 22 years of follow-up. The results is ( in my opinion ), not so wonderful.SHEP ( systolic Hypertension in the Elderly Program ), began in 1985 when they enrolled 4,700 elderly hypertensives aged average 72years. To half </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1611568645659433884/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1611568645659433884' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1611568645659433884'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1611568645659433884'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/treating-hypertension-in-elderly-after.html' title='TREATING HYPERTENSION IN THE ELDERLY, AFTER 22 YEARS, WHAT HAPPENS?'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8285169232278879914</id><published>2011-12-21T09:14:00.003+08:00</published><updated>2011-12-21T09:30:19.080+08:00</updated><title type='text'>THE LOWER THE HEART RATE, THE LONGER THE LIFE.</title><summary type='text'>I have always been intrigue by a table top calender picture given to me earlier, which said that the lower the heart rate, the longer the life. Of course the obvious biological example is the giant Galapagos tortoise which has a resting heart beat of 6 beats per min and an average lifespan of 177 years ( if humans don't kill it ). The mice, on the other hand has a resting heart beat of 240 bpm </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8285169232278879914/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8285169232278879914' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8285169232278879914'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8285169232278879914'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/lower-heart-rate-longer-life.html' title='THE LOWER THE HEART RATE, THE LONGER THE LIFE.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2054480538136965269</id><published>2011-12-18T18:09:00.004+08:00</published><updated>2011-12-18T18:14:02.860+08:00</updated><title type='text'>BIGTIME CORRUPTION IN MINISTRY OF HEALTH : PROJECT 9BIO.</title><summary type='text'>I was send this piece by a concerned citizen.It is so sad. Our own doctors are also so corrupt. These people who rule over us never followed our ethics of " First do no harm ".I have no way of proving if this email is true or false, although I believe that though so sad, it is probably true.THE CORRIDORS OF POWER                                Hakim Joe                               Not many </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2054480538136965269/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2054480538136965269' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2054480538136965269'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2054480538136965269'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/bigtime-corruption-in-ministry-of.html' title='BIGTIME CORRUPTION IN MINISTRY OF HEALTH : PROJECT 9BIO.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2176109490726471040</id><published>2011-12-16T08:35:00.004+08:00</published><updated>2011-12-16T09:00:56.810+08:00</updated><title type='text'>Rising NCD figures in health survey alarming, says Liow. Star 16th Dec 2011</title><summary type='text'>I have just read my STAR. I read it to keep up with the medical news given by Bernama, and also for the sports. The rest are not worth reading. Anyway, that is another story for another day.In this morning's Star, The Minister of Health has un-veiled the results of the 4th National Health and Morbidity Survey 2010 ( I presume ).He mentioned that half of the adult Malaysian population is either </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2176109490726471040/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2176109490726471040' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2176109490726471040'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2176109490726471040'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/rising-ncd-figures-in-health-survey.html' title='Rising NCD figures in health survey alarming, says Liow. Star 16th Dec 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7827978125869556534</id><published>2011-12-14T08:35:00.004+08:00</published><updated>2011-12-14T09:16:50.179+08:00</updated><title type='text'>IS IT TIME TO ALLOW PCI IN CENTERS WITHOUT CARDIO-SURGICAL BACKUP?</title><summary type='text'>This has been a question since the advent of angioplasty in 1977. In 1977 when the late Andreas Greuntzig first dilated the proximal LAD lesion. he had cardio-surgical backup. In fact the early work by the Americans in San Francisco, was in the operation theatre with a patient undergoing bypass surgery, trying to see if dilating the plaque will cause important distal embolisation of the plaque. </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7827978125869556534/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7827978125869556534' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7827978125869556534'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7827978125869556534'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/is-it-time-to-allow-pci-in-centers.html' title='IS IT TIME TO ALLOW PCI IN CENTERS WITHOUT CARDIO-SURGICAL BACKUP?'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2676743514458806911</id><published>2011-12-10T08:14:00.003+08:00</published><updated>2011-12-10T08:39:45.241+08:00</updated><title type='text'>CANCER CHEMOTHERAPY AND CARDIOTOXICITY</title><summary type='text'>Cancers are rapidly catching up with heart disease as the number killer in USA. In Canada, it has already overtaken heart disease as the number one killer, and in Malaysia, it is increasing in importance, but has not yet overtaken heart disease as the number one killer. Nonetheless, we are seeing more and more cancers being diagnosed and undergoing treatment. These treatments are expensive and </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2676743514458806911/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2676743514458806911' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2676743514458806911'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2676743514458806911'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/cancer-chemotherapy-and-cardiotoxicity.html' title='CANCER CHEMOTHERAPY AND CARDIOTOXICITY'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5762104381515738897</id><published>2011-12-09T08:24:00.004+08:00</published><updated>2011-12-09T08:44:59.332+08:00</updated><title type='text'>CARDIAC CHANGES IN MARATHONS AND ENDURANCE RACES</title><summary type='text'>As more and more endurance races and marathons are organised every year across the world, cardiologist are getting more and more interested in the physiological changes in the heart during marathon and endurance races. We know for certain that there are fatalities amongst marathon runners. It has variously been quoted as 1:2 million miles run, or 1: 100,000 participants in 26 Km marathons. We </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5762104381515738897/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5762104381515738897' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5762104381515738897'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5762104381515738897'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/cardiac-changes-in-marathons-and.html' title='CARDIAC CHANGES IN MARATHONS AND ENDURANCE RACES'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8638282297200991517</id><published>2011-12-04T23:02:00.007+08:00</published><updated>2011-12-04T23:25:31.345+08:00</updated><title type='text'>REPLY TO DG MOH DOCUMENTARY ON HEALTHCARE REFORM IN STAR 3rd Dec 2011</title><summary type='text'>&lt;!--[if !mso]&gt;  v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);}  &lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;        &lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;     Normal   0   false            false   false   false      EN-US   X-NONE   X-NONE</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8638282297200991517/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8638282297200991517' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8638282297200991517'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8638282297200991517'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/reply-to-dg-moh-documentary-on.html' title='REPLY TO DG MOH DOCUMENTARY ON HEALTHCARE REFORM IN STAR 3rd Dec 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://4.bp.blogspot.com/-ptURTPPMVVU/TtuO2Wt1AvI/AAAAAAAAAEs/9l02ZSYjg6k/s72-c/WHO%2Breport%2B2007.1.png' height='72' width='72'/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3179954335654160433</id><published>2011-12-02T08:24:00.005+08:00</published><updated>2011-12-02T08:43:31.963+08:00</updated><title type='text'>PREVENTING STROKES IN FEMALES, NEWS FROM SWEDEN.</title><summary type='text'>Stroke is a devastating disease. It incapacitates, and when severe, destroys your whole future. It is a condition we all dread may happen to us and I am sure that all of us will do whatever we can to prevent it happening to us.Well, the Swedes have given us a hint, at least for females, that is. Dr Susanne Rautainen and colleagues from the Karolinski Institute published their findings in the </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3179954335654160433/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3179954335654160433' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3179954335654160433'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3179954335654160433'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/preventing-strokes-in-females-news-from.html' title='PREVENTING STROKES IN FEMALES, NEWS FROM SWEDEN.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-376959834359901722</id><published>2011-12-01T16:24:00.004+08:00</published><updated>2011-12-01T16:41:56.278+08:00</updated><title type='text'>TIMELY WARNING ON ADVERSE DRUG EVENTS</title><summary type='text'>Many of us take care of senior citizens, some as old as 80-90 years old. I often see cases for second opinion and I find that there are some very enthusiastic ( read young newly graduated ) doctors, who will push drug doses high in these group of seniors, in an attempt to get excellent control of their disease states. Well, an article in the Nov 24th issue of the New England Journal of Medicine </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/376959834359901722/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=376959834359901722' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/376959834359901722'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/376959834359901722'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/12/timely-warning-on-adverse-drug-events.html' title='TIMELY WARNING ON ADVERSE DRUG EVENTS'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4736409686698686685</id><published>2011-11-28T17:47:00.006+08:00</published><updated>2011-11-28T18:23:54.718+08:00</updated><title type='text'>CABG LAST LONGER THAN DES - ANTAGONIST</title><summary type='text'>I spend Sunday morning at the Gurney Hotel, Penang, to speak at the Penang GP Cardiology Seminar. They had me take part in a debate with Dr Hafiz Law ( cardiac Surgeon ) on the topic " CABG last longer than DES ". He was the protagonist and I was the antagonist. Again, I am unable to download the slides. It does contain much laymen information.Of course, interventionist are more matured now, and </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4736409686698686685/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4736409686698686685' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4736409686698686685'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4736409686698686685'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/cabg-last-longer-than-des-antagonist.html' title='CABG LAST LONGER THAN DES - ANTAGONIST'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7771659620187564282</id><published>2011-11-28T17:15:00.003+08:00</published><updated>2011-11-28T17:46:05.097+08:00</updated><title type='text'>MALAYSIAN HEALTHCARE REFORMS.</title><summary type='text'>I spend Sunday in Penang. I spoke at the Public forum on Healthcare, organised by the CAP, Private Medical Practitioners Society, Penang, Heath Action Initiative. I spoke on " Malaysia Healthcare Reforms, Is there a need? I tried to upload my slides, which had much statistics and data to this blog, without success ( do not know how to ).Anyway, it was a very successful forum. The room was full, </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7771659620187564282/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7771659620187564282' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7771659620187564282'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7771659620187564282'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/malaysian-healthcare-reforms.html' title='MALAYSIAN HEALTHCARE REFORMS.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4058726620248264654</id><published>2011-11-25T08:35:00.004+08:00</published><updated>2011-11-25T08:54:19.660+08:00</updated><title type='text'>SALT CONTROVERSY : HOW MUCH SALT SHOULD  WE TAKE? IS THERE A  SALT J-CURVE??</title><summary type='text'>A long time ago, sometime in 2009, I wrote about the desired salt intake to prevent hypertension and stroke. At that time, the body of evidence seemed to be that taking less salt is good for us. The data was mainly driven by the British school of thought and my friend Dr Graham McGregor in UK. Since then, much work has been done, with some studies finding no correlation between salt intake and CV</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4058726620248264654/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4058726620248264654' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4058726620248264654'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4058726620248264654'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/salt-controversy-how-much-salt-should.html' title='SALT CONTROVERSY : HOW MUCH SALT SHOULD  WE TAKE? IS THERE A  SALT J-CURVE??'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2925770580952774534</id><published>2011-11-24T08:41:00.005+08:00</published><updated>2011-11-24T09:01:47.514+08:00</updated><title type='text'>MORE NEWS ON STEM CELLS AND THE HEART</title><summary type='text'>The word "stem cells" mean different things to different people. For some, it is a panacea of cures for all ailments, from spinal cord injury, to burn repairs, to joint cartilage repairs, to cardiac muscle repairs. It is sometimes very difficult to separate the facts from the myths.  I also have that difficulty, as I hear many surgeons around me using stem cells for various kinds of surgery and </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2925770580952774534/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2925770580952774534' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2925770580952774534'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2925770580952774534'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/more-news-on-stem-cells-and-heart.html' title='MORE NEWS ON STEM CELLS AND THE HEART'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7138644530882661281</id><published>2011-11-21T08:36:00.004+08:00</published><updated>2011-11-21T08:55:25.294+08:00</updated><title type='text'>CORONARY RISK FACTORS AND DEATH FROM FIRST HEART ATTACK.</title><summary type='text'>The 16th Nov 2011 issue of the Journal of the American Heart Association carried a very interesting article. Dr John Canto and colleagues from the Watson Clinic, Lakeland Florida, took a look at the National Registry of Heart Attacks, from 1994-2006. They found about 500,000 patients who had suffered their first heart attack. They were looking into correlating coronary risk factors and heart </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7138644530882661281/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7138644530882661281' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7138644530882661281'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7138644530882661281'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/coronary-risk-factors-and-death-from.html' title='CORONARY RISK FACTORS AND DEATH FROM FIRST HEART ATTACK.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5316938031093268344</id><published>2011-11-18T08:24:00.004+08:00</published><updated>2011-11-18T08:41:02.736+08:00</updated><title type='text'>SATURN AND THE WHOLE ISSUE OF PLAQUE REGRESSION</title><summary type='text'>At the just concluded AHA annual scientific meeting at Orlando, Florida, one of thelate breaking trial was SATURN, or Study of coronary atheroma by intravascular ultrasound: Effect of rosuvastatin and atorvastatin. Led by Dr Stephen Nicholls of Cleveland clinic, they began to enrol patients in 2008. A total of 1385 patients were enrolled. They all had established coronary artery disease and were </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5316938031093268344/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5316938031093268344' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5316938031093268344'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5316938031093268344'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/saturn-and-whole-issue-of-plaque.html' title='SATURN AND THE WHOLE ISSUE OF PLAQUE REGRESSION'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3845972827003041146</id><published>2011-11-17T08:12:00.007+08:00</published><updated>2011-11-17T08:33:53.873+08:00</updated><title type='text'>AHA. ANNUAL SCIENTIFIC MEETING, ORLANDO. AIM-HIGH RESULTS</title><summary type='text'>Even as this year's AHA annual scientific meeting at Orlando, draw to a close, one of the most controversial trials presented must be the AIM-HIGH ( Atherosclerosis Intervention in Metabolic Syndrome with low LDL-C / high TG  and Impact on Global Health Outcomes ) trial. This trial, led by Dr William Boden ( of COURAGE fame ), of 3,414 patients comparing the use of Niacin Vs placebo in patients </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3845972827003041146/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3845972827003041146' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3845972827003041146'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3845972827003041146'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/aha-annual-scientific-meeting-orlando.html' title='AHA. ANNUAL SCIENTIFIC MEETING, ORLANDO. AIM-HIGH RESULTS'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-9103877489574184511</id><published>2011-11-14T08:19:00.003+08:00</published><updated>2011-11-14T08:31:11.570+08:00</updated><title type='text'>ANOTHER UNREASONABLE GUIDELINE. CHOLESTEROL SCREENING FOR CHILDREN AGE 9 years</title><summary type='text'>The American Heart Association Annual Scientific  meeting is currently on-going in Orlando, Florida. At this meeting, "the Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk  Reduction in Children and Adolescents", appointed by the National Health, Lung, and Blood Institute (NHLBI) and endorsed by the American Academy of Pediatrics (AAP) is recommending that all children </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/9103877489574184511/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=9103877489574184511' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/9103877489574184511'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/9103877489574184511'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/another-unreasonable-guideline.html' title='ANOTHER UNREASONABLE GUIDELINE. CHOLESTEROL SCREENING FOR CHILDREN AGE 9 years'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-803435664046404948</id><published>2011-11-14T08:02:00.003+08:00</published><updated>2011-11-14T08:12:32.473+08:00</updated><title type='text'>PARLIAMENTARY SELECT COMMITTEE ON ELECTORAL REFORMS, 12th Nov 2011</title><summary type='text'>I led a group of 7 doctors to attend the hearing.Committee room 2 where the hearing was held, was a small room. Half the room was filled with  Government servants from all the related branches. The committee sat at  the right end of the room, chaired by YB Maximus Ongkilli. I could recognise YB Radzi, YB Kamalathan, YB Wee Choo keong, YB Anthony Loke, YB Hatta and YB Fong Chan  Onn. There was one</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/803435664046404948/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=803435664046404948' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/803435664046404948'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/803435664046404948'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/parliamentary-select-committee-on_14.html' title='PARLIAMENTARY SELECT COMMITTEE ON ELECTORAL REFORMS, 12th Nov 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3274734996469215209</id><published>2011-11-10T08:55:00.008+08:00</published><updated>2011-11-10T13:49:48.529+08:00</updated><title type='text'>PARLIAMENTARY SELECT COMMITTEE ON ELECTORAL REFORMS, PUBLIC HEARING 11-12th ovember 2011</title><summary type='text'>I shall be leading a small group of doctors to attend the Parliamentary Select Committee of Electoral Reforms, on the afternoon of the 2th Nov.2011.If given time and opportunity, I shall make a short presentation:                &lt;!--[if gte mso 9]&gt;        &lt;![endif]--&gt;&lt;!--[if gte mso 9]&gt;     Normal   0               false   false   false      EN-US   X-NONE   X-NONE</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3274734996469215209/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3274734996469215209' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3274734996469215209'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3274734996469215209'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/parliamentary-select-committee-on.html' title='PARLIAMENTARY SELECT COMMITTEE ON ELECTORAL REFORMS, PUBLIC HEARING 11-12th ovember 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3625346384692349958</id><published>2011-11-09T08:20:00.005+08:00</published><updated>2011-11-09T08:51:05.946+08:00</updated><title type='text'>NEWS FROM TCT. SAN FRANCISCO</title><summary type='text'>I have been searching the internet for the last 3 days to see what is happening at TCT 2011, San Francisco. The truth maybe that nothing is happening. Is that true, or is there a cyber-blackout by the organisers. ( I doubt it ). TCT ends tomorrow, I think, and to date, looks like the most interesting news posted out was a paper by Dr Paul Williams of Manchester Heart Center on 10 cases of </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3625346384692349958/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3625346384692349958' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3625346384692349958'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3625346384692349958'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/news-from-tct-san-francisco.html' title='NEWS FROM TCT. SAN FRANCISCO'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6193925685299426506</id><published>2011-11-07T18:33:00.004+08:00</published><updated>2011-11-08T08:42:39.410+08:00</updated><title type='text'>8th GUANXI INTERVENTIONAL CHINA ASEAN SUMMIT. NANNING 5-6th Nov 2011</title><summary type='text'>I spend Saturday in Nanning, Guanxi province, China to participate at the 8th Guanxi Interventional China-Asean Summit. This meeting was organised by Dr Li of Nanning University and 1st People Hospital. It was indeed an honour to be invited. I went to deliver a talk on "Bifurcation PCI" with case examples. I suppose I was representing the Malaysian cardiologcal community. The meeting dealt with </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6193925685299426506/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6193925685299426506' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6193925685299426506'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6193925685299426506'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/8th-guanxi-interventional-china-asean.html' title='8th GUANXI INTERVENTIONAL CHINA ASEAN SUMMIT. NANNING 5-6th Nov 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://2.bp.blogspot.com/-jCS-Cjv6mmQ/Trh6DeuebOI/AAAAAAAAAEU/jhfxk4C-A2I/s72-c/IMG.jpg' height='72' width='72'/><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3019994831250470699</id><published>2011-11-04T09:00:00.005+08:00</published><updated>2011-11-04T09:31:37.933+08:00</updated><title type='text'>FIRST DO NO HARM</title><summary type='text'>I have come across 2 articles that would exemplify what all of us physicians believe in when we treat patients, be it medications or angioplasty or surgery. Safety is always our first concern.1. The first article has to do with " Stop smoke" campaign. As we all know, smoking is an important medical risk factor for coronary artery disease, cancer of the lungs, the stomach, and many other ails, so </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3019994831250470699/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3019994831250470699' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3019994831250470699'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3019994831250470699'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/11/first-do-no-harm.html' title='FIRST DO NO HARM'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4414358899171190549</id><published>2011-10-31T08:34:00.006+08:00</published><updated>2011-10-31T09:10:41.446+08:00</updated><title type='text'>CORONARY ANGIOGRAM. WHAT IS NORMAL? MILD? SIGNIFICANT?</title><summary type='text'>You may be surprise to find that after about 56 years of doing coronary angiography ( or arteriography ), cardiologist are still struggling to define significant coronary artery disease. At what point of luminal narrowing do we consider as significant or important? Some use a cut-off of 50% while others use 70%. All the time we know that coronary angiogram is a 2D picture, so it must also be the </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4414358899171190549/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4414358899171190549' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4414358899171190549'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4414358899171190549'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/coronary-angiogram-what-is-normal-mild.html' title='CORONARY ANGIOGRAM. WHAT IS NORMAL? MILD? SIGNIFICANT?'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1555237392890599518</id><published>2011-10-28T08:23:00.003+08:00</published><updated>2011-10-28T08:39:44.550+08:00</updated><title type='text'>DOCTORS, PRACTICE WHAT YOU PREACH AND YOUR SERMONS WILL GO FURTHER.</title><summary type='text'>I reead this medical posting with great interest and humour. Dr Brian McCrindle of The Hospital for Sick Children, Toronto, gave a talk at the recently concluded Canadian Cardiovascular Congress 2011 at Vancouver, on " Physicians take a good look at yourself". I felt that it was very appropriate. Not often do we look at ourselves and see the impact that it may have on patients whom we are </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1555237392890599518/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1555237392890599518' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1555237392890599518'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1555237392890599518'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/doctors-practice-what-you-preach-and.html' title='DOCTORS, PRACTICE WHAT YOU PREACH AND YOUR SERMONS WILL GO FURTHER.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3799090974728942017</id><published>2011-10-27T10:22:00.004+08:00</published><updated>2011-10-27T10:41:10.991+08:00</updated><title type='text'>FFRCT :  THE POTENTIAL GAME CHANGER</title><summary type='text'>I wrote in August on FFRCT, work by the Koreans and also the Latvians.Well, the November issue of the Journal of the American College of Cardiology carried the print article of the Korean work, on the DISCOVER FLOW study. A multicenter study on the correlation between non-invasive FFR and coronary angiogram correlation. They studied 159 vessels in 103 patients. All these patients received FFRCT </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3799090974728942017/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3799090974728942017' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3799090974728942017'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3799090974728942017'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/ffrct-potential-game-changer.html' title='FFRCT :  THE POTENTIAL GAME CHANGER'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2815295767736765072</id><published>2011-10-24T07:59:00.003+08:00</published><updated>2011-10-24T08:28:32.129+08:00</updated><title type='text'>DAPT FOR DES ;  FOR HOW LONG?</title><summary type='text'>One of the burning questions left in the use of Drug Eluting Stents ( DES ), is the optimal duration of Dual Anti-Platelet Therapy ( DAPT ). As we all know, the use of DES has definitely reduced the restenosis rates following PCI by reducing neo-intimal hyperplasia. However after 5 years of usage of DES ( back in 2006, Barcelona, EuroPCR ), we learned that the use of DES has spurn a new disease </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2815295767736765072/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2815295767736765072' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2815295767736765072'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2815295767736765072'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/dapt-for-des-for-how-long.html' title='DAPT FOR DES ;  FOR HOW LONG?'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1861750550425279984</id><published>2011-10-21T08:06:00.009+08:00</published><updated>2011-10-21T08:44:29.586+08:00</updated><title type='text'>TAVI : UPDATES FROM PCR LONDON VALVES 2011</title><summary type='text'>Last week saw the commencement of the PCR London Valves summit in London. The UK boys were out in large numbers to present their UK TAVI registry. As we all know TAVI stands for Transcatheter Aortic Valve Implantation. Also present were the Italians led by Dr Antonio Colombo, and the French TAVI registry was presented as well.Anyway, the London boys ( UK TAVI ) presented their registry of 877 </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1861750550425279984/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1861750550425279984' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1861750550425279984'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1861750550425279984'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/tavi-updates-from-pcr-london-valves.html' title='TAVI : UPDATES FROM PCR LONDON VALVES 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6522712881617739944</id><published>2011-10-17T08:02:00.006+08:00</published><updated>2011-10-17T14:05:15.086+08:00</updated><title type='text'>IS THERE SUCH A THING AS EVIDENCE BASED MEDICINE ( EBM ).</title><summary type='text'>I have for many years ( whenever I am given a platform / forum ) held the view that true evidence based medicine is a myth. More than half the clinical trials undertaken by industry, was never completed, as they were yielding negative results and so industry did not wish to have it know. Just under half the results of clinical trails undertaken by universities and governmental bodies were </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6522712881617739944/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6522712881617739944' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6522712881617739944'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6522712881617739944'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/is-there-such-thing-as-evidence-based.html' title='IS THERE SUCH A THING AS EVIDENCE BASED MEDICINE ( EBM ).'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1937421332587087429</id><published>2011-10-12T09:00:00.007+08:00</published><updated>2011-10-12T09:27:50.623+08:00</updated><title type='text'>SYNTAX AT 4 YEARS. EACT 2011, LISBON</title><summary type='text'>Last week, Dr Patrick Serruys was our spokesman at the European Association of Cardiothoracic Surgeons Annual Meeting in Lisbon. He was there to present the 4 years follow-up of the Syntax trial. The Syntax trial, which began enrollment in 2004, is a study of 1,800 patients with LMS and 3VD CAD randomised to CABG or PCI using the TAXUS stent. At the 1st year, PCI was inferior to CABG, driven </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1937421332587087429/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1937421332587087429' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1937421332587087429'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1937421332587087429'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/syntax-at-4-years-eact-2011-lisbon.html' title='SYNTAX AT 4 YEARS. EACT 2011, LISBON'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6880309961902112301</id><published>2011-10-11T08:52:00.003+08:00</published><updated>2011-10-11T09:13:43.737+08:00</updated><title type='text'>AUSTRALIAN WARNING ON DABIGATRAN</title><summary type='text'>On the 5th October 2011, the Australian equivalent of US FDA, called the Therapeutic Goods Administration, issued a safety advisory on the use of Dabigatran.Dabigatran is a anti-thrombin, factor 10 inhibitor, shown in the be effective in the prevention of ischemic strokes in patients with non-valvular atrial fibrillation. It was initially shown to be effective in the prevention of DVT in patients</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6880309961902112301/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6880309961902112301' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6880309961902112301'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6880309961902112301'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/australian-warning-on-dabigatran.html' title='AUSTRALIAN WARNING ON DABIGATRAN'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5696239366113776726</id><published>2011-10-10T08:20:00.004+08:00</published><updated>2011-10-10T08:45:14.149+08:00</updated><title type='text'>A REPORT ON ICF 2011, 8th-9th October 2011, Pullman Hotel, Kuching.</title><summary type='text'>This meeting was successfully carried out from 8th-9th Oct 2011. at Kuching's new Pullman Hotel. The event went well. we saw 49 Malaysian and 15 Thai interventionist in the room on Saturday morning and about 40 Malaysian and 10 Thais in the room on Sunday morning. Some of the Thais had to leave early to catch the Kl and then the Bangkok connecting flights to return home to the Thai province. </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5696239366113776726/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5696239366113776726' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5696239366113776726'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5696239366113776726'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/report-on-icf-2011-8th-9th-october-2011.html' title='A REPORT ON ICF 2011, 8th-9th October 2011, Pullman Hotel, Kuching.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-20251772251980417</id><published>2011-10-07T08:22:00.003+08:00</published><updated>2011-10-07T08:41:35.729+08:00</updated><title type='text'>SAME DAY DISCHARGE FOR PCI</title><summary type='text'>When angioplasty became established, being minimally invasive, many of us felt that we should be able to discharge our patients after 4-6 hours of observations, even more so with all the wonderful stents that we now have. This had not worked out to be so. I am aware of a few centers who do day cases ( same day discharge ), but this is by and large few and far in between.In the Oct 5th issue of </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/20251772251980417/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=20251772251980417' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/20251772251980417'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/20251772251980417'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/same-day-discharge-for-pci.html' title='SAME DAY DISCHARGE FOR PCI'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7461859420681318520</id><published>2011-10-07T08:10:00.004+08:00</published><updated>2011-10-07T08:42:40.078+08:00</updated><title type='text'>Orbituary for the week</title><summary type='text'>This week saw the passing away of two giants in different field.Over the weekend, 2nd Oct 2011, Dr Willis Hurst, the author of the cardiology "bible", THE HEART, teacher of teachers, editor and influential American Cardiologist, died at the age of 90, almost 91 years. I use his textbook of cardiology to learn more about heart diseases. He will be sadly missed. I would like to record my condolence</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7461859420681318520/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7461859420681318520' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7461859420681318520'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7461859420681318520'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/orbituary-for-week.html' title='Orbituary for the week'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2737254934613533306</id><published>2011-10-06T08:04:00.005+08:00</published><updated>2011-10-06T08:19:32.733+08:00</updated><title type='text'>HIGH TESTOSTERONE PROTECTS HEART OF ELDERLY</title><summary type='text'>In the Oct 11th issue of the Journal of the American College of Cardiology, the swedish workers, led by Dr Claes Ohlsson of the University of Gotenberg, showed that elderly males with high testosterone levels have fewer cardiac events over a 5 year follow-up. They study male testosterone levels in 2,416 males aged 69-81yrs and followed them up through the central Swedish registry. These males </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2737254934613533306/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2737254934613533306' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2737254934613533306'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2737254934613533306'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/high-testosterone-protects-heart-of.html' title='HIGH TESTOSTERONE PROTECTS HEART OF ELDERLY'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-75145628980063333</id><published>2011-10-04T08:31:00.004+08:00</published><updated>2011-10-04T08:55:35.590+08:00</updated><title type='text'>CAN BETA BLOCKERS STOP DEATH FROM CA BREAST?</title><summary type='text'>Interesting. Is it true that a simple, common drug like beta blocker, which is used widely in management of hypertension or ischemic heart disease, apart from other diseases, like hyperthyroidism, stop the spread of breast cancer spread, thereby improving prognosis.Dr Des Powe of Queen's Medical Center, Nottingham, in collaboration with Prof Frank Entschalen of Witten U Germany, looked into this </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/75145628980063333/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=75145628980063333' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/75145628980063333'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/75145628980063333'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/can-beta-blockers-stop-death-from-ca.html' title='CAN BETA BLOCKERS STOP DEATH FROM CA BREAST?'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-512104887811179632</id><published>2011-10-03T08:59:00.003+08:00</published><updated>2011-10-03T09:25:04.037+08:00</updated><title type='text'>SUDDEN CARDIAC DEATHS. THE MIND OVER MATTER</title><summary type='text'>At the just concluded HFSA ( Heart Failure Society of America ) Annual Scientific Meeting 2011, there was an interesting presentation br Dr martin Samuels of the Bringham and Women's Hospital, Boston. It is not a very scientific paper, no p-values, or hazard ratios, but he outlines his observations that some cardiac deaths are related to natural catastrophies, or severe mental stress. He observed</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/512104887811179632/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=512104887811179632' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/512104887811179632'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/512104887811179632'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/10/sudden-cardiac-deaths-mind-over-matter.html' title='SUDDEN CARDIAC DEATHS. THE MIND OVER MATTER'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7027188484037659948</id><published>2011-09-30T08:37:00.004+08:00</published><updated>2011-09-30T09:04:58.348+08:00</updated><title type='text'>CANCER RISKS THAT CARDIOLOGIST MUST BE AWARE OF</title><summary type='text'>The month of September 2011, may be noted as the month with new data on cancer risk. That dreaded disease with much morbidity and mortality. Avoiding cancers become and important part of adult life.Firstly, The Sept 19th issue of the American Journal of Transplantation, carried a piece of work by the workers in Heidelberg University, Germany. Led by Dr Gerhard Opelz, they looked into the </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7027188484037659948/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7027188484037659948' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7027188484037659948'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7027188484037659948'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/cancer-risks-that-cardiologist-must-be.html' title='CANCER RISKS THAT CARDIOLOGIST MUST BE AWARE OF'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1994808462359116537</id><published>2011-09-26T08:56:00.003+08:00</published><updated>2011-09-26T09:10:08.996+08:00</updated><title type='text'>AIR POLLUTION TRIGGERS HEART ATTACKS.</title><summary type='text'>With rising concern about the environment, and in particular air-pollution, there are now more and more studies highlighting the harmful effects of air pollution and the heart. I have written on this before.In the latest issue of the British Medical Journal, Dr Krishnan Baskharan and colleague from the London School of Hygiene and Tropical Medicine, studied the records of 80,000 heart attack </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1994808462359116537/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1994808462359116537' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1994808462359116537'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1994808462359116537'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/air-pollution-triggers-heart-attacks.html' title='AIR POLLUTION TRIGGERS HEART ATTACKS.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2867033091790278946</id><published>2011-09-23T09:06:00.003+08:00</published><updated>2011-09-23T09:24:10.236+08:00</updated><title type='text'>MORE PROBLEMS FOR SANOFI ADVENTIS. THE ISSUE OF DRONEDARONE</title><summary type='text'>I have just read the announcement by the European Medicine Agency ( EMA ), that they will be recommending restricting the use of dronedarone. This is of course, following the release of the PALLAS data, which showed that the use of Dronedarone in patients with permanent atrial fibrillation was associated with a higher incidence of cardiovascular events. There were several small studies which seem</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2867033091790278946/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2867033091790278946' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2867033091790278946'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2867033091790278946'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/more-problems-for-sanofi-adventis-issue.html' title='MORE PROBLEMS FOR SANOFI ADVENTIS. THE ISSUE OF DRONEDARONE'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-757245512428002407</id><published>2011-09-22T08:41:00.003+08:00</published><updated>2011-09-22T08:58:08.712+08:00</updated><title type='text'>UN INITIATIVE ON NCDs</title><summary type='text'>It is laudable, for the United Nations to take up the subject of non-communicable diseases, amongst the many important items in the UN General assembly, going on in New York, at the moment. calling it the United nations ( UN ) High Level Meeting on Prevention and Control of Non-Communicable Diseases ( NCD ). By non-communicable diseases, they mean Cardiovascular Disease, Diabetes, Cancers and </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/757245512428002407/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=757245512428002407' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/757245512428002407'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/757245512428002407'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/un-initiative-on-ncds.html' title='UN INITIATIVE ON NCDs'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6784168056475268764</id><published>2011-09-19T08:39:00.004+08:00</published><updated>2011-09-19T08:59:32.893+08:00</updated><title type='text'>WHAT SHALL WE EAT. MORE NEWS FROM EASD</title><summary type='text'>The Atkin's diet was a rather popular diet to lose weight, when Dr Atkins was alive. Books were written and some proponents swear by it. It did certainly lose weight in the short term, but is it good for the body in the long term. No, I am not going to discuss Atkin's diet per se, but I am relating to a paper presented at the just concluded EASD ( European association for the study of Diabetes ) </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6784168056475268764/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6784168056475268764' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6784168056475268764'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6784168056475268764'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/what-shall-we-eat-more-news-from-easd.html' title='WHAT SHALL WE EAT. MORE NEWS FROM EASD'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6123752855565573745</id><published>2011-09-18T08:55:00.003+08:00</published><updated>2011-09-18T09:14:16.099+08:00</updated><title type='text'>J-CURVE FOR DIABETIC CONTROL. NEWS FROM EASD</title><summary type='text'>The European Association for the Study of Diabetes, have just concluded their annual meeting in Lisbon, Portugal. Amongst, the many interesting paper presented, was one presented by Dr Carl Ostgren ( Lingkoping University, Sweden ) dealing with the issue of a J-curve phenomenon, in diabetic control. Is there a J-curve in Diabetes control ?.A J-curve phenomenon, is an observation that the better </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6123752855565573745/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6123752855565573745' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6123752855565573745'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6123752855565573745'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/j-curve-for-diabetic-control-news-from.html' title='J-CURVE FOR DIABETIC CONTROL. NEWS FROM EASD'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8436199490186743583</id><published>2011-09-17T08:26:00.004+08:00</published><updated>2011-09-17T08:42:11.496+08:00</updated><title type='text'>WHITE FRUITS, VEGES AND STROKE</title><summary type='text'>The saying is true.    "An apple a day, keeps the doctor away".Dr Linda M Oude Griep and colleagues at the Wageningen Uni of the Netherlands did a study relating veges and fruits to the risk of strokes. This study is published in the latest online edition of strokes.What they did was to enrol 20,069 subjects, both male and females, age 20-65 years, with no heart disease or strokes. Let them </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8436199490186743583/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8436199490186743583' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8436199490186743583'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8436199490186743583'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/white-fruits-veges-and-stroke.html' title='WHITE FRUITS, VEGES AND STROKE'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7986885449598517887</id><published>2011-09-12T09:01:00.004+08:00</published><updated>2011-09-12T09:26:10.145+08:00</updated><title type='text'>FPMPAM weekend seminar in Cardiology for GPs 2011, KUANTAN</title><summary type='text'>I spend the whole weekend in Kuantan conducting the above seminar.The event went well. About 92 signed up before the event but only about 80 turned up. I am told that by Kuantan's standard, that is good. The whole program went well. We started at about 8.30am and finished at about 6.20pm. many stayed till the end. The program had lectures, questions and answers, ECG tutorials, and CPR lectures </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7986885449598517887/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7986885449598517887' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7986885449598517887'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7986885449598517887'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/fpmpam-weekend-seminar-in-cardiology.html' title='FPMPAM weekend seminar in Cardiology for GPs 2011, KUANTAN'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8154709827241252262</id><published>2011-09-09T08:23:00.004+08:00</published><updated>2011-09-09T08:41:36.351+08:00</updated><title type='text'>STENTING FOR INTRACRANIAL STENOSIS DOES WORSE THAN AGGRESSIVE MEDICAL THERAPY IN STROKE PREVENTION.</title><summary type='text'>Attention all neuro-interventionist and patients with strokes and TIAs. The latest issue of New England Journal Of Medicine ( Sept 7th ) carries an article by Dr Marc Chimowitz on the results of SAMMPRIS ( Stenting and Aggressive Medical Management for Preventing Recurrent Strokes in Intracranial Stenosis trial. Dr Chimowitz is from the Medical University of South carolina, and the trial is </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8154709827241252262/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8154709827241252262' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8154709827241252262'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8154709827241252262'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/stenting-for-intracranial-stenosis-does.html' title='STENTING FOR INTRACRANIAL STENOSIS DOES WORSE THAN AGGRESSIVE MEDICAL THERAPY IN STROKE PREVENTION.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2726571447825423248</id><published>2011-09-06T08:38:00.004+08:00</published><updated>2011-09-06T08:57:57.387+08:00</updated><title type='text'>SLEEP AND HYPERTENSION. MORE EVIDENCE</title><summary type='text'>Sleep, that part of our life cycle, when we lose contact with the world until we are awaken, and sometimes rudely. For a long time, many have felt that when we sleep, everything stops and we rest our body. Maybe some also think that our body stops functioning for us to rest. Well, the latter is certainly not true, and the formerly is only partly true. It appears that with more and more research, </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2726571447825423248/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2726571447825423248' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2726571447825423248'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2726571447825423248'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/sleep-and-hypertension-more-evidence.html' title='SLEEP AND HYPERTENSION. MORE EVIDENCE'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2767659454694118762</id><published>2011-09-05T08:34:00.004+08:00</published><updated>2011-09-05T08:48:39.568+08:00</updated><title type='text'>STROKES ON THE RISE IN USA</title><summary type='text'>The Annals of Neurology recently carried an article by the US Center for Disease Control, on the epidermiology of strokes. They dug into the records of all strokes reported,and there were about 8 million. They divided strokes presentation by age groups and revealed a few interesting points.On the whole, stroke in in the increase, by about 30%, mainly in the younger age group. Hemorraghic strokes</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2767659454694118762/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2767659454694118762' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2767659454694118762'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2767659454694118762'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/strokes-on-rise-in-usa.html' title='STROKES ON THE RISE IN USA'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5550654529163228216</id><published>2011-09-03T09:27:00.005+08:00</published><updated>2011-09-06T09:00:43.931+08:00</updated><title type='text'>STATINS HEAD TO HEAD. ROSUVASTATIN DID NO BETTER  THAN ATORVASTATIN</title><summary type='text'>Yesterday, Astra Zeneca, the maker of rosuvastatin, put out a press release on the findings of the SATURN trial. This is a statin head to head trial, comparing high dose rosuvastatin ( 40mg ) against atorvastatin 80mg. It is sponsored by Astra Zeneca. The trial studied 1,300 patients with angiographically proven coronary artery disease, given the statins over 2 years. They all had baseline </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5550654529163228216/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5550654529163228216' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5550654529163228216'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5550654529163228216'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/statins-head-to-head-rosuvastatin-did.html' title='STATINS HEAD TO HEAD. ROSUVASTATIN DID NO BETTER  THAN ATORVASTATIN'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-674015216868817470</id><published>2011-09-02T08:21:00.006+08:00</published><updated>2011-09-02T08:48:24.138+08:00</updated><title type='text'>ESC IS OVER. NOTHING NEW TO DISCUSS.</title><summary type='text'>Well, the European Society of Cardiology, Annual Scientific meeting 2011 has concluded in Paris. I had the look at what was presented, and my take is that nothing earth shuttering was revealed. Our last post was on the newer CETP inhibitors, and we need to keep a close watch on this knowing that it could be of great benefit to our patients and  knowing also that we have failed once with </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/674015216868817470/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=674015216868817470' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/674015216868817470'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/674015216868817470'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/09/esc-is-over-nothing-new-to-discuss.html' title='ESC IS OVER. NOTHING NEW TO DISCUSS.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6500236503299562989</id><published>2011-08-29T08:49:00.005+08:00</published><updated>2011-08-29T09:23:56.785+08:00</updated><title type='text'>FROM THE ESC, PARIS. 28th-31st 2011.</title><summary type='text'>Well, many of our cardiologist are at present in Paris, attending the European Society of Cardiology, annual scientific meeting. I have not been attending this meeting for quite awhile now, as I feel that it was too time consuming ( ??sour grapes ), nothing big to announce, and that the internet has made the world flat.Yesterday, the ESC started. From the internet I can see that there is nothing</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6500236503299562989/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6500236503299562989' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6500236503299562989'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6500236503299562989'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/from-esc-paris-28th-31st-2011.html' title='FROM THE ESC, PARIS. 28th-31st 2011.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2978013186806802980</id><published>2011-08-26T08:12:00.006+08:00</published><updated>2011-08-26T08:30:58.958+08:00</updated><title type='text'>CCTA, THEY ARE GETTING THERE : CCTA + CT PERFUSION</title><summary type='text'>Looks like the cardiac imaging boys are surely getting there. In the early part of this month, I wrote about the work of the East European work on CCTA FFR ( studying the vessel perfusion ) technique.In the Aug 23rd issue of Circulation : Cardiac Imaging, there is a nice. small piece of work by the Austrians on CCTA / CT perfusion. Dr Gudrun Feuchtner and colleagues from the University of </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2978013186806802980/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2978013186806802980' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2978013186806802980'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2978013186806802980'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/ccta-they-are-getting-there-ccta-ct.html' title='CCTA, THEY ARE GETTING THERE : CCTA + CT PERFUSION'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3755909077572190751</id><published>2011-08-25T08:54:00.010+08:00</published><updated>2011-08-25T13:56:51.369+08:00</updated><title type='text'>AMBULATORY BP MONITORING TO DIAGNOSE HYPERTENSION</title><summary type='text'>For many years, we have thought that the diagnosis of hypertension is probably one of the easiest in medicine. Fix on a blood pressure cuff ( and we like the hardy mercury column syphynomanometer ), pump it up, lower the BP column slowly ( 1 millimeter per second ), and listen for thefirst pulsatile ( systolic) BP sound and then the loss of the pulsatile ( diastolic ) BP sound. There we have it, </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3755909077572190751/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3755909077572190751' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3755909077572190751'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3755909077572190751'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/ambulatiry-bp-monitoring-to-diagnose.html' title='AMBULATORY BP MONITORING TO DIAGNOSE HYPERTENSION'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><media:thumbnail xmlns:media='http://search.yahoo.com/mrss/' url='http://1.bp.blogspot.com/-FhvigCVI01s/TlWjgVmsGlI/AAAAAAAAAEE/tlz2jB4ZbM4/s72-c/ABPM%2Bset.2.jpg' height='72' width='72'/><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7327292136821890357</id><published>2011-08-22T08:42:00.006+08:00</published><updated>2011-08-22T09:02:41.134+08:00</updated><title type='text'>EATING PROCESSED MEATS INCREASE STROKE RISK</title><summary type='text'>It is obvious that in Western countries, eating process meat is common and perhaps the norm in winter. Low fat turkey, ham, bacon, bologna, etc are continental favourates.There is a clinical, epidermiological study done in Sweden, using the Cohort of Swedish Men registry, to see the associations between the eating of processed meats and the risk of strokes. The Cohort of Swedish Men is something</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7327292136821890357/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7327292136821890357' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7327292136821890357'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7327292136821890357'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/eating-processed-meats-increase-stroke.html' title='EATING PROCESSED MEATS INCREASE STROKE RISK'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8512694250307492808</id><published>2011-08-19T08:11:00.006+08:00</published><updated>2011-08-24T08:33:11.340+08:00</updated><title type='text'>THE GENOUS STENT. IS THIS THE END?</title><summary type='text'>About 1 year ago, I wrote that the TRIAS 1 results on the Genous ( EPC capture stent ), was poor when compared to the first generation drug eluting stent.Well Dr Margo Klomp, from the University of Amsterdam, Netherlands, has just published their 1 year followup of their study, comparing the Genous stent with the commercially available DES ( a mixture ), and showed that the Genous stent had </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8512694250307492808/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8512694250307492808' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8512694250307492808'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8512694250307492808'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/genous-stent-is-this-end.html' title='THE GENOUS STENT. IS THIS THE END?'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7369502895744950463</id><published>2011-08-15T08:13:00.003+08:00</published><updated>2011-08-15T08:48:13.091+08:00</updated><title type='text'>A PROPOSAL ; THE RE-CYCLING OF DRUGS IN MALAYSIA.</title><summary type='text'>I read with great interest, the government's proposal to ask patients not to throw medications that they do not wish to take, away into the dusk bin, but to throw it into a re-cycling bin, so that the drugs can be re-cycled. This "joke" appeared in the front page of the STAR on Sunday. While it is true that some medication is wasted by patients who throw them away, I do not think that re-cycling </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7369502895744950463/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7369502895744950463' title='9 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7369502895744950463'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7369502895744950463'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/proposal-re-cycling-of-drugs-in.html' title='A PROPOSAL ; THE RE-CYCLING OF DRUGS IN MALAYSIA.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>9</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1165187263474047417</id><published>2011-08-12T08:05:00.004+08:00</published><updated>2011-08-12T08:21:31.656+08:00</updated><title type='text'>IATROGENIC BLOOD LOSS FOR HEART ATTACK PATIENTS</title><summary type='text'>As I was reading, I find this paper very interesting. After 31years of cardiology, I did not realise that a patient admitted for heart attack, could loss so much blood from medical tests.Dr Adam Salisbury and colleagues from the Mid America heart and vascular institute, published an interesting paper in the Aug 8th online issue of the Archives of Internal Medicine entitled " Diagnostic blood </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1165187263474047417/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1165187263474047417' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1165187263474047417'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1165187263474047417'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/iaotrogenic-blood-loss-for-heart-attack.html' title='IATROGENIC BLOOD LOSS FOR HEART ATTACK PATIENTS'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4694257963259172239</id><published>2011-08-08T08:17:00.003+08:00</published><updated>2011-08-08T08:38:45.578+08:00</updated><title type='text'>AMI PRIMARY PCI. TREATING THE CULPRIT LESION ONLY.</title><summary type='text'>Balloon angioplasty remains the best way to revascularise the myocardium following an acute heart attack. It is an established fact that should your heart artery occlude suddenly, the best thing is to reach a tertiary care medical center, with facilities to do acute angiogram and angioplasty. It would be best if these can be done within 90 mins of chest pain. That gives the best result.Often, </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4694257963259172239/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4694257963259172239' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4694257963259172239'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4694257963259172239'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/ami-primary-pci-treating-culprit-lesion.html' title='AMI PRIMARY PCI. TREATING THE CULPRIT LESION ONLY.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-8762723788831427923</id><published>2011-08-05T10:41:00.007+08:00</published><updated>2011-08-05T10:57:16.065+08:00</updated><title type='text'>NON - INVASIVE FFR, THEORY</title><summary type='text'>There is much work on non-invasive FFR with CCTA. It obviously have a useful role for the detection of significant CAD with CCTA, as current anatomical CCTA scans, only tells what you see based on computerise volumetric reconstruction. The average CCTA has a positive predictive value of 60-80% and a negative predictive value of 95%.With the use non-invasive FFR, these numbers all become better. </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/8762723788831427923/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=8762723788831427923' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8762723788831427923'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/8762723788831427923'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/non-invasive-ffr-theory.html' title='NON - INVASIVE FFR, THEORY'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6382367387440360140</id><published>2011-08-05T08:56:00.007+08:00</published><updated>2011-08-05T10:16:58.750+08:00</updated><title type='text'>NON-INVASIVE FFR USING CCTA</title><summary type='text'>For many years, I have been criticising the extensive use of CCTA, in the screening for healthy males, for CAD. With the 16 slice MSCT and the 64 Slice MSCT, I felt that the diagnostic accuracy was not quite good enough, except to exclude CAD ( which is what I use it for ), couple with the obvious hazard of extensive radiation ( A CCTA of the coronary system gives the equivalent of 500 CXR </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6382367387440360140/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6382367387440360140' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6382367387440360140'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6382367387440360140'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/non-invasive-ffr-using-ccta.html' title='NON-INVASIVE FFR USING CCTA'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4858954696329019029</id><published>2011-08-04T08:06:00.002+08:00</published><updated>2011-08-04T08:08:01.588+08:00</updated><title type='text'>JUST FOR HUMOUR</title><summary type='text'>I was send this, which I thought was quite funny. That's how some people see us.   HEALTH MESSAGE   1. If walking/cycling is good for your health, the postman would be immortal.  2. A whale swims all day, only eats fish, drinks water and is fat.  3. A rabbit runs and hops and only lives 15 years.  4. A tortoise doesn't run, does nothing and yet lives for 450 years.    AND YOU TELL ME TO EXERCISE!</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4858954696329019029/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4858954696329019029' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4858954696329019029'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4858954696329019029'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/just-for-humour.html' title='JUST FOR HUMOUR'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2953336573423666403</id><published>2011-08-03T08:23:00.003+08:00</published><updated>2011-08-03T08:41:49.138+08:00</updated><title type='text'>EXERCISE IS GOOD FOR THE HEART."WE KNOW THAT"</title><summary type='text'>Of course, it is common knowledge that exercise is good for the heart. We exercise, we lose weight, we get fitter cardiovascular wise and generally, we lessen our risk of hypertension and diabetes, and there is even some evidence that it may improve colateral circulation and ischemic preconditioning.All these we know. Getting it done is another thing. We may also like to know, how much is how </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2953336573423666403/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2953336573423666403' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2953336573423666403'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2953336573423666403'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/exercise-is-good-for-heartwe-know-that.html' title='EXERCISE IS GOOD FOR THE HEART.&quot;WE KNOW THAT&quot;'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4257672353755619058</id><published>2011-08-01T08:23:00.004+08:00</published><updated>2011-08-01T08:39:13.817+08:00</updated><title type='text'>RISING MEDICAL PROBLEM IN PREGNANCY. STROKE</title><summary type='text'>One of the most important use of epidermiological data is to see disease patterns, what we may call the bigger picture. In the online edition of the journal Stroke, Dr Elena Kuklina reviewed the CDC ( Center for disease control and Prevention ) data on admissions for pregnancies, related to strokes. She found that over the last 15 years, there has been a rising incidence of strokes in pregnant  </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4257672353755619058/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4257672353755619058' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4257672353755619058'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4257672353755619058'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/08/rising-problem-in-pregnancy-stroke.html' title='RISING MEDICAL PROBLEM IN PREGNANCY. STROKE'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7136437342206958089</id><published>2011-07-30T01:03:00.004+08:00</published><updated>2011-07-30T01:06:34.544+08:00</updated><title type='text'>THANK GOD. EO6 IS FREED</title><summary type='text'>I just heard that the EO 6 had been released without harm and without conditions at 5.30pmThank God. At least some good sense prevailed.Thank God</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7136437342206958089/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7136437342206958089' title='2 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7136437342206958089'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7136437342206958089'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/thank-god.html' title='THANK GOD. EO6 IS FREED'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>2</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7633000282296939996</id><published>2011-07-29T08:42:00.006+08:00</published><updated>2011-07-29T09:03:20.644+08:00</updated><title type='text'>VIGIL FOR EO6</title><summary type='text'>This is the other side of me.I was at the Brickfields water fountain last night at about 8.30pm to lend support to the candle light vigil for the EO6 ( Emergency ordinance 6 ). The EO 6 signifying the 6 Parti Socialist Malaysia members who were detained since 2nd July. There were about ( eyeballing ) 2-300 in the crowd around the fountain, holding candles ( it is quite a skill to keep the candle </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7633000282296939996/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7633000282296939996' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7633000282296939996'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7633000282296939996'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/vigil-for-eo6.html' title='VIGIL FOR EO6'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4421380446582603047</id><published>2011-07-29T08:30:00.004+08:00</published><updated>2011-07-29T08:42:13.125+08:00</updated><title type='text'>DIABETES AND CAD. HbA1C AND CARDIAC RISK</title><summary type='text'>For many years, we have always said that diabetes is a cardiovascular disease, meaning that diabetics are at high risk of cardiovascular disease and many of them die from heart disease. The saying is that Diabetes is a CVS risk equivalent.However the latest study on this subject, published in the July 25th issue of the Arch of Int Medicine, throws more light on this. Dr Nina Paynter and </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4421380446582603047/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4421380446582603047' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4421380446582603047'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4421380446582603047'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/diabetes-and-cad-hba1c-and-cardiac-risk.html' title='DIABETES AND CAD. HbA1C AND CARDIAC RISK'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4181645943421367424</id><published>2011-07-25T12:28:00.003+08:00</published><updated>2011-07-25T12:34:39.757+08:00</updated><title type='text'>TOP 10 CARDIAC HOSPITALS IN USA</title><summary type='text'>The US news and World report, on the 19th July, released the ranking for the top 10 US cardiac hospital in USA. As usual ( as for the last 17 years ), Cleveland clinic tops the list.The ranking are as follows :-  Cleveland Clinic Mayo Clinic Johns Hopkins Texas Heart Institute at St Luke's Episcopal Massachusetts General New York Presbyterian University  Duke University Medical Center Brigham and</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4181645943421367424/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4181645943421367424' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4181645943421367424'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4181645943421367424'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/top-10-cardiac-hospitals-in-usa.html' title='TOP 10 CARDIAC HOSPITALS IN USA'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5843226408783421484</id><published>2011-07-22T07:58:00.003+08:00</published><updated>2011-07-22T08:11:16.256+08:00</updated><title type='text'>SECONDARY PREVENTION. THE DANGERS OF STOPPING ASPIRIN</title><summary type='text'>Good old, headache relieving aspirin is good for the heart, especially when we use low dose aspirin to prevent further cardiovascular events following previous heart disease ( secondary prevention ). A new study has shown that if you discontinue your low dose aspirin, when you should be taking it for secondary prevention, you increase your risk of getting another CV event. This was conclusively </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5843226408783421484/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5843226408783421484' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5843226408783421484'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5843226408783421484'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/secondary-prevention-dangers-of.html' title='SECONDARY PREVENTION. THE DANGERS OF STOPPING ASPIRIN'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5327100670923115996</id><published>2011-07-21T08:49:00.005+08:00</published><updated>2011-07-21T09:07:00.032+08:00</updated><title type='text'>IV VERNAKALANT, A REASONABLE SUBSTITUTE FOR ELECTRO CARDIOVERSION FOR A.FIB.</title><summary type='text'>Last night, tired though I was, I attended a close door conference of MSD, as they had invited a German expert, Prof Andreas Goette, to speak to us about the use of IV Vernakalant in the chemo-version of Atrial Fibrillation. Nice dinner first followed by the talk, at KL Hilton.As we all know, atrial fibrillation is gaining importance as the world's population grow older. It is the most common </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5327100670923115996/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5327100670923115996' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5327100670923115996'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5327100670923115996'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/iv-vernakalant-reasonable-substitute.html' title='IV VERNAKALANT, A REASONABLE SUBSTITUTE FOR ELECTRO CARDIOVERSION FOR A.FIB.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-9089393609755492007</id><published>2011-07-20T09:03:00.003+08:00</published><updated>2011-07-20T09:21:18.142+08:00</updated><title type='text'>THE TAKO-TSUBO CARDIOMYOPATHY, OR STRESS CARDIOMYOPATHY</title><summary type='text'>There is a medical syndrome, first described by the Japanese about 10 years ago, called the Tako-tsubo cardiomyopathy. It affects main post-menopausal females in Japan. Those affected usually had a severe emotional shock, and ended up with markedly distorted ventricular aneurysmal  dilatations. detected on MRI ( magnetic resonance imaging ).Well, the latest issue of the Journal of the American </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/9089393609755492007/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=9089393609755492007' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/9089393609755492007'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/9089393609755492007'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/tako-tsubo-cardiomyopathy-or-stress.html' title='THE TAKO-TSUBO CARDIOMYOPATHY, OR STRESS CARDIOMYOPATHY'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7577422870578367290</id><published>2011-07-18T08:21:00.004+08:00</published><updated>2011-07-18T09:14:54.295+08:00</updated><title type='text'>STANDARD OF CARE ; LOWERING CHOLESTEROL</title><summary type='text'>Raise cholesterol level is undoubtedly an important coronary risk factors. This risk factor is bi-directional, meaning that when you lower it, you also lessens the coronary risk. But it is important to note that cholesterol is not the only coronary risk factor. Large population study have shown that 40-50% of heart attacks occur in patients with normal cholesterol levels in the blood. But because</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7577422870578367290/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7577422870578367290' title='2 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7577422870578367290'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7577422870578367290'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/standard-of-care-lowering-cholesterol.html' title='STANDARD OF CARE ; LOWERING CHOLESTEROL'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>2</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3628306336519352129</id><published>2011-07-15T08:54:00.003+08:00</published><updated>2011-07-15T09:14:01.803+08:00</updated><title type='text'>CVS DANGERS IN CHRONIC NSAID USE.</title><summary type='text'>Back to cardiology after the BERSIH postings. I just could not stand people not facing up to the truth.Anyway,There is a relevant paper published in the July issue of the American Journal of Medicine entitled "The harmful effects of NSAID amongst patients with hypertension and CAD". The lead author is Dr Anthony Bravry from the University of Florida, Gainsville. They did a post hoc analysis ( not</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3628306336519352129/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3628306336519352129' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3628306336519352129'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3628306336519352129'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/cvs-dangers-in-chronic-nsaid-use.html' title='CVS DANGERS IN CHRONIC NSAID USE.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-869999395304353839</id><published>2011-07-13T23:42:00.007+08:00</published><updated>2011-07-19T18:28:05.181+08:00</updated><title type='text'>OUR JOINT STATEMENT ON THE SITUATION AT TUNG SHIN HOSPITAL AND CHINESE MATERNITY HOSPITAL ON AFTERNOON OF 9th JULY 2011</title><summary type='text'>We have just agreed on a joint statement at 9pm. By 9.15PM, I was told that the internet media had already published our statement. I would like the real statement known, so I am posting it here.AN INCONVENIENT TRUTHWe, the undersigned doctors, wish not to enter into the polemics of the Bersih 2.0 march on9th July 2011 but would like to clarify the inconvenient truth.We are outraged at the </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/869999395304353839/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=869999395304353839' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/869999395304353839'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/869999395304353839'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/our-joint-statement-on-situation-at.html' title='OUR JOINT STATEMENT ON THE SITUATION AT TUNG SHIN HOSPITAL AND CHINESE MATERNITY HOSPITAL ON AFTERNOON OF 9th JULY 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2153023883556204409</id><published>2011-07-13T22:39:00.003+08:00</published><updated>2011-07-13T22:43:00.041+08:00</updated><title type='text'>TELL THE TRUTH. STOP THE LIES</title><summary type='text'>I was quite upset by the government in continuing to deny the events of 9th July 2011. I have just written to NST and STAR to protest this. I am not sure if they will publish.I am sorry, I thought I should do my social duty, and publish it here.TELL THE TRUTH AND STOP THE LIES     Dear Editor,     I am very concern as to the approach taken by all those in authorities ( Politicians and the Police </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2153023883556204409/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2153023883556204409' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2153023883556204409'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2153023883556204409'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/tell-truth-stop-lies.html' title='TELL THE TRUTH. STOP THE LIES'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4414185771991798297</id><published>2011-07-11T09:01:00.004+08:00</published><updated>2011-07-11T09:17:20.967+08:00</updated><title type='text'>BERSIH 2.0, THE LESSONS THAT I LEARNED</title><summary type='text'>I was present and witness BERSIH 2.0 first hand. I had gathered at Tung Shin Hospital at about 2pm. managed to get pass the very tight Police cordon.Among the many lessons ( no hype, just facts ), I learned,1. Many Malaysians care, and they are brave. They came out in large numbers, despite the very severe Police clampdown in KL, and all the threats and pre-emptive arrest. At the Tung Shin </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4414185771991798297/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4414185771991798297' title='1 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4414185771991798297'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4414185771991798297'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/bersih-20-lessons-that-i-learned.html' title='BERSIH 2.0, THE LESSONS THAT I LEARNED'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>1</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-7006451257893966263</id><published>2011-07-11T08:26:00.004+08:00</published><updated>2011-07-11T09:00:43.137+08:00</updated><title type='text'>STANDARD OF CARE ; PERCUTANEOUS CORONARY INTERVENTION 2011</title><summary type='text'>Percutaneous coronary intervention had her humble beginnings in 1977 in Zurich when Dr A Greuntzig, under flouroscopy guidance passed a very high profile and crude catheter ( rubber tubing ) with a balloon at the distal end. Once across the lesion ( which was at the proximal LAD ), he inflated the balloon repeatedly, until the lesion ws flattened and there was no longer any more pressure gradient</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/7006451257893966263/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=7006451257893966263' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7006451257893966263'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/7006451257893966263'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/standard-of-care-percutaneous-coronary.html' title='STANDARD OF CARE ; PERCUTANEOUS CORONARY INTERVENTION 2011'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1695602385472104124</id><published>2011-07-08T09:00:00.003+08:00</published><updated>2011-07-08T09:20:29.055+08:00</updated><title type='text'>DRONEDARONE ( MULTAG )  IS IN TROUBLE.</title><summary type='text'>Dronedarone is a drug that was FDA approved in 2009. It was indicated for the treatment of non-permanent atrial fibrillation. Atrial fibrillation is the arrhythmia of the decade. In the ATHENA trial, dronedarone was shown to be efficacious in reducing the number of first hospitalisation from atrial fibrillation and also seem to reduced the number of cardiovascular deaths. That all sounded good, </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1695602385472104124/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1695602385472104124' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1695602385472104124'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1695602385472104124'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/dronedarone-multag-is-in-trouble.html' title='DRONEDARONE ( MULTAG )  IS IN TROUBLE.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-1597438836139779768</id><published>2011-07-08T08:47:00.003+08:00</published><updated>2011-07-08T18:37:30.071+08:00</updated><title type='text'>ON MOBILE PHONES AND THEIR DANGERS</title><summary type='text'>I was send this piece by a friend. I thought that it was of public interest, so I am posting it for all your information.ON MOBILE PHONES.</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/1597438836139779768/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=1597438836139779768' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1597438836139779768'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/1597438836139779768'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/on-mobile-phones-and-their-dangers.html' title='ON MOBILE PHONES AND THEIR DANGERS'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2063111723870239962</id><published>2011-07-07T08:48:00.003+08:00</published><updated>2011-07-07T09:03:50.345+08:00</updated><title type='text'>REDUCE SUDDEN CARDIAC DEATH WITH HEALTHY LIFESTYLE</title><summary type='text'>A recent study, published in the Journal of the American medical association, showed that an unhealthy lifestyle is the cause of 80% of the sudden cardiac death that we see, and implementing a healthy lifestyle reduces this risk by 92%.Sudden cardiac death ( SCD )  is defined as death within 24 hours of symptom onset, without prior evidence of vascular collapse. Literally, drop dead.Dr Stephanie </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2063111723870239962/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2063111723870239962' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2063111723870239962'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2063111723870239962'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/reduce-sudden-cardiac-death-with.html' title='REDUCE SUDDEN CARDIAC DEATH WITH HEALTHY LIFESTYLE'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-6817243219762478408</id><published>2011-07-06T09:05:00.005+08:00</published><updated>2011-07-06T09:25:35.517+08:00</updated><title type='text'>THE DANGERS OF VARENICLINE. CVS RISKS</title><summary type='text'>Varenicline is a drug that is marketed to help patients kick the smoking addiction. Obviously, this is another "TAK NAK" strategy to try and reduce the smoking cardiovascular risk. This drug is quite potent and if taken correctly with counselling, it is said that 1:10 taking the drug will kick the habit. That is the good side.In the 4th July online edition of the Canadian Medical Association </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/6817243219762478408/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=6817243219762478408' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6817243219762478408'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/6817243219762478408'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/dangers-of-varenicline.html' title='THE DANGERS OF VARENICLINE. CVS RISKS'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-4176571997863349025</id><published>2011-07-04T08:16:00.003+08:00</published><updated>2011-07-04T08:52:00.800+08:00</updated><title type='text'>STANDARD OF CARE ; INDICATIONS FOR A CORONARY ANGIOGRAM</title><summary type='text'>Last Monday, we wrote about the problem of chest pains., and how they can be sorted out at the outpatients clinic level. As stated in last week's discussion, there can be many causes for chest pains and it is always, the cardiac variety that should give cause for alarm and urgency. Also that cardiac causes for chest pains, can usually be demonstrated by the presence of inducible ischemia, like on</summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/4176571997863349025/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=4176571997863349025' title='4 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4176571997863349025'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/4176571997863349025'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/standard-of-care-indications-for.html' title='STANDARD OF CARE ; INDICATIONS FOR A CORONARY ANGIOGRAM'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>4</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-5538355591139980120</id><published>2011-07-01T08:34:00.005+08:00</published><updated>2011-07-01T08:54:55.511+08:00</updated><title type='text'>TAKING BLOOD PRESSURE MEDICATIONS AT NIGHT.</title><summary type='text'>It is traditionally belief that blood pressure medications should be taken in the morning, if it is once a day, and the daytime, if it is two or three times a day. Nowadays, the pharmaceutical companies are so good that almost all drugs are once a day, and also in combination, so that you do not have to carry two or three BP pills, just one, maybe two pills.However, this does go against the body </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/5538355591139980120/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=5538355591139980120' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5538355591139980120'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/5538355591139980120'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/07/taking-blood-pressure-medications-at.html' title='TAKING BLOOD PRESSURE MEDICATIONS AT NIGHT.'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-320483891269286674</id><published>2011-06-29T08:45:00.003+08:00</published><updated>2011-06-29T08:58:41.508+08:00</updated><category scheme='http://www.blogger.com/atom/ns#' term='The'/><title type='text'>THE SILENT DIABETIC EPIDERMIC. THE RISING DANGER</title><summary type='text'>The June 25th issue of Lancet carried a very revealing article about the silent epidermic of diabetes. The authors were Dr Goodarz Danaei leading the group from the Harvard School of Public Health and the co-authors, led by Dr Majid Ezzati from Imperial College, UK. They did a population survey, across 370 countries, involving 2.7 million adults age above 25 years. They measured their fasting </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/320483891269286674/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=320483891269286674' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/320483891269286674'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/320483891269286674'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/06/silent-diabetic-epidermic-rising-danger.html' title='THE SILENT DIABETIC EPIDERMIC. THE RISING DANGER'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-3177909414228505969</id><published>2011-06-27T08:25:00.003+08:00</published><updated>2011-06-27T09:10:15.149+08:00</updated><title type='text'>STANDARD OF CARE ; CHEST PAINS</title><summary type='text'>To continue with the Monday series, let us consider the issue of chest pains, a very common complain to a family practice clinic or cardiac clinic.Of course, chest pains frighten the patient because of the fear of death, knowing that people with chest pains may be suffering from a heart attack, and so may die.When face with chest pains, a patient must try his / her best to remember the events </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/3177909414228505969/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=3177909414228505969' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3177909414228505969'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/3177909414228505969'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/06/standard-of-care-chest-pains.html' title='STANDARD OF CARE ; CHEST PAINS'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-21155520.post-2625199291479450824</id><published>2011-06-23T08:23:00.004+08:00</published><updated>2011-06-23T08:40:23.430+08:00</updated><title type='text'>MORE BAD NEWS FOR HIGH DOSE STATINS. INCREASE IN T2DM</title><summary type='text'>I have reported earlier, that high dose simvastatin, should be used with caution, as advised by the US FDA. Read June 9th, Dangers of simvastatin 80mg. Well, in the 22nd June issue of the Journal of the American Medical Association, Dr Kansik Ray and colleagues from the St Georges University, London, reported their results of a meta-analysis of 5 major clinical trials on high dose versus medium </summary><link rel='replies' type='application/atom+xml' href='http://hmatter.blogspot.com/feeds/2625199291479450824/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=21155520&amp;postID=2625199291479450824' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2625199291479450824'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/21155520/posts/default/2625199291479450824'/><link rel='alternate' type='text/html' href='http://hmatter.blogspot.com/2011/06/more-bad-news-for-high-dose-statins.html' title='MORE BAD NEWS FOR HIGH DOSE STATINS. INCREASE IN T2DM'/><author><name>hmatter</name><uri>http://www.blogger.com/profile/07369700143624816214</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='http://img2.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry></feed>
