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Are We Ready to Practice Lifestyle Medicine?

There is no longer any serious doubt that what each of us does in our daily lives profoundly affects our short- and long-term health and quality of life. An overwhelming body of scientific and medical literature supports this idea. But are we really utilizing this evidence to help achieve better health and quality of life […]

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Benefits of Aerobic Training on Arterial Stiffness (video)

Once again, a study confirms the positive impact of exercise on our lives. In this study, patients with metabolic syndrome participated in heart-rate targeted exercise training and experienced multiple health benefits. You can read “Aerobic Training Effect on Arterial Stiffness in Metabolic Syndrome” by Slivovskaja et al in the February 2018 issue of the American […]

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The Limits of Cardiac Performance: Can Too Much Exercise Damage the Heart?

  Routine moderate-intensity physical activity confers numerous cardiovascular benefits and reduces all-cause mortality. However, the health impact of exercise doses that exceed contemporary physical activity guidelines remains incompletely understood, and an emerging body of literature suggests that high levels of exercise may have the capacity to damage the cardiovascular system. This review focuses on the […]

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Sudden Creatine Kinase Elevation When an Athlete Starts Boxing: Looking Deeper Prior to Knocking the Statin Out

A 55-year-old Caucasian man with a prior computed tomography calcium score in the 75th percentile for age, sex, and race at age 39 years, and on long-term high-intensity statin therapy presented with episodic myalgia. He reported 3 episodes within the past year of sudden severe quadriceps pain that self-resolved within 2 days. His activities included biking […]

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(A) Three-dimensional reconstruction of the computed tomography scan demonstrating aneurysmal dilation of the entire length of descending thoracic and abdominal aorta. (B) Computed tomography angiogram showing thoracic aorta aneurysm. (C) Computed tomography angiogram showing abdominal aortic aneurysm with a focal saccular aneurysm in the infrarenal part with periaortic stranding (arrow).

Thoracoabdominal Aneurysm in a Professional Body Builder

To the Editor: A 33-year-old otherwise healthy man presented with worsening epigastric and flank pain for 3 weeks. He denied having vomiting, diarrhea, fever, urinary symptoms, or history of kidney stones. His vital signs were significant for a blood pressure of 140/72 mm Hg and pulse rate of 94 beats/min. Acute coronary syndrome was excluded by electrocardiography. A […]

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Interaction of Physical Activity and Body Mass Index on Mortality in Coronary Heart Disease: Data from the Nord-Trøndelag Health Study

The role of physical activity in the relationship between body mass index (BMI) and survival in coronary heart disease is unclear. Our aim was to examine the isolated and combined associations among BMI, physical activity, and mortality in subjects with coronary heart disease. Methods A total of 6493 participants (34.4% were women) with coronary heart […]

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