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Secret Cardiology

Stuff even cardiologists don't know about, or if they do, won't say

By Richard N. Fogoros, M.D., About.com

Updated: November 1, 2006

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Some things in the wonderful world of cardiology are simply not meant to be discussed. There are certain things about heart disease, or certain aspects of the practice of cardiology, that we cardiologists tend to find inconvenient, embarrassing, obscure, unbelievable, or simply not fitting our world view. Indeed, some of these things may be frankly incompatible with the mythology we have spun for ourselves.

When any social order is faced with an unpleasant fact of life that is a) unavoidable, and b) unacceptable, a defense mechanism kicks in. This defense mechanism is an unspoken, often subliminal decision to coexist with the unacceptable fact of life, but not to notice it, acknowledge it, or confront it. Some would call this defense mechanism subconscious collusion. I call it Secret Cardiology.

Over the years I have written several articles that address, perhaps more forthrightly than many of my colleagues would consider professionally desirable, selected aspects of Secret Cardiology. Herein follows a list of some of these articles. I have undertaken to reveal these selected topics of Secret Cardiology only because, in these particular instances, I believed that readers of this website would find something materially useful to their own health in the revelations. My colleagues can rest assured, however, that where this belief does not exist I will carry the Secrets to my grave.

- DrRich

Selected Topics in Secret Cardiology

Diagnosing coronary artery disease noninvasively

EECP - A "secret" treatment for angina

Late Restenosis With Drug Coated Stents

Heart Disease in Women

Mitral Valve Prolpase (MVP) - Is it overdiagnosed?

The Strange Life of Amiodarone

Syncope

The Dysautonomias - a family of misunderstood disorders

Premature Ventricular Complexes (PVCs)

Patent Foramen Ovale - a problem, or just a lab finding?

Palpitations

Pumphead - Cognitive impairmnent after bypass surgery

Diastolic Dysfunction

Inappropriate Sinus Tachycardia

Patients with Heart Failure Not Getting Treatment They Need

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