The definitive guide to heart health from two of America's most respected doctors at Cleveland Clinic, the #1 hospital for heart health in America.
Are you one of the eighty-two million Americans currently diagnosed with cardiovascular disease—or one of the millions more who think they are healthy but are at risk? Whether your goal is to get the best treatment or stay out of the cardiologist’s office, your heart's health depends upon accurate information and correct answers to key questions.
In Heart 411, two renowned experts, heart surgeon Marc Gillinov and cardiologist Steven Nissen, tackle the questions their patients have raised over their decades of practice: Can the stress of my job really lead to a heart attack? How does exercise help my heart, and what is the right amount and type of exercise? What are the most important tests for my heart, and when do I need them? How do symptoms and treatments differ among men, women, and children?
Backed by decades of clinical experience and up-to-the-minute research, yet written in the accessible, down-to-earth tone of your trusted family doctor, Heart 411 cuts through the confusion to give you the knowledge and tools you need to live a long and heart-healthy life.
|Sold by:||Random House|
|File size:||9 MB|
About the Author
STEVEN NISSEN, M.D., is the chairman of the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at Cleveland Clinic.
Table of Contents
Section 1 Heart Health and Disease: The Basics That You Must Know
1 Saving your life 3
2 Coronary heart disease: The risk factors you know and those you don't 12
3 Cholesterol: Friend and foe 42
4 Your weight and your heart: How extra pounds create excess risk 66
Section II A Plan for Prevention
5 Food for the heart 91
6 Red wine and your heart: A drink a day may keep the cardiologist away 123
7 Exercise and your heart: Which type and how much? 138
8 Emotion and your heart: You can be scared to death 166
9 How to tell fact from fiction: Sorting through the medical evidence 193
10 Which heart tests do you need? 217
Section III Fixing the Broken Heart
11 Medicines for the heart: The big six 253
12 Stents versus surgery for coronary heart disease: To a man with a hammer, everything looks like a nail 283
13 A chance to cut is a chance to cure: What you need to know before heart surgery 307
14 You've got the beat: Keeping your heart in rhythm 337
15 Living with heart failure 369
16 Vitamins and supplements: Trick or treatment? 396
Section IV Personal Plans
17 The mysteries of Venus: Understanding the hearts of women 421
18 Heart disease in men: It is all partly about sex 448
19 Heart disease in kids: Prevention starts now! 471
Section V Looking Forward
20 Heart health (and repair) in the future: Star Trek, here we come! 499
21 Epilogue: Putting heart doctors out of business 529
Most Helpful Customer Reviews
A researcher by both temperament and profession, I normally run in the other direction from such inflated publisher claims as "the only guide to heart health you'll ever need." After all, knowledge is empowering, and even credible and informed sources often disagree, a reality that generally makes relying on a single source a foolish proposition at best. But in a real sense that claim can justly be made for Drs. Gillinov and Nissen's Heart 411. Not because of any specific information or advice they offer (although there is a wealth of that, all backed up by the latest scientific findings explained in an engaging and accessible way for the intelligent layman), but rather because Drs. Gillinov and Nissen provide their readers the tools with which to evaluate the myriad health claims that daily clamor for our attention. Can we really "Reverse Heart Disease" or "End [...] Illness" now, as the titles of recent bestsellers assert? A chapter devoted to evaluating medical evidence (Chapter 9) explains how to interpret and judge the scientific evidence behind the day's health headlines. The qualitative difference between the validity of observational studies and that of randomized controlled trials is thoroughly explained, as well as such concepts as surrogate endpoints (just because a drug is effective at raising HDL, or "good" cholesterol, does not necessarily mean that it saves lives), confounding factors (what else may be responsible for this result?) and causality (an "association" between low vitamin D levels and heart disease does not necessarily mean that vitamin D deficiency causes heart disease.) With this knowledge, the reader can begin to navigate the tricky shoals of medical information with confidence. Unlike many other medical "experts" writing today who make authoritative-sounding claims but bring little beyond anecdotal "evidence" to support them, Drs. Gillinov and Nissen first present the scientific background of any given controversy, clearly explain the conflicting opinions, then guide the reader along the path of their scientific reasoning so that ultimately the reader understands not just what the authors believe, but also why they believe it. I, for one, am far more likely to follow the advice of a doctor--or anyone else, for that matter--who shows me the data and takes the time to explain why they are convincing. Heart 411 thoroughly examines the major controversies in the field of heart disease today: the role of vitamin D, the risks vs. benefits of daily aspirin, the safety of hormone replacement therapy, the appropriate (and often inappropriate) use of stents. The authors go on to explore other popular topics such as the cardiac benefits of daily exercise, a proper diet, and red wine. (Disclosure: Four years ago Dr. Gillinov operated on my husband and uses his story to begin the chapter on alcohol and the heart.) An entire chapter devoted to the mind-body connection discusses the emotions anger, depression, anxiety, and grief, and lays to rest any doubt about the heavy physical toll that they exact. Kudos to the authors for producing a work that is --as the very best teachers are-- engaging, informative and empowering; one that arms you not just with information you need at the moment, but also with the kind of knowledge and critical thinking skills you can rely on to guide your choices and decisions far into the future.
Ya we know it should be in the hogwarts rp!!! There was no room so its here
After spending the time to read the only review, 5 stars, the anon reviewer finally reveals that one of the authors operated on their spouse. I won't buy the book until there is an unbiased post.