Cardiac or noncardiac chest pain? Guidelines for diagnosing chest pain symptoms

Diagnosing chest pain symptoms is a common occurrence in the primary care setting. Approximately 1% of all visits to primary care are related to chest pain, but rarely are these visits due to an acute […]

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Postpartum cardiovascular disease makes pregnancy history a critical part of evaluating patients

Patients who have been pregnant and especially those who had complicated pregnancies are at higher risk for cardiovascular disease, but the condition typically arises 10 or 15 years after the pregnancy. Patients are screened months […]

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Evaluating chest pain with anatomic or functional testing: New guidance for decision making

A heavyset, 51-year-old truck driver with a history of hypertension presented at Norton Heart & Vascular Institute with four months of intermittent, sharp, substernal chest pain that was exacerbated by activity and becoming increasingly frequent. […]

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Managing atrial fibrillation in the primary care setting

Atrial fibrillation, or A-fib, is an increasingly common chronic condition seen in the primary care setting. Management is multifaceted and requires a team-based approach. Risk for A-fib increases with age and is greater if there [...]

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Comparing substrate mapping techniques for ventricular tachycardia

Different substrate mapping techniques are available to identify myocardial sites for catheter ablation in ventricular tachycardia (VT) patients. A recent study has for the first time looked at how well they work compared with one […]

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Keith A. McLean, M.D., cardiologist, joins Norton King’s Daughters’ Health in Madison, Indiana

Norton Heart & Vascular Institute welcomes Keith A. McLean, M.D., cardiologist, to Norton King’s Daughters’ Health in Madison, Indiana. The office is located in the Norton King’s Daughters’ Health Downtown Medical Building at 630 N. […]

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Kevin Graham, M.D., joins Norton Heart & Vascular Institute Structural Heart Program

Kevin A. Graham, M.D., a cardiothoracic surgeon, has joined Norton Heart & Vascular Institute.  Dr. Graham, who earned his medical degree from Indiana University, Indianapolis, and completed his residency there, has been practicing in Illinois. […]

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Ischemic heart disease in women may not show up on standard tests

Ischemic heart disease in women can lead to a heart attack, but this risk may go unnoticed. This is because a patient’s diagnostic coronary angiogram shows “clear” arteries. “When diagnosing women for ischemic heart disease, [...]

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Borderline hypertension poses myocardial dysfunction risks

Borderline hypertension or subclinical hypertension is a substrate for myocardial dysfunction, and patients can go for a long time with hypertension that isn’t clinically recognized, according to a heart failure specialist at Norton Heart & […]

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Hypertension in women and its consequences

The risks and consequences of hypertension in women differ from those in men and change throughout women’s lifetimes. Overall, hypertension in women is less prevalent than in men until age 60 and becomes more prevalent […]

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Norton Heart & Vascular Institute expands Women’s Heart Program

Norton Heart & Vascular Institute launched a Women’s Heart Program in 1995. Today it has expanded to include more providers and services for a region where heart disease, especially in women, is a deadly issue. [...]

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CT-FFR analysis shows patient’s level of cardiac obstruction and location, guiding treatment

The patient In July 2022, a 45-year-old male with a six-year history of chest pain went to the emergency room complaining of chest discomfort and shortness of breath over the previous two weeks. He was [...]

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