Lower extremity peripheral artery disease (PAD) effects >230 million adults worldwide and is associated with increased risk of various adverse clinical outcomes, including coronary artery disease, myocardial infarction, congestive heart failure, stroke, and amputation.
This 69-year old patient presented with leg claudication, which is a type of leg muscle pain that occurs due to lack of oxygen, and that’s triggered by activity and relieved by rest. Claudication is most often a symptom of peripheral artery disease.
The patient’s vascular surgeon obtained a cardiology screening evaluation which led to a positive stress test and cardiac catheterization that showed life-threatening left main and three- vessel coronary artery disease —with no history of angina, diabetes, or MI! His only risk factors were PAD and smoking.
The patient underwent triple vessel coronary artery bypass surgery with bilateral internal mammary artery grafts. He is going home on postoperative day #4 and will follow-up with his vascular surgeon for the leg bypass surgery within the next 6 weeks.
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Success is often measured by accomplishments, titles, and recognition, but the greatest legacy we leave is found in the lives we touch. Dr. Singer reflects on the enduring impact of compassion, mentorship, and service, reminding us that our influence extends far beyond our careers.
250 Years of Medicine
Philadelphia is known as the birthplace of American democracy, but it is also the birthplace of American medicine. Dr. Raymond Singer reflects on the physicians, hospitals, and medical institutions that transformed healthcare and continue to shape medicine 250 years later.
The Most Dangerous Emotion
Anger is more than an emotion. It places real physical stress on the heart, raising blood pressure, increasing stress hormones, and contributing to cardiovascular disease. Dr. Raymond Singer discusses the medical effects of chronic anger and why choosing kindness, patience, and compassion benefits both our emotional well-being and our hearts.
Leadership is About Standards
Leadership is not about titles. It is about standards. The best leaders don’t ask others to do what they are unwilling to do themselves. They set the tone through integrity, consistency, humility, and kindness. Every interaction, every decision, and every challenge...
Stroke Survivor Shares Her Open Heart Surgery Recovery
After experiencing a stroke caused by tiny growths on her aortic valve, Tayshia underwent open heart surgery to prevent another stroke. Just eight hours later, she shares her experience, describing minimal pain, a successful valve repair, and renewed peace of mind.
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- Learn about heart valves. Heart Valves
- Read testimonials. Testimonials
- Did you know I have a consulting firm? Singer Heart/Lung Consulting
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Links
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- Dr. Adam Pick's Site: heart-valve-surgery.com
