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The Skeptical Cardiologist

Hundreds of paid subscribers

Unbiased, evidence-based analysis of the effects of diet, lifestyle, drugs and procedures on cardiovascular health and diseases

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Substack
PricingFreemiumPublishesTwice weekly
Issues160Founded6 years agoLast Issue4 days ago
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Latest Issues

I’m Having Chest Pain: Is It a Heart Attack?

As a cardiologist, I spend a lot of time talking to people about the pains they are experiencing that seem to emanate from their chest.

These discussions are the starting point for determining whether the patient has symptoms that could ei...

4 days ago
32
8

How to Minimize Chest Pain and the Myriad Extraesophageal Diseases Caused by GERD

There are lots of nonpharmacologic ways you can mitigate that pesky acid refluxing up into your sensitive lower esophagus and the discomfort it brings that can mimic a heart attack

One of the most common sources of chest pain that prompts...

7 days ago
33
20
Paid

How Much Exercise is Too Much: Part I, Is More Always Better?

Your favorite longevity guru may advise achieving "elite" athletic levels, but a growing body of evidence suggests cardiac harms from high volume exercise in men over age 40

Every article that discusses possible adverse effects of exercise...

15 days ago
36
14
Paid

What is a Nut? And Which Ones Confer the Most Cardiovascular Benefits?

(In 2015, while researching Dr. P’s Heart Nuts, I wrote a post which touched on the life-threatening and life-preserving properties of what I had, for most of my life, considered “tree nuts.”

I’ve updated this post for 2026 and added a sec...

22 days ago
64
34

Profiles in Prevention: The Pulmonary Artery Aneurysm That Wasn't and The Coronary Disease That Was

Incidental cardiac findings reported on chest CT exams range from inaccurate to unimportant to life-threatening. Today's case focuses on the good and bad outcomes that they can create.

Recently, I saw a young man in my office who was refer...

a month ago
28
4
Paid

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  • The Skeptical Cardiologist

    Preventive cardiologist, blogger, musician, enlightened manager of atrial fibrillation, seeker of the truth about diet and cardiovascular disease

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