Tag Archives: New Orleans

Mysterious AliveCor Mobile ECG artifact noted at Commander’s Palace

The skeptical cardiologist was in New Orleans last  weekend. There is no breaking low carb news to report but I did make it to Commander’s Palace for lunch.

Screen Shot 2015-10-29 at 3.18.45 PMThere the eternal fiancée of the skeptical cardiologist (EFOSC)  and I enjoyed delicious food, delightful company (Dave and Barb, who I wrote about last year when they dramatically improved their longevity by tying the knot in The Big Easy) and several oddly colored $0.25  martinis.

barbalivecor
Full disclosure. This was taken during brunch at Broussard’s and is a recreation of the aliveCor recording session at Commander’s Palace. Note the jazz trio in the background who later came by our table and played the St. Louis Blues.

During a lull in the activities I pulled out my iPhone and was asked by the lovely Barb what the funny looking thing stuck on the case was. This necessitated demonstrating my Alivecor mobile ECG device and recording her electrocardiogram.

CPalivecor annotated
The red arrows point to a regular artifact occurring at 200 beats per minute. Toward the end of the recording the artifact goes away and the normal QRS complexes (blue arrows) can be seen clearly.

Strangely enough, the recording was full of an odd artifact.

There was much discussion on the source of the artifact and we repeated the recording having her use her third and fourth fingers on the electrodes instead of the second and third fingers she used the first time.  Same result.

Barb speculated that it was due to the absence of husband Dave who had left the table to use the facilities.

When Dave returned we recorded his ECG and there was no artifact whatsoever.

Screen Shot 2015-10-29 at 3.15.04 PMI repeated the recording on Barb and lo and behold it was now free of artifact.

What was the source of this mysterious ECG artifact noted after an outstanding lunch and multiple 25 cent oddly colored martinis?

High blood alcohol level?

Strange electrical devices being utilized intermittently at Commander’s Palace?

Or perhaps I was recording the actual adverse electrical signals created by the absence of Barb’s devoted spouse, something heretofore not reported.

Further studies are clearly needed to fully define and characterize these waves which I have decided to call Commander’s electromagnetic marriage disruption waves or CEMDW’s.

martinily yours

-ACP

 

 

 

Death and Marriage in The Big Easy

IMG_3397
Built in 1857 for Richard Terrell, a wealthy cotton broker originally from Natchez, Mississippi, the Terrell House is a grand three story Italianate stucco-over-brick mansion. The main house features porches, galleries, and balconies framed in ornate cast iron and a brick New Orleans courtyard complete with several fountains and lush vegetation.

The Skeptical Cardiologist is not just researching low carb diets in The Big Easy. He has also been investigating the effects of marriage on cardiovascular risk.

I and the significant other of the skeptical cardiologist stayed at the wonderful Terrell House, a  bed and breakfast nestled among the magnolias on Magazine Street in the Garden District of New Orleans. There, we participated in the marriage of our close friends, Dave and Barb.

Was marrying a heart healthy choice for Dave? for Barb?

Science seems to tell us yes. Marriage has been associated with a lower risk of cardiovascular disease compared to being single or divorced in multiple studies and for both sexes.

A study of the rate at which individuals in Finland developed what are termed acute coronary syndromes or ACS (think of these as heart attacks or heart attacks about to happen) showed that ACS events were approximately 58–66% higher among unmarried men and 60–65% higher in unmarried women, than among married men and women in all age groups.

The chance of dying within 28 days of an ACS were even worse for the unmarried. These mortality rates were found to be 60–168% higher in unmarried men and 71–175% higher in unmarried women, than among married men and women.

This meant a rate of death of 26% in the 35-64-year-old married men, 42% in men who had previously been married, and 51% in never-been-married men. Among women, the corresponding figures were 20%, 32%, and 43%.

As with all such observational studies, association does not prove causation.

How on earth does being married confer a lower risk of developing cardiac problems and halving of the death rate once one has an ACS?

Some speculation from the authors:

1.  Perhaps a poor health status leads to not getting married or getting divorced more frequently.

2.  Perhaps married people have better health habits and enjoy higher levels of social support than the unmarried which promotes lower risk

3. Perhaps prospects in the pre-hospital phase are better because of earlier intervention (wife bugging husband to get that indigestion checked out)

Do I believe that Dave and Barb have suddenly halved their risk of dying from cardiovascular disease because they tied the knot last night?  Not at all!

Nothing has fundamentally changed in their lives that I can see that will have any significant impact on either one’s risk of a heart attack.

If Dave were a true bachelor and not in a committed monogamous relationship I can see certain factors that marriage would modify: perhaps unmarried Dave would be more inclined to engage in risky behaviors such as binge drinking, cigarette smoking, unhealthy food consumption or staying out late partying and  listening to wild music. Perhaps married Dave’s wife will be watching over him carefully for any signs or symptoms of heart disease and encouraging an early visit to the doctor to get checked out.

Perhaps the presence of kids limits the married parents engagement in risky or unhealthy behaviors either because the parents are spending more time parenting than partying or because they are trying to serve as role models.

Perhaps, and this is likely unmeasurable, it is the “love” in the relationship (and the associated change in neurohormonal milieu) that lowers stress and inflammation and is crucial in stopping atherosclerosis.

Two individuals living together in a committed and loving relationship would seem to have these same factors on their side and I can’t fathom how the legal or religious sanctioning of their union modifies those factors favorably.

Unfortunately, the myriad studies that have been published on this topic totally fail to capture the important distinction between single and unattached and single but living in a committed and loving relationship.

In any event, in the immortal words from my toast to them last night:

“May your fights be short and your apologies many
May your desire to be in each other’s company grow stronger every year
And may all your bartenders look like  Alan Alda”
Here’s to Barb and Dave and marriage and less death!