Dear Heart Owner,
The change of seasons is here and I urge you to maximize your quality of life through heart health. To help keep you at the cutting edge, we are providing you a quick look at a couple of issues Hot-Off-The-Press.  Take a moment and see if this information can help you live life to the fullest. Please contact our office if you have any questions (480.941.0800).

In Health,

A. Feyrer-Melk, M.D.

Niacin Isn’t a Problem, It’s What it’s Added to That Is!

Niacin – vitamin B3 – this is a medication that we have used for a number of years to treat cardiovascular risk factors such as low HDL, high triglycerides and vascular inflammation. Most recently it has hit the press because of a new product from the drug manufacturing company, Merck Pharmaceuticals.

The product contains ER Niacin and Laropriprant and was to be marketed under the name Tredaptive or Cordaptive. In a study called HPS2-THRIVE, this product combination did not succeed in reaching the primary end point of reducing major vascular events such as heart attack and stroke compared with statin therapy alone. Laropriprant is an inhibitor of the Prostaglandin D2 (PGD2) receptor which, in turn, is intended to reduce the flushing effects of the Niacin and thus improve compliance. However, PDG2 is a powerful sub-stance in our body that contributes to many cardiovascular benefits when activated such as reducing vascular inflammation and promoting vasodilation.

Therefore, it is not the Niacin that is the problem, it is the agent added to the niacin to block the flush. The flush is good for you!


Blueberries, Strawberries May Reduce Heart Attack Risk In Women.

A new study found eating at least three servings of blueberries and strawberries a week can reduce the risk of heart attack in women.  Participants who ate three or more servings per week were 32% less likely to be among the group who suffered early heart attack than women who ate fewer berries, even if their diets were rich in other fruits and vegetables.  Fruits such as apples and pears were not associated with a decreased risk.  What is nice is that blueberries and strawberries can be easily incorporated into the diet.  The research was published in the American Heart Associations Journal, Circulation.

Small Steps Make a Big Difference.
If you are trying to get from point A to point B, don't think that the way to get there is one big leap.  To have lasting change that is positive for our heath it is the small changes that add up to big results.  Don't focus on the goal at the expense of taking the right steps.  Making small adjustments to your activity, eating habits, sleep, stress levels, will gradually lead you to a lasting state of health and wellness.  What is nice about this philosophy is that if you make one small choice that is counter to the overall goal of optimal health, it does not have a lasting impact on you...Just make a better choice next time.

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Wonderful, caring atmosphere!  Plenty of time to ask questions of Dr. FM.   -Judith M.

The easibility of talking to the doctor and the length of the office visits.  I am impressed with the cutting edge science.  -Anonymous

Dr. Feyer-Melk –Care! – Personal!  Her care gave me my life back.  -Marybeth G.

Knowing the program is getting my inflamed arteries and cholesterol under control.  Loved Dr. Steve’s help with fitness.  -Bradley B.

Excellent care, personable and caring staff.   -Florence K.

I feel like I have made great strides regarding my overall health.  I feel that I have received great diagnostic information and that I have an overall greater awareness/knowledge of my cardiovascular health. -Lela B.

I get optimal care as if I were her only patient.  Dr. Feyrer-Melk’s focus is on my overall well being and proper health practices.   Joseph F.

© 2012 Heart of Arizona Optimal Cardiac Care 7700 East Indian School Road, Scottsdale, AZ 85251 Phone: (480) 941-0800

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