State of the Heart
Exploring the History, Science, and Future of Cardiac Disease
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Narrated by:
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Neil Shah
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By:
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Haider Warraich
About this listen
In State of the Heart, Dr. Haider Warraich takes readers inside the ER, inside patients' rooms, and inside the history and science of cardiac disease.
State of the Heart traces the entire arc of the heart, from the very first time it was depicted on stone tablets, to a future in which it may very well become redundant. While heart disease has been around for a while, the type of heart disease people have, why they have it, and how it’s treated is changing. Yet, the golden age of heart science is only just beginning. And with treatments of heart disease altering the very definitions of human life and death, there is no better time to look at the present and future of heart disease, the doctors and nurses who treat it, the patients and caregivers who live with it, and the stories they hold close to their chests.
More people die of heart disease than any other disease in the world and when any form of heart disease progresses, it can result in the development of heart failure. Heart failure affects millions and can affect anyone at anytime, a child recovering from a viral infection, a woman who has just given birth or a cancer patient receiving chemotherapy. Yet new technology to treat heart failure is fundamentally changing just what it means to be human. Mechanical pumps can be surgically sown into patients’ hearts and when patients with these pumps get really sick, sometimes they don’t need a doctor or a surgeon - they need a mechanic.
In State of the Heart, the journey to rid the world of heart disease is shown to be reflective of the journey of medical science at large. We are learning not only that women have as much heart disease as men, but that the type of heart disease women experience is diametrically different from that in men. We are learning that heart disease and cancer may have more in common than we could have imagined. And we are learning how human evolution itself may have led to the epidemic of heart disease. In understanding how our knowledge of the heart evolved, State of the Heart traces the twisting and turning road that science has taken - filled with potholes and blind turns - all the way back to its very origin.
©2019 Haider Warraich (P)2019 Brilliance Publishing, Inc., all rights reserved.Listeners also enjoyed...
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From the story of the desperate man from 17th-century Amsterdam who grimly cut a stone out of his own bladder to Bob Marley's deadly toe, Under the Knife offers a wealth of fascinating and unforgettable insights into medicine and history via the operating room. What happens during an operation? How does the human body respond to being attacked by a knife, a bacterium, a cancer cell, or a bullet? And, as medical advances continuously push the boundaries of what medicine can cure, what are the limits of surgery?
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Why did a surgeon need a fast horse?
- By India Clamp on 10-18-18
By: Arnold van de Laar, and others
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Doing Harm
- By: Maya Dusenbery
- Narrated by: Dara Rosenberg
- Length: 13 hrs and 33 mins
- Unabridged
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Editor of the award-winning site Feministing.com, Maya Dusenbery brings together scientific and sociological research, interviews with experts within and outside the medical establishment, and personal stories from women across the country to provide the first comprehensive, accessible look at how sexism in medicine harms women today.
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One of the most important books ever written
- By Dresden on 03-18-18
By: Maya Dusenbery
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A Nation in Pain
- Healing Our Biggest Health Problem
- By: Judy Foreman
- Narrated by: Karen White
- Length: 14 hrs and 57 mins
- Unabridged
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Published in partnership with the International Association for the Study of Pain, A Nation in Pain offers a sweeping, deeply researched account of the chronic pain crisis, from neurobiology to public policy, and presents practical solutions that are within our grasp today. Drawing on both her personal experience with chronic pain and her background as an award-winning health journalist, she guides us through recent scientific discoveries, including genetic susceptibility to pain.
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Broad but superficial.
- By J. P. Murphy on 07-03-15
By: Judy Foreman
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Ten Drugs
- How Plants, Powders, and Pills Have Shaped the History of Medicine
- By: Thomas Hager
- Narrated by: Angelo Di Loreto
- Length: 8 hrs and 39 mins
- Unabridged
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Beginning with opium, the “joy plant,” which has been used for 10,000 years, Thomas Hager tells a captivating story of medicine. His subjects include the largely forgotten female pioneer who introduced smallpox inoculation to Britain, the infamous knockout drops, the first antibiotic, which saved countless lives, the first antipsychotic, which helped empty public mental hospitals, Viagra, statins, and the new frontier of monoclonal antibodies. This is a deep, wide-ranging, and wildly entertaining book.
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Engrossing to physicians & lay persons alike
- By C. White on 03-08-19
By: Thomas Hager
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Happy Accidents
- Serendipity in Major Medical Breakthroughs in the Twentieth Century
- By: Morton A. Meyers
- Narrated by: Richard Waterhouse
- Length: 12 hrs and 37 mins
- Unabridged
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Happy Accidents is a fascinating, entertaining, and highly accessible look at the surprising role serendipity has played in some of the most important medical discoveries in the 20th century. What do penicillin, chemotherapy drugs, X-rays, Valium, the Pap smear, and Viagra have in common? They were each discovered accidentally, stumbled upon in the search for something else. In discussing medical breakthroughs, Dr. Morton Meyers makes a cogent, highly engaging argument for a more creative, rather than purely linear, approach to science. And it may just save our lives!
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Don't waste your money!
- By Amazon Customer on 03-20-16
By: Morton A. Meyers
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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- By: Brendan Reilly
- Narrated by: Rob Shapiro
- Length: 15 hrs and 7 mins
- Unabridged
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An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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Simply Brilliant
- By Jan on 06-20-14
By: Brendan Reilly
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Radical Hope
- 10 Key Healing Factors from Exceptional Survivors of Cancer & Other Diseases
- By: Kelly Turner PhD
- Narrated by: Kelly A. Turner PhD
- Length: 12 hrs and 14 mins
- Unabridged
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Following the publication of the New York Times best-selling Radical Remission, researcher Kelly A. Turner, Ph.D., has collected hundreds of new cases of radical remissions - from cancer and now also other diseases. Turner explores the real-life application of the Radical Remission principles and the people who have chosen to take this journey.
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Everything begins with hope...
- By Rachel Wagner on 08-06-20
By: Kelly Turner PhD
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Trick or Treatment
- The Undeniable Facts about Alternative Medicine
- By: Edzard Ernst, Simon Singh
- Narrated by: Dennis Kleinman
- Length: 12 hrs and 33 mins
- Unabridged
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Whether you are an ardent believer in alternative medicine, a skeptic, or are simply baffled by the range of services and opinions, this guide lays to rest doubts and contradictions with authority, integrity, and clarity. In this groundbreaking analysis, over 30 of the most popular treatments - acupuncture, homeopathy, aromatherapy, reflexology, chiropractic, and herbal medicines - are examined for their benefits and potential dangers. Questions answered include: What works and what doesn't? What are the secrets, and what are the lies?
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Well researched
- By Erik J. Rasmussen on 09-09-20
By: Edzard Ernst, and others
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The Undead
- Organ Harvesting, The Ice-Water Test, Beating Heart Cadavers - How Medicine Is Blurring the Line Between Life and Death
- By: Dick Teresi
- Narrated by: David Marantz
- Length: 9 hrs and 58 mins
- Unabridged
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Important and provocative, The Undead examines why even with the tools of advanced technology, what we think of as life and death, consciousness and nonconsciousness, is not exactly clear - and how this problem has been further complicated by the business of organ harvesting.
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Eye opening
- By Amy Giglio on 07-01-18
By: Dick Teresi
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The Emperor of All Maladies
- A Biography of Cancer
- By: Siddhartha Mukherjee
- Narrated by: Fred Sanders
- Length: 22 hrs and 18 mins
- Unabridged
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The Emperor of All Maladies reveals the many faces of an iconic, shape-shifting disease that is the defining plague of our generation. The story of cancer is a story of human ingenuity, resilience, and perseverance but also of hubris, arrogance, paternalism, and misperception, all leveraged against a disease that, just three decades ago, was thought to be easily vanquished in an all-out "war against cancer".
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Incredible
- By S.R.E. on 03-02-16
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In Pain
- A Bioethicist’s Personal Struggle with Opioids
- By: Travis Rieder
- Narrated by: Travis Rieder
- Length: 8 hrs and 56 mins
- Unabridged
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A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal - a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic.
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An essential read in a time of crisis
- By Kelly Heuer on 06-25-19
By: Travis Rieder
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Early
- An Intimate History of Premature Birth and What It Teaches Us About Being Human
- By: Sarah DiGregorio
- Narrated by: Ann Marie Gideon
- Length: 9 hrs and 47 mins
- Unabridged
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The heart of many hospitals is the Neonatal Intensive Care Unit (NICU). It is a place where humanity, ethics, and science collide in dramatic and deeply personal ways as parents, doctors, and nurses grapple with sometimes unanswerable questions: When does life begin? When and how should life end? And what does it mean to be human? Nearly 20 years ago, Dr. John D. Lantos wrote The Lazarus Case, a seminal work on ethical dilemmas in neonatology. He described the NICU as “a strong, strange, powerful place”. The
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Gripping read for this late preterm infant mom
- By R. Ash on 08-08-21
By: Sarah DiGregorio
What listeners say about State of the Heart
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Nick
- 08-24-19
An absolutely wonderful book
if you are a cardiac patient, this book will enhance your relationship with your cardiologist and help you to understand your condition. An absolutely wonderful book.
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- Olubadewa Fatunde
- 06-18-21
Incredible reading experience
Incredibly well researched, arranged and written. Dr. Warraich has a true mastery of this topic and talent for distilling & communicating his clinical experiences.
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- Conor Cox
- 09-03-19
Good information, bad organization
Reading this book I was constantly struck by 'I wonder what that is' and 'aha' moments. It also really deepened my picture on how the heart works and what modern medicine is trying to do with the heart.
That being said the information is presented in a seemingly random order. Threads are started full steam, the author has a long discussion about why HDL levels might or might matter, then abandoned. He never summarizes things at all. There is several hours of discussing back and forth over which treatments work in clinical trials and which don't and he never summarizes with: 'these are the drugs/treatments with good evidence. these are the ones with bad'. There is no coherent overarching picture of the heart presented that all the findings and later discussion tie into, just a brief anatomy lesson at the beginning.
Further the author seems more interested in peppering the book with random jabs and asides than actual advice. He says stress doesn't cause heart disease, except when it does, but again he never pauses and discusses stress as a physiological feature he just rants about how everyone else gets stress wrong. Similarly, he says 'diet and exercise good for LDL and blood pressure' but never touches on the myriad number of diet and exercise programs running around and which have better or worse outcomes.
The anecdotes were good but presented in a seemingly random way throughout the book with patient's cases often started then abandoned for the author to wander off and complain about some other thing bugging him.
The whole premise of the book: 'heart disease is getting worse' is kind of sketchy. Like yea there are more people with heart disease but 'something' is going to kill us and since it's increasingly less cancer and bacteria it would only follow that heart disease would get more prevalent. Age controlled population studies would help this claim instead of just 'people are unhealthy etc etc' but I guess he didn't need that study in a book where he talks about how studies trump vague claims. (I'm not suggesting he's wrong I'm just saying it would be nicer to see the evidence he's right and more specifically which lifestyle factors are contributing most to heart disease, is it obesity? smoking? animal products? lack of exercise?) He also spends a lot of the book talking about how people are at fault for their own heart disease then transitions to how that isn't a very useful mindset in the last two chapters. Again the whole thing is just not very well put together.
If anything this is a good book for understanding what your doctor is coming from: they are distracted, filled with tons of semi-contradictory studies with lots of patients dying on them and lots of new treatments coming online with unclear side effects and a strong belief that a lot of what they are seeing is placebo, and with the view that most of their patients won't listen to them and are at fault for their problems while still trying to emphasize. The anecdotes in the book are the most useful as they show you how patients successfully managed their doctors and what your actual options for heart disease are.
If you have heart disease and want to know more or if you just want some cool facts about the heart and state of heart research this is great, but if you want a coherent picture of how the heart works and how it breaks down and how you can change your lifestyle to mitigate and fix that, this isn't your book.
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3 people found this helpful