Dr. John ScialesA unified framework for physicians linking metabolism, cortisol, vascular pressure, and myocardial remodeling—the M-Quad—revealing how upstream metabolic dysfunction drives modern cardiovascular disease.
Dr. John ScialesFor centuries, cigars have marked life’s milestones—births, weddings, victories, deals. Beyond the smoke, they’re about slowing down, connection, and reflection. But context matters: ritual carries meaning, while prolonged or frequent use carries real health risks.
Dr. John ScialesCancer survivors face hidden threats: insulin resistance, inflammation, and metabolic dysfunction fueling heart disease. Cardio-oncology must act early to protect the heart, restore vitality, prevent recurrence, and save lives.
Dr. John ScialesCardiovascular disease is the leading cause of death after kidney transplantation. Early detection of insulin resistance and use of CCTA with FFRct can transform outcomes through proactive, life-saving prevention.