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After completing his undergraduate and medical education at McMaster University in Hamilton, Ontario, Peter Gregor, MD, undertook postgraduate residencies and a cardiology fellowship at Queen’s University in Kingston, Ontario. Following his fellowship, Peter Gregor, MD, moved to the United States to begin practicing at the Golden Clinic in Elkins, West Virginia. Over the next four decades, Dr. Gregor developed his cardiology practice at a range of hospitals and private practices around the United States. He also held clinical professorships with several colleges and universities, including Marshall University, and served on the teaching faculty of a county hospital associated with Stanford University. Currently, Peter Gregor, MD, practices cardiology at Owensboro Health Medical Group in Kentucky. Actively engaged in his field, he holds membership in professional groups and organizations such as the American College of Cardiology, the American College of Physicians, and the American College of Chest Physicians. He also stands out as a founding member of Kentucky Grown Up Heart Disease, an association of adult congenital heart disease doctors.

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Bicuspid Aortic Valve - Congenital Heart Diseases

A fellow of the American College of Cardiology, Peter Gregor, M.D. is a medical doctor at Desert Oasis Health Care, California. Peter Gregor, M.D is experienced in diagnosing congenital heart diseases and has provided health care assistance to under-served populations in Nigeria through a campaign that helped provide new medical equipment to Egbe Hospital. Also known as congenital heart defects, congenital heart diseases are a group of heart defects that are present since birth. While some of these diseases pose little danger to health and may result in no significant problem, many other congenital heart diseases can cause serious complications that can begin after birth or occur later in life. Some of the other common symptoms of congenital heart diseases include dyspnea (shortness of breath), weakness, edema, and abnormal heart rhythm (arrhythmia). There are over 20 different types of congenital heart diseases, including pulmonary atresia, bicuspid aortic valve, Ebstein anomaly, tricuspid atresia, and long QT syndrome. The bicuspid aortic valve is a condition where the aortic valve contains two cusps (triangular structures that make opening and closing of valves possible) instead of 3 cusps as in normal aortic valve (tricuspid aortic valve). The aortic valve is situated between the lower left chamber of the heart and the aorta, which carries blood from the heart to the rest of the body. When a bicuspid aortic valve occurs, the aortic valve may narrow, thus, blocking or reducing blood flow to the aorta. A bicuspid aortic valve may not be able to close tightly, causing some blood volumes to reverse from the aorta to the heart (a condition called aortic valve regurgitation). In most cases, bicuspid aortic valves don't present serious complications until adulthood or old age.

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Three of America’s Greatest Classical Musical Festivals

Peter Gregor, MD, is a fellow of the American College of Physicians and is a board-certified cardiologist serving patients at Palm Springs-based Desert Oasis Healthcare. When he is not caring for patients, Peter Gregor, MD, enjoys personal interests including painting seascapes and listening to classical music. Classical music festivals take place across America throughout the year. Three of the country’s top classical music festivals are described below. 1. Tanglewood Festival of Contemporary Music. This festival takes place in Lenox, Massachusetts, in August at the Tanglewood Music Center, and features the center’s composers and student performers. Festival attendees have an opportunity to see developing musicians performing with veterans of the Boston Symphony Orchestra, and can also attend question and answer sessions. 2. Colorado Music Festival. Hosted at the Chautauqua Auditorium in Boulder from June to August, this six-week-long festival features performances by musicians from around the globe and the Colorado Music Festival Orchestra. Festival-goers are invited to watch the orchestra and performers while they prepare for future performances, and can also attend open rehearsal sessions. 3. Bellingham Festival of Music. Held in Bellingham, Washington, in June, this festival celebrates the classical music of legendary composers. Performances at the festival are delivered by the top symphony orchestras in America. This three-week-long festival features performances by internationally renowned guest artists as well as rising talent.

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Can the Apple Watch Help Detect AFib?

Peter Gregor, MD, is an experienced physician with board certification in cardiology and echocardiography. Recognized for his expertise as a cardiologist, Peter Gregor, MD, is a fellow of the American College of Cardiology (ACC). Approximately six million people throughout the United States suffer from atrial fibrillation (AFib) without displaying any immediate symptoms. AFib is a dangerous condition that can contribute to significant medical issues, such as blood clots, strokes, and heart failure. In an effort to find tools to diagnose AFib early, researchers recently presented the results of a study to determine the efficacy of the Apple Watch in identifying AFib. The study of more than 400,000 participants found that members of a small group, who received notifications from the watch that they had an irregular heartbeat, were diagnosed with AFib. Researchers believe the results warrant a larger trial to see if these results are indicative of the watch’s actual ability to warn users of AFib.

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Heart Failure Risk Factors

Accomplished cardiologist Peter Gregor, MD, possesses extensive clinical experience working in diverse health care settings in Kentucky, West Virginia, and California. Peter Gregor, MD, consults with patients through the Owensboro Health Medical Group, and sees patients diagnosed with chronic cardiovascular diseases such as congestive heart failure. More than 900,000 Americans are diagnosed with chronic heart failure every year. Approximately one-fifth of Americans over the age of 40 are at high risk of developing heart failure. Risk factors for developing heart failure are a mix of genetic and lifestyle factors. Ethnicity - People from certain backgrounds are more likely to develop conditions that often lead to heart failure. People of South Asian descent have higher rates of coronary heart disease, while people from the Caribbean are more susceptible to high blood pressure. High Body Mass Index (BMI) - An adult with a BMI of 30 or higher is at elevated risk of heart failure. This is due to the pressure that extra weight places on the heart, causing the muscles to weaken over time. Following a healthy diet and engaging in frequent exercise can greatly reduce the likelihood of developing heart failure. Coronary Artery Disease - Plaque composed of cholesterol and fat builds up on artery walls over time, impeding blood flow to and from the heart. It is a leading cause of heart attacks and high blood pressure, which are both precursors to heart failure.

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The Four Stages of Heart Failure

Board-certified cardiologist Peter Gregor, MD, provides a wide range of cardiovascular care to patients in Owensboro, Kentucky. Possessing more than two decades of medical experience, Peter Gregor, MD, maintains a professional interest in heart failure. There are four basic stages of heart failure, known as stages A, B, C, and D. Following is a brief description of these four categories: - Stage A. When people have a high risk of developing heart failure, they are often diagnosed with stage A heart failure. This is applied to people with various risk factors, including metabolic syndrome, hypertension, a family history of cardiomyopathy, and coronary artery disease. At this stage, there is not structural damage to the heart and it can often be treated with such things as exercise. - Stage B. People with this stage of heart failure have a structural issue with the heart, such as left ventricular dysfunction or a low ejection fraction. However, while these conditions are strongly associated with heart failure, people in stage B have had no symptoms or signs of heart failure. Treatment for this stage largely resembles treatment for stage A heart failure. - Stage C. Characterized by fatigue, shortness of breath, and a decreased ability to exercise, stage C heart failure applies to people who have systolic heart failure and have either experienced or continue to experience the associated symptoms. Treatment usually relies on the same methods as those employed for stages A and B, but may also include taking hydralazine, restricting fluids, or having a defibrillator implanted. - Stage D. After receiving the ideal medical care, some people still experience advanced symptoms of heart failure. When these occur, they are placed into the stage D category. Prior treatment methods all still apply to stage D, though more extreme treatments, including heart transplant or end-of-life care, are often suggested, depending on the patient.

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Uganda’s Water Challenges

Heart specialist Peter Gregor, MD, is a board certified physician in echocardiography and cardiology with nearly four decades of clinical experience. In addition to establishing critical care cardiology units and completing clinical professorships, Peter Gregor, MD, has volunteered with several international nonprofits, including Bega kwa Bega, an organization that improves access to clean water in Uganda. The majority of Ugandans who live outside of developed urban areas have limited access to clean water. Some contributing factors to Uganda’s water crisis include overpopulation in areas lacking sanitation infrastructure, pollution from runoff, and unequal distribution of freshwater sources. A lack of access to clean water disproportionately affects the poorest citizens. For people living in rural villages, fetching water can be a laborious and time-consuming process, taking time away from economic or educational opportunities. Additionally, many water sources are contaminated with bacteria that can cause serious illness such as typhoid and chronic diarrhea. Drinking unsafe water is a major cause of premature death across Uganda. Bega kwa Bega addresses the roots of these water issues by protecting freshwater sources from contamination, digging narrow boreholes to reach underground water sources, and developing rainwater collection systems. In one year, the organization made clean water accessible to more than 3,000 Ugandans.

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Oscar Pereira da Silva, Luar sobre o Mar, ca. 1900-10

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Ivan Aivazovsky (1817-1900) “The Black Sea at Night” (1879) Romanticism

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George Elgar Hicks, On the seashore, 1879