July 2016 Briefing - Cardiology

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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for July 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Usual Apixaban Dosing OK With One Dose-Reduction Criterion

FRIDAY, July 29, 2016 (HealthDay News) -- For patients in the Apixaban for Reduction of Stroke and Other Thromboembolic Complications in Atrial Fibrillation (ARISTOTLE) trial, the 5 mg twice daily dose of apixaban is beneficial and appropriate for those with one dose-reduction criterion, according to a study published online July 27 in JAMA Cardiology.

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Exercising One Hour/Day May Eliminate Sitting's Toll on Health

FRIDAY, July 29, 2016 (HealthDay News) -- Just one hour of physical activity a day -- something as simple as a brisk walk or a bicycle ride -- may undo the increased mortality risk that comes with sitting eight hours or more on a daily basis, according to research published online July 27 in The Lancet.

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Marijuana May Cause More Damage to Heart Than Tobacco

THURSDAY, July 28, 2016 (HealthDay News) -- In an experimental study published online July 27 in the Journal of the American Heart Association, lab rats experienced substantially impaired endothelial function after a minute's exposure to secondhand smoke (SHS) from marijuana.

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Fitness Almost As Important As Not Smoking for Longevity

WEDNESDAY, July 27, 2016 (HealthDay News) -- Poor physical fitness ranks right behind smoking as leading risk factors for early mortality, according to a study published online July 26 in the European Journal of Preventive Cardiology.

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Flu Vaccine Protective Against Hospitalization, Death in T2DM

WEDNESDAY, July 27, 2016 (HealthDay News) -- The seasonal influenza vaccine may significantly reduce mortality for patients with type 2 diabetes, as well as hospitalizations for stroke and cardiovascular and pulmonary issues, according to a study published online July 25 in CMAJ, the journal of the Canadian Medical Association.

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Even Low Levels of Exercise Can Lower CHD Risk in Young Women

TUESDAY, July 26, 2016 (HealthDay News) -- Younger women who exercise just 2.5 hours a week may cut their risk for coronary heart disease (CHD) by up to 25 percent, according to research published in the July 26 issue of Circulation.

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American Red Cross Says Blood Donations Needed Urgently

TUESDAY, July 26, 2016 (HealthDay News) -- The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.

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Medical Students Often Track Progress of Former Patients

TUESDAY, July 26, 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.

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Coenzyme Q10 Doesn't Prevent Periprocedural Myocardial Injury

MONDAY, July 25, 2016 (HealthDay News) -- Pre-treatment with coenzyme Q10 (CoQ10) before elective percutaneous coronary intervention (PCI) does not reduce periprocedural myocardial injury (PMI), but does significantly decrease high-sensitivity C-reactive protein (hs-CRP) levels, according to a study published online July 6 in Cardiovascular Therapeutics.

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'Walking Meetings' Feasible Strategy for Employee Wellness

MONDAY, July 25, 2016 (HealthDay News) -- Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Meds Up Hospitalization for Dehydration, Heat-Linked Illness

MONDAY, July 25, 2016 (HealthDay News) -- Among veterans, initiation of many commonly-used medications is associated with increased risk of hospitalization for dehydration or heat-related illness, according to research published online July 4 in the Journal of Clinical Pharmacy and Therapeutics.

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Program Can Help Patient-Centered Practice Transition

FRIDAY, July 22, 2016 (HealthDay News) -- A new study describes a scalable solution for transforming health care delivery in primary care into the patient-centered medical home model. The report was published online July 15 in the Journal of Cognitive Engineering and Decision Making.

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Severe Hypoglycemia Linked to Mortality, CVD Events in T1DM

FRIDAY, July 22, 2016 (HealthDay News) -- For patients with type 1 diabetes mellitus (T1DM), severe hypoglycemia is associated with increased risk of all-cause mortality and cardiovascular disease (CVD), according to research published online July 6 in Diabetes Care.

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Persistent Use Higher With New Generation Beta-Blockers

FRIDAY, July 22, 2016 (HealthDay News) -- Persistent use of antihypertensive treatments is greater with the new generation of beta-blockers, compared to atenolol, according to a study published in the August issue of Cardiovascular Therapeutics.

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Health Expenditures Rising for Middle Class, Wealthy

THURSDAY, July 21, 2016 (HealthDay News) -- While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.

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Structured Pretravel Advice Should Be Provided to Patients

THURSDAY, July 21, 2016 (HealthDay News) -- Structured advice should be provided to individuals planning to travel internationally, according to a review article published in the July 21 issue of the New England Journal of Medicine.

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X-Ray Noise Reduction Technology Cuts Radiation

THURSDAY, July 21, 2016 (HealthDay News) -- For patients undergoing coronary angiography and coronary angioplasty, a new X-ray technology with an image noise reduction algorithm reduces radiation exposure, according to research published in the Aug. 1 issue of The American Journal of Cardiology.

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Higher Education Linked to Reduced Post-MI Heart Failure

WEDNESDAY, July 20, 2016 (HealthDay News) -- Acute myocardial infarction (AMI) survivors with higher levels of education are less likely to develop heart failure, according to a study published online July 20 in the European Journal of Preventive Cardiology.

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Medicare Spending Up for Decedents Versus Survivors

WEDNESDAY, July 20, 2016 (HealthDay News) -- Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.

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Diabetes Confers Worse Prognosis for Patients With ACS

WEDNESDAY, July 20, 2016 (HealthDay News) -- For patients with acute coronary syndromes (ACS), diabetes confers a worse prognosis, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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High-Fat Mediterranean Diet Can Still Be Healthy

TUESDAY, July 19, 2016 (HealthDay News) -- Even a high-fat Mediterranean diet may protect against breast cancer, diabetes, and cardiovascular disease, according to a review published online July 19 in the Annals of Internal Medicine.

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Labor Compensation, Purchased Goods, Service Biggest Spends

TUESDAY, July 19, 2016 (HealthDay News) -- Labor compensation remains the single largest contributor to costs among physicians' offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.

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Burnout Can Have Acute Personal, Professional Consequences

MONDAY, July 18, 2016 (HealthDay News) -- Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

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Baseline ALT, AST Frequently Assessed With Statin Initiation

MONDAY, July 18, 2016 (HealthDay News) -- Most Medicare fee-for-service beneficiaries with dyslipidemia who initiate statins undergo baseline alanine aminotransferase (ALT) and aspartate aminotransferase (AST) testing, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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Growth in U.S. Health Spending Set to Average 5.8 Percent

FRIDAY, July 15, 2016 (HealthDay News) -- Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.

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Quality Improvement Strategy Ups Achievement of T2DM Goals

FRIDAY, July 15, 2016 (HealthDay News) -- A multicomponent quality improvement (QI) strategy can improve achievement of diabetes care goals in a population of type 2 diabetes patients with poor cardiometabolic profiles, according to a study published online July 12 in the Annals of Internal Medicine.

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Pre-Op Patterns Can Predict Post-Cardiac Surgery Constipation

FRIDAY, July 15, 2016 (HealthDay News) -- For patients undergoing cardiac surgery, preoperative constipation patterns are associated with postoperative constipation patterns, according to a study published online July 12 in the Journal of Clinical Nursing.

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Supreme Court Ruling Could Impact Med School Admissions

THURSDAY, July 14, 2016 (HealthDay News) -- The U.S. Supreme Court's ruling upholding the University of Texas at Austin's consideration of race and ethnicity in college admissions has implications for medical schools, according to the American Medical Association (AMA).

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CV Autonomic Neuropathy Tied to Sexual Dysfunction, Incontinence

THURSDAY, July 14, 2016 (HealthDay News) -- Among women with type 1 diabetes mellitus (T1DM) there are increased odds of female sexual dysfunction (FSD) and urinary incontinence (UI) associated with specific measures of cardiovascular autonomic neuropathy (CAN), according to a study published online June 28 in Diabetes Care.

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Review Links Daytime Napping With Hypertension

THURSDAY, July 14, 2016 (HealthDay News) -- Daytime napping appears to be associated with increased risk of hypertension, according to a review and meta-analysis published online July 4 in the Journal of Evidence-Based Medicine.

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Dysglycemia on the Rise in Obese American Adults

THURSDAY, July 14, 2016 (HealthDay News) -- Among obese American adults, dysglycemia is worsening, leading to more diabetes and cardiovascular disease, according to a study published online July 13 in the Journal of the American Heart Association.

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Differences in Salary for Male, Female Faculty Physicians

WEDNESDAY, July 13, 2016 (HealthDay News) -- For physicians with faculty appointments at 24 U.S. public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables, according to a study published online July 11 in JAMA Internal Medicine.

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Post-MI Heart Failure Linked to Increased Cancer Risk

WEDNESDAY, July 13, 2016 (HealthDay News) -- Patients who develop heart failure after myocardial infarction may also face a higher risk of cancer, according to a study published in the July 19 issue of the Journal of the American College of Cardiology.

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Inadequate Hydration Linked to Higher Odds of Obesity

TUESDAY, July 12, 2016 (HealthDay News) -- Staying adequately hydrated may be associated with a lower risk of obesity, according to a study published in the July/August issue of the Annals of Family Medicine.

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Autonomic Function Tied to Coronary Flow Reserve in T2DM

MONDAY, July 11, 2016 (HealthDay News) -- Impaired cardiac autonomic function is associated with coronary flow reserve (CFR) in patients with type 2 diabetes, according to a study published in the June issue of Diabetes.

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Medication Organization Devices Tied to Adverse Effects

MONDAY, July 11, 2016 (HealthDay News) -- Medication organization devices (MODs) may cause medication-related adverse events in unintentionally nonadherent older people, according to a study published online July 5 in Health Technology Assessment.

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Health Care Costs ~60 Percent Higher for Obese Preschoolers

FRIDAY, July 8, 2016 (HealthDay News) -- In addition to the health impacts of childhood obesity, there are major economic impacts, which may occur earlier than previously thought, according to research published online July 6 in Obesity.

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VA Appealing to Physicians to Join Agency

FRIDAY, July 6, 2016 (HealthDay News) -- The U.S. Department of Veterans Affairs (VA) is appealing to physicians to join the agency as part of its recovery from a 2014 scandal linked to excessive wait times, according to a report published by the American Medical Association.

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CAC Progression Doesn't Improve Prediction of CVD Events

THURSDAY, July 7, 2016 (HealthDay News) -- Coronary artery calcification (CAC) progression is no better for predicting cardiovascular disease (CVD) events than follow-up CAC, according to a study published in the June issue of the Journal of the American College of Cardiology: Cardiovascular Imaging.

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Radial Bests Femoral Access for Coronary Interventions

THURSDAY, July 7, 2016 (HealthDay News) -- Compared with femoral access for coronary interventions, radial access reduces mortality and major adverse cardiovascular endpoints (MACE) across the spectrum of patients with coronary artery disease (CAD), according to a review published in the June issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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Case Vignette Addresses Diagnosis, Management of PCOS

THURSDAY, July 7, 2016 (HealthDay News) -- The diagnosis and management of polycystic ovary syndrome is discussed in a case vignette published online July 6 in The New England Journal of Medicine.

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Many Clinical Trials Are Not Listed in Data-Sharing Repository

WEDNESDAY, July 6, 2016 (HealthDay News) -- Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository, according to a research letter published online June 28 in the Journal of the American Medical Association.

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Genetic Risk Score Impact on BMI Varies Across Birth Cohorts

WEDNESDAY, July 6, 2016 (HealthDay News) -- The magnitude of the association between a multilocus genetic risk score for body mass index (GRS-BMI) and BMI is larger for individuals born in later birth cohorts, according to a study published online July 5 in the Journal of the American Medical Association.

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Obesity Tied to Consumption of U.S. Subsidy Crops

WEDNESDAY, July 6, 2016 (HealthDay News) -- Americans get more than half of their daily calories from seven farm foods that are subsidized by the U.S. government, but a new study suggests those subsidies may be contributing to the obesity epidemic. The findings were published online July 5 in JAMA Internal Medicine.

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FDA Approves First Absorbable Coronary Stent

TUESDAY, July 5, 2016 (HealthDay News) -- The first coronary stent to be gradually absorbed by the body has been approved by the U.S. Food and Drug Administration.

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CVD Risks Way Up in Familial Hypercholesterolemia

TUESDAY, July 5, 2016 (HealthDay News) -- Patients with heterozygous familial hypercholesterolemia (FH) have a significantly increased risk for coronary heart disease (CHD) and atherosclerotic cardiovascular disease (ASCVD), according to research published online June 29 in Circulation.

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Outpatient Vascular Labs No More Efficient Than Inpatient Labs

TUESDAY, July 5, 2016 (HealthDay News) -- There seems to be little difference in efficiency between inpatient vascular laboratories (IPVL) and outpatient vascular laboratories (OPVL), according to a study published online June 28 in the Journal of Clinical Ultrasound.

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U.S. Cancer Survivors Aging, Battling Other Chronic Disease

FRIDAY, July 1, 2016 (HealthDay News) -- In 2016, nearly 62 percent of almost 16 million cancer survivors are aged 65 or older; and, by 2040, an estimated 73 percent of 26 million cancer survivors will be 65 or older, according to a report published in the July 1 issue of Cancer Epidemiology, Biomarkers & Prevention.

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Knowledge of CT Risks Varies Among Health Care Providers

FRIDAY, July 1, 2016 (HealthDay News) -- Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians, according to a study published online June 22 in the Journal of Medical Imaging and Radiation Sciences.

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Fludrocortisone Linked to Reduction in Vasovagal Syncope

FRIDAY, July 1, 2016 (HealthDay News) -- Fludrocortisone is associated with a reduction in the risk of vasovagal syncope, according to a study published in the July 5 issue of the Journal of the American College of Cardiology.

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Obesity Prevalent in Military Service Members, Veterans

FRIDAY, July 1, 2016 (HealthDay News) -- One in five U.S. military service members are obese, according to a study published in the July issue of Obesity.

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