May 2016 Briefing - Cardiology

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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for May 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.

AHRQ Communication Toolkit Can Help After Patient Harm Occurs

TUESDAY, May 31, 2016 (HealthDay News) -- A new communication toolkit created by the Agency for Healthcare Research and Quality (AHRQ) can help health care organizations and providers communicate with patients and families when harm occurs to patients.

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DAPT Score Improves Risk Prediction of Continued DAPT

TUESDAY, May 31, 2016 (HealthDay News) -- A decision tool (dual antiplatelet therapy [DAPT] score) improves risk prediction for continued DAPT beyond assessment of myocardial infarction (MI) history, according to a study published in the May 31 issue of the Journal of the American College of Cardiology.

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Remaining Uninsured May Be Difficult to Reach Via ACA

FRIDAY, May 27, 2016 (HealthDay News) -- Uninsurance rates have decreased since the introduction of the Affordable Care Act (ACA), but reaching the remaining uninsured may prove challenging, according to a health policy brief published online May 23 in Health Affairs.

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HMI Impulses From Ultrasound Transducer Beneficial in STEMI

FRIDAY, May 27, 2016 (HealthDay News) -- High mechanical index (HMI) impulses from a diagnostic ultrasound (DUS) transducer during intravenous microbubble infusion can prevent microvascular obstruction in ST-segment elevation myocardial infarction (STEMI), according to a study published in the May 31 issue of the Journal of the American College of Cardiology.

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Higher HDL-C Linked to Cardiac Risk With LDL-C <2.0 mmol/L

FRIDAY, May 27, 2016 (HealthDay News) -- For patients with type 2 diabetes with low-density lipoprotein cholesterol (LDL-C) levels <2.0 mmol/L, higher high-density lipoprotein cholesterol (HDL-C) is associated with increased risk for cardiovascular events and all-cause mortality, according to a study published online May 23 in Diabetes Care.

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Recognition of Patient Expertise Can Improve Adherence

FRIDAY, May 27, 2016 (HealthDay News) -- Recognizing the unique role of patients and their expertise within the physician-patient interaction can help to prevent non-adherence based on disagreement, according to an article published online May 18 in the Journal of Evaluation in Clinical Practice.

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Renal Function Decline Linked to Major Adverse CV Events

THURSDAY, May 26, 2016 (HealthDay News) -- The risk of major adverse cardiovascular events (MACE) is increased with renal function decline, according to a study published online May 23 in Diabetes Care.

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Atrial Fibrillation Linked to Cancer Risk in Women

THURSDAY, May 26, 2016 (HealthDay News) -- Women with atrial fibrillation may be at an increased risk of developing cancer, particularly of the colon, according to research published online May 25 in JAMA Cardiology.

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Study Upholds Link Between Air Pollution and Higher CVD Risk

WEDNESDAY, May 25, 2016 (HealthDay News) -- Air pollution can worsen cardiovascular disease risk factors, especially in patients with diabetes, according to a study published online May 24 in the Journal of Clinical Endocrinology & Metabolism.

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Telomere Length Not Significantly Associated With Atherosclerosis

WEDNESDAY, May 25, 2016 (HealthDay News) -- Average leucocyte telomere length (LTL) and the abundance of short telomeres (percent LTL <3 kb) are not significant independent determinants of subclinical atherosclerosis, according to a study published in the May 31 issue of the Journal of the American College of Cardiology.

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Wells Rule Beats 'Gestalt' in Ruling Out Pulmonary Embolism

WEDNESDAY, May 25, 2016 (HealthDay News) -- Both a physician's own probability estimate ("gestalt") and the Wells rule can be combined with D-dimer testing to safely rule out pulmonary embolism (PE) in primary care; however, the Wells rule is more efficient, according to a study published in the May/June issue of the Annals of Family Medicine.

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Health Coaches Can Help Increase Patient Engagement

TUESDAY, May 24, 2016 (HealthDay News) -- Introducing health coaches who can take on responsibilities to advance lifestyle changes, prevention, and patient health can help to increase patient satisfaction and engagement, according to the American Medical Association.

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Blood Pressure Variability Tied to Faster Cognitive Decline

TUESDAY, May 24, 2016 (HealthDay News) -- Variability in blood pressure (BP) readings may predict more rapid cognitive decline in older patients, according to research published online May 23 in Hypertension.

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Similar Costs for CTA, Functional Diagnostic Testing in CAD

TUESDAY, May 24, 2016 (HealthDay News) -- For patients with coronary artery disease (CAD) enrolled in the Prospective Multicenter Imaging Study for Evaluation of Chest Pain (PROMISE), costs are similar for initial use of at least 64-slice multidetector computed tomographic angiography (CTA) versus functional diagnostic testing strategies, according to research published online May 24 in the Annals of Internal Medicine.

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Fitbit Heart Monitors 'Highly Inaccurate,' Study Says

MONDAY, May 23, 2016 (HealthDay News) -- Fitbit heart rate trackers are "highly inaccurate," according to a new study commissioned by the law firm Lieff Cabraser, which is handling a class action suit targeting three Fitbit models that use the PurePulse heart monitor: Fitbit Blaze, Fitbit Charge HR, and Fitbit Surge.

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FDA Redesigns Nutrition Facts Label

MONDAY, May 23, 2016 (HealthDay News) -- The Nutrition Facts panel on packaged foods in the United States is about to undergo long-awaited changes, with a redesign emphasizing realistic portion sizes and added sugars.

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Study Suggests a Low-Salt Diet Could Harm Certain Patients

MONDAY, May 23, 2016 (HealthDay News) -- Restricting dietary salt to below 3,000 mg a day appears to increase the risk for cardiovascular disease similar to that of hypertension patients who eat too much salt, according to research published online May 20 in The Lancet.

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Two New Drugs Added to Heart Failure Clinical Practice Guideline

MONDAY, May 23, 2016 (HealthDay News) -- An updated clinical guideline adds two new types of drugs to the list of treatment options for heart failure. The updated guideline was published online May 20 in the Journal of the American College of Cardiology, Circulation, and the Journal of Cardiac Failure.

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Nonexperts Can Be Trained to Interpret RHD Echocardiograms

MONDAY, May 23, 2016 (HealthDay News) -- A short computer-based course can train nonexperts in interpretation of rheumatic heart disease (RHD) screening echocardiograms, according to a study published in the June 1 issue of The American Journal of Cardiology.

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Major Stroke May Be Prevented by Taking Aspirin After TIA

FRIDAY, May 20, 2016 (HealthDay News) -- Taking aspirin immediately after a transient ischemic attack (TIA) significantly reduces the risk of a major stroke, according to research published online May 18 in The Lancet.

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Strategies Can Help Streamline Revenue-Related Processes

THURSDAY, May 19, 2016 (HealthDay News) -- Strategies can be employed to maximize the amount of time available for patient care by streamlining revenue-related processes, according to the American Medical Association (AMA).

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Inaccuracy in Administrative Hospital Coding Data

THURSDAY, May 19, 2016 (HealthDay News) -- Inaccurate coding can introduce biases in studies based on administrative data, according to research published online May 16 in The BMJ.

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ASGR1 Mutation Linked to Reduced Levels of Non-HDL-C

WEDNESDAY, May 18, 2016 (HealthDay News) -- ASGR1 mutation carriers have reduced levels of non-high-density lipoprotein cholesterol (HDL-C) and reduced risk of coronary artery disease, according to a study published online May 18 in the New England Journal of Medicine.

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Burnout, Lack of Job Satisfaction Driving Doctors to Cut Hours

WEDNESDAY, May 18, 2016 (HealthDay News) -- Full-time physicians reporting worsening burnout or decreased job satisfaction are more likely to reduce their work hours, according to a study published in the April issue of Mayo Clinic Proceedings.

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Sexual Harassment Experienced by One-Third of Female Doctors

WEDNESDAY, May 18, 2016 (HealthDay News) -- Thirty percent of female physicians face sexual harassment on the job, while close to three-quarters perceive gender bias at work and two-thirds say they have actually experienced it, according to survey findings published in the May 17 issue of the Journal of the American Medical Association.

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Rehab Beneficial in Spontaneous Coronary Artery Dissection

WEDNESDAY, May 18, 2016 (HealthDay News) -- Many patients with spontaneous coronary artery dissection (SCAD) participate in cardiac rehabilitation (CR), and most patients report benefit, according to a study published in the May 15 issue of The American Journal of Cardiology.

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Ambulatory BP Monitoring Can Help ID Masked Hypertension

TUESDAY, May 17, 2016 (HealthDay News) -- Ambulatory blood pressure monitoring could help identify undetected hypertension in at-risk populations, according to a study published online May 16 in Hypertension.

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About Half of Myocardial Infarctions Are Asymptomatic

TUESDAY, May 17, 2016 (HealthDay News) -- As many as half of all myocardial infarctions (MIs) may be silent, according to a study published online May 16 in Circulation.

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HDL-C Prediction of Heart Disease Modulated by TG, LDL-C

TUESDAY, May 17, 2016 (HealthDay News) -- The impact of high-density lipoprotein cholesterol (HDL-C) on cardiovascular disease (CVD) risk is modulated by triglycerides (TG) and low-density lipoprotein cholesterol (LDL-C), according to a study published online May 10 in Circulation: Cardiovascular Quality and Outcomes.

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Recent Improvement in Heart Failure Process of Care Measures

TUESDAY, May 17, 2016 (HealthDay News) -- Adherence to heart failure process of care measures has improved significantly over the last 10 years for patients with acute decompensated heart failure with reduced ejection fraction (HFrEF) and end-stage renal disease (ESRD), according to a study published online May 11 in JACC: Heart Failure.

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Specific Language Important in Heart Failure Communication

MONDAY, May 16, 2016 (HealthDay News) -- Specific language is important for patient experience and shared decision-making in heart failure, according to research published in the June 1 issue of The American Journal of Cardiology.

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Complementary Medicine Use Up With Chronic Conditions

MONDAY, May 16, 2016 (HealthDay News) -- Adults with multiple chronic conditions frequently use complementary and alternative medicine (CAM), according to a study published online May 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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CABG Underused in Diabetes With Multivessel Disease

MONDAY, May 16, 2016 (HealthDay News) -- About one-third of patients with diabetes mellitus and multivessel coronary artery disease presenting with non-ST-segment elevation myocardial infarction undergo coronary artery bypass graft (CABG) and more undergo percutaneous coronary intervention (PCI), according to a study published online May 10 in Circulation: Cardiovascular Quality and Outcomes.

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Fall Risk Up With Initiation, Intensification of HTN Meds

FRIDAY, May 13, 2016 (HealthDay News) -- For older adults, initiation and intensification of antihypertensive medication is associated with a short-term increased risk of serious fall injuries, according to a study published online May 10 in Circulation: Cardiovascular Quality and Outcomes.

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Cardiovascular MRI Stronger Predictor of MACE Than SPECT

FRIDAY, May 13, 2016 (HealthDay News) -- Cardiovascular magnetic resonance (CMR) is a stronger predictor of risk for major adverse cardiovascular events (MACEs) than single-photon emission computed tomography (SPECT), according to a study published online May 10 in the Annals of Internal Medicine.

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U.S. Stroke Hospitalizations Down Overall, but Rising for Some

THURSDAY, May 12, 2016 (HealthDay News) -- While Americans suffered fewer acute ischemic strokes overall from 2000 to 2010, stroke rates climbed substantially among younger adults and blacks, according to study findings published online May 11 in the Journal of the American Heart Association.

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Pre-Op Gait Speed Indicates Mortality Risk Post Heart Surgery

THURSDAY, May 12, 2016 (HealthDay News) -- Patients who aren't able to walk a short distance at a comfortable pace before cardiac surgery are at greater postoperative risk for death, according to research published online on May 11 in JAMA Cardiology.

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Excess Weight May Not Equal Early Mortality After All

WEDNESDAY, May 11, 2016 (HealthDay News) -- The body mass index (BMI) linked to the lowest rate of all-cause early mortality is rising, according to a study published in the May 10 issue of the Journal of the American Medical Association.

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PPI Exposure Accelerates Aging in Lab Endothelial Cells

WEDNESDAY, May 11, 2016 (HealthDay News) -- Esomeprazole accelerates aging of endothelial cells in lab tests, raising red flags about its long-term effect on cardiovascular health, according to research published online May 10 in Circulation Research.

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Cutting Brand-Name Drug Use Could Save U.S. $73 Billion

TUESDAY, May 10, 2016 (HealthDay News) -- Americans could save tens of billions of dollars with more efficient drug use, replacing brand-name drugs with their generic equivalents whenever possible, according to a study published online May 9 in JAMA Internal Medicine.

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Blood Pressure Patterns Could Help Predict Stroke Risk

TUESDAY, May 10, 2016 (HealthDay News) -- The overall pattern of blood pressure over time better predicts a patient's risk of stroke or early death, according to a study published online May 9 in Hypertension.

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CDC Establishes New 'Clean Hands Count' Campaign

MONDAY, May 9, 2016 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has introduced a new campaign, "Clean Hands Count," to encourage health care professionals, patients, and patients' families to keep their hands clean in order to prevent health care-associated infections.

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Cilostazol Doesn't Prevent Periprocedural MI in ACS

FRIDAY, May 6, 2016 (HealthDay News) -- For patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI), adjunctive loading dose of cilostazol is not associated with prevention of periprocedural myocardial infarction (PMI), according to a study published online May 1 in Cardiovascular Therapeutics.

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Review Finds CABG Bests PCI in End-Stage Renal Disease

THURSDAY, May 5, 2016 (HealthDay News) -- For patients with end-stage renal disease (ESRD) referred for coronary revascularization, coronary artery bypass grafting (CABG) is associated with a small decrease in long-term mortality compared with percutaneous coronary intervention (PCI), according to a review published in the May 15 issue of The American Journal of Cardiology.

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Guideline-Based Phone Program Ups Provision, Timeliness of CPR

THURSDAY, May 5, 2016 (HealthDay News) -- Cardiopulmonary resuscitation (CPR) instruction may be just a cellphone call away, according to a study published online May 4 in JAMA Cardiology.

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AHA: Stroke Patients Should Start Rehab Before Leaving Hospital

THURSDAY, May 5, 2016 (HealthDay News) -- New guidelines for rehabilitation after a stroke have been published online May 4 in Stroke.

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No Benefit Found for Perioperative Statin Therapy

THURSDAY, May 5, 2016 (HealthDay News) -- Taking statins right before cardiac surgery, once touted as a way to prevent common postoperative complications, has no benefit and may even cause harm, according to a study published in the May 5 issue of the New England Journal of Medicine.

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Physician Leadership Training May Help Counteract Burnout

WEDNESDAY, May 4, 2016 (HealthDay News) -- Physician leaders with good leadership qualities are more likely to have employees who are satisfied and do not show signs of burnout, according to a study published in the April issue of the Mayo Clinic Proceedings and a report published by the American Medical Association.

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Increase in Low-Risk AMI Survivors From 2001 to 2011

WEDNESDAY, May 4, 2016 (HealthDay News) -- The proportion of low-risk survivors of acute myocardial infarction (AMI) increased from 2001 to 2011, and characteristics include younger age, male gender, and being married, according to a study published in the May 15 issue of The American Journal of Cardiology.

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Adiposity Genetic Risk Score Tied to Cardiometabolic Health

WEDNESDAY, May 4, 2016 (HealthDay News) -- Data from a large cohort have replicated the association between the genetic risk score of 11 favorable adiposity variants with lower risk of cardiometabolic disease, according to research published online April 26 in Diabetes.

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Emergency PCI Linked to Better Outcomes

WEDNESDAY, May 4, 2016 (HealthDay News) -- Almost one-third of out-of-hospital cardiac arrest (OHCA) patients without ST-segment elevation (STE) require percutaneous coronary intervention (PCI), which is tied to a nearly twofold increase in the rate of favorable outcomes, according to a study published in the April issue of JACC: Cardiovascular Interventions.

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Price Transparency Tool Doesn't Cut Health Care Spending

WEDNESDAY, May 4, 2016 (HealthDay News) -- Employee use of a price transparency tool does not cut health care spending, according to a study published in the May 3 issue of the Journal of the American Medical Association.

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High Risk of Long-Term Complications Seen With ICDs

TUESDAY, May 3, 2016 (HealthDay News) -- Implantable cardioverter-defibrillators (ICDs) are associated with a high risk of long-term complications, according to research published online May 3 in the Annals of Internal Medicine.

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FDA: Brintellix Changing Name to Avoid Confusion With Brilinta

TUESDAY, May 3, 2016 (HealthDay News) -- Following a July 2015 Drug Safety Communication that warned about name confusion between Brintellix and Brilinta resulting in prescribing errors, the antidepressant Brintellix (vortioxetine) is changing its name to Trintellix, according to the U.S. Food and Drug Administration.

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All-Cause, CVD, DM Mortality Down From 2000 to 2011

TUESDAY, May 3, 2016 (HealthDay News) -- All-cause and certain cause-specific mortality rates have decreased recently among those with type 1 and 2 diabetes, although younger patients have seen less improvement, according to a study published online April 26 in Diabetes Care.

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Sleeve Gastrectomy Improves Left Ventricular Systolic Function

TUESDAY, May 3, 2016 (HealthDay News) -- For men and women, sleeve gastrectomy improves left ventricular (LV) systolic function, according to a study published online April 27 in the Journal of Clinical Ultrasound.

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Report: Why Health Care Costs Are Lower in Europe Than U.S.

TUESDAY, May 3, 2016 (HealthDay News) -- European residents have access to the same health care services as U.S. residents but pay much less, and this is related to several specific factors, according to a report published by INDIGOMED on April 25.

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2017 May Offer Fewer Choices for Affordable Care Act Enrollees

MONDAY, May 2, 2016 (HealthDay News) -- With the nation's largest health insurer exiting all but a few Affordable Care Act exchanges next year, some Americans may be left with fewer choices and some might see higher monthly premiums.

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Delirium Predicts Function in Elderly After Aortic Valve Surgery

MONDAY, May 2, 2016 (HealthDay News) -- Delirium appears to predict reduced functioning in elderly individuals after surgical aortic valve replacement (SAVR) or transcatheter aortic valve implantation (TAVI), according to a study published online April 23 in the Journal of the American Geriatrics Society.

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Updated Recs Aim to Expand Primary Aldosteronism Screening

MONDAY, May 2, 2016 (HealthDay News) -- The Endocrine Society has issued new guidelines intended to increase screening for primary aldosteronism. The Clinical Practice Guideline was published online March 2 in The Journal of Clinical Endocrinology & Metabolism.

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