November 2014 Briefing - Cardiology

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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for November 2014. 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.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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Post-PCI Bleeding Rates Vary Widely Across Hospitals

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Patient case-mix and procedural factors may contribute to wide variation in the hospital rates of bleeding after percutaneous coronary intervention (PCI), according to research published online Nov. 25 in Circulation: Cardiovascular Quality and Outcomes.

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More Patients Meet 2014 Blood Pressure Goals Than JNC-7 Goals

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- A considerable proportion of patients who did not meet the Seventh Report of the Joint National Committee (JNC-7) blood pressure management goals do meet the new goals based on the 2014 expert panel recommendation, according to a study published in the Dec. 2 issue of the Journal of the American College of Cardiology.

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FDA: Calorie Counts Mandated at Chain Restaurants

TUESDAY, Nov. 25, 2014 (HealthDay News) -- New rules announced Tuesday by the U.S. Food and Drug Administration will have many restaurant chains posting calorie counts on their menus, and the rules even apply to movie theater popcorn and ice cream parlor fare.

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More Advanced Emergency Care May Be Worse in Cardiac Arrest

TUESDAY, Nov. 25, 2014 (HealthDay News) -- Advanced life support given by paramedics to cardiac arrest victims may cost lives rather than save them, while the best treatment might just be good cardiopulmonary resuscitation given by paramedics or emergency medical technicians and getting the patient to the hospital as fast as possible. These findings were published online Nov. 24 in JAMA Internal Medicine.

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Most Seniors Eligible for Statin Rx Under New Guidelines

TUESDAY, Nov. 25, 2014 (HealthDay News) -- Most older Americans qualify for treatment with statins under new guidelines for the treatment of blood cholesterol released late last year by the American College of Cardiology and the American Heart Association. The findings appear in a research letter published online Nov. 17 in JAMA Internal Medicine.

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Statins Not Tied to Women's Gonado-Sexual Dysfunction

TUESDAY, Nov. 25, 2014 (HealthDay News) -- Statin use is not associated with higher risk of gonado-sexual dysfunction in women, according to a study published online Nov. 10 in the Journal of Sexual Medicine.

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Higher Resting Heart Rate Tied to Higher Risk of Death in Men

TUESDAY, Nov. 25, 2014 (HealthDay News) -- A higher resting heart rate, independent of fitness, is tied to an increased risk of all-cause mortality in men, according to a study published in the Dec. 1 issue of The American Journal of Cardiology.

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Many Not Treated According to 2013 Cholesterol Guidelines

TUESDAY, Nov. 25, 2014 (HealthDay News) -- Many patients are not being treated in accordance with the 2013 American College of Cardiology/American Heart Association (ACC/AHA) cholesterol guidelines, according to a study published in the Dec. 2 issue of the Journal of the American College of Cardiology.

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Digoxin for A-Fib Without Heart Failure Comes With Risks

MONDAY, Nov. 24, 2014 (HealthDay News) -- Digoxin is associated with increased risk of death and hospitalization among patients with atrial fibrillation but no evidence of heart failure, according to a study published online Nov. 20 in Circulation: Arrhythmia and Electrophysiology.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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In Reperfusion Era, β-Blockers Have No Mortality Benefit in MI

MONDAY, Nov. 24, 2014 (HealthDay News) -- In the reperfusion era, β-blocker use has no mortality benefit in myocardial infarction, and patients discharged with high heart rate after myocardial infarction have increased mortality risk during the first year, according to research published in the October issue of The American Journal of Medicine.

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Severe Mental Illness Linked to Increased Mortality After MI

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Patients with severe mental illness (SMI) have increased mortality after myocardial infarction, according to a study published online Nov. 17 in the Journal of Internal Medicine.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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State-Level Variation Seen in 10-Year Cardiac Disease Risk

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The predicted 10-year risk of developing cardiovascular disease (CVD) varies by age, gender, race/ethnicity, education, income, and state, according to a study published online Nov. 10 in the American Journal of Preventive Medicine.

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Telephone Reminder Intervention Ups Cardiovascular Rx Adherence

THURSDAY, Nov. 20, 2014 (HealthDay News) -- A low-cost telephone reminder intervention can improve adherence to cardiovascular disease medications, according to a study published online Nov. 16 in the American Journal of Managed Care.

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Use of Drug-Eluting Stents May Cut In-Hospital Mortality

THURSDAY, Nov. 20, 2014 (HealthDay News) -- Use of drug-eluting stents (DES) rather than bare-metal stents (BMS) for percutaneous coronary intervention (PCI) is associated with lower rates of in-hospital mortality, according to research published in the Dec. 1 issue of The American Journal of Cardiology.

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Risk of Adverse Outcomes Up With PCI In Adults With Diabetes

THURSDAY, Nov. 20, 2014 (HealthDay News) -- For adults with diabetes and multivessel or left main coronary artery disease, percutaneous coronary intervention (PCI) is associated with increased likelihood of a composite outcome compared with coronary artery bypass grafting (CABG), according to a review and meta-analysis published in the Nov. 18 issue of the Annals of Internal Medicine.

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Low Levels of Vitamin D May Raise Early Death Risk

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- Having genetically low levels of vitamin D may raise the risk of early death, but the risk is not linked with early death due to cardiovascular-related causes, according to new research published online Nov. 18 in The BMJ.

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NSAIDs Tied to Bleeding, Clotting in A-Fib Patients

TUESDAY, Nov. 18, 2014 (HealthDay News) -- Patients with atrial fibrillation who take common analgesics can significantly increase their risk for bleeding and thromboembolism, with risk higher among those on anticoagulation who also take a nonsteroidal anti-inflammatory drug (NSAID), according to a new study published in the Nov. 18 issue of the Annals of Internal Medicine.

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Low Medication Persistence for Older STEMI Patients

FRIDAY, Nov. 14, 2014 (HealthDay News) -- For older patients with non-ST-segment elevation myocardial infarction, evidence-based medication (EBM) persistence is similar after discharge from academic and nonacademic hospitals, according to a study published in the Nov. 15 issue of The American Journal of Cardiology.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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Gene Mutation May Protect Against Coronary Heart Disease

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Mutations that affect a single gene may significantly reduce the risk of coronary heart disease, a new study suggests. The research was published online Nov. 12 in the New England Journal of Medicine.

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High-Intensity Statin Effect Independent of Lipoprotein, CRP

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- High-intensity statin therapy is associated with coronary atherosclerosis regression, regardless of baseline lipoprotein or C-reactive protein (CRP) levels, according to a study published in the Nov. 15 issue of The American Journal of Cardiology.

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Researchers Put Commercial Diet Plans to the Test

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- There are plenty of famous-name diets for weight loss, but none stands out from the pack when it comes to lasting results, according to a review published online Nov. 11 in Circulation: Cardiovascular Quality and Outcomes.

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Patient Preference for Anticoagulant Tx Outcome Varies

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Patients' preferences for outcomes of anticoagulation therapy vary and are affected by previous stroke or myocardial infarction experience, according to a study published online Nov. 11 in Circulation: Cardiovascular Quality and Outcomes.

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Ezetimibe Not Tied to Higher Cancer Risk, Mortality

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Treatment with the lipid-lowering therapy ezetimibe/simvastatin is not associated with an increased risk of developing cancer or an increased risk of dying from cancer, according to research published in the Nov. 15 issue of the American Journal of Cardiology.

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Evidence Lacking for Widespread Use of β-Blockers in CHD

TUESDAY, Nov. 11, 2014 (HealthDay News) -- There is currently insufficient data to support the use of β-blockers for all patients with clinically stable coronary heart disease (SCHD), according to a paper published in the Nov. 15 issue of The American Journal of Cardiology.

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T2DM Risk Up With Increased Serum Calcium Levels

TUESDAY, Nov. 11, 2014 (HealthDay News) -- For individuals at high cardiovascular risk, serum calcium concentrations correlate with increased diabetes risk, according to research published in the November issue of Diabetes Care.

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Cardiac Prognosis Bright for STEMI Survivors Post-PCI

TUESDAY, Nov. 11, 2014 (HealthDay News) -- Patients who survive the first month after an ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI) have <1.5 percent annual risk of successive cardiac death; however, they still have an increased risk of death from noncardiac causes. These findings were published in the Nov. 18 issue of the Journal of the American College of Cardiology.

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Some Docs Are Failing to Counsel Young Adults With Hypertension

MONDAY, Nov. 10, 2014 (HealthDay News) -- Only about one in two young American adults with hypertension receive advice from a doctor on lifestyle changes, according to a study published online Nov. 6 in the Journal of General Internal Medicine.

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Team-Based Approach Can Reduce Cardiac Monitor Alarms

MONDAY, Nov. 10, 2014 (HealthDay News) -- A team-based approach can reduce excessive cardiac monitor alarms, according to a report published online Nov. 10 in Pediatrics.

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NSAID Use Linked to Increased Risk of Incident A-Fib

MONDAY, Nov. 10, 2014 (HealthDay News) -- Nonsteroidal anti-inflammatory drug (NSAID) use is associated with an increased risk of atrial fibrillation (AF) incidence, particularly among new users, according to a meta-analysis published in the Nov. 15 issue of The American Journal of Cardiology.

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Visceral Fat Key Marker for Cardiometabolic Risk

MONDAY, Nov. 10, 2014 (HealthDay News) -- Visceral fat is associated with cardiometabolic risk, including metabolic syndrome, regardless of body mass index (BMI), according to a study published online Nov. 5 in JACC: Cardiovascular Imaging.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Bed Position Matters in Care After Acute Ischemic Stroke

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Hospital bed positioning can be critical in the first 24 hours after a person suffers an ischemic stroke, according to a report published recently in MedLink Neurology.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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More Evidence That Certain NSAIDs Up Post-Stroke Mortality

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Certain cyclooxygenase (COX)-2 inhibitors, including celecoxib (Celebrex) and etodolac (Lodine), are associated with increased mortality within a month after a stroke, according to a study published online Nov. 5 in Neurology.

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Walking Program Feasible, Safe for Older Adults in Hospital

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A clinical demonstration program of supervised walking for older adults admitted to the hospital is feasible and safe, and its participants are more often discharged directly to home, according to a study published online Oct. 30 in the Journal of the American Geriatrics Society.

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Hospitalizations for Pulmonary Embolism Vary by Season

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Hospitalizations for pulmonary embolism (PE) are higher in the winter and lower in the summer, according to a study published online Oct. 31 in the Journal of Thrombosis and Homeostasis.

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Even Early Signs of Plaque in Arteries Signal Heart Risk

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Even the earlier signs of coronary artery disease significantly increase the risk of myocardial infarction (MI) and early death, according to a new study published in the Nov. 5 issue of the Journal of the American Medical Association.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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Ambulance Use With MI Tied to Higher Mortality

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Using an ambulance for hospital transport of patients with ST-segment elevation myocardial infarction (MI) is associated with higher mortality, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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'Purpose in Life' a Boon to Seniors' Health

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- Older adults with a strong sense of purpose in life may be particularly likely to get health screenings such as cholesterol tests and mammograms, and appear to spend less time in the hospital, according to research published online Nov. 3 in the Proceedings of the National Academy of Sciences.

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Opening Visitation Access Boosts Patient, Family Experience

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Opening visitation access across all facilities can improve patient and family experience, according to research published in the July/August issue of the Journal of Nursing Administration.

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Nearly 75% of Patients With No CAD Have Persistent Symptoms

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Nearly three-quarters of people whose hearts are found to be healthy after being checked for coronary artery disease continue to have persistent symptoms such as chest pain, according to research published online Nov. 3 in Open Heart.

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Atrial Fibrillation May Double Risk for 'Silent Strokes'

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Atrial fibrillation (AF) may more than double the risk of silent cerebral infarction (SCI), a new review suggests. The report was published in the Nov. 4 issue of the Annals of Internal Medicine.

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Many Americans May Get Hospice Care Too Late

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Of the more than 1.5 million patients who received hospice care in the United States in 2013, one-third died within one week, according to a new report from the National Hospice and Palliative Care Organization.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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End-of-Life Care Discussions May Miss Patient Priorities

MONDAY, Nov. 3, 2014 (HealthDay News) -- Important points are often missed when doctors have end-of-life discussions with patients and their families, according to a study published online Nov. 3 in CMAJ, the journal of the Canadian Medical Association.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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Rate of PCI for Coronary Artery Disease Drops in the U.S.

MONDAY, Nov. 3, 2014 (HealthDay News) -- In the past several years, the rate of percutaneous coronary intervention (PCI) for coronary artery disease (CAD) has decreased in the United States, according to research published in the Oct. 1 issue of The American Journal of Cardiology.

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