November 2016 Briefing - Geriatrics

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

Meta-Analysis: Statins Cut Risk of Advanced Colorectal Adenoma

WEDNESDAY, Nov. 30, 2016 (HealthDay News) -- Statins seem not to be associated with the risk of colorectal adenoma, but are associated with reduced risk of advanced adenoma, according to a review and meta-analysis published online Nov. 23 in the Journal of Gastroenterology and Hepatology.

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E-Prescribing of High-Risk Drugs May Contribute to Falls in Elderly

TUESDAY, Nov. 29, 2016 (HealthDay News) -- Preprogrammed doses of medications that can raise the risk of falls are often set too high for older hospital patients, according to research published online Nov. 28 in the Journal of the American Geriatrics Society.

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Amyloid Beta Deposits Can Affect Hearts of Alzheimer's Patients

TUESDAY, Nov. 29, 2016 (HealthDay News) -- Amyloid beta (Aβ) deposits in Alzheimer's patients might also negatively affect their heart muscle and increase their risk of heart failure, according to a study published in the Dec. 6 issue of the Journal of the American College of Cardiology.

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Improved Cognitive Status Seen Following TAVR

TUESDAY, Nov. 29, 2016 (HealthDay News) -- Transcatheter aortic valve replacement (TAVR) is associated with global improvement in cognitive status, according to a study published in the Nov. 15 issue of the Journal of the American College of Cardiology.

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Mindfulness-Based Tx Doesn't Cut Distress in Prostate Cancer

TUESDAY, Nov. 29, 2016 (HealthDay News) -- For men with advanced prostate cancer (PC), mindfulness-based cognitive therapy (MBCT) does not reduce distress more than minimally enhanced usual care, according to a study published online Nov. 21 in the Journal of Clinical Oncology.

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Older Fallers Have Often Been Administered High-Risk Drugs

MONDAY, Nov. 28, 2016 (HealthDay News) -- Older fallers have often been administered high-risk medications, frequently at higher-than-recommended doses, according to a study published online Nov. 28 in the Journal of the American Geriatrics Society.

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Out-of-Pocket Cancer Costs High for Patients With Medicare Only

MONDAY, Nov. 28, 2016 (HealthDay News) -- Medical bills for older U.S. cancer patients can cost one-quarter of their income or more if they have Medicare without supplemental insurance, according to a study published online Nov. 23 in JAMA Oncology.

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ADT Use Not Linked to Dementia in Prostate Cancer

MONDAY, Nov. 28, 2016 (HealthDay News) -- For men with prostate cancer, use of androgen deprivation therapy (ADT) seems not to be associated with dementia, according to a study published online Nov. 21 in the Journal of Clinical Oncology.

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Significant Birth Cohort Effect in Ischemic Stroke Risk

MONDAY, Nov. 28, 2016 (HealthDay News) -- Birth cohort seems to affect the risk of ischemic stroke, with lower age-adjusted rates for those born from 1945 to 1954 versus those born in earlier and later years, according to a study published online Nov. 23 in the Journal of the American Heart Association.

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Review Links PPI Use With Risk of Fundic Gland Polyps

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Long-term proton pump inhibitor (PPI) use is associated with increased risk of fundic gland polyps (FGPs), and may be associated with gastric cancer, according to a review published in the December issue of Clinical Gastroenterology and Hepatology.

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Palliative Care Positively Affects Symptom Burden, QOL

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Palliative care interventions are associated with improvements in patient quality of life and symptom burden, but do not affect survival, according to a review published in the Nov. 22/29 issue of the Journal of the American Medical Association.

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Antidepressants + Exercise Beneficial in Late-Life Depression

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- For older adults with late-life major depression (LLMD), the combination of antidepressants (AD) and physical exercise (PE) seems beneficial, especially for individuals with specific characteristics, according to research published online Nov. 21 in the Journal of the American Geriatrics Society.

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Many Nursing Home Residents Not Taking β-Blockers After AMI

WEDNESDAY, Nov. 23, 2016 (HealthDay News) -- Many nursing home (NH) residents do not initiate beta-blocker use after acute myocardial infarction (AMI), according to a study published online Nov. 15 in the Journal of the American Geriatrics Society.

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High-Dose Vitamin D Cuts Acute Respiratory Infection in Elderly

TUESDAY, Nov. 22, 2016 (HealthDay News) -- For long-term care facility residents, high-dose vitamin D3 supplementation is associated with reduced incidence of acute respiratory infection (ARI) but increased incidence of falls, according to a study published online Nov. 16 in the Journal of the American Geriatrics Society.

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Four ER Visits for Adverse Drug Events Per 1,000 People

TUESDAY, Nov. 22, 2016 (HealthDay News) -- In 2013 to 2014, the estimated prevalence of emergency department visits for adverse drug events was four per 1,000 individuals, according to research published in the Nov. 22 issue of the Journal of the American Medical Association.

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Rising Rx, ER Prices Pushing U.S. Health Care Spending Up

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Privately insured Americans spent nearly 5 percent more on health care last year than in 2014; this increase was significantly more than that seen in previous years and reflects higher costs for prescription drugs, emergency department visits, and hospitalizations, according to a report published Nov. 22 by the Health Care Cost Institute.

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Computer Order Entry System Ups Antimicrobial Policy Compliance

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Use of a computerized physician order entry (CPOE) system can improve compliance with antimicrobial restriction policies, according to a study published online Nov. 16 in the Journal of Pharmacy Practice and Research.

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Medication Errors Common in Nursing Home Residents

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Medication errors (MEs) occur frequently among nursing home residents, but they rarely have serious effects, according to a review published online Nov. 21 in the Journal of the American Geriatrics Society.

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Discussing Opioid Risks With Patients Reduces Misuse

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Discussing the risk of long-term opioid use disorder with patients is associated with reduced misuse of opioids, according to research published in the November/December issue of the Annals of Family Medicine.

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Occupational Tx of Little Benefit in Slowing Alzheimer's Decline

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Home-based occupational therapy may not slow down the physical decline that comes with Alzheimer's disease, according to a study published online Nov. 22 in the Annals of Internal Medicine.

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Decline in Prevalence of Dementia 2000 to 2012 in the United States

MONDAY, Nov. 21, 2016 (HealthDay News) -- Dementia rates have dropped dramatically over the last decade or so, according to a report published online Nov. 21 in JAMA Internal Medicine.

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Retail Clinics Don't Reduce ER Visits for Minor Ailments

MONDAY, Nov. 21, 2016 (HealthDay News) -- Having retail health clinics near hospitals does not reduce emergency department visits for minor health problems, according to a study published online Nov. 10 in the Annals of Emergency Medicine.

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Thiazide-Type Diuretic Treatment Tied to Lower Fracture Risk

MONDAY, Nov. 21, 2016 (HealthDay News) -- Thiazide-type diuretic therapy reduces hip and pelvic fracture risk compared with other antihypertensive medication therapy, according to a study published online Nov. 21 in JAMA Internal Medicine.

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Mortality Risk Up for Hospital Patients With Hypoglycemia

FRIDAY, Nov. 18, 2016 (HealthDay News) -- Hospital patients with hypoglycemia may be at increased mortality risk, according to research published online Nov. 17 in the Journal of Clinical Endocrinology & Metabolism.

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Barriers Identified in Current Knee Osteoarthritis Care

FRIDAY, Nov. 18, 2016 (HealthDay News) -- In current knee osteoarthritis care, both personal factors and factors related to health care professionals play a role in treatment nonadherence, according to a study published online Nov. 14 in the Journal of Evaluation in Clinical Practice.

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Increased Fall Risk With Subclinical Peroneal Neuropathy

FRIDAY, Nov. 18, 2016 (HealthDay News) -- A considerable proportion of medical inpatients at moderate-to-high risk of falling have subclinical peroneal neuropathy (SCPN), according to a study published in the November/December issue of the Annals of Family Medicine.

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CDC: Heart Disease Still Leading Cause of Death

THURSDAY, Nov. 17, 2016 (HealthDay News) -- Heart disease continues to top the list of likely cause of death among Americans, according to research published in the Nov. 18 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Competing Risks Influence Warfarin, Thromboembolism Link

THURSDAY, Nov. 17, 2016 (HealthDay News) -- For patients with nonvalvular atrial fibrillation, warfarin is associated with a reduction in thromboembolism, although the correlation is attenuated after accounting for competing death events, according to a study published online Nov. 12 in the Journal of the American Geriatrics Society.

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Findings Support Bisphosphonate Use in Men With Osteoporosis

TUESDAY, Nov. 15, 2016 (HealthDay News) -- Bisphosphonates reduce the risk of vertebral, and possibly nonvertebral, fractures for men with osteoporosis, according to a review and meta-analysis published online Nov. 7 in the Journal of the American Geriatrics Society.

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CHD Rates Down 20 Percent Since 1980s in the United States

MONDAY, Nov. 14, 2016 (HealthDay News) -- Cases of coronary heart disease (CHD) have dropped 20 percent in the United States over the last four decades, according to a research letter published in the Nov. 15 issue of the Journal of the American Medical Association, a theme issue on statins.

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Guidelines Updated for Management of PAD

MONDAY, Nov. 14, 2016 (HealthDay News) -- In a Clinical Practice Guideline published online Nov. 13 in Circulation, evidence-based recommendations are presented for the management of peripheral artery disease (PAD), focusing on lifestyle modification as well as medical treatment.

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USPSTF Advises Statins for Some Adults With No CVD History

MONDAY, Nov. 14, 2016 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that certain adults aged 40 to 75 years without cardiovascular disease (CVD) history but with one or more cardiovascular risk factors initiate statins. These recommendations are included in the final recommendation statement published in the Nov. 15 issue of the Journal of the American Medical Association, a theme issue on statins.

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Evidence Report

Spinal Manipulation Tx Benefits Older Adults With Neck Pain

MONDAY, Nov. 14, 2016 (HealthDay News) -- For older adults with chronic mechanical neck pain, spinal manipulative therapy (SMT) plus home exercise and advice (HEA) results in better clinical outcomes and lower costs versus supervised rehabilitative exercise (SRE) plus HEA, according to a study published in the November issue of The Spine Journal.

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CDC: Tobacco-Linked Cancers Make Up 40 Percent of All Cancers

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Although rates of smoking in the United States have declined to new lows, health officials still estimate that four out of every 10 cancers is linked to the habit.

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HR Capabilities Positively Linked to Quality of Patient Care

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Human resource (HR) capabilities are positively associated with quality of patient care, with the relationship mediated by proactive work, according to a study published recently in Human Resource Management.

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High-Intensity Statins Tied to Better Survival in CVD Patients

THURSDAY, Nov. 10, 2016 (HealthDay News) -- There is a graded association between intensity of statin therapy and mortality for patients with established atherosclerotic cardiovascular disease, according to research published online Nov. 9 in JAMA Cardiology.

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Protein Intake Tied to Modest Survival Advantage in Breast CA

THURSDAY, Nov. 10, 2016 (HealthDay News) -- For women with breast cancer, higher intake of protein is associated with a modest survival advantage, according to a study published online Nov. 7 in the Journal of Clinical Oncology.

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Prediabetes Screening Guidelines Not Always Followed by PCPs

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, according to a study published in the November-December issue of the Journal of the American Board of Family Medicine.

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Meta-Analysis Links Increased BMI, Hand Osteoarthritis

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Increased body mass index may have a moderate effect on hand arthritis, according to a meta-analysis published recently in the International Journal of Rheumatic Diseases.

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Better Teamwork Linked to Improved Outcomes for CABG

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- For patients undergoing coronary artery bypass grafting (CABG), surgical outcomes are better for health systems with physicians who have higher teamwork levels, according to a study published online Nov. 8 in Circulation: Cardiovascular Quality and Outcomes.

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MRI May Help ID Lewy Body Dementia Versus Alzheimer's

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Magnetic resonance imaging (MRI) of the brain may aid diagnosis of dementia with Lewy bodies versus Alzheimer's disease, according to a study published online Nov. 2 in Neurology.

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Probable Interaction ID'd for PrOD, Ribavirin With Warfarin

TUESDAY, Nov. 8, 2016 (HealthDay News) -- There is a probable interaction between paritaprevir/ritonavir/ombitasvir+dasabuvir (PrOD) plus ribavirin with warfarin, according to a case report published online Nov. 3 in the Journal of Clinical Pharmacy and Therapeutics.

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Coronary Angiography, PCI Don't Impact Cognitive Function

TUESDAY, Nov. 8, 2016 (HealthDay News) -- There is no indication of postprocedural cognitive impairment for patients undergoing coronary angiography (CA) or percutaneous coronary intervention (PCI), according to a study published in the Nov. 15 issue of The American Journal of Cardiology.

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AMA Highlights Role of Patient Shame in Opioid Disorders

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Supported by the American Medical Association (AMA), the Providers' Clinical Support System for Opioid Therapies (PCSS-O) has released a collection of resources from a national training and mentoring project developed by physicians to promote the role of self-education and help curb the opioid epidemic.

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Genetic Mortality Risk Can Be Attenuated by Lifestyle

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Genetic variations correlate with mortality in the elderly, although their effect can be influenced by lifestyle behaviors, according to a study published online Nov. 2 in the Journal of the American Geriatrics Society.

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Second Opinions Seldom Change Prostate Cancer Decisions

MONDAY, Nov. 7, 2016 (HealthDay News) -- Second opinions have little impact on prostate cancer patients' treatment decisions, according to findings published online Nov. 7 in Cancer.

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Five Strategies Can Reduce Risk of Medical Lawsuits

MONDAY, Nov. 7, 2016 (HealthDay News) -- Five strategies can be employed by physicians in order to help reduce the risk of lawsuits, according to an article published in Medical Economics.

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Memantine + Sertraline Effective for Major Depressive Disorder

MONDAY, Nov. 7, 2016 (HealthDay News) -- The combination of memantine plus sertraline is efficacious for major depressive disorder, according to a study published online Nov. 3 in the Journal of Clinical Pharmacy and Therapeutics.

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New QI Intervention Aids Pain Management for Seniors in the ER

MONDAY, Nov. 7, 2016 (HealthDay News) -- The Improving Pain Relief in Elder Patients (I-PREP) quality improvement (QI) intervention improves pain management in older adults in the emergency department, according to a study published online Nov. 2 in the Journal of the American Geriatrics Society.

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Nonadherence in Nearly One-Third of Patients With HTN

MONDAY, Nov. 7, 2016 (HealthDay News) -- More than 30 percent of patients with hypertension are not adherent to antihypertensive drug therapy, according to a study published online Nov. 3 in the Journal of Evaluation in Clinical Practice.

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Women Have Worse Outcomes During 36 Months After ACS

FRIDAY, Nov. 4, 2016 (HealthDay News) -- In a study published in the Nov. 1 issue of The American Journal of Cardiology, among patients with acute coronary syndrome (ACS), women were found to have a higher mortality rate than men during 36 months of follow-up.

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Health Anxiety Takes Toll on Cardiovascular Health

FRIDAY, Nov. 4, 2016 (HealthDay News) -- People with high levels of health anxiety have about a 70 percent increased risk of ischemic heart disease (IHD), after taking into account other known risk factors, according to research published online Nov. 3 in BMJ Open.

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About Half of Seniors in ER Willing to Use Tablet Computers

FRIDAY, Nov. 4, 2016 (HealthDay News) -- About half of older adults in the emergency department are willing to provide information using a tablet computer, but few can do so without needing assistance, according to a study published online Nov. 2 in the Journal of the American Geriatrics Society.

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Experience of Spouses Explored in Pre-Heart Transplant Period

FRIDAY, Nov. 4, 2016 (HealthDay News) -- In a review published online Nov. 2 in the Journal of Clinical Nursing, six themes are identified among spouses of heart transplant recipients, some of which are associated with high levels of stress.

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Differences in Risk Factor Estimates for Prostate Cancer

THURSDAY, Nov. 3, 2016 (HealthDay News) -- For screened men enrolled in prostate cancer prevention trials, there are considerable differences in risk factor estimates for prostate cancer, according to a study published online Oct. 28 in the Journal of Clinical Oncology.

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About 30 Percent Misdiagnosed With Lower Extremity Cellulitis

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- More than 30 percent of patients admitted with a diagnosis of lower extremity cellulitis are misdiagnosed, according to a study published online Nov. 2 in JAMA Dermatology.

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ASCO Updates Guidelines on Integration of Palliative Care

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- The American Society of Clinical Oncology Clinical Practice Guideline on the integration of palliative care into standard oncology care has been updated. The update was published online Oct. 28 in the Journal of Clinical Oncology.

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Community Pharmacists Play Role in Providing Preventive Care

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- Community pharmacists are well suited to provide clinical preventive services, including education, screenings, and making referrals, according to a report published in the Oct. 27 issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Incidence of Statin-Associated T2DM Relatively Low

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- For patients without diabetes, the incidence of statin-associated type 2 diabetes mellitus (T2DM) is relatively low, according to research published in the Nov. 1 issue of The American Journal of Cardiology.

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Reduction of Chemical Exposure Cuts Diabetes in Elderly

TUESDAY, Nov. 1, 2016 (HealthDay News) -- For elderly adults, reduction of chemical exposures is associated with reduced burden and costs of diabetes, according to a study published online Oct. 27 in the Journal of Epidemiology & Community Health.

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Similar Complication Rate for Transvenous, Subcutaneous ICDs

TUESDAY, Nov. 1, 2016 (HealthDay News) -- For patients at risk for sudden cardiac death, the rate of complications is similar with transvenous implantable cardioverter-defibrillators (TV-ICDs) and subcutaneous ICDs (S-ICDs), although the nature of complications differs, according to a study published in the Nov. 8 issue of the Journal of the American College of Cardiology.

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Benefit of Exercise on Resting Pulse Rate in Seniors Unclear

TUESDAY, Nov. 1, 2016 (HealthDay News) -- A long-term moderate-intensity physical activity (PA) intervention may reduce resting pulse rate (RPR) among older adults, according to a study published online Oct. 27 in the Journal of the American Geriatrics Society.

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