May 2018 Briefing - Cardiology

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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for May 2018. 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.

No Consistent Cardiovascular Benefit Seen for Supplements

THURSDAY, May 31, 2018 (HealthDay News) -- The data on popular supplements show no consistent cardiovascular benefit, according to a study published in the June 5 issue of the Journal of the American College of Cardiology.

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CVD Risk Up Even in Metabolically Healthy Obese Women

THURSDAY, May 31, 2018 (HealthDay News) -- Obesity is associated with increased risk of cardiovascular disease risk even among metabolically healthy women, according to a study published online May 30 in The Lancet Diabetes & Endocrinology.

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ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care

THURSDAY, May 31, 2018 (HealthDay News) -- The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP).

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Annual Health Care Expenditure Higher for Hypertensive Patients

WEDNESDAY, May 30, 2018 (HealthDay News) -- Individuals with hypertension have a higher annual adjusted incremental expenditure of $1,920, according to a study published online May 30 in the Journal of the American Heart Association.

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Genomic Medicine Will Help Shift Cardio Care to Proactive Approach

WEDNESDAY, May 30, 2018 (HealthDay News) -- Genomic medicine is likely to help clinical care shift from a reactive to a proactive approach, especially in the field of cardiovascular medicine, according to a scientific statement from the American Heart Association published online May 29 in Circulation: Genomic and Precision Medicine.

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CDC: Outpatient Rehab Rates Suboptimal for Stroke Survivors

WEDNESDAY, May 30, 2018 (HealthDay News) -- In 2015, 35.5 percent of adult stroke survivors used outpatient rehabilitation, up from 31.2 percent in 2013, according to research published in the May 25 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Does Higher Protein Intake Up Heart Failure Risk in Men?

WEDNESDAY, May 30, 2018 (HealthDay News) -- Higher dietary protein intake is associated with a trend toward increased heart failure risk among middle-aged men, according to a study published online May 29 in Circulation: Heart Failure.

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New Hypertension Guideline Discussed for Older Adults

TUESDAY, May 29, 2018 (HealthDay News) -- Clinicians caring for older adults with hypertension should be mindful of the specific blood pressure (BP) goals proven to reduce cardiovascular disease events, while adopting the new 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guideline, according to an article published online May 20 in the Journal of the American Geriatrics Society.

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Reduced-Dose Anticoagulants Feasible for Extended VTE Tx

TUESDAY, May 29, 2018 (HealthDay News) -- For an extended duration, reduced-dose direct oral anticoagulants (DOACs) may be as effective as full-dose treatment for preventing recurrent venous thromboembolism (VTE), according to a review published online May 17 in the Journal of Thrombosis and Haemostasis.

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Increase in Tx Candidates With 2017 Hypertension Guidelines

FRIDAY, May 25, 2018 (HealthDay News) -- The 2017 American College of Cardiology/American Heart Association hypertension guideline is associated with an increase in the proportion of adults recommended for antihypertensive treatment compared with the 2014 guideline, according to a study published online May 23 in JAMA Cardiology.

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Severe Atopic Eczema Tied to Higher CV Disease Risk

FRIDAY, May 25, 2018 (HealthDay News) -- Adults with severe atopic eczema are at increased risk of cardiovascular disease, according to a study published online May 23 in The BMJ.

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Mortality Still High After Surgery for Congenital Heart Defects

FRIDAY, May 25, 2018 (HealthDay News) -- Long-term mortality after congenital heart surgery is higher than that of the general population for all forms of congenital heart defects (CHDs), according to a study published in the May 29 issue of the Journal of the American College of Cardiology.

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60-Day Mortality Not Significantly Lower With ECMO in ARDS

FRIDAY, May 25, 2018 (HealthDay News) -- For patients with very severe acute respiratory distress syndrome (ARDS), 60-day mortality is not significantly lower with venovenous extracorporeal membrane oxygenation (ECMO) than with continued conventional treatment, according to a study published online in the May 24 issue of the New England Journal of Medicine.

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Congress Approves Bill Expanding Private Care for VA Patients

THURSDAY, May 24, 2018 (HealthDay News) -- Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.

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Atherosclerotic CVD Mortality Higher in South Asians in the U.S.

THURSDAY, May 24, 2018 (HealthDay News) -- South Asians in the United States have increased proportional mortality rates from atherosclerotic cardiovascular disease (ASCVD), although there are no unique risk factors in this population, according to a scientific statement from the American Heart Association published online May 24 in Circulation.

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Financial Incentives May Up Rates of Smoker Abstinence

THURSDAY, May 24, 2018 (HealthDay News) -- Financial incentives added to free cessation aids can improve the rate of sustained abstinence among smokers, according to a study published online May 23 in the New England Journal of Medicine.

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Social Isolation Tied to Worse Heart Failure Outcomes

THURSDAY, May 24, 2018 (HealthDay News) -- Greater perceived social isolation is associated with an increased risk of death and health care use among patients with heart failure, according to a study published online May 23 in the Journal of the American Heart Association.

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Global Variation in Personal Health Care Access and Quality

THURSDAY, May 24, 2018 (HealthDay News) -- There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet.

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Pediatricians Should Advocate for Life Support Training

WEDNESDAY, May 23, 2018 (HealthDay News) -- Pediatricians should advocate for life support training for children, parents, caregivers, school personnel, and the public, according to a technical report and policy statement published online May 23 in Pediatrics.

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Morbidity in Pregnancy Common for Women With Heart Disease

WEDNESDAY, May 23, 2018 (HealthDay News) -- For women with heart disease, cardiac complications occur in 16 percent of pregnancies and are mainly linked to arrhythmias and heart failure, according to a study published in the May 29 issue of the Journal of the American College of Cardiology.

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Extended INR Test Intervals Safe for Warfarin-Treated Patients

WEDNESDAY, May 23, 2018 (HealthDay News) -- For stable warfarin-treated patients, extended international normalized ratio (INR) testing can be successfully and safely implemented, according to a study published online May 15 in the Journal of Thrombosis and Haemostasis.

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Less Driving Tied to Lower Cardiovascular Disease Risk

WEDNESDAY, May 23, 2018 (HealthDay News) -- More active alternatives to the car for travel are associated with a reduced risk of cardiovascular disease (CVD) and all-cause mortality, according to a study published online May 21 in Heart.

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Post-Surgical Readmissions Higher Among Homeless Veterans

TUESDAY, May 22, 2018 (HealthDay News) -- Readmissions are higher in homeless veterans discharged to the community after surgery, compared to housed veterans, according to a study published in the June issue of Medical Care.

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Daily Egg Consumption Linked to Reduced CVD Risk

TUESDAY, May 22, 2018 (HealthDay News) -- A moderate level of egg consumption is associated with a reduced risk of cardiovascular disease (CVD), according to a study published online May 21 in Heart.

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CDC: No Change in Level of Uninsured in U.S. in 2017

TUESDAY, May 22, 2018 (HealthDay News) -- Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention's National Centers for Health Statistics.

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Starting Exercise Even in Older Age Cuts Heart Failure Risk

MONDAY, May 21, 2018 (HealthDay News) -- Increasing patients' physical activity is an effective strategy to lower future risk of heart failure, according to a study published in the May issue of Circulation.

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Depression-Heart Rate Variability Link Is Bidirectional

MONDAY, May 21, 2018 (HealthDay News) -- There is a bidirectional association between depression and heart rate variability (HRV), according to a study published online May 16 in JAMA Psychiatry.

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Language Used in Medical Record Can Affect Patient Care

FRIDAY, May 18, 2018 (HealthDay News) -- Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine.

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Proportion of Drug-Intoxicated Organ Donors on the Rise in U.S.

FRIDAY, May 18, 2018 (HealthDay News) -- The drug abuse epidemic in the United States has been associated with an increase in the recovery of organs from brain-dead donors, according to a research letter published in the May 17 issue of the New England Journal of Medicine.

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Ischemic Heart Disease, CHF Mortality Vary Across VA Systems

FRIDAY, May 18, 2018 (HealthDay News) -- Risk-standardized mortality rates for ischemic heart disease (IHD) and chronic heart failure vary across Veterans Affairs Medical Centers (VAMCs), according to a study published online May 16 in JAMA Cardiology.

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Higher Adiposity Increases Odds of Smoking

FRIDAY, May 18, 2018 (HealthDay News) -- Obesity is linked to an increased risk of smoking and an increase in the number of cigarettes smoked daily, according to a study published online May 16 in The BMJ.

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Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure

THURSDAY, May 17, 2018 (HealthDay News) -- Acute kidney injury (AKI) is independently associated with a higher risk of cardiovascular events, especially heart failure, after hospital discharge, according to a study published online May 17 in the Clinical Journal of the American Society of Nephrology.

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Seafood Recommended 1 to 2 Times/Week for Cardiac Benefit

THURSDAY, May 17, 2018 (HealthDay News) -- One to two servings of seafood per week is recommended for cardiovascular benefits, according to an American Heart Association science advisory published online May 17 in Circulation.

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More Variants in DCM-Tied Genes in Alcoholic Cardiomyopathy

THURSDAY, May 17, 2018 (HealthDay News) -- Patients with alcoholic cardiomyopathy (ACM) have more variants in dilated cardiomyopathy (DCM)-associated genes than those without ACM, according to a study published in the May 22 issue of the Journal of the American College of Cardiology.

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Nonprofit Manufacturer Could Keep Generic Drug Costs Down

WEDNESDAY, May 16, 2018 (HealthDay News) -- A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine.

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Doctors May Avoid Performing PCI Due to Public Reporting

WEDNESDAY, May 16, 2018 (HealthDay News) -- Current percutaneous coronary intervention (PCI) public reporting programs could have negative effects, with physicians avoiding PCI in high-risk patients, according to a study published online May 9 in JAMA Cardiology.

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Best Practices Developed for Use of EHR to Enhance Patient Care

WEDNESDAY, May 16, 2018 (HealthDay News) -- Best practices have been developed for using electronic health records (EHRs) to enhance patient-centered care, according to an article published online in Medical Economics.

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Hyoscyamine Helps in A-Fib With Slow Ventricular Response

TUESDAY, May 15, 2018 (HealthDay News) -- Hyoscyamine can prevent pacemaker placement in a patient with symptoms caused by a slow ventricular response during atrial fibrillation, according to a case study published online May 15 in the Annals of Internal Medicine.

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High Occupational Exercise Level Tied to Early Mortality in Men

TUESDAY, May 15, 2018 (HealthDay News) -- High levels of occupational physical activity in men are associated with an increased risk of early mortality, according to a review published online May 14 in the British Journal of Sports Medicine.

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Early Post-Op APAP Exposure May Cut AKI Risk in Peds Cardiac Sx

TUESDAY, May 15, 2018 (HealthDay News) -- For pediatric patients undergoing cardiac surgery, early postoperative acetaminophen exposure may be associated with a reduced rate of acute kidney injury (AKI), according to a study published online May 14 in JAMA Pediatrics.

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Maternal Exposure to Polluted Air Tied to Elevated Child BP

MONDAY, May 14, 2018 (HealthDay News) -- Exposure to ambient air pollution in the third trimester of pregnancy is associated with increased risk of elevated blood pressure (BP) among offspring, according to a study published online May 14 in Hypertension.

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Malnutrition Is Associated With Poor Prognosis in Heart Failure

FRIDAY, May 11, 2018 (HealthDay News) -- Patients with heart failure frequently have malnutrition, which is associated with increased mortality, according to a study published online May 9 in JACC: Heart Failure.

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FDA Targets Clinics Offering Unapproved Stem Cell Therapies

THURSDAY, May 10, 2018 (HealthDay News) -- The U.S. Food and Drug Administration has launched legal action to stop two stem cell clinics from providing unapproved treatments that have caused serious, long-term harm to some patients.

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Ob-Gyns Should Play Role in Reducing CVD Risk for Women

THURSDAY, May 10, 2018 (HealthDay News) -- Obstetrician-gynecologists (ob-gyns) can help promote risk identification and reduction of cardiovascular disease among women at well-women visits, according to an American Heart Association/American College of Obstetrics and Gynecology presidential advisory published online May 10 in Circulation.

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Regulatory Requirements Drive Dissatisfaction With EHRs

TUESDAY, May 8, 2018 (HealthDay News) -- Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine.

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Long-Term Cardiovascular Risk for Endometrial Cancer Survivors

TUESDAY, May 8, 2018 (HealthDay News) -- Endometrial cancer survivors have an elevated risk of various adverse long-term cardiovascular outcomes, according to a study published online May 8 in the Journal of the National Cancer Institute.

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Folic Acid May Cut Stroke Risk in High-Risk Hypertensive Patients

MONDAY, May 7, 2018 (HealthDay News) -- Hypertensive patients may lower their stroke risk with folic acid supplements, according to a study published in the May 15 issue of the Journal of the American College of Cardiology.

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Many Organizations Not Meeting Trial Reporting Requirements

FRIDAY, May 4, 2018 (HealthDay News) -- Many organizations are not meeting the trial registration and results reporting requirements clarified by "The Final Rule," which had a compliance date of April 18, 2017, according to a study published online May 1 in BMC Medicine.

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High Incidence of Sudden and/or Arrhythmic Death in CHD

FRIDAY, May 4, 2018 (HealthDay News) -- Among patients with coronary heart disease without severe systolic dysfunction, sudden and/or arrhythmic deaths (SAD) account for a considerable proportion of deaths, according to a study published online May 2 in JAMA Cardiology.

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Frequency of Sauna Bathing Linked to Reduced Stroke Risk

WEDNESDAY, May 2, 2018 (HealthDay News) -- For adults, frequent sauna bathing is associated with reduced risk of future stroke, according to a study published online May 2 in Neurology.

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Women's Representation in CVD Drug Trials Varies

WEDNESDAY, May 2, 2018 (HealthDay News) -- Women are well-represented in some cardiovascular disease clinical trials, but representation of women is low for trials in certain conditions, according to a study published in the May 8 issue of the Journal of the American College of Cardiology.

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In Heart Failure, Initial ICU Care by Cardiologist Differs by Race

WEDNESDAY, May 2, 2018 (HealthDay News) -- Among heart failure patients admitted to the intensive care unit (ICU), African-Americans are less likely than Caucasians to receive primary care by a cardiologist, according to a study published in the May 1 issue of JACC: Heart Failure.

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Palliative Care Consult Can Cut Hospital Costs in Seriously Ill

WEDNESDAY, May 2, 2018 (HealthDay News) -- For hospitalized adults with serious illness, receiving a palliative care consultation (PCC) is associated with a reduction in hospital costs, according to a review published online April 30 in JAMA Internal Medicine.

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Practices Should Be Aware of Correct Way to Fire Employees

TUESDAY, May 1, 2018 (HealthDay News) -- Physicians should be aware of the correct protocol for, as well as the laws involved in, firing employees, according to a report published in Medical Economics.

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Perioperative MACCEs More Common With Diabetes

TUESDAY, May 1, 2018 (HealthDay News) -- Perioperative major adverse cardiovascular and cerebrovascular events (MACCEs) are more common among patients with diabetes mellitus (DM), according to a study published online April 4 in Diabetes Care.

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Metabolically Healthy Obesity Not Without Risk of CVD

TUESDAY, May 1, 2018 (HealthDay News) -- Metabolically healthy obesity (MHO) is not a stable or reliable indicator of future cardiovascular disease (CVD) risk, according to a study published in the May 1 issue of the Journal of the American College of Cardiology.

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Timely Receipt of PCI in STEMI Up With Hospital Bypass Policy

TUESDAY, May 1, 2018 (HealthDay News) -- Adoption of policies allowing emergency medical services (EMS) to bypass non-percutaneous coronary intervention (PCI) capable hospitals for patients with ST-segment elevation myocardial infarction (STEMI) is associated with increased receipt of timely PCI, according to a study published online May 1 in Circulation: Cardiovascular Interventions.

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