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Category: Cardiology | Monthly Briefing

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June 2012 Briefing - Cardiology

Last Updated: July 02, 2012.

 

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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for June 2012. 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.

Heart Problems Seen in Fetal Growth-Restricted Pregnancy

FRIDAY, June 29 (HealthDay News) -- Women with normotensive fetal growth-restricted pregnancies have impaired myocardial relaxation and asymptomatic diastolic dysfunction, according to a study published online June 25 in Hypertension.

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Biophysical Abnormalities Seen in Aorta of Obese Children

FRIDAY, June 29 (HealthDay News) -- Obese children have abnormal measurements of the biophysical properties of the aorta, reflecting increased aortic stiffness and early cardiovascular disease, according to a study published online June 25 in The American Journal of Cardiology.

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Supreme Court Upholds Health Care Reform Law

THURSDAY, June 28 (HealthDay News) -- The U.S. Supreme Court voted June 28 to uphold the constitutionality of the Patient Protection and Affordable Care Act (PPACA), which has been the subject of debate and multiple lawsuits since its 2010 inception.

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Hyperinsulinemia in Early Adulthood Tied to Later HTN

THURSDAY, June 28 (HealthDay News) -- Young adults with hyperinsulinemia are significantly more likely to have hypertension (HTN) later in life, regardless of sex, ethnicity, or body weight, according to a study published in the July issue of Diabetes Care.

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FDA Clears First Weight-Loss Pill in 13 Years

THURSDAY, June 28 (HealthDay News) -- The Arena Pharmaceuticals drug Belviq (lorcaserin hydrochloride) has been approved by the U.S. Food and Drug Administration, the first approval of an anti-obesity medication in 13 years.

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Early Surgery Ups Outcomes in Infective Endocarditis

WEDNESDAY, June 27 (HealthDay News) -- For patients with infective endocarditis and large vegetations, early surgery reduces death from any cause and embolic events, compared with conventional treatment, according to a study published in the June 28 issue of the New England Journal of Medicine.

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Men and Women Appear to Respond Differently to Statins

WEDNESDAY, June 27 (HealthDay News) -- Statin therapy appears to reduce the risk of recurrent cardiovascular events in both men and women, but it may not reduce the risk of stroke or all-cause mortality in women, according to a meta-analysis published in the June 25 issue of the Archives of Internal Medicine.

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Long-Term Adverse Cardiac Outcomes for Low-Carb Diets

WEDNESDAY, June 27 (HealthDay News) -- Women who follow low carbohydrate-high protein diets have an increased risk of cardiovascular disease, according to a study published online June 26 in BMJ.

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Duplicate Payments by Federal Government Increasing

WEDNESDAY, June 27 (HealthDay News) -- The federal government spends a substantial and increasing amount on individuals who are dually enrolled in separate managed care programs (the Veterans Affairs health care system [VA] and Medicare Advantage plan [MA]), according to a study published online June 26 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 24 to 26 in Orlando, Fla.

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J-Shaped Association for Coffee Consumption, Heart Failure

TUESDAY, June 26 (HealthDay News) -- Habitual consumption of moderate quantities of coffee, up to four cups per day, correlates with a moderately decreased risk of heart failure, but higher consumption potentially increases the risk, according to a review published online June 26 in Circulation: Heart Failure.

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Warfarin Safe After Ischemic Stroke in tPA-Treated Patients

TUESDAY, June 26 (HealthDay News) -- For patients receiving tissue plasminogen activator (tPA) after ischemic stroke, warfarin has no effect on the risk of symptomatic intracranial hemorrhage (sICH), according to a study published in the June 27 issue of the Journal of the American Medical Association.

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Use of Electronic Records Tied to Fewer Malpractice Claims

TUESDAY, June 26 (HealthDay News) -- Use of electronic health records (EHRs) is associated with fewer medical malpractice claims among physicians from multiple surgical and medical specialties, according to a research letter published online June 25 in the Archives of Internal Medicine.

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Olmesartan May Be Linked to Spruelike Enteropathy

TUESDAY, June 26 (HealthDay News) -- Patients treated with olmesartan may develop a severe form of spruelike enteropathy, which improves after suspension of the drug, according to research published online June 25 in the Mayo Clinic Proceedings.

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Task Force Recommends Screening All Adults for Obesity

MONDAY, June 25 (HealthDay News) -- Clinicians should screen all adults for obesity; and, there is a small health benefit for initiating behavioral counseling interventions in a primary care setting for adults without cardiovascular disease (CVD) or its risk factors, according to two recommendation statements published online June 26 in the Annals of Internal Medicine.

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Ozone Exposure Causes Negative Cardiovascular Changes

MONDAY, June 25 (HealthDay News) -- Ozone exposure in healthy young adults causes an increase in vascular markers of inflammation, changes in fibrinolytic markers that could potentially impair fibrinolysis, and changes in autonomic control of heart rate, according to a study published online June 25 in Circulation.

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Drug-Eluting Stents Offer No Advantage for A-Fib Patients

FRIDAY, June 22 (HealthDay News) -- Drug-eluting stents (DESs) do not seem to offer advantages over bare-metal stents (BMSs) for patients with atrial fibrillation (AF) who undergo percutaneous coronary intervention (PCI) with stent implantation, according to research published in the July 1 issue of The American Journal of Cardiology.

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Risk Factors ID'd for SCA in Heart Defect Repair Survivors

FRIDAY, June 22 (HealthDay News) -- In adult survivors of surgery for congenital heart disease (CHD), severe subaortic ventricular systolic dysfunction is a significant and independent predictor of sudden cardiac arrest (SCA), according to research published in the July 1 issue of The American Journal of Cardiology.

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Telehealth Intervention Linked to Lower Admission Rates

FRIDAY, June 22 (HealthDay News) -- A telehealth intervention is associated with improved emergency admission rates and lower mortality compared with usual care, according to a study published online June 21 in BMJ.

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Half of Residents Report Working While Sick

THURSDAY, June 21 (HealthDay News) -- About half of residents have worked while sick, with many reporting feeling obligated to colleagues and patients, according to a research letter published online June 18 in the Archives of Internal Medicine.

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Prevalence of ACS-Induced PTSD Is About 12 Percent

THURSDAY, June 21 (HealthDay News) -- For patients with acute coronary syndromes (ACS), such as myocardial infarction or unstable angina, the prevalence of post-traumatic stress disorder (PTSD) is approximately 12 percent, and the presence of ACS-induced PTSD is associated with a doubling of the risk of subsequent ACS events and death, according to a study published online June 20 in PLoS One.

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Many Psoriasis Patients Undertreated for CV Risk Factors

THURSDAY, June 21 (HealthDay News) -- A large proportion of patients with moderate-to-severe plaque psoriasis are underdiagnosed and undertreated for cardiovascular (CV) risk factors, according to a study published in the July issue of the Journal of the American Academy of Dermatology.

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Emerging Lipoprotein Markers Slightly Up CVD Risk Detection

TUESDAY, June 19 (HealthDay News) -- The addition of certain apolipoproteins and lipoproteins to cardiovascular disease (CVD) risk scores containing total cholesterol and high-density lipoprotein cholesterol (HDL-C) slightly improves CVD risk prediction, according to a study published in the June 20 issue of the Journal of the American Medical Association.

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High Future Coronary Event Risk in Chronic Kidney Disease

TUESDAY, June 19 (HealthDay News) -- Patients with chronic kidney disease (CKD) have higher rates of myocardial infarction (MI) than those with diabetes, according to a study published online June 19 in The Lancet.

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High-Salt Diet Ups Markers of Endothelial Dysfunction

MONDAY, June 18 (HealthDay News) -- A high-sodium diet is associated with markers of endothelial dysfunction (serum uric acid [SUA] and urine albumin excretion [UAE]), and increased sodium intake in those with high levels of biomarkers correlates with an increased risk of hypertension, according to a study published online June 18 in Circulation.

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Psychological Distress Increases Cerebrovascular Death Risk

MONDAY, June 18 (HealthDay News) -- Psychological distress, as assessed using the 12-item General Health Questionnaire (GHQ-12), is associated with an increased risk of death due to cerebrovascular disease and ischemic heart disease, according to a study published online June 18 in CMAJ, the journal of the Canadian Medical Association.

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Pediatric Hospitalizations for HTN Up From 1997 to 2006

MONDAY, June 18 (HealthDay News) -- The number of children with hypertension-related hospitalizations in the United States increased significantly from 1997 to 2006, with the fraction of inpatient charges attributed to hypertension also significantly increased, according to a study published online June 18 in Hypertension.

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CDC: Preventive Health Services Underused Before 2010

THURSDAY, June 14 (HealthDay News) -- Prior to 2010, only about half of all U.S. adults received key preventive health services, according to a report published in the June 15 supplement of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Autologous Recellularization of a Vein Transplant Feasible

THURSDAY, June 14 (HealthDay News) -- A new technique involving recellularization of a deceased donor vein graft with autologous stem cells may be a viable option for patients who require a vein graft, according to a proof-of-concept study published online June 14 in The Lancet.

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Statins Exhibit Adverse Effect on Energy, Exertional Fatigue

THURSDAY, June 14 (HealthDay News) -- For relatively healthy individuals, particularly women, statin use may be associated with reduced energy and exertional fatigue, according to a research letter published online June 11 in the Archives of Internal Medicine.

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Curbing Antibiotic Prophylaxis Doesn't Up Endocarditis Risk

WEDNESDAY, June 13 (HealthDay News) -- The incidence of viridans group streptococci infective endocarditis (VGS-IE) has not increased since the publication of the 2007 American Heart Association (AHA) guidelines restricting prophylactic antibiotics in dental patients, according to a study published online June 11 in Circulation.

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Gender Gap Exists in Physician Researchers' Salaries

TUESDAY, June 12 (HealthDay News) -- A survey of mid-career academic physician researchers shows that gender differences in salary exist even after adjusting for differences in specialty, institutional characteristics, academic productivity, academic rank, and work hours, according to a study published in the June 13 issue of the Journal of the American Medical Association.

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Link Between Vascular Disease and Disc Height Loss Examined

FRIDAY, June 8 (HealthDay News) -- The association between vascular disease, as measured by abdominal aortic calcifications (AACs), and disc height loss is independent of cardiovascular disease and is largely explained by patient age, gender, and body mass index (BMI), according to a study published in the April issue of The Spine Journal.

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Prediabetes Linked to Increased Risk of Stroke

FRIDAY, June 8 (HealthDay News) -- Prediabetes may be associated with a higher risk of future stroke if defined as impaired glucose tolerance or a combination of impaired fasting glucose and impaired glucose tolerance, according to a study published online June 7 in BMJ.

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Vascular Diseases Linked to Newly Discovered Stem Cells

THURSDAY, June 7 (HealthDay News) -- Vascular remodeling and diseases such as atherosclerosis may be traced back to differentiation of a newly discovered vascular stem cell rather than de-differentiation of smooth muscle cells, according to a study published online June 6 in Nature Communications.

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Venous Thromboembolism Up in Adult Hospitalizations

THURSDAY, June 7 (HealthDay News) -- Every year, more than half a million hospitalized U.S. adults acquire venous thromboembolism (VTE), a growing public health concern that is often preventable, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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NAFLD Independently Linked to Cardiovascular Disease

THURSDAY, June 7 (HealthDay News) -- Nonalcoholic fatty liver disease (NAFLD) is independently associated with an increased risk of cardiovascular disease (CVD), but it is not associated with a statistically significantly increased risk of cardiovascular mortality, according to a study published in the June issue of Clinical Gastroenterology and Hepatology.

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Endurance Training May Induce Adverse Cardiac Remodeling

WEDNESDAY, June 6 (HealthDay News) -- Excessive endurance training may induce adverse cardiovascular remodeling in some individuals, according to a review published in the June issue of the Mayo Clinic Proceedings.

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PCI Has Excellent Outcomes for Younger Adults With CAD

WEDNESDAY, June 6 (HealthDay News) -- For younger adults with premature coronary artery disease (CAD), percutaneous coronary intervention (PCI) is associated with excellent short- and long-term outcomes, according to a study published in the June 15 issue of The American Journal of Cardiology.

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Anti-HTN Drugs Have Distinct Effect on Central, Brachial SBP

WEDNESDAY, June 6 (HealthDay News) -- A reduction in central to brachial amplification induced by some antihypertensive drugs may result in lesser reductions in central than brachial systolic blood pressure, according to research published online May 25 in the British Journal of Clinical Pharmacology.

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Racial Gap in Life Expectancy Down From 2003 to 2008

WEDNESDAY, June 6 (HealthDay News) -- From 2003 to 2008, the gap in life expectancy between non-Hispanic blacks and whites in the United States decreased by about one year for both men and women, according to a research letter published in the June 6 issue of the Journal of the American Medical Association.

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Troponin T May Help Predict Death After Noncardiac Surgery

TUESDAY, June 5 (HealthDay News) -- Elevated peak troponin T (TnT) measurements in the first three days after noncardiac surgery are associated with an increased risk of 30-day mortality, according to a study published in the June 6 issue of the Journal of the American Medical Association.

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Aspirin Ups Risk of Bleeding in All But Diabetes Patients

TUESDAY, June 5 (HealthDay News) -- Aspirin use is associated with an increased risk of major bleeding, while patients with diabetes have a high risk of bleeding, independent of aspirin use, according to a study published in the June 6 issue of the Journal of the American Medical Association.

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In A-Fib, Rhythm Control Reduces Mortality in Long Term

TUESDAY, June 5 (HealthDay News) -- Elderly patients with atrial fibrillation have reduced mortality over the long term if they initiate rhythm control treatment rather than rate control treatment, according to a study published online June 4 in the Archives of Internal Medicine.

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Circulating Nurses Recover Errors in Cardiovascular OR

TUESDAY, June 5 (HealthDay News) -- Circulating perioperative nurses can help reduce surgical errors and incidents in the cardiovascular operating room (OR) and improve patient safety, especially with regard to surgical prepping and aseptic technique, according to research published in the June issue of the AORN Journal.

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Statewide Coordinated STEMI Approach Deemed Successful

MONDAY, June 4 (HealthDay News) -- A statewide coordinated effort across hospitals and emergency medical service (EMS) providers to transport patients with ST-segment elevation myocardial infarction (STEMI) to hospitals providing percutaneous coronary intervention (PCI) has resulted in improved outcomes, according to a study published online June 4 in Circulation.

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Ischemic Stroke Risk Higher in Women With A-Fib

FRIDAY, June 1 (HealthDay News) -- Women with atrial fibrillation have a moderately higher risk of ischemic stroke than men, even after accounting for multiple cofactors for stroke, according to a study published online May 31 in BMJ.

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Heart Rate Affected by Nocturnal Hypoglycemia in T1DM Patients

FRIDAY, June 1 (HealthDay News) -- For adults with type 1 diabetes there is a marked decrease in the low-frequency component of heart rate variability during spontaneous nocturnal hypoglycemia, according to a study published online May 18 in Diabetes Care.

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Peer Coaches, Staff Support Beneficial in Uncontrolled HTN

FRIDAY, June 1 (HealthDay News) -- For African-American patients with uncontrolled hypertension, an intervention consisting of peer- and practice-based support is associated with reduced systolic blood pressure (SBP) and a nonsignificant trend toward reduced coronary heart disease (CHD) risk at four years, according to a study published online May 9 in the Journal of General Internal Medicine.

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Dark Chocolate May Prevent Cardio Events in High-Risk

FRIDAY, June 1 (HealthDay News) -- For individuals with metabolic syndrome at high risk for cardiovascular events, daily consumption of dark chocolate offers a long-term, cost-effective way of reducing the number of cardiovascular events, according to a study published online May 31 in BMJ.

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