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Category: Cardiology | Monthly Briefing

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July 2012 Briefing - Cardiology

Last Updated: August 01, 2012.

 

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

Infrapopliteal Nitinol Stent Safe for Critical Limb Ischemia

TUESDAY, July 31 (HealthDay News) -- For patients with critical limb ischemia (CLI), use of infrapopliteal nitinol stenting (Xpert self-expanding nitinol stent) is safe and improves clinical outcomes at six and 12 months, according to a study published online July 24 in Catheterization & Cardiovascular Interventions.

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Task Force Still Recommends Against Routine ECG Screening

TUESDAY, July 31 (HealthDay News) -- In an update of the 2004 recommendations, the U.S. Preventive Services Task Force (USPSTF) continues to recommend against routine use of electrocardiogram (ECG) screening of asymptomatic adults for coronary heart disease (CHD), according to a scientific statement published online July 31 in the Annals of Internal Medicine.

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Pre-Op Statin Use Ups Insulin Resistance in Heart Surgery

TUESDAY, July 31 (HealthDay News) -- Patients without diabetes who are taking statins prior to cardiac surgery experience increased insulin resistance compared with those not taking statins, according to a study published online July 24 in Diabetes Care.

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Fifth Link Ups Neuro Outcome in Non-Hospital Cardiac Arrest

TUESDAY, July 31 (HealthDay News) -- Following implementation of the fifth link (multidisciplinary postresuscitation care in a regional center) to the previous four links in the chain of survival concept improves neurological outcomes for patients with out-of-hospital cardiac arrest, according to a study published in the July 31 issue of Circulation.

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Early Mediterranean Diet Benefits Arteries in Adulthood

MONDAY, July 30 (HealthDay News) -- Adherence to a Mediterranean dietary pattern in early life is associated with lower arterial stiffness in adulthood, according to a study published online July 19 in the Journal of Internal Medicine.

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Cadmium Linked to Plaque Development in Older Women

MONDAY, July 30 (HealthDay News) -- Cadmium levels in blood and urine are independently associated with the development of atherosclerotic plaques in older women, according to a study published online July 20 in the Journal of Internal Medicine.

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Study Assesses Impact of Lesion Severity on Coronary Event Risk

FRIDAY, July 27 (HealthDay News) -- Contrary to previous evidence, angiographic lesion severity may predict subsequent risk of ST-segment elevation myocardial infarction (STEMI) within three months, according to a study published in the July 15 issue of The American Journal of Cardiology.

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Increased Risk of Vascular Events for Shift Workers

FRIDAY, July 27 (HealthDay News) -- Shift work correlates with an increased risk of vascular events, according to a review published online July 26 in BMJ.

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Clopidogrel Response Remains Stable After Acute MI

THURSDAY, July 26 (HealthDay News) -- For patients with acute myocardial infarction (AMI) treated with percutaneous coronary intervention (PCI), the rate of high on-treatment platelet reactivity (HTPR) despite clopidogrel therapy remains relatively stable for six months, according to a study published online in the August issue of The American Journal of Cardiology.

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Study Assesses Cardio Risk Factors in Severely Obese Children

WEDNESDAY, July 25 (HealthDay News) -- Nearly two-thirds of severely obese children aged 12 or younger have at least one cardiovascular risk factor, according to a study published online July 23 in the Archives of Disease in Childhood.

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Coronary CT Angiography in ER Ups Decision-Making Efficiency

WEDNESDAY, July 25 (HealthDay News) -- Incorporating coronary computed tomographic angiography (CCTA) into evaluation of patients presenting to the emergency department with acute coronary syndrome symptoms improves the efficacy of clinical decision making, according to a study published in the July 26 issue of the New England Journal of Medicine.

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Increased Risk of Heart Attack After Hip, Knee Replacement

WEDNESDAY, July 25 (HealthDay News) -- There is a significantly elevated risk of acute myocardial infarction (AMI) in the six weeks following total hip replacement (THR) and the two weeks following total knee replacement (TKR) surgery, according to a study published online July 23 in the Archives of Internal Medicine.

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Two-Thirds of Medicaid Patients Adherent to Chronic Meds

TUESDAY, July 24 (HealthDay News) -- Based on a Medicaid claims model, among New York City (NYC) Medicaid participants, adherence to chronic medications is inadequate, with considerable racial disparities noted, according to a study published online June 22 in the Journal of Urban Health.

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Recommended Tests Poorly Utilized in Hypertensive Teens

TUESDAY, July 24 (HealthDay News) -- Guideline-recommended diagnostic echocardiograms and renal ultrasonography are poorly utilized in Medicaid-eligible adolescents with essential hypertension, according to research published online July 23 in the Archives of Pediatrics & Adolescent Medicine.

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Heart Medication Converts Cancer Cells Into Vaccine

FRIDAY, July 20 (HealthDay News) -- A class of heart medications, cardiac glycosides, can induce immunogenic cell death (ICD), whereby dying cancer cells are converted into a vaccine that stimulates antitumor response, according to a study published in the July 18 issue of Science Translational Medicine.

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High-Strain, Active Jobs Up Cardio Disease Risk for Women

FRIDAY, July 20 (HealthDay News) -- For women, high-strain and active jobs correlate with an increased long-term risk of cardiovascular disease (CVD), according to a study published online July 18 in PLoS One.

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Specific Paternal Occupations Linked to Risk of Birth Defects

THURSDAY, July 19 (HealthDay News) -- Specific paternal occupations correlate with increased risk of birth defects, and maternal occupational exposure to certain solvents correlates with increased risk of congenital heart defects (CHDs), according to two studies published online July 17 in Occupational & Environmental Medicine.

Abstract - Desrosiers
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Abstract - Gilboa
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Most Doctors Satisfied With Electronic Health Records

THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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~12,000 Preventable Deaths in English Hospitals Annually

THURSDAY, July 19 (HealthDay News) -- Approximately 12,000 hospital deaths in England each year are preventable, according to research published online July 7 in BMJ Quality & Safety.

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Poorer Patient Experience at Safety-Net Hospitals

THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.

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Another New Weight-Loss Drug Approved

WEDNESDAY, July 18 (HealthDay News) -- Qsymia (phentermine and topiramate extended-release) has been approved by the U.S. Food and Drug Administration, making it the second weight-loss drug to be given the agency's green light in less than a month.

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Intervention to Prevent Stroke, Dementia Cuts Long-Term Care

WEDNESDAY, July 18 (HealthDay News) -- In a real-world clinical setting, a multidomain prevention program for stroke and dementia can reduce the risk of long-term care (LTC) dependence, according to a study published online July 17 in the Journal of the American Heart Association.

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Mortality Risk Up for Fast-Walking Elderly With High BP

WEDNESDAY, July 18 (HealthDay News) -- Among elderly adults, the correlation between blood pressure (BP) and mortality varies with walking speed, according to research published online July 16 in the Archives of Internal Medicine.

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Physical Inactivity Accounts for Considerable Disease Burden

WEDNESDAY, July 18 (HealthDay News) -- Physical inactivity has a considerable impact on the burden of major non-communicable diseases, and causes 9 percent of premature mortality worldwide, according to a study published online July 18 in The Lancet.

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Social Network Analysis IDs Informal Physician Networks

TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Physical Abuse Doubles Risk of Metabolic Syndrome in Women

TUESDAY, July 17 (HealthDay News) -- After adjusting for age, ethnicity, and menopausal status, a history of childhood physical abuse more than doubles a woman's risk of developing metabolic syndrome during midlife, according to research published online July 9 in Health Psychology.

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NYC Restriction Tied to Lower Trans Fat Content of Fast Food

TUESDAY, July 17 (HealthDay News) -- The introduction of restaurant regulations restricting trans fat use in New York City (NYC) correlated with a significant decrease in the trans fat content of fast food purchases, according to a study published in the July 17 issue of the Annals of Internal Medicine.

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Aspirin Still First-Line Therapy for Unstable Angina/NSTEMI

MONDAY, July 16 (HealthDay News) -- Aspirin is still the first line of therapy for patients with unstable angina or non-ST-elevation myocardial infarction (NSTEMI), and ticagrelor can be used in place of clopidogrel or prasugrel instead of aspirin or as a second antiplatelet agent, according to a report from the American College of Cardiology Foundation (ACCF)/American Heart Association (AHA) published online July 16 in Circulation.

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Using a Pedometer Ups Leisure Walking Time for Older Adults

MONDAY, July 16 (HealthDay News) -- Compared with time-based physical activity goals, using a pedometer to measure steps increases leisure walking time, even a year after the initial intervention, according to a study published in the May/June issue of the Annals of Family Medicine.

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Nebivolol Better Preserves Exercise Performance at Altitude

FRIDAY, July 13 (HealthDay News) -- Under high altitude (HA) hypoxemia conditions, exercise performance seems to be better preserved with nebivolol than carvedilol, according to a study published in the August issue of Cardiovascular Therapeutics.

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Trackable Blood Cells Feasible for MRI Monitoring

WEDNESDAY, July 11 (HealthDay News) -- Blood cells labeled with superparamagnetic particles of iron oxide (SPIO) are safe and can be tracked by magnetic resonance imaging (MRI), which may allow better monitoring of cell-based therapies, according to a study published online July 10 in Circulation: Cardiovascular Imaging.

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Drug-Eluting Stent Use Unrelated to Probable Benefit

WEDNESDAY, July 11 (HealthDay News) -- The use of drug-eluting stents (DES) after percutaneous coronary intervention (PCI) is not related to the patients' predicted risk of target-vessel revascularization (TVR), according to a study published online July 9 in the Archives of Internal Medicine.

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Emergency Service Hospital Prenotification Ups Stroke Tx

TUESDAY, July 10 (HealthDay News) -- Emergency medical service (EMS) hospital prenotification results in more timely imaging and administration of tissue plasminogen activator (tPA) and an increased proportion of eligible patients with acute ischemic stroke receiving tPA, according to a study published online July 10 in Circulation: Cardiovascular Quality and Outcomes.

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Acadesine Doesn't Improve Outcomes After CABG

TUESDAY, July 10 (HealthDay News) -- Administration of acadesine before, during, and immediately after coronary artery bypass graft (CABG) surgery to regulate adenosine does not reduce the composite measure of all-cause mortality, nonfatal stroke, or the need for mechanical support for severe left ventricular dysfunction (SLVD), according to a study published in the July 11 issue of the Journal of the American Medical Association.

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Reducing Sedentary Behavior Could Increase Life Expectancy

TUESDAY, July 10 (HealthDay News) -- In the United States, reducing sedentary behaviors, including sitting and television viewing, may result in an increase in life expectancy, according to a study published online July 9 in BMJ Open.

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Lower Risk of Adverse Outcomes Seen in Obese With Heart Failure

TUESDAY, July 10 (HealthDay News) -- For both women and men with advanced heart failure, having a high body mass index (BMI) or waist circumference (WC) is associated with a reduced risk of adverse outcomes, according to a study published in the July 1 issue of The American Journal of Cardiology.

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Nonnutritive Sweetener Role in Cutting Sugar Intake Explored

MONDAY, July 9 (HealthDay News) -- Although the evidence is limited, nonnutritive sweeteners (NNS) have a potential role to play in facilitating reduction of added sugar intake, as long as they do not cause a compensatory increase in energy intake, according to a new scientific statement issued by the American Heart Association and the American Diabetes Association and published online July 9 in Circulation.

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Screening Men for Abdominal Aortic Aneurysm Cost-Effective

MONDAY, July 9 (HealthDay News) -- For 65-year-old men, screening for abdominal aortic aneurysm is cost-effective, and rescreening should be considered for high-risk men, according to a study published online July 5 in BMJ.

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Three SNPs Linked to Aortic Stenosis in Older Adults

FRIDAY, July 6 (HealthDay News) -- Three single nucleotide polymorphisms (SNPs) are associated with aortic stenosis involving tricuspid aortic valves in older patients, according to a study published in the July 1 issue of The American Journal of Cardiology.

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Post-Cardiac Op Delirium Tied to Long-Term Cognitive Decline

THURSDAY, July 5 (HealthDay News) -- For patients undergoing cardiac surgery, postoperative development of delirium correlates with a decline in cognitive ability during the first year after surgery, according to a study published in the July 5 issue of the New England Journal of Medicine.

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Taser Use Does Not Cause Fatal Cardiac Dysrhythmias

WEDNESDAY, July 4 (HealthDay News) -- The field use of conducted electrical weapons (CEWs), or Tasers, with a probe impact configuration capable of causing a transcardiac discharge vector does not result in immediately fatal cardiac dysrhythmias, according to research published online June 6 in the Journal of Emergency Medicine.

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Pharmacist Intervention Does Not Prevent Medication Errors

MONDAY, July 2 (HealthDay News) -- A pharmacist-delivered intervention does not significantly improve the rate of clinically important medication errors following discharge among hospitalized heart patients, according to a study published in the July 3 issue of the Annals of Internal Medicine.

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Western-Style Fast Food Poses Health Risk to Singaporeans

MONDAY, July 2 (HealthDay News) -- Chinese Singaporeans who frequently consume Western-style fast food items have an increased risk of developing type 2 diabetes mellitus and of coronary heart disease (CHD) mortality, according to a study published online July 2 in Circulation.

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Post-Cardiac Op Risk Not Up for Jehovah's Witness Patients

MONDAY, July 2 (HealthDay News) -- For Jehovah's Witness patients (Witnesses) who undergo cardiac surgery, morbidity and long-term mortality are similar or superior to that of patients who receive transfusions, according to a study published online July 2 in the Archives of Internal Medicine.

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