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Category: Cardiology | Monthly Briefing

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June 2009 Briefing - Cardiology

Last Updated: July 01, 2009.

 

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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for June 2009. 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.

C-Reactive Protein Not Linked to Cardiovascular Disease Risk

TUESDAY, June 30 (HealthDay News) -- Plasma levels of C-reactive protein (CRP) do not appear to predict coronary heart disease risk, nor cardiovascular disease risk generally, according to a pair of studies in the July 1 issue of the Journal of the American Medical Association.

Abstract - Melander
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Abstract - Elliott
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Childhood Leukemia May Increase Insulin Resistance

TUESDAY, June 30 (HealthDay News) -- Survivors of childhood acute lymphoblastic leukemia are at increased risk of insulin resistance in adulthood compared to their peers, according to a study published online June 29 in the Journal of Clinical Oncology.

Abstract
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Depression Linked to Poor Outcomes in Heart Patients

TUESDAY, June 30 (HealthDay News) -- In heart patients, depression is significantly associated with an increased risk of angina and cardiovascular mortality, according to two studies published online June 29 in Circulation.

Abstract - Arnold
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Abstract - Frasure-Smith
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White-Coat, Masked Hypertension Are Risk Factors

TUESDAY, June 30 (HealthDay News) -- Patients with white-coat hypertension and masked hypertension may have a long-term risk of developing sustained hypertension, according to a study published online June 29 in Hypertension.

Abstract
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Survival Good in Transplant for Congenital Heart Disease

TUESDAY, June 30 (HealthDay News) -- In heart transplant patients, those who are transplanted for congenital heart disease and survive the early postoperative period are usually as likely as other patients to experience late survival, according to a study published in the July 7 issue of the Journal of the American College of Cardiology.

Abstract
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Tiny Dose of Carbon Monoxide Can Damage Fetal Brain

TUESDAY, June 30 (HealthDay News) -- Exposure to even minute levels of carbon monoxide can cause oxidative stress in fetal brain tissue, according to a May 27 study published in BMC Neuroscience.

Abstract
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Binge Drinking Associated With Stroke in Korean Men

FRIDAY, June 26 (HealthDay News) -- Korean men who frequently binge drink may face a higher risk of mortality from stroke, particularly hemorrhagic stroke, according to research published online June 25 in Stroke.

Abstract
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Hispanics May Get Lower Quality Bypass Surgeons

FRIDAY, June 26 (HealthDay News) -- Hispanic patients undergoing isolated coronary artery bypass graft (CABG) surgery in Massachusetts are more likely than either Caucasian or African-American patients to have a lower quality surgeon, according to a study in the June 15 issue of the American Journal of Cardiology.

Abstract
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Functional Status Declines Over Time After First Stroke

FRIDAY, June 26 (HealthDay News) -- In the five years following a first stroke, patients have modest declines in functional status, which are more noticeable in those with Medicaid or who are uninsured, according to research published online June 25 in Stroke.

Abstract
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Super Bowl Outcome May Affect Cardio Death Rates

FRIDAY, June 26 (HealthDay News) -- The National Football League's annual Super Bowl and its outcome may have an impact on the death rate of a city whose team competed in the game, according to a study published in the June 15 issue of the American Journal of Cardiology.

Abstract
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Alcohol Causes Most Deaths in Russian Adults Under 55

FRIDAY, June 26 (HealthDay News) -- In many years, alcohol causes more than half of all deaths in the 15 to 54 years age group in Russia, and together with smoking accounts for the large discrepancy in adult mortality between western European countries and Russia, according to a study in the June 27 The Lancet, which has a special focus on alcohol.

Abstract
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Editorial (subscription or payment may be required)

Findings Mixed on Aneurysm Screening Cost Effectiveness

FRIDAY, June 26 (HealthDay News) -- Screening men for abdominal aortic aneurysm prevents deaths and is a cost-effective measure, according to a study published online June 24 in BMJ, but a second study argues that the benefits do not appear to justify the costs.

Abstract - Thompson
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Abstract - Ehlers
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Coronary Intervention Safe Without Surgery Team on Site

THURSDAY, June 25 (HealthDay News) -- National data on percutaneous coronary interventions (PCIs) show they are as safe at medical centers without on-site surgical backup as at centers with on-site backup, according to a report in the June 30 Journal of the American College of Cardiology.

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Anxious Heart Attack Patients Struggle to Change Habits

THURSDAY June 25 (HealthDay News) -- Myocardial infarction patients are less likely to adhere to risk-reducing recommendations if they suffer from anxiety, according to a study published in the June 15 issue of the American Journal of Cardiology.

Abstract
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Migraine Associated With Cardiovascular Risk in Women

THURSDAY, June 25 (HealthDay News) -- Women who have migraine headaches with aura are at elevated risk for having cardiovascular disease, according to a study published online June 24 in Neurology.

Abstract
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Treating More Patients Cuts Heart Disease Deaths

THURSDAY, June 25 (HealthDay News) -- Increasing the number of coronary heart disease patients treated to 60 percent could save 135,000 additional lives, according to a study published in the June 15 issue of the American Journal of Cardiology.

Abstract
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Routine Early Angioplasty Benefits High-Risk Patients

WEDNESDAY, June 24 (HealthDay News) -- In patients with a myocardial infarction with ST-segment elevation, routine early angioplasty after fibrinolysis is associated with significantly better outcomes than standard treatment, according to a study in the June 25 issue of the New England Journal of Medicine.

Abstract
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Editorial

Implanted Device Effective for Mitral Regurgitation

WEDNESDAY, June 24 (HealthDay News) -- A novel coronary sinus mitral repair implant device -- PTMA® -- is feasible and safe in patients with functional mitral regurgitation, according to a study published online June 23 in Circulation: Cardiovascular Interventions.

Abstract
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Cardiac Rehabilitation Is Beneficial for Seniors

WEDNESDAY, June 24 (HealthDay News) -- In older coronary patients, survival is significantly greater in those who attend multiple cardiac rehabilitation sessions, according to a study published in the June 30 issue of the Journal of the American College of Cardiology.

Abstract
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Editorial (subscription or payment may be required)

Americans Paying for More of Their Health Care Costs

WEDNESDAY, June 24 (HealthDay News) -- Out-of-pocket costs are rising for Americans with health care coverage, including premiums, deductibles and copayments, according to a new June 23 report from the U.S. Department of Health & Human Services.

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Copeptin Measurements May Help Rule Out Heart Attack

WEDNESDAY, June 24 (HealthDay News) -- In patients presenting with suspected acute myocardial infarction, combined measurements of copeptin and troponin T may allow for a rapid rule out of the condition, according to a study published in the June 30 issue of the Journal of the American College of Cardiology.

Abstract
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Elements of Mediterranean Diet Add Up to Lower Mortality

WEDNESDAY, June 24 (HealthDay News) -- Different elements of the Mediterranean diet contribute to its beneficial effect on overall mortality, according to a study published online on June 23 in BMJ.

Abstract
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First-Degree Atrioventricular Block Shows Heightened Risk

TUESDAY, June 23 (HealthDay News) -- Patients with first-degree atrioventricular block may have an increased risk of atrial fibrillation, pacemaker implantation, and all-cause mortality, according to a study published in the June 24 issue of the Journal of the American Medical Association.

Abstract
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Lipid Control Improved Worldwide Over Past Decade

TUESDAY, June 23 (HealthDay News) -- Control of low-density lipid cholesterol (LDL-C) has improved around the world in the past decade, but almost a third of patients still do not achieve optimal LDL levels, according to a study published online June 22 in Circulation.

Abstract
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Editorial (subscription or payment may be required)

Good Outcomes Seen After Bypass for Kawasaki Disease

TUESDAY, June 23 (HealthDay News) -- In pediatric patients who undergo coronary artery bypass surgery for Kawasaki disease, long-term survival is excellent and subsequent cardiac events can be successfully managed, according to a study published online June 22 in Circulation.

Abstract
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Angiography May Predict Acute Coronary Syndrome

TUESDAY, June 23 (HealthDay News) -- In patients with known or suspected coronary artery disease, computed tomography angiography can identify lesions associated with a significantly increased risk of acute coronary syndrome, according to a study published in the June 30 issue of the Journal of the American College of Cardiology.

Abstract
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Editorial (subscription or payment may be required)

President Signs Tobacco Law, Acts on Medicare Coverage

MONDAY, June 22 (HealthDay News) -- President Barack Obama moved on two health care fronts today, signing new legislation to regulate tobacco industry marketing and announcing an agreement with the nation's pharmaceutical companies to reduce the cost of prescription drugs for Americans on Medicare who find themselves in the so-called "doughnut hole" coverage gap.

Family Smoking Prevention and Tobacco Control Act
Pharmaceutical Discounts for Seniors

Body Responds to Changes in Musical Rhythms

MONDAY, June 22 (HealthDay News) -- Regardless of individual musical preference, changes in musical tempo cause autonomic respiratory and cardiovascular responses, according to a study published on June 22 in Circulation.

Abstract
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Reinforced Infection Control Needed to Combat H1N1

MONDAY, June 22 (HealthDay News) -- Infection control messages aimed at health care workers should be reinforced in an effort to reduce the spread of novel influenza A (H1N1) virus, according to a study published in the June 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Co-Proxamol Withdrawal Results in Fewer Suicides

FRIDAY, June 19 (HealthDay News) -- There was a significant reduction in the number of accidental poisonings and suicides when the drug co-proxamol was withdrawn in 2005, and there has been no subsequent increase in the number of deaths involving other painkillers, according to a study published online on June 18 in BMJ.

Abstract
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Billing Claims Markers of Cardiovascular Events

FRIDAY, June 19 (HealthDay News) -- In older patients who undergo kidney transplantation, use of combined Medicare Parts A and B billing claims is a sensitive measure of cardiovascular events, according to a study published online June 18 in the Clinical Journal of the American Society of Nephrology.

Abstract
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Drug Inhibits Restenosis in Diabetics After Stent

THURSDAY, June 18 (HealthDay News) -- The drug pioglitazone can help prevent restenosis after the placement of a bare-metal stent in a patient with type 2 diabetes mellitus, according to a study in the June Journal of the American College of Cardiology: Cardiovascular Interventions.

Abstract
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Editorial (subscription or payment may be required)

Drug Hikes Death Risk for Kidney Disease Patients

THURSDAY, June 18 (HealthDay News) -- Patients with kidney disease (diabetic nephropathy) receiving clopidogrel to inhibit blood clotting are at increased risk for death, according to a study reported in the May 15 American Journal of Cardiology.

Abstract
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Erythropoietin Improves Blood Flow in Ischemic Legs

THURSDAY, June 18 (HealthDay News) -- When delivered by gelatin microspheres, the angiogenic factor erythropoietin can safely improve blood flow in a mouse model of peripheral arterial disease, according to a study in the June 23 issue of the Journal of the American College of Cardiology.

Abstract
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Everolimus-Eluting Stents Found Safe and Effective

THURSDAY, June 18 (HealthDay News) -- In unselected patients with coronary artery disease -- including those considered high risk -- everolimus-eluting stents may be as safe as bare-metal stents, sirolimus-eluting stents and paclitaxel-eluting stents, and more effective than either bare-metal or paclitaxel-eluting stents, according to a study published early online June 17 in the Journal of the American College of Cardiology.

Abstract
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Statin Cuts Post-Heart Attack Heart Failure Risk

THURSDAY, June 18 (HealthDay News) -- Aggressive cholesterol-lowering therapy using high-dose atorvastatin was more effective at preventing heart failure among patients who had had a previous heart attack than usual treatment with simvastatin, according to a study published in the May 15 issue of the American Journal of Cardiology.

Abstract
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Purpose in Life Affects Mortality Rates in Older Adults

THURSDAY, June 18 (HealthDay News) -- Older adults who score highly on purpose-in-life scales have lower risk of mortality than their counterparts with low scores, according to a study published in the June issue of Psychosomatic Medicine.

Abstract
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Glove Perforation Raises Odds of Surgical Site Infection

THURSDAY, June 18 (HealthDay News) -- Surgical glove perforation significantly increases the risk of surgical site infection in procedures where surgical antimicrobial prophylaxis is not applied, according to a study published in the June issue of the Archives of Surgery.

Abstract
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Editorial (subscription or payment may be required)

Individual Mandate for Health Insurance Affordable and Fair

WEDNESDAY, June 17 (HealthDay News) -- Reforming the health insurance market so that all individuals are required to obtain at least a minimum amount of health insurance would eliminate the problem of adverse selection that the current system enables insurers to avoid, according to a perspective published online June 17 in the New England Journal of Medicine.

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Rivaroxaban Has Mixed Results in Acute Coronary Syndrome

WEDNESDAY, June 17 (HealthDay News) -- In patients who are stabilized following an acute coronary syndrome, treatment with the oral anti-clotting drug rivaroxaban is associated with an increased risk of significant bleeding but also a decreased risk of major adverse cardiac events, according to a study published online June 16 in The Lancet.

Abstract
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Editorial (subscription or payment may be required)

Genes and Lifestyle Combine to Affect Blood Pressure

WEDNESDAY, June 17 (HealthDay News) -- Genetics can combine with lifestyle and demographic factors to affect blood pressure among American Indians, according to a study published online June 16 in Circulation: Cardiovascular Genetics.

Abstract
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Modest Interventions Can Improve Blood Pressure

WEDNESDAY, June 17 (HealthDay News) -- A series of modest and inexpensive interventions to educate patients, nurses and physicians on blood pressure management improved blood pressure control significantly in a Veterans Affairs quality improvement initiative, reported online June 16 in Circulation: Cardiovascular Quality and Outcomes.

Abstract
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Polymyxin B Hemoperfusion Beneficial in Sepsis

TUESDAY, June 16 (HealthDay News) -- In patients with severe sepsis or septic shock, an antibiotic-based "hemoperfusion" device to remove toxic products of bacteria from the blood, in addition to conventional treatment may reduce the risk of death, according to a study published in the June 17 issue of the Journal of the American Medical Association.

Abstract
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Editorial (subscription or payment may be required)

Severely Obese Patients Need Careful Pre-Op Evaluation

TUSEDAY, June 16 (HealthDay News) -- Given the growing prevalence of severe obesity in the United States, health care professionals should be aware of the special considerations regarding preoperative cardiovascular assessment and perioperative cardiopulmonary management of such patients, according to an advisory published online June 15 in Circulation.

Abstract
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Red Yeast Rice Supplement Can Lower Cholesterol Levels

TUESDAY, June 16 (HealthDay News) -- The herbal supplement red yeast rice can help reduce low-density lipid (LDL) and total cholesterol in people who cannot tolerate statin therapy, according to a study reported in the June 16 issue of the Annals of Internal Medicine.

Abstract
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Editorial (subscription or payment may be required)

Adverse Events for Colonoscopy Increase With Age in Elderly

TUESDAY, June 16 (HealthDay News) -- While the risk of adverse events from colonoscopy in elderly patients is low, it increases with age and comorbid conditions and should be a factor in a physician's decision to recommend the procedure, according to a study in the June 16 Annals of Internal Medicine.

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Exercise Further Benefits Heart Patients With Pacemaker

TUESDAY, June 16 (HealthDay News) -- Chronic heart failure patients who receive a cardiac resynchronization therapy (CRT) device improve even further if they undergo an exercise training program, according to a study in the June 23 issue of the Journal of the American College of Cardiology.

Abstract
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Editorial (subscription or payment may be required)

Stenting of Occluded Renal Artery Not Recommended

TUESDAY, June 16 (HealthDay News) -- Stenting and medical treatment in the treatment of renal artery stenosis showed no benefit over medical treatment alone in a study reported in the June 16 issue of the Annals of Internal Medicine.

Abstract
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Stimulants Linked to Sudden Unexplained Death in Youths

MONDAY, June 15 (HealthDay News) -- Stimulant drugs used to treat attention deficit hyperactivity disorder (ADHD) such as methylphenidate (Ritalin) have been associated with a more than seven-fold higher risk of sudden death, according to a study published online June 15 in the American Journal of Psychiatry. But the U.S. Food and Drug Administration (FDA) has not concluded that these data affect the overall risks and benefits, and research is ongoing.

Abstract
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Editorial
More Information - FDA

Success of Short-Stay Units Linked to Access to Services

MONDAY, June 15 (HealthDay News) -- The success of hospitalist-run short-stay units depends on having access to services that match the target patients' needs, according to a study published in the May/June issue of the Journal of Hospital Medicine.

Abstract
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Sweeping Medical Reforms Lack Medical Liability Element

MONDAY, June 15 (HealthDay News) -- Three approaches to medical reform currently under discussion in the United States all have pros and cons, and questions remain over whether or not the reform package should include changes to the medical liability system, according to an article published online June 15 in the New England Journal of Medicine.

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SSRI Link to Bleeding After Heart Surgery Analyzed

MONDAY, June 15 (HealthDay News) -- Selective serotonin reuptake inhibitor (SSRI) antidepressants pose no greater bleeding risk after coronary artery bypass graft (CABG) than non-SSRI antidepressants, according to a study in the May 15 American Journal of Cardiology.

Abstract
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Bill Giving FDA Authority Over Tobacco on Way to President

FRIDAY, June 12 (HealthDay News) -- Legislation giving the U.S. Food and Drug Administration (FDA) regulatory control over tobacco products is headed to the White House for President Obama's signature, as health organizations continue to applaud the action.

AMA Press Release
More Information

Senate Approves Bill Giving FDA Authority Over Tobacco

THURSDAY, June 11 (HealthDay News) -- The U.S. Senate has passed a measure that would give the U.S. Food and Drug Administration (FDA) broad authority over the advertising, sale, and manufacture of tobacco products, an action that is being applauded by the American Medical Association, among others.

AMA Press Release
More Information

High-Glycemic Foods Linked to Endothelial Dysfunction

THURSDAY, June 11 (HealthDay News) -- High-glycemic carbohydrates may be linked to reduced flow-mediated dilation in overweight individuals, perhaps pointing to a connection between such foods and cardiovascular disease risk, according to research published in the June 16 issue of the Journal of the American College of Cardiology.

Abstract
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Anesthesia Technique Shows Benefits in Carotid Surgery

THURSDAY, June 11 (HealthDay News) -- An anesthesia approach called cooperative patient general anesthesia allows neurological monitoring plus safe airway control during carotid endarterectomy, according to research published in the June issue of Anesthesia & Analgesia.

Abstract
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Lack of Arterial Calcium Linked to Low Cardiovascular Risk

THURSDAY, June 11 (HealthDay News) -- The absence of coronary artery calcification (CAC) is strongly associated with low risk of cardiovascular events in both symptomatic and asymptomatic patients, according to two studies in the June Journal of the American College of Cardiology: Cardiovascular Imaging.

Abstract - Sarwar
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Abstract - Blaha
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Editorial

Dry Eye Affects 1.68 Million Older Men in U.S.

THURSDAY, June 11 (HealthDay News) -- Dry eye disease affects 1.68 million U.S. men age 50 and older, and those who have high blood pressure, an enlarged prostate, or use antidepressants are at elevated risk, according to a study reported in the June Archives of Ophthalmology.

Abstract
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Smoking-Related Ills Cost U.K. 5.5 Percent of Health Budget

WEDNESDAY, June 10 (HealthDay News) -- Smoking-related illnesses cost Great Britain's National Health Service (NHS) £5.2 billion a year, accounting for 5.5 percent of the NHS's total budget, according to a study published online June 9 in Tobacco Control.

Abstract
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Bone Marrow Cells Show Some Benefits After Heart Attack

WEDNESDAY, June 10 (HealthDay News) -- Infusions of bone marrow cells into the affected artery following acute myocardial infarction may improve left ventricular performance and patient survival, according to research published in the June 16 issue of the Journal of the American College of Cardiology.

Abstract
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Editorial

Chemotherapy's Heart Complications Explored

WEDNESDAY, June 10 (HealthDay News) -- Because chemotherapy is often associated with cardiovascular complications, it's important that clinicians understand their incidence, pathogenesis, diagnosis and management, according to a state-of-the-art paper published in the June 16 issue of the Journal of the American College of Cardiology.

Abstract
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High Lipoprotein(a) Levels Linked to Heart Attack

TUESDAY, June 9 (HealthDay News) -- Patients who have elevated levels of lipoprotein(a) for genetic reasons are at higher risk of having a heart attack, according to a study in the June 10 issue of the Journal of the American Medical Association.

Abstract
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Editorial (subscription or payment may be required)

Program Reduces Radiation From Cardiac Angiography

TUESDAY, June 9 (HealthDay News) -- Implementation of a best-practice model for cardiac computed tomography angiography (CCTA) to diagnose coronary artery disease reduces the radiation dose without reducing image quality, according to a study in the June 10 issue of the Journal of the American Medical Association.

Abstract
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Standard Heart Risk Factors Predict Lifetime Outcomes

TUESDAY, June 9 (HealthDay News) -- Standard risk factors remain strong predictors of left ventricular mass and cardiovascular disease over the adult life course, according to two studies published online June 8 in Circulation.

Abstract
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Abstract
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Science Advisory Issued on Risks of Overweight

TUESDAY, June 9 (HealthDay News) -- Studies suggesting that total mortality risk is lowest in overweight people need to be placed in a broader context because of the substantial risks associated with excess weight, according to a Science Advisory from the American Heart Association published online June 8 in Circulation.

Abstract
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Plant-Based Diet Helps Lower Cholesterol

TUESDAY, June 9 (HealthDay News) -- The so-called 'Eco-Atkins' low-carbohydrate, plant-based diet, produces better lipid-lowering results than conventional high-carbohydrate, low-fat diets used for weight loss, according to a study published in the June 8 issue of the Archives of Internal Medicine.

Abstract
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Editorial (subscription or payment may be required)

Guidelines Issued for Exercise Training for Diabetics

TUESDAY, June 9 (HealthDay News) -- In patients with type 2 diabetes, exercise is essential because it significantly reduces cardiovascular risks, according to an American Heart Association Scientific Statement published online June 8 in Circulation.

Abstract
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Lack of Sleep Predictor of Higher Blood Pressure

MONDAY, June 8 (HealthDay News) -- Shorter sleep time and poor sleep maintenance are predictors of higher blood pressure levels and adverse blood pressure changes, according to a study published in the June 8 issue of the Archives of Internal Medicine.

Abstract
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Many at High Risk for Stroke Don't Get Timely Surgery

FRIDAY, June 5 (HealthDay News) -- Most patients in the United Kingdom at high risk for stroke do not receive carotid endarterectomy within the recommended two weeks from onset of symptoms, according to a study published online on June 5 in BMJ, while a related analysis says the U.K. government's emphasis on acute stroke may come at the expense of resources and attention for other elements of stroke care.

Abstract
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Analysis

Mice Lacking Inflammatory Receptors Prone to Obesity

FRIDAY, June 5 (HealthDay News) -- Mice lacking receptors for a major inflammatory cytokine that is a major inhibitor of insulin sensitivity, tumor necrosis factor, still become obese after being fed a high-fat and high-sugar diet, but are not protected against obesity-associated insulin resistance, according to a study published online May 28 in Endocrinology.

Abstract
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Anemia Worsens Prognosis For Chronic Heart Failure Patients

THURSDAY, June 4 (HealthDay News) -- Patients with chronic heart failure have a worse prognosis if they are also anemic, and the rate of hospitalization and mortality is related to the severity of the blood condition, according to a study published in the May/June issue of Congestive Heart Failure.

Abstract
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Cardiac Score Predicts Death in Chronic Kidney Disease

THURSDAY, June 4 (HealthDay News) -- A risk stratification score is effective in predicting mortality risk across a range of kidney function in patients with chest pain or a heart attack, according to a study in the June 1 issue of the American Journal of Cardiology.

Abstract
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Strenuous Exercise Linked to Atrial Fibrillation

THURSDAY, June 4 (HealthDay News) -- Regular strenuous exercise increases the risk of developing atrial fibrillation, according to a study published in the June 1 issue of the American Journal of Cardiology.

Abstract
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Invasive Imaging Tools Offer Benefit to Cardiac Procedures

THURSDAY, June 4 (HealthDay News) -- Clinicians performing cardiac procedures in interventional laboratories can choose from a variety of invasive intracardiac imaging tools to guide the procedures, according to research published in the June 9 issue of the Journal of the American College of Cardiology.

Abstract
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Paclitaxel Stent Is Treatment Option for Patients Over 70

WEDNESDAY, June 3 (HealthDay News) -- The paclitaxel-eluding stent (PES) can be used effectively in people over 70, according to an analysis of trial and registry data on almost 10,000 PES patients reported online June 2 in Circulation: Cardiovascular Interventions.

Abstract
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Nebivolol Effect Similar Across Ejection Fractions

WEDNESDAY, June 3 (HealthDay News) Beta-blockade with nebivolol appears to have a similar effect in elderly heart failure patients with and without preserved ejection fraction, according to research published in the June 9 issue of the Journal of the American College of Cardiology.

Abstract
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Editorial

Many U.K. Trained Doctors Stay in National Health Service

WEDNESDAY, June 3 (HealthDay News) -- The majority of domestic medical students in Britain work in the National Health Service (NHS) after graduation, as do the majority of doctors from overseas who go to the country for training, with men and women choosing similar career paths, according to a study published online June 3 in BMJ.

Abstract
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Cardiovascular Issues in Chronic Kidney Disease Reviewed

WEDNESDAY, June 3 (HealthDay News) -- Chronic kidney disease (CKD) raises the risk of cardiovascular problems and can lead to complications following revascularization procedures, according to a review published in the June 9 issue of the Journal of the American College of Cardiology, and greater understanding of the mechanisms involved could lead to improved treatment.

Abstract
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Early Infant Weight Gain Linked to Adult Problems

TUESDAY, June 2 (HealthDay News) -- Rapid weight gain in the first three months of life is associated with development of cardiovascular disease and type 2 diabetes in adulthood, according to a report in the June 3 issue of the Journal of the American Medical Association.

Abstract
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Editorial (subscription or payment may be required)
Special Communication (subscription or payment may be required)

Quality of Care in Medically Complex Cases Analyzed

TUESDAY, June 2 (HealthDay News) -- Performance measures or patient ratings of care may not suffer when physicians manage cases marked by medical complexity, according to research focusing on hypertension published online June 1 in Circulation.

Abstract
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Rosiglitazone Has Modest Effect on Vascular Measure

MONDAY, June 1 (HealthDay News) -- Rosiglitazone may inhibit the progression of vascular disease in individuals with pre-diabetes, according to research published in the June 2 issue of the Journal of the American College of Cardiology.

Abstract
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Editorial

Adults in the United States Living a Less Healthy Lifestyle

MONDAY, June 1 (HealthDay News) -- Middle-aged and elderly adults in the United States have been living a less healthy lifestyle over the last 18 years, according to a study in the June issue of the American Journal of Medicine.

Abstract
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Evidence Weak on Link Between IUGR, Thrombophilias

MONDAY, June 1 (HealthDay News) -- Existing evidence does not appear to support a strong association between inherited thrombophilias and intrauterine growth restriction (IUGR), according to research published in the June issue of Obstetrics & Gynecology.

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