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Category: Cardiology | Monthly Briefing

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July 2009 Briefing - Cardiology

Last Updated: August 03, 2009.

 

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

Electronic Disease Surveillance Systems Vary Widely

FRIDAY, July 31 (HealthDay News) -- Electronic disease surveillance systems vary widely from state to state and the lack of homogeneity will raise the cost of data sharing, according to a study published in the July 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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U.S. Health Data Network a Powerful Tool for Quality

FRIDAY, July 31 (HealthDay News) -- The U.S. health care system is on the verge of a new era in which distributed health data networks will assure local control of sensitive individual patient data, while providing medical researchers and policy makers access to powerful aggregate data on millions of patients, according to a pair of articles in the September 1 issue of the Annals of Internal Medicine.

Abstract - Maro
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Stroke Is a Rare but Serious Complication After PCI

FRIDAY, July 31 (HealthDay News) -- Although fewer than 1 percent of patients undergoing percutaneous coronary intervention (PCI) develop a stroke, having a stroke greatly increases the likelihood of in-hospital death, according to a study in the August 1 issue of the American Journal of Cardiology.

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Enjoying Leisure Time Boosts Health and Well-Being

FRIDAY, July 31 (HealthDay News) -- Engaging in enjoyable activities during leisure time is associated with better physical health and lower likelihood of depression, according to a study published online July 10 in Psychosomatic Medicine: Journal of Biobehavioral Medicine.

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Family Calcium Intake Linked to Children's Health Outcomes

THURSDAY, July 30 (HealthDay News) -- A family diet high in calcium during childhood may be associated with a lower risk of death from stroke later in life, according to research published online July 29 in Heart.

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Abdominal Aortic Calcium Linked to Coronary Calcium

THURSDAY, July 30 (HealthDay News) -- High levels of abdominal aortic calcium (AAC) are strongly associated with high levels of coronary artery calcium (CAC), according to a study in the August 1 issue of the American Journal of Cardiology.

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Patient Characteristics Poor Predictors of Heart Biomarker

THURSDAY, July 30 (HealthDay News) -- Patient demographics and clinical characteristics are poor predictors of having C-reactive protein (CRP) levels high enough to benefit from statin treatment, according to a study in the August 1 issue of the American Journal of Cardiology.

Abstract
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Pregnant Women, Children Among H1N1 Vaccine Priorities

WEDNESDAY, July 29 (HealthDay News) -- Pregnant women, health care workers, and children who are aged 6 months and older should be the first to receive this fall's H1N1 swine flu vaccine, according to recommendations made July 29 by a U.S. Centers for Disease Control and Prevention (CDC) panel.

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Drug-Eluting Stent Numbers Show Large Decline

WEDNESDAY, July 29 (HealthDay News) -- A large decline in the use of drug-eluting stents (DES)starting in late 2006 shows how rapidly scientific presentations can influence clinical treatment decisions, according to research published online July 28 in Circulation: Cardiovascular Quality and Outcomes.

Abstract
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Type 1 Diabetes Complications Becoming Less Common

WEDNESDAY, July 29 (HealthDay News) -- Intensive therapy to treat type 1 diabetes mellitus reduces the frequency of serious complications over the long term, according to a study published in the July 27 issue of the Archives of Internal Medicine.

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Hospital Rates of Delayed Defibrillation Vary Widely

TUESDAY, July 28 (HealthDay News) -- There is wide variation from hospital to hospital in the rate of delayed defibrillation, with bed volume and arrest location related to the variation, according to a study in the July 27 issue of the Archives of Internal Medicine.

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Developments Offer Hope to Ischemic Stroke Patients

TUESDAY, July 28 (HealthDay News) -- Current and emerging therapies for acute ischemic stroke have the potential to significantly improve patient outcomes, according to an article published in the inaugural July issue of the Journal of NeuroInterventional Surgery.

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Drug Can Improve Cardiac Markers in Kidney Disease

TUESDAY, July 28 (HealthDay News) -- In patients with early-stage chronic kidney disease and good blood pressure control, the addition of spironolactone to treatment with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers can improve markers of cardiovascular disease, according to a study in the August 4 issue of the Journal of the American College of Cardiology.

Abstract
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Many Coronary Artery Disease Patients Not Referred to Rehab

TUESDAY, July 28 (HealthDay News) -- Just a little more than half of hospitalized patients with coronary artery disease are referred to cardiac rehabilitation at discharge, according to a study in the August 4 issue of the Journal of the American College of Cardiology.

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Ischemia Risk May Be Linked to Exercise Capacity

TUESDAY, July 28 (HealthDay News) -- Patients at intermediate to high risk of coronary artery disease are at low risk of developing ischemia if they are able to reach a high exercise workload during an exercise stress test, according to a study in the August 4 Journal of the American College of Cardiology.

Abstract
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Many Syncopal Episode Tests Deemed Unnecessary

TUESDAY, July 28 (HealthDay News) -- Older patients are often given unnecessary tests to evaluate syncopal episodes, and more attention should be paid to patient history and examination, according to a study in the July 27 issue of the Archives of Internal Medicine.

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U.S. Faces Serious Upcoming Shortfall of Cardiac Surgeons

TUESDAY, July 28 (HealthDay News) -- By 2025, the United States will face a 25 percent shortage in the number of cardiothoracic surgeons needed to care for a growing and aging population, according to a study published online July 27 in Circulation.

Abstract
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Lacunar Infarcts Often Seen in Patients in Their 60s

TUESDAY, July 28 (HealthDay News) -- Lacunar infarcts are a fairly common incidental finding among patients in their 60s, and hypertension is a major treatable risk factor, according to a study published in the July 28 issue of Neurology.

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Studies Provide Data on Uses, Ideal Locations for AEDs

TUESDAY, July 28 (HealthDay News) -- Automated external defibrillator (AED) programs in schools may offer a high chance of survival for people having sudden cardiac arrest on school grounds, and AEDs should be placed strategically, rather than by unguided initiatives, according to two studies published online July 27 in Circulation.

Abstract - Drezner
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Abstract - Folke
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Perioperative Transfusion May Not Affect Long-Term Survival

MONDAY, July 27 (HealthDay News) -- Receiving a moderate allogeneic blood transfusion in connection with coronary artery surgery is not associated with a reduction in long-term survival, according to a study in the August issue of Anesthesiology.

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Beta Blocker Link to Risk for Postoperative Stroke Analyzed

MONDAY, July 27 (HealthDay News) -- The chronic use of beta blockers prior to non-cardiac surgery is not associated with an increased incidence of postoperative stroke, according to a study in the August 1 issue of the American Journal of Cardiology.

Abstract
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Metabolic Syndrome Linked to Urinary Tract Symptoms

FRIDAY, July 24 (HealthDay News) -- Younger men with lower urinary tract symptoms are significantly more likely to exhibit metabolic syndrome than men without urinary tract symptoms, according to a study published in the August issue of the Journal of Urology.

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Methods to Determine Health Care Priorities Questioned

FRIDAY, July 23 (HealthDay News) -- Evaluating health care priorities based on the attitudes of patients (direct method) or the attitudes of the general public (indirect method) can produce different results, complicating decisions on the allocation of health care resources, according to two papers published July 22 in BMJ.

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Camera Phones Can Help Doctors Make Rare Diagnoses

FRIDAY, July 24 (HealthDay News) -- A pregnant patient with an uncommon nipple condition captured images of the transient changes to her nipples and gave them to her doctor, enabling an accurate diagnosis, according to an article published online July 22 in BMJ.

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Training Program Can Improve Attention in Stroke Survivors

FRIDAY, July 24 (HealthDay News) -- Attention process training appears useful in improving attention deficits in individuals who have had a stroke, according to research published online July 23 in Stroke.

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Drugs for Blunt Cerebrovascular Injuries Compared

THURSDAY, July 23 (HealthDay News) -- Both systemic heparin and antiplatelet agents are effective in treating blunt cerebrovascular injuries, according to a paper published in the July issue of the Archives of Surgery.

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Heart Disease Prevalence Increasing in Canada

THURSDAY, July 23 (HealthDay News) -- In Canada, heart disease prevalence and cardiovascular disease risk factors are increasing among nearly all income groups, according to a study published online July 20 in CMAJ, the journal of the Canadian Medical Association.

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Antihypertensive Drugs Associated With Cataracts

THURSDAY, July 23 (HealthDay News) -- Patients treated with beta blockers for hypertension are more likely than their counterparts not using the drugs to develop cataracts and require cataract surgery, according to a study published online July 23 in the British Journal of Ophthalmology.

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England's Pay-for-Performance Scheme Faulted

WEDNESDAY, July 22 (HealthDay News) -- The 2004 pay-for-performance scheme for family practices in England resulted in short-term quality of care improvements for asthma and diabetes, but not for heart disease, and ultimately was associated with a long-term slowing in the rate of improvement for all three conditions, according to an article published in the July 23 issue of the New England Journal of Medicine.

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Hospitalizations Rising for Adult Congenital Heart Disease

WEDNESDAY, July 22 (HealthDay News) -- Hospitalizations for adults with congenital heart disease have more than doubled between the years 1998 and 2005 in the United States, with even greater increases in costs, according to a study in the July 28 issue of the Journal of the American College of Cardiology.

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Larger Guide Catheters in PCI Linked to Complications

WEDNESDAY, July 22 (HealthDay News) -- The use of 7-F and 8-F guides for percutaneous coronary intervention (PCI) is associated with a greater risk of a variety of complications compared with 6-F guides, according to research published in the July issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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Healthy Lifestyle Shown to Greatly Reduce Heart Risks

TUESDAY, July 21 (HealthDay News) -- A healthy lifestyle is associated with a significantly reduced risk of hypertension in younger women and of heart failure in older men, according to two studies in the July 22/29 issue of the Journal of the American Medical Association.

Abstract - Forman
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Abstract - Djousse
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Genes Play Role in Racial Heart Failure Differences

TUESDAY, July 21 (HealthDay News) -- Gene polymorphisms may explain differences in beta-blocker treatment response in Caucasians and African-Americans with heart failure, and palliative care should be integrated into comprehensive heart failure treatment throughout the course of its management, according to two articles published in the July 28 issue of the Journal of the American College of Cardiology, focusing on heart failure.

Abstract - Cresci
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Abstract - Goodlin
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New York City Ban on Trans Fat Having Nationwide Effect

TUESDAY, July 21 (HealthDay News) -- New York City's first-ever ban on artificial trans fat in restaurant food has sparked a nationwide move away from the substance by food chains, and has prompted a dozen other local governments and the state of California to enact similar bans, according to an article in the July 21 issue of the Annals of Internal Medicine.

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Three-Year Outcomes Similar in Men, Women Given Stents

TUESDAY, July 21 (HealthDay News) -- Women and men have similar three-year outcomes following coronary stent placement, according to research published in the July issue of the Journal of the American College of Cardiology: Cardiovascular Interventions.

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Modest Glucose Control Linked to Fewer Deaths in Diabetics

TUESDAY, July 21 (HealthDay News) -- Modest glucose control is associated with fewer deaths in patients with diabetes and heart failure, according to a study in the July 28 issue of the Journal of the American College of Cardiology.

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Studies Shed Light on Sodium-Blood Pressure Connections

MONDAY, July 20 (HealthDay News) -- A reduction of salt intake leads to decreases in blood pressure in African-Americans, Caucasians and Asians; reduces blood pressure in those with resistant hypertension; and may have other physiologic benefits, according to two studies published online July 20 in Hypertension.

Abstract - He
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Abstract - Pimenta
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FDA Approves 2009-2010 Seasonal Influenza Vaccine

MONDAY, July 20 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) has approved an influenza vaccine for the 2009-2010 season, according to a news release issued July 20 by the FDA.

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Superficial Vein Thrombosis Linked to DVT

MONDAY, July 20 (HealthDay News) -- Patients with superficial vein thrombosis in the lower extremities should be evaluated for the presence of deep vein thrombosis, according to a study published in the July issue of the Archives of Dermatology.

Abstract
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Education Helps Diabetics Control Metabolic Values

MONDAY, July 20 (HealthDay News) -- Just three sessions of diabetes education can improve the metabolic control of patients with type 2 diabetes, indicating that client-centered diabetes care programs can help such patients improve their health profile, according to a study published the August issue of Applied Nursing Research.

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Teen Exposure to Tobacco-Related Content on Web Analyzed

MONDAY, July 20 (HealthDay News) -- Adolescents who surf the Internet are exposed to a very small volume of tobacco-related content, and not all of the exposure is pro-tobacco, according to a study published online July 20 in Pediatrics.

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Infant Urgent Care Decisions Vary Widely Across Hospitals

MONDAY, July 20 (HealthDay News) -- Decisions about newborn care, especially those made in urgent situations, vary among hospitals, pointing to the need for clear clinical guidelines and careful weighing of treatment goals and side effects, according to two studies published online July 20 in Pediatrics.

Abstract - Zecca
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Abstract - Goldman
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Vitamin D Deficiency Linked to Cardiovascular Disease

FRIDAY, July 17 (HealthDay News) -- Vitamin D deficiency is associated with an increased risk of cardiovascular disease, including hypertension, heart failure and ischemic heart disease, according to a recent symposium on nutrition and heart disease summarized in the July issue of the American Journal of the Medical Sciences.

American Journal of the Medical Sciences

Gene Variants Linked to Blood Pressure in Blacks Identified

FRIDAY, July 17 (HealthDay News) -- Gene variants associated with blood pressure have been identified in African-Americans and West Africans, including one variant that is already a target of calcium channel blockers, according to a study published online July 17 in PLoS Genetics.

Abstract
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Electrical Muscular Stimulation May Have Role in Rehab

FRIDAY, July 17 (HealthDay News) -- Transcutaneous neuromuscular electrical stimulation (NMES) may help improve endurance and muscular fitness in patients with congestive heart failure and chronic obstructive pulmonary disease (COPD) who cannot exercise strenuously, according to a literature review in the July issue of Chest.

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Obesity Rates Highest Among African-American Population

FRIDAY, July 17 (HealthDay News) -- The prevalence of obesity is far higher among African-Americans than Caucasians in America, and Hispanics also have significantly higher obesity rates, according to a study published in the July 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Beta Blockers May Improve Mortality in Combo Therapy

FRIDAY, July 17 (HealthDay News) -- Therapy combining beta blockers with angiotensin-receptor blockers improves survival among patients with heart failure after myocardial infarction, without adverse interactions affecting prognosis, according to a study in the July 15 American Journal of Cardiology.

Abstract
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Physical Activity May Improve Post-Stroke Function

FRIDAY, July 17 (HealthDay News) -- Some evidence suggests that getting more physical activity before a stroke may be linked to better functional status afterward, according to research published online July 14 in the Journal of Neurology, Neurosurgery & Psychiatry.

Abstract
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Intensive Statins Beneficial in Acute Coronary Syndrome

THURSDAY, July 18 (HealthDay News) -- In patients with acute coronary syndrome, intensive statin therapy is associated with a significant regression of coronary atherosclerosis, according to a study published in the July 21 issue of the Journal of the American College of Cardiology.

Abstract
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Many Heart Patients Stop Taking Their Medications

THURSDAY, July 16 (HealthDay News) -- Nearly a third of patients prescribed evidence-based medicine after hospitalization for acute coronary syndrome discontinue one or more of their medications within three months, according to a study in the July 15 issue of the American Journal of Cardiology.

Abstract
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PCI Linked to Fewer Sudden Cardiac Deaths

THURSDAY, July 16 (HealthDay News) -- Percutaneous coronary intervention (PCI) was superior to medical management in preserving heart function and preventing sudden cardiac death (SCD) in patients with silent ischemia after myocardial infarction, according to a study in the July 15 issue of the American Journal of Cardiology.

Abstract
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Endoscopic Harvesting Linked to Adverse Outcomes

WEDNESDAY, July 15 (HealthDay News) -- In patients who undergo coronary-artery bypass grafting, endoscopic harvesting is associated with significantly poorer clinical outcomes, including mortality, than open harvesting, according to a study published in the July 16 issue of the New England Journal of Medicine.

Abstract
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Biomarkers Assessed in Acute Coronary Syndrome

WEDNESDAY, July 15 (HealthDay News) -- N-terminal pro-brain natriuretic peptide (NT-proBNP) may be useful in predicting outcomes during early follow-up of patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS), according to research published in the July 21 Journal of the American College of Cardiology.

Abstract
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Editorial (subscription or payment may be required)

Heart Disease Mortality Flattening in Young Adults

WEDNESDAY, July 15 (HealthDay News) -- Although overall age-adjusted coronary heart disease mortality has significantly decreased in Scotland since 1986, the rate of decline in younger adults appears to be flattening, primarily because of social inequality, according to a study published online July 14 in BMJ.

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Benefits Seen for Prospective Electrocardiogram Triggering

WEDNESDAY, July 15 (HealthDay News) -- Multidetector computed tomography (MDCT) with prospective electrocardiogram triggering provides accurate detection of coronary stenosis with a low radiation dose, according to research published in the July 21 issue of the Journal of the American College of Cardiology.

Abstract
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Repair of Patent Foramen Ovale May Not Be Beneficial

TUESDAY, July 14 (HealthDay News) -- Patients with a patent foramen ovale that is discovered and repaired during unrelated surgery may have a significantly increased risk of postoperative stroke, according to a study published in the July 15 issue of the Journal of the American Medical Association.

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Radiation Risk Estimates for Artery Screening Developed

TUESDAY, July 14 (HealthDay News) -- The cancer risk attributable to radiation doses as a result of using multi-detector computed tomography (CT) to screen for coronary artery calcification has been calculated, and can be compared against screening benefits estimates, once that information becomes available, to devise strategies for screening and prevention of coronary artery disease, according to a study published in the July 13 issue of the Archives of Internal Medicine.

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Active Commuting Associated With Improved Overall Health

TUESDAY, July 14 (HealthDay News) -- People who commute to work by foot or by bike tend to be fitter than those who passively commute, according to a study published in the July 13 issue of the Archives of Internal Medicine.

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Caloric Restriction Linked to Slowed Aging in Monkeys

MONDAY, July 13 (HealthDay News) -- Caloric restriction is associated with a delayed onset of age-related disease and less age-related death in rhesus monkeys, according to research published in the July 10 issue of Science.

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Pediatric Stroke Associated With High Care Costs

FRIDAY, July 10 (HealthDay News) -- In children, acute stroke is costly to treat and may lead to an even greater lifetime cost of care than acute adult stroke, and in young adults with a first-ever ischemic stroke, mostly modifiable factors are independently associated with long-term mortality, according to two studies published online July 9 in Stroke.

Abstract - Perkins
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Abstract - Putaala
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Dialysis May Be Resumed Safely After Heart Attack

FRIDAY, July 10 (HealthDay News) -- In patients with end-stage renal disease who have heart attacks, resumption of dialysis has no significant effect on morbidity or mortality, according to a study published online July 9 in the Clinical Journal of the American Society of Nephrology.

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Researchers Fault Workload for Attending Physicians

THURSDAY, July 9 (HealthDay News) -- Hospitalized patients face unnecessary risks from medical errors because of the practice of allowing attending physicians to work unlimited hours, according to an article published online July 5 in Pediatrics.

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Dietary Oils May Help Weight Loss in Diabetic Older Women

THURSDAY, July 9 (HealthDay News) -- The dietary oils, conjugated linoleic acid and safflower oil, may help postmenopausal women with diabetes mellitus to lose weight, according to a study published online June 17 in the American Journal of Clinical Nutrition.

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Obesity Rates for American Adults Still Going Up

THURSDAY, July 9 (HealthDay News) -- At least 25 percent of the adult population in 32 states is now obese, and national prevalence of obesity has risen from 25.6 percent in 2007 to 26.1 percent in 2008, according to a July 8 report by the U.S. Centers for Disease Control and Prevention (CDC).

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New Heart Disease Risk Test Demonstrates Utility

WEDNESDAY, July 8 (HealthDay News) -- The QRISK cardiovascular disease risk equation identifies those at high risk of cardiovascular disease more effectively than the long established Anderson Framingham equation and should be put into use, according to a study published online July 7 in BMJ.

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Genetic Tests May Have Value in Heritable Heart Condition

WEDNESDAY, July 8 (HealthDay News) -- Genetic testing for hypertrophic cardiomyopathy may be useful in diagnosis, treatment, and follow-up of family members of patients with the condition, according to research published in the July 14 Journal of the American College of Cardiology.

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Non-Sudden Death Measured in Childhood Cardiomyopathy

WEDNESDAY, July 8 (HealthDay News) -- The need to identify risk factors for non-sudden cardiac death in children with isolated hypertrophic cardiomyopathy is at least as important as finding risk factors for sudden cardiac death (SCD), according to research published in the July 14 Journal of the American College of Cardiology.

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FDA Requires Stronger Label Warnings About Propoxyphene

TUESDAY, July 7 (HealthDay News) -- The U.S. Food and Drug Administration (FDA) has taken steps to help prevent overdose in patients taking pain medications that contain the opioid propoxyphene, including Darvon and Darvocet, according to a July 7 release issued by the agency.

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Abdominal Aortic Aneurysm Survival Is Improving

TUESDAY, July 7 (HealthDay News) -- During the past 20 years, long-term survival has improved for Swedish patients undergoing intact abdominal aortic aneurysm repair and remained stable for those undergoing ruptured abdominal aortic aneurysm repair, despite increases in patient age and comorbidities, according to a study published online July 6 in Circulation.

Abstract
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Travel Link to Venous Thromboembolism Examined

TUESDAY, July 7 (HealthDay News) -- Travel significantly increases the risk of venous thromboembolism, according to a study published online July 7 in the Annals of Internal Medicine.

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Aortic Dilations Often Missed on Electronic Medical Records

TUESDAY, July 7 (HealthDay News) -- Aortic dilations picked up on computed tomography (CT) scans are often not recorded by clinicians in the patient's electronic medical record, according to a study published in the July 7 issue of the Annals of Internal Medicine.

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Pulse Oximetry May Detect Heart Defects in Infants Early

TUESDAY, July 7 (HealthDay News) -- Pulse oximetry of newborns may be able to detect congenital heart disease early and should be studied further for adoption as a routine newborn health assessment, according to a Scientific Statement from the American Heart Association (AHA) and the American Academy of Pediatrics (AAP), published online July 6 in both Circulation and Pediatrics.

Abstract - Circulation
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Abstract - Pediatrics
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Glutamic Acid Linked to Decreased Blood Pressure

TUESDAY, July 7 (HealthDay News) -- Dietary glutamic acid is independently associated with lower blood pressure, and may help explain the inverse relationship between vegetable protein intake and blood pressure, according to a study published online July 6 in Circulation.

Abstract
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Thromboprophylaxis Need Assessed in Spine Surgery

MONDAY, July 6 (HealthDay News) -- In spinal trauma with or without spinal cord injury, spine surgeons agree that pharmacologic thromboprophylaxis is necessary for selected groups of patients, according to a study published in the July issue of The Spine Journal.

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Noninvasive Interventions Beneficial in PCOS

MONDAY, July 6 (HealthDay News) -- In patients with polycystic ovary syndrome, low-frequency electro-acupuncture and physical exercise may decrease high muscle sympathetic nerve activity, according to a study in the June issue of the American Journal of Physiology - Regulatory, Integrative and Comparative Physiology.

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Famotidine May Prevent Peptic Ulcers in Patients on Aspirin

MONDAY, July 6 (HealthDay News) -- The H2-receptor agonist famotidine prevents gastric and duodenal ulcers, as well as erosive esophagitis, in patients taking low-dose aspirin, according to a study published online July 6 in The Lancet.

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Brain Infarct Increases Risk of Visual Field Loss in Glaucoma

MONDAY, July 6 (HealthDay News) -- Silent cerebral infarct (SCI) increases the risk for visual field progression in patients with normal-tension glaucoma, according to a study reported in the July issue of Ophthalmology.

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Atorvastatin Pretreatment Linked to Better PCI Outcomes

THURSDAY, July 2 (HealthDay News) -- For patients on statin therapy, a high-dose atorvastatin reload before percutaneous coronary intervention was associated with a lower risk of major adverse cardiac events in the following 30 days, according to research published online July 1 in the Journal of the American College of Cardiology.

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Rescue Angioplasty Linked to Long-Term Mortality Benefits

THURSDAY, July 2 (HealthDay News) -- Rescue percutaneous coronary intervention (R-PCI) is associated with reduced mortality over the long term compared to repeat thrombolysis and conservative therapy, according to research published in the July 7 issue of the Journal of the American College of Cardiology.

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Metabolic Syndrome May Raise Breast Cancer Risk

THURSDAY, July 2 (HealthDay News) -- There is no strong association between metabolic syndrome and increased risk of breast cancer, but there is an association between some of the components of the syndrome and increased risk of the disease, according to a study published online June 30 in Cancer Epidemiology Biomarkers & Prevention.

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Hospital Resuscitation Hasn't Improved Survival in Elderly

WEDNESDAY, July 1 (HealthDay News) -- Among elderly patients who undergo in-hospital cardiopulmonary resuscitation, overall survival rates have not improved since the early 1990s, and survival is especially low in men and minorities, according to a study published in the July 2 issue of the New England Journal of Medicine.

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FDA Calls for Chantix, Zyban to Feature Boxed Warning

WEDNESDAY, July 1 (HealthDay News) -- Prescribing information for the smoking cessation drugs varenicline (Chantix) and buproprion (Zyban) must feature a boxed warning that discusses potentially serious mental health changes linked to the drugs, according to an announcement July 1 from the U.S. Food and Drug Administration.

FDA News Release

Ketamine Appears Safe for Intubation in Critical Patients

WEDNESDAY, July 1 (HealthDay News) -- Ketamine is safe for use in endotracheal intubation for critically ill patients -- particularly those with sepsis -- compared to etomidate, according to research published online July 1 in The Lancet.

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Statins May Protect Those at Risk From Heart Disease

WEDNESDAY, July 1 (HealthDay News) -- Using statins to treat people with cardiovascular risks, but without cardiovascular disease, significantly improves survival and reduces incidence of cardiovascular events, according to a study published online June 30 in BMJ.

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Overweight Patients Require Increased Radiation Dose

WEDNESDAY, July 1 (HealthDay News) -- During diagnostic radiologic procedures, overweight and obese patients require radiation doses that are several times greater than those needed by lean patients. With careful management, however, the effective doses may be reduced, according to a study published in the July issue of Radiology.

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Biomarkers May Not Improve Heart Risk Assessment

TUESDAY, June 30 (HealthDay News) -- Plasma levels of biomarkers such as C-reactive protein (CRP) may not offer much (or any) value in predicting coronary heart disease risk over traditional risk factors, 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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Local Practices May Go Against Resuscitation Guidelines

WEDNESDAY, July 1 (HealthDay News) -- Despite the fact that the American Heart Association has developed national guidelines for the termination of out-of-hospital resuscitation, it is difficult for emergency medical services personnel to implement them because of local barriers and protocols, according to a study published online June 30 in Circulation: Cardiovascular Quality and Outcomes.

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Sleep Apnea Treatment Cuts Death Risk for Stroke Patients

WEDNESDAY, July 1 (HealthDay News) -- Continuous positive airway pressure (CPAP) treatment can reduce mortality risk in stroke patients with obstructive sleep apnea (OSA), according to a study in the July 1 issue of the American Journal of Respiratory and Critical Care Medicine.

Abstract
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Triple Antithrombotic Therapy Becoming Growing Concern

WEDNESDAY, July 1 (HealthDay News) -- Given that the number of patients requiring warfarin and dual antiplatelet therapy is expected to rise, clinicians should give thought to the best use of these therapies to balance their benefits and risks, according to a review published in the July 7 issue of the Journal of the American College of Cardiology.

Abstract
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Priorities Set for Comparative Effectiveness Research

WEDNESDAY, July 1 (HealthDay News) -- The extent to which large-scale public investment in comparative effectiveness research can achieve its goals of better decision making and improved uptake of new knowledge depends on engaging the medical profession and patients, according to recommendations by the Institute of Medicine published online June 30 in the Annals of Internal Medicine.

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