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Category: Cardiology | Monthly Briefing

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May 2013 Briefing - Cardiology

Last Updated: June 03, 2013.

Here are what the editors at HealthDay consider to be the most important developments in Cardiology for May 2013. 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.

New Meds, Medical Devices Up Heart Failure Outcomes

FRIDAY, May 31 (HealthDay News) -- Advances in medications and medical devices have improved overall survival and risk of sudden death over the past two decades for patients with advanced heart failure, according to a study published in the May issue of Circulation: Heart Failure.

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Standard VTE Prevention Supported for Bariatric Surgery

FRIDAY, May 31 (HealthDay News) -- There is insufficient evidence to support the use of intravascular filters or augmented dosing of anti-clotting medication to prevent venous thromboembolism (VTE) in patients undergoing bariatric surgery, according to a review published online May 29 in JAMA Surgery.

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Acute Coronary Syndrome-Related PTSD Impacts Sleep

FRIDAY, May 31 (HealthDay News) -- Posttraumatic stress disorder (PTSD) following acute coronary syndrome (ACS) is associated with worse overall sleep, according to a study published online May 30 in the Annals of Behavioral Medicine.

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Antismoking Messages in Media Linked to Intention to Quit

FRIDAY, May 31 (HealthDay News) -- Awareness of antismoking messages in a single media channel or in multiple media channels is associated with intention to quit smoking, according to research published in the May 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Patients Like Commercial Programs for Weight Loss

FRIDAY, May 31 (HealthDay News) -- Patients view being overweight in a nonmedical context, and the use of commercial providers to manage weight loss mirrors this perspective, according to research published in the May/June issue of the Annals of Family Medicine.

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Aggressive Lowering of BP May Up Risk of CHD in Diabetes

FRIDAY, May 31 (HealthDay News) -- Aggressive lowering of blood pressure may be associated with increased risk of coronary heart disease (CHD) in black or white patients with diabetes, according to research published online May 20 in Diabetes Care.

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New Statement Released by Anticoagulation Forum

FRIDAY, May 31 (HealthDay News) -- The Anticoagulation Forum has endorsed a new consensus statement aimed at optimizing the delivery of anticoagulation therapy to inpatients; the statement has been published in the May issue of the Annals of Pharmacotherapy.

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Meta-Analysis Compares Vascular Risks for NSAIDs

THURSDAY, May 30 (HealthDay News) -- The nonsteroidal anti-inflammatory drug (NSAID) diclofenac is associated with significantly increased vascular risk, comparable to that of selective COX-2 inhibitors (coxibs), according to a meta-analysis published online May 30 in The Lancet.

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Economics, Health Explain U.S. Women's Mortality Inequalities

THURSDAY, May 30 (HealthDay News) -- The widening gap in mortality across education levels seen among U.S. white women can largely be explained by economic circumstances and health behaviors, according to a study published online May 30 in the Journal of Health and Social Behavior.

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Patients Who Share in Care Decisions May Up Costs of Care

THURSDAY, May 30 (HealthDay News) -- Patient preference for participating in shared decision making regarding care may increase length of hospital stays and costs of care, according to research published online May 27 in JAMA Internal Medicine.

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Odds of Mortality Up With Elective Surgery on Friday, Weekend

THURSDAY, May 30 (HealthDay News) -- For patients undergoing elective surgery, the odds of death are significantly increased for those who undergo the procedure on Friday or at the weekend, compared with Monday, according to research published online May 28 in BMJ.

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2012 AMA Report Highlights Progress Toward Better Future

THURSDAY, May 30 (HealthDay News) -- Given the changes in America's health care system and challenges facing physicians, in 2012, the American Medical Association (AMA) focused on creating a better future for the nations' patients, physicians, and medical students, according to their annual report.

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One-Third of Medical Students Have Implicit Anti-Fat Bias

THURSDAY, May 30 (HealthDay News) -- More than one-third of medical students have a significant implicit anti-fat bias that few are aware of, according to a study published in the July issue of Academic Medicine.

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Doc Passengers Assist in Half of In-Flight Medical Emergencies

WEDNESDAY, May 29 (HealthDay News) -- Physician passengers provide medical assistance in about half of in-flight medical emergencies, which are most commonly related to syncope, respiratory symptoms, or gastrointestinal symptoms, according to a study published in the May 30 issue of the New England Journal of Medicine.

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Modified Genes Present After Maternal Bariatric Surgery

WEDNESDAY, May 29 (HealthDay News) -- Children born after their mothers had bariatric surgery have gene modifications that are consistent with their reduced cardiometabolic risk, according to a study published online May 28 in the Proceedings of the National Academy of Sciences.

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Most Heart Attack Patients Want to Decide Treatment

WEDNESDAY, May 29 (HealthDay News) -- About two-thirds of patients hospitalized with a heart attack would prefer to have an active role in deciding their treatment, according to a study published online May 27 in JAMA Internal Medicine.

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Transparency Key to Improving Value Care for Patients

WEDNESDAY, May 29 (HealthDay News) -- In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available unless there is a compelling publicly-acceptable justification for keeping it confidential, according to a study published online May 28 in the Annals of Internal Medicine.

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Billions Can Be Saved With Pharmacy Benefit Management

WEDNESDAY, May 29 (HealthDay News) -- Efficient pharmacy benefit management, including increasing use of generic drugs and negotiation of market-based pharmacy dispensing fees, could save Medicaid programs billions of dollars nationwide in the next 10 years, according to a report prepared by the Menges Group and sponsored by the Pharmaceutical Care Management Association.

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Enrollment in U.S. Medical Colleges Is Increasing

WEDNESDAY, May 29 (HealthDay News) -- Enrollment in U.S. medical colleges is increasing, but there is concern about the adequacy of training opportunities, according to a report published by the Association of American Medical Colleges (AAMC).

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HHS: End-of-2013 Targets for EHR Use Already Reached

TUESDAY, May 28 (HealthDay News) -- The U.S. Department of Health & Human Services (HHS) has already met and exceeded its goal for 50 percent of physician offices and 80 percent of eligible hospitals to have electronic health records (EHRs) by the end of 2013, according to a report published by the department.

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AAN Releases Periprocedural Anticoagulant Care Guideline

TUESDAY, May 28 (HealthDay News) -- For patients with ischemic cerebrovascular disease taking antithrombotic drugs, the risk of bleeding varies for different medical procedures, which should guide discontinuation decisions, according to a guideline from the American Academy of Neurology (AAN), published in the May 28 issue of Neurology.

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Docs Anticipating Changes Ahead As ACA Progresses

MONDAY, May 27 (HealthDay News) -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report published by Deloitte.

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Overweight and Obese Are More Likely to Doctor Shop

FRIDAY, May 24 (HealthDay News) -- Doctor shopping is more likely among overweight and obese individuals and is associated with a significantly increased rate of emergency department visits, according to research published online May 13 in Obesity.

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Data Support Basing Health Decisions on Both Benefit, Cost

FRIDAY, May 24 (HealthDay News) -- Person-level health care expenditures per month of health status-adjusted life expectancy are much higher for adults aged 85 years and older than for 0- to 14-year-olds, but despite spending much more on health care, the aging population gets substantially less value for that spending in terms of quality and quantity of life expectancy, according to a study published in the Spring issue of the Michigan Journal of Public Affairs.

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About One in Four Uninsured Could Be Excluded From ACA

FRIDAY, May 24 (HealthDay News) -- More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.

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Studies Discuss Complications of Type 2 Diabetes in Youth

THURSDAY, May 23 (HealthDay News) -- Youth with type 2 diabetes have high rates of serious complications, with a disease trajectory that is distinct from that in adults, according to findings from the ongoing Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study published online May 23 in Diabetes Care.

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ACOG: Hormone Therapy Not Recommended to Prevent CHD

THURSDAY, May 23 (HealthDay News) -- Menopausal hormone therapy should not be used for prevention of coronary heart disease, according to a Committee Opinion from the American College of Obstetricians and Gynecologists (ACOG) published in the June issue of Obstetrics & Gynecology.

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Midlife Hysterectomy Doesn't Increase Cardiovascular Risk

THURSDAY, May 23 (HealthDay News) -- A hysterectomy in midlife with or without ovarian conservation is unlikely to accelerate women's cardiovascular disease (CVD) risk, according to a study published online May 22 in the Journal of the American College of Cardiology.

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Mediterranean Diet Preserves Cognition in the Aging Brain

THURSDAY, May 23 (HealthDay News) -- A dietary intervention of the Mediterranean diet, enhanced with either extra-virgin olive oil or nuts, is superior to a low-fat diet in preserving global cognition with age, according to research published online May 13 in the Journal of Neurology, Neurosurgery & Psychiatry.

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Long-Acting Bronchodilators Up Cardiovascular Risk in COPD

THURSDAY, May 23 (HealthDay News) -- New use of either long-acting β-agonists or anticholinergics is associated with increased risks of cardiovascular events among older individuals with chronic obstructive pulmonary disease (COPD), according to a study published online May 20 in JAMA Internal Medicine.

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Dual-Source Cardiac CT IDs CAD in Hard-to-Image Patients

THURSDAY, May 23 (HealthDay News) -- In patients who have previously been considered difficult to image, dual-source cardiac (DSC) computed tomography (CT) can identify clinically significant coronary artery disease, according to a review published in the May issue of Radiology.

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Stroke-Related Costs Expected to Rise 129 Percent by 2030

WEDNESDAY, May 22 (HealthDay News) -- The total annual costs associated with stroke are projected to rise to $240.67 billion by 2030, according to an American Heart Association and American Stroke Association policy statement published online May 22 in Stroke.

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Not All U.K. Health Records Capturing Myocardial Infarction

WEDNESDAY, May 22 (HealthDay News) -- Electronic health records, including primary care and hospital records, and disease and mortality registers, each missed 25 to 50 percent of myocardial infarction (MI) events recorded between 2003 and 2009 in patients in England, according to research published online May 21 in BMJ.

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Cardiologist Calls for Action on Added Sugars

WEDNESDAY, May 22 (HealthDay News) -- Despite evidence supporting the link between excess sugar consumption and various health issues, official bodies seem keen to question or deny this link, according to an observation piece published online May 21 in BMJ.

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Systematic Screening of Med Adherence Will ID Barriers

WEDNESDAY, May 22 (HealthDay News) -- Implementation of systematic monitoring for medication adherence will allow for identification of barriers to adherence and tailoring of interventions, according to a viewpoint piece published in the May 22/29 issue of the Journal of the American Medical Association.

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Sodium, Water Restriction Not Found Beneficial in Heart Failure

WEDNESDAY, May 22 (HealthDay News) -- Sodium and water restriction are unnecessary in patients hospitalized for acute decompensated heart failure (ADHF), according to a study published online May 20 in JAMA Internal Medicine.

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Competitive Sports Can Be Safe for Athletes With ICDs

WEDNESDAY, May 22 (HealthDay News) -- Athletes with implantable cardioverter-defibrillators (ICDs) can safely participate in competitive sports, according to a study published in the May 21 issue of Circulation.

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SSRI Reduces Stress-Induced Myocardial Ischemia

TUESDAY, May 21 (HealthDay News) -- Treatment with escitalopram reduces mental stress-induced myocardial ischemia (MSIMI) in patients with heart disease and MSIMI, according to a study published in the May 22 issue of the Journal of the American Medical Association.

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CDC Presents Recent Trends in Health Behaviors of U.S. Adults

TUESDAY, May 21 (HealthDay News) -- In 2008 to 2010, the prevalence of key health behaviors among U.S. adults varied, with about one in five adults current smokers and 62.1 percent overweight or obese, according to a report presented by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Case Survival Reflects Hospital Performance in Cardiac Arrest

TUESDAY, May 21 (HealthDay News) -- Hospitals with high case-survival rates for cardiac arrest tend to have lower incidence rates of inpatient cardiac arrest, according to research published online May 20 in JAMA Internal Medicine.

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Changes in Organ Allocation Helped Kids in Past Decade

MONDAY, May 20 (HealthDay News) -- Changes to organ allocation have helped increase pediatric transplantation and decrease wait-list deaths, according to research published online May 20 in Pediatrics.

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Digital Divide Exists With Physician EHR Adoption

MONDAY, May 20 (HealthDay News) -- The majority of physicians remain reluctant to adopt health information technology (HIT), according to a report by Deloitte Touche Tohmatsu.

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Depression Doubles Stroke Risk in Middle-Aged Women

FRIDAY, May 17 (HealthDay News) -- In middle-aged women, depression is associated with a significantly increased risk of stroke, even after adjustment for lifestyle and physiological variables, according to a study published online May 16 in Stroke.

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Free Fatty Acids Linked to Cardiac Risk in Late Adulthood

THURSDAY, May 16 (HealthDay News) -- Blood levels of free fatty acids are associated with insulin resistance during young adulthood and cardiovascular risk factors in later adulthood, according to a study published online May 13 in Diabetes.

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Dual Chamber ICDs Linked to More Complications

TUESDAY, May 14 (HealthDay News) -- Single- and dual-chamber implantable cardioverter-defibrillators (ICDs) for primary prevention of sudden cardiac death are associated with similar one-year mortality and hospitalization outcomes, although single-chamber devices are associated with lower complication rates, according to a study published in the May 15 issue of the Journal of the American Medical Association.

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IOM: Health Effects of Further Lowering Sodium Unclear

TUESDAY, May 14 (HealthDay News) -- Lowering sodium levels to moderate (2,300 mg/day) seems to result in improved health outcomes, but the evidence is insufficient to assess the benefits and harms of further lowering levels, according to a review published by the Institute of Medicine.

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Healthy Lifestyle Offsets Cardio Risks From Job Strain

TUESDAY, May 14 (HealthDay News) -- For individuals with job strain, a healthy lifestyle is associated with a reduced risk of coronary artery disease, according to a study published online May 13 in CMAJ, the journal of the Canadian Medical Association.

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Passive Smoking Exposure Tied to Lower HDL-C Among Teen Girls

TUESDAY, May 14 (HealthDay News) -- For nonsmoking adolescent girls, exposure to passive smoke since birth is associated with lower levels of high-density lipoprotein cholesterol (HDL-C), according to a study published in the May 1 issue of the Journal of Clinical Endocrinology & Metabolism.

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No Change in Sodium Content of Ready Food From '05 to '11

MONDAY, May 13 (HealthDay News) -- From 2005 to 2011, there was no significant change in the sodium content of processed and fast-food restaurant foods; and on average, meals at sit-down restaurants (SDRs) contain more than a full day's worth of sodium, according to two studies published online May 13 in JAMA Internal Medicine.

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New FDA Survey to Assess Doc Attitudes on DTC Advertising

MONDAY, May 13 (HealthDay News) -- The U.S. Food and Drug Administration plans to conduct a new survey involving 2,000 health care professionals to examine their views on direct-to-consumer (DTC) advertising of prescription medications. The survey has been approved by the White House Office of Management and Budget.

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Higher Acute Aortic Dissection Risk With Lower-Volume Care

MONDAY, May 13 (HealthDay News) -- The mortality risk from emergency repair of acute aortic dissection is double when performed by lower-volume providers, according to research published in the May issue of the Annals of Thoracic Surgery.

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Poor Service, Bedside Manner Top Patients' Online Complaints

FRIDAY, May 10 (HealthDay News) -- On "rate-your-doctor" websites, patients complain more about poor bedside manner and unprofessional office staff than inadequate medical skills, according to a recent multi-city study published by Vanguard Communications.

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User Satisfaction With Electronic Health Records Down

FRIDAY, May 10 (HealthDay News) -- Since 2010, there has been a decrease in the satisfaction and usability ratings for certified electronic health records (EHRs), according to survey results presented by the American College of Physicians (ACP) and AmericanEHR Partners.

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Antidepressants Benefit Post-CABG Mental Health Recovery

THURSDAY, May 9 (HealthDay News) -- For preoperatively depressed patients undergoing coronary artery bypass grafting (CABG), antidepressant therapy has no impact on morbidity or mortality, but is associated with improvements in measures of depression and mental health quality-of-life, according to a study published in the May issue of the Annals of Thoracic Surgery.

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HHS Releases Data on Inpatient Charges for Hospital Services

THURSDAY, May 9 (HealthDay News) -- To promote transparency in the health care system, the first part of a three-part initiative has been released by the U.S. Department of Health and Human Services (HHS). The report provides consumers with information on hospital charges and highlights the considerable variation across the country for common inpatient services.

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Smartphones, Smartphone Apps Increasingly Used by Docs

THURSDAY, May 9 (HealthDay News) -- Smartphones and smartphone applications are increasingly being used in a professional capacity among physicians, according to two reports published in the March issue of Kantar Media Sources & Interactions Study-Medical/Surgical Edition.

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n-3 Fatty Acids No Benefit for High-Risk Cardio Patients

WEDNESDAY, May 8 (HealthDay News) -- For patients with multiple cardiovascular risk factors or atherosclerotic vascular disease who have not had a myocardial infarction, daily treatment with n-3 fatty acids does not reduce cardiovascular mortality or morbidity, according to a study published in the May 9 issue of the New England Journal of Medicine.

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Application for Health Coverage Has Been Simplified, Shortened

WEDNESDAY, May 8 (HealthDay News) -- The application for health insurance coverage has been simplified and shortened, with the application reduced to three pages for individuals, according to a report released April 30 by the Centers for Medicare & Medicaid Services (CMS).

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Long-Detection Interval Cuts Antitachycardia Pacing, Shocks

TUESDAY, May 7 (HealthDay News) -- For patients receiving an implantable cardioverter-defibrillator (ICD), using 30 of 40 intervals to detect ventricular arrhythmias (long detection) during spontaneous fast ventricular arrhythmia episodes is associated with a reduced rate of antitachycardia pacing (ATP), shocks, and inappropriate shocks compared with the standard 18 of 24 intervals, according to a study published in the May 7 issue of the Journal of the American Medical Association.

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Diabetes, Hypertension Prevalent With Spinal Stenosis

TUESDAY, May 7 (HealthDay News) -- Nonelderly, older adults with lumbar spinal stenosis (LSS) have a higher prevalence of diabetes and hypertension than those without stenosis, according to a study published in the April 20 issue of Spine.

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Patient-Reported Health Status Underused in Cardio Health

TUESDAY, May 7 (HealthDay News) -- Patient-reported health status is a currently underutilized measure of cardiovascular health that can predict health outcomes and inform decision making, according to a scientific statement published online May 6 in Circulation.

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For Men, Obesity in Youth Ups Cardiometabolic Risk by Age 55

TUESDAY, May 7 (HealthDay News) -- Nearly half of young, obese men have an adverse cardiometabolic event or die before age 55 years, according to a study published online April 29 in BMJ Open.

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Patients Most Annoyed by Long Waits, Unclear Test Results

FRIDAY, May 3 (HealthDay News) -- Long waiting times and unclear test results are the top patient grievances when it comes to visiting the doctor, according to a report published in the June issue of Consumer Reports.

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CDC: About One in Five U.S. Adults Meets Exercise Guidelines

FRIDAY, May 3 (HealthDay News) -- In 2011, about 20 percent of U.S. adults met guidelines for both aerobic and muscle-strengthening physical activity, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Medicaid Coverage Doesn't Lead to Better Physical Health

THURSDAY, May 2 (HealthDay News) -- Medicaid coverage does not seem to produce improvements in measured physical health outcomes within two years, but does have some effects, including increased use of health care services and reduced financial strain, according to research published in the May 2 issue of the New England Journal of Medicine.

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Micro-, Macrovascular Changes Observed in Binge Drinkers

THURSDAY, May 2 (HealthDay News) -- Young binge drinkers have alterations in the macrocirculation and microcirculation compared with age-matched abstainers, according to a study published online May 1 in the Journal of the American College of Cardiology.

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Health Industry Payment Details to Be Publicly Available

THURSDAY, May 2 (HealthDay News) -- As part of the National Physician Payment Transparency Program and in compliance with a provision in the Affordable Care Act (ACA), the government will make information about financial relationships between doctors, teaching hospitals, and drug and device manufacturers publicly available on a new Centers for Medicare and Medicaid Services website, according to a report published by Kaiser Health News.

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Azithromycin Not Tied to Increased Risk of CV Death

WEDNESDAY, May 1 (HealthDay News) -- Current use of the antibiotic azithromycin is not associated with an increased risk of death from cardiovascular causes in a general population of young and middle-aged adults, according to a study published in the May 2 issue of the New England Journal of Medicine.

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