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Category: Cardiology | Monthly Briefing

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October 2013 Briefing - Cardiology

Last Updated: November 01, 2013.

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

FDA Announces Moves to Avert Drug Shortages

THURSDAY, Oct. 31 (HealthDay News) -- Drug makers would have to promptly notify the federal government of potential drug shortages under a new rule proposed Thursday by the U.S. Food and Drug Administration. The companies would be required to alert the FDA at least six months before a possible interruption in supply, or no later than five days after the interruption has occurred.

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Top 100 EHR Systems Sorted by Company Revenue

THURSDAY, Oct. 31 (HealthDay News) -- The top 100 electronic health record (EHR) systems have been sorted, mainly by company revenue, in an article published Oct. 25 in Medical Economics.

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New Criteria ID Clinically Relevant Post-Procedure MI

THURSDAY, Oct. 31 (HealthDay News) -- A new definition of myocardial infarction (MI) that encompasses clinically relevant MI following coronary revascularization, rather than one that identifies small degrees of myonecrosis, should be adopted, according to a consensus document published in the Oct. 22 issue of the Journal of the American College of Cardiology.

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Active Lifestyle Beneficial, Even Without Regular Exercise

THURSDAY, Oct. 31 (HealthDay News) -- For older adults, a generally active daily life is associated with cardiovascular benefits and reduced mortality, irrespective of regular exercise habits, according to a study published online Oct. 28 in the British Journal of Sports Medicine.

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Sebelius: 'Hold Me Accountable' for Website 'Debacle'

WEDNESDAY, Oct. 30 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius on Wednesday claimed responsibility for the failed rollout of HealthCare.gov and committed to fixing the website's many software and system problems.

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Cardiac Risk From Breast Radiation Lower Than in Past

WEDNESDAY, Oct. 30 (HealthDay News) -- Risk of cardiac events is increased by exposure from breast radiotherapy, though contemporary techniques, including lower radiation doses and prone positioning, have helped lower these risks, according to research published online Oct. 28 in JAMA Internal Medicine.

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2013 Health Care Quality Report Shows Some Improvements

WEDNESDAY, Oct. 30 (HealthDay News) -- Five key quality issues are showing some positive trends, according to the 2013 State of Health Care Quality Report published by the National Committee for Quality Assurance (NCQA).

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Record High in Medical School Applicants, Enrollment

WEDNESDAY, Oct. 30 (HealthDay News) -- In 2013, a record number of students applied to and enrolled in medical schools, according to a report published by the Association of American Medical Colleges (AAMC).

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Expedited Review Speeds Approval of New Drugs by FDA

WEDNESDAY, Oct. 30 (HealthDay News) -- In 2008, new drugs that received expedited review by the U.S. Food and Drug Administration were approved more rapidly, but many questions about safety remain unresolved, according to research published online Oct. 28 in JAMA Internal Medicine.

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Health Agency Chief Apologizes for Federal Website Woes

TUESDAY, Oct. 29 (HealthDay News) -- The head of the federal agency responsible for HealthCare.gov issued a public apology Tuesday for problems that have plagued the health insurance website since its Oct. 1 launch. "I want to apologize to you that the website has not worked as well as it should," Marilyn Tavenner, administrator of the U.S. Centers for Medicare and Medicaid Services, told members of the House of Representatives' Ways and Means Committee at a hearing on the Affordable Care Act.

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Consultant Offers Tips for Training Staff to Use EHR System

TUESDAY, Oct. 29 (HealthDay News) -- Six tips can help educate staff to use new electronic health record (EHR) systems, according to an article published Oct. 25 in Medical Economics.

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Seniors Need Personalized Secondary Prevention of CVD

TUESDAY, Oct. 29 (HealthDay News) -- For older adults, secondary prevention of atherosclerotic cardiovascular disease (ASCVD) should be individualized, according to a scientific statement published online Oct. 28 in Circulation.

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Docs, Lawyers Join Forces to Allow Doctors to Apologize

TUESDAY, Oct. 29 (HealthDay News) -- A new Senate bill allows health care professionals to make benevolent gestures without fear of these statements being used against them, according to a report published by the Pennsylvania Medical Society.

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Smoking Cessation Ups Survival for Patients Undergoing PCI

FRIDAY, Oct. 25 (HealthDay News) -- Smoking cessation is associated with improved survival for patients who undergo percutaneous coronary intervention (PCI), according to a study published in the Nov. 1 issue of The Journal of Cardiology.

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Hands-Free Ultrasound + tPA Appears Safe, Effective in Stroke Tx

FRIDAY, Oct. 25 (HealthDay News) -- Sonothrombolysis using a novel operator-independent ultrasound device plus tissue-type plasminogen activator (tPA) is safe and effective in patients with ischemic stroke caused by proximal intracranial occlusion, according to a study published online Oct. 24 in Stroke.

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Many Interns Don't Practice Etiquette-Based Communication

FRIDAY, Oct. 25 (HealthDay News) -- Internal medicine interns overestimate the extent to which they practice an etiquette-based communication approach, according to a study published online Oct. 12 in the Journal of Hospital Medicine.

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Peer Intervention Program Reduces Patient Complaints

FRIDAY, Oct. 25 (HealthDay News) -- A physician peer intervention program is effective in improving unsafe and dissatisfying physician behaviors identified through patient complaints, according to a study published in the October issue of the Joint Commission Journal on Quality and Patient Safety.

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Most Negative Online Posts Aren't Defamation

FRIDAY, Oct. 25 (HealthDay News) -- Few negative online posts about doctors reach the level of defamation, according to an article published Oct. 10 in Medical Economics.

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Penalty Delayed As Federal Exchange Comes Under Fire

THURSDAY, Oct. 24 (HealthDay News) -- U.S. consumers who sign up for health insurance by March 31 won't face tax penalties for being uninsured during the first three months of 2014, the Obama administration said Thursday.

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Race/Ethnicity Has No Impact on Long-Term Mortality in T2DM

THURSDAY, Oct. 24 (HealthDay News) -- For adults with type 2 diabetes and coronary artery disease, race/ethnicity has no significant impact on the long-term risk of death, according to a study published in the Nov. 1 issue of The American Journal of Cardiology.

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Physicians Should Motivate and Retain Top Employees

THURSDAY, Oct. 24 (HealthDay News) -- Even in a time of declining reimbursements, smart employers should know how to motivate and retain superstar employees in their practice, according to an article published Oct. 10 in Medical Economics.

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CDC: Trends in Cholesterol Levels of U.S. Adults Estimated

THURSDAY, Oct. 24 (HealthDay News) -- From 2009-2010 to 2011-2012, there was no change in the percentage of adults with high total cholesterol, or in the percentage undergoing cholesterol screening, according to an October data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Global Burden of Stroke Increased From 1990 to 2010

THURSDAY, Oct. 24 (HealthDay News) -- From 1990 to 2010 there was an increase in the global burden of stroke, and of incident ischemic and hemorrhagic stroke, according to two studies published online Oct. 24 in The Lancet and The Lancet Global Health.

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Carotid Stenting Tied to Higher Stroke Risk in Seniors

THURSDAY, Oct. 24 (HealthDay News) -- For patients undergoing a carotid intervention, age influences outcomes, according to a review published online Oct. 23 in JAMA Surgery.

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FDA Approves Opsumit for Pulmonary Arterial Hypertension

WEDNESDAY, Oct. 23 (HealthDay News) -- Opsumit (macitentan) has been approved by the U.S. Food and Drug Administration to treat adults with pulmonary arterial hypertension.

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Modest Survival Benefits Seen for Family Caregivers

WEDNESDAY, Oct. 23 (HealthDay News) -- Being a caregiver to a family member may provide a small survival benefit to the caregiver, according to a study published online Oct. 3 in the American Journal of Epidemiology.

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BP Drugs Linked to Lower Risk of Alzheimer's Disease Dementia

WEDNESDAY, Oct. 23 (HealthDay News) -- For older adults, antihypertensive medications are associated with a decreased risk of Alzheimer's disease (AD) dementia, according to research published in the Sept. 3 issue of Neurology.

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Flu Vaccine Linked to Lower Cardiovascular Risk

TUESDAY, Oct. 22 (HealthDay News) -- Influenza vaccination is associated with a lower risk of cardiovascular events among those at high risk of cardiovascular disease, particularly among those with more active coronary disease, according to a review and meta-analysis published in the Oct. 23/30 issue of the Journal of the American Medical Association.

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ACP Presents Recommendations for Screening, Treating CKD

TUESDAY, Oct. 22 (HealthDay News) -- The American College of Physicians (ACP) has presented recommendations for the screening, monitoring, and treatment of adults with chronic kidney disease, according to guidelines published online Oct. 22 in the Annals of Internal Medicine.

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Research Backlog at NIH Due to Shutdown

TUESDAY, Oct. 22 (HealthDay News) -- It will take some time before research programs return to normal at the U.S. National Institutes of Health after the end of the federal government shutdown, officials say.

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Scribes Can Be Beneficial in Medical Practices

TUESDAY, Oct. 22 (HealthDay News) -- Medical scribes can accurately document physician or independent practitioner dictation and activities, allowing providers to spend more time with patients, according to an article published Oct. 10 in Medical Economics.

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Varying Radiation Exposure in Cath Lab Procedures Analyzed

TUESDAY, Oct. 22 (HealthDay News) -- Endovascular peripheral procedures are associated with higher radiation exposure for catheterization laboratory operators than coronary procedures, according to a study published in the October issue of JACC: Cardiovascular Interventions.

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Obama: 'No Excuse' for Troubled HealthCare.gov Website

MONDAY, Oct. 21 (HealthDay News) -- Saying he's confident the problems will get fixed, President Barack Obama admitted today that there is "no excuse" for the troubles plaguing the beleaguered HealthCare.gov website. "There's no sugar-coating it. The website has been too slow, people have been getting stuck during the application process, and I think it's fair to say that nobody's more frustrated by that than I am," he said during the nearly 30-minute-long address in the White House Rose Garden.

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Seniors Rarely Consider Switching Medicare Plan, Provider

MONDAY, Oct. 21 (HealthDay News) -- Most seniors report being satisfied with Medicare coverage and most would not consider switching plan or provider even though the Medicare annual open enrollment period, which lasts from Oct. 15 to Dec. 7, allows people the opportunity to make changes, according to a report from Allsup.

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7 Percent of Chinese Adults Have Unruptured Cerebral Aneurysm

MONDAY, Oct. 21 (HealthDay News) -- Unruptured cerebral aneurysms (UCAs) seem to be common in the Chinese population with an overall prevalence of 7.0 percent, according to a study published in the Oct. 15 issue of the Annals of Internal Medicine.

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Small Businesses Weigh Health Insurance Options

MONDAY, Oct. 21 (HealthDay News) -- Small businesses rated most features of the Small Business Health Options (SHOP) exchanges favorably, but reasonable prices for premiums are especially important to them, according to research published online Oct. 16 in Health Affairs.

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Eye Contact Affects Patients' Perception of Clinician Empathy

FRIDAY, Oct. 18 (HealthDay News) -- Physicians who make direct eye contact and engage in a moderate amount of social touch are perceived by patients as being more empathetic, according to research published online Aug. 14 in the Journal of Participatory Medicine.

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Physician Wait Times Analyzed by Specialty in Massachusetts

FRIDAY, Oct. 18 (HealthDay News) -- Wait times for new patients for non-emergency care in Massachusetts in 2013 have been stable or shorter in all specialties except internal medicine, orthopedic surgery, and pediatrics, according to a report issued by the Massachusetts Medical Society.

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In Buying Exchange Insurance, It Helps to Have Help

FRIDAY, Oct. 18 (HealthDay News) -- You have to wade through a lot of insurance jargon and be a skilled number-cruncher to choose the right health insurance plan on the new health exchanges, health literacy and consumer decision-making experts say.

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Sebelius: Exchange Launch 'Rockier Than We Would Have Liked'

THURSDAY, Oct. 17 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius admitted Wednesday that the troubled launch of the federal government's new health insurance exchange hasn't gone as planned. However, she said technicians were working to fix the glitches that have plagued the HealthCare.gov website, and improvements should be evident shortly to consumers, the Cincinnati Enquirer reported Wednesday.

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'Coverage Gap' Likely to Affect 5.2 Million Uninsured Adults

THURSDAY, Oct. 17 (HealthDay News) -- About 5.2 million uninsured adults are expected to fall into the Affordable Care Act (ACA) 'coverage gap,' with incomes too high to qualify for Medicaid programs but below the level eligible for federal subsidies to purchase private insurance, according to a report issued by the Henry J. Kaiser Family Foundation.

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CDC: Number of Obese Adults in U.S. Holding Steady

THURSDAY, Oct. 17 (HealthDay News) -- The number of obese adults remained constant at more than 78 million in the United States for 2011 to 2012, according to an October data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Steps Given to Minimize Burden of Prior Authorizations

THURSDAY, Oct. 17 (HealthDay News) -- Prior authorizations are a time-consuming part of work, but the process can be simplified, according to an article published online Oct. 10 in Medical Economics.

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Docs Should Discuss Out-of-Pocket Costs With Patients

THURSDAY, Oct. 17 (HealthDay News) -- Given the high out-of-pocket costs associated with health care and their implications for patients, physicians should discuss these costs with patients during the clinical decision-making process, according to a perspective piece published in the Oct. 17 issue of the New England Journal of Medicine.

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Med Students Value 'Enjoying Work' in Specialty Selection

THURSDAY, Oct. 17 (HealthDay News) -- For first year medical students, enjoying work is the most important lifestyle domain in choosing a specialty, according to a study published in the October issue of Academic Medicine.

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Medicare, Medicaid Will Be Affected by Federal Debt Default

WEDNESDAY, Oct. 16 (HealthDay News) -- Failure to raise the debt ceiling by Oct. 17 will have a substantial effect on health care programs, including Medicare and Medicaid, according to a report published by the American Association of Family Physicians (AAFP).

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In Diabetes Patients, QOL Similar Two Years After CABG, PCI

WEDNESDAY, Oct. 16 (HealthDay News) -- Among patients with diabetes undergoing revascularization for multi-vessel coronary artery disease (CAD), coronary artery bypass graft (CABG) surgery provides better intermediate health status and quality of life (QOL) than percutaneous coronary intervention (PCI) with drug-eluting stents, but the differences are small and transient, according to research published in the Oct. 16 issue of the Journal of the American Medical Association.

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Algorithm Developed to Guide Physicians in Obesity Care

WEDNESDAY, Oct. 16 (HealthDay News) -- An algorithm has been developed to help physicians navigate medical treatment for obesity care, according to a report published by the American Society of Bariatric Physicians (ASBP).

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Nonprofit U.S. Hospital CEO Compensation Varies Widely

TUESDAY, Oct. 15 (HealthDay News) Nonprofit hospital chief executive officer (CEO) compensation is associated with technology and patient satisfaction, but not with processes of care, patient outcomes, or community benefit, according to a study published online Oct. 14 in JAMA Internal Medicine.

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Most Docs Monitor Online Reviews About Themselves

TUESDAY, Oct. 15 (HealthDay News) -- Most health care providers monitor online reviews about themselves and find the reviews fair, according to the results of a survey published by ZocDoc.

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Get With The Guidelines-Stroke Hospitals Do Follow Guidelines

TUESDAY, Oct. 15 (HealthDay News) -- Get With The Guidelines-Stroke (GWTG-S) hospitals are more likely than Primary Stroke Center (PSC)-certified hospitals to provide all the recommended guideline-based care for patients, according to research published in the October issue of the Journal of the American Heart Association.

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Marathon Running Tied to Transient Myocardial Changes

TUESDAY, Oct. 15 (HealthDay News) -- Marathon runners, particularly those who are less fit or less trained, may experience transient myocardial changes, according to a study published in the October issue of the Canadian Journal of Cardiology.

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AHA Issues Guidelines for Assessing Physical Activity

MONDAY, Oct. 14 (HealthDay News) -- Physical activity should be assessed regularly, using the most appropriate method based mainly on the primary outcome in any given scenario, according to a scientific statement from the American Heart Association published online Oct. 14 in Circulation.

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Study Discusses How to Create Value in Insurance Marketplaces

MONDAY, Oct. 14 (HealthDay News) -- Based on experience from other markets, health insurance exchange marketplaces can create greater value for consumers, according to research published in the September issue of Health Management, Policy and Innovation.

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Hospital Care Quality Varies by Insurance Coverage

MONDAY, Oct. 14 (HealthDay News) -- Examining hospital quality differences by various patient insurance groups would help reduce care disparities, according to a study published in the October issue of Health Affairs.

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'Cyberchondria' Worse in Those Troubled by Uncertainty

FRIDAY, Oct. 11 (HealthDay News) -- In a vicious cycle, those who have trouble handling uncertainty turn to the Internet to search for medical information which in turn leads to greater health anxiety ("cyberchondria"), according to a study published online Aug. 31 in Cyberpsychology, Behavior, and Social Networking.

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Regional Variation Seen in Medicare ACO Formation

FRIDAY, Oct. 11 (HealthDay News) -- Underlying provider integration in a given geographic region may drive the formation of Medicare accountable care organizations (ACOs), according to a study published in the October issue of Health Affairs.

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Consumers Frustrated With First Days of ACA Exchanges

FRIDAY, Oct. 11 (HealthDay News) -- A new poll of consumer satisfaction with the Affordable Care Act's health insurance exchanges confirms what headlines having been saying since the online marketplaces' launch: things have not gone smoothly.

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Addicted Physicians Say Rx Misuse Is for 'Self-Medication'

FRIDAY, Oct. 11 (HealthDay News) -- Physicians who misuse prescription drugs report self-medication as a leading reason, according to research published in the September/October issue of the Journal of Addiction Medicine.

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Rate of Cardiovascular Disease Expected to Rise in the U.S.

FRIDAY, Oct. 11 (HealthDay News) -- The combined effects of aging of the population and the obesity epidemic are expected to increase the prevalence of cardiovascular disease in the United States, according to research published in the October issue of Health Affairs.

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State-Run Health Exchanges Off to Smoother Start

WEDNESDAY, Oct. 9 (HealthDay News) -- Unlike the highly publicized problems that have plagued the federal health exchange website created to help Americans register for insurance coverage, many state-run exchanges are operating well, according to published reports.

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Quality-Adjusted Survival Low Five Years After Stroke

THURSDAY, Oct. 10 (HealthDay News) -- Five years after stroke and transient ischemic attack (TIA), quality-adjusted survival is low, according to a study published online Oct. 9 in Neurology.

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FDA Approves Adempas to Treat Pulmonary Hypertension

WEDNESDAY, Oct. 9 (HealthDay News) -- Adempas (riociguat) has been approved by the U.S. Food and Drug Administration to treat chronic thromboembolic pulmonary hypertension (CTEPH) and pulmonary arterial hypertension (PAH) of various causes.

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Aircraft Noise Tied to Cardiac-Linked Hospital Admission

WEDNESDAY, Oct. 9 (HealthDay News) -- Aircraft noise is associated with increased risk of cardiovascular-related hospital admission, according to two studies published online Oct. 8 in BMJ.

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Provision of High-Quality Care Linked to Doc Job Satisfaction

WEDNESDAY, Oct. 9 (HealthDay News) -- For physicians, being able to provide high-quality health care is a driver of professional satisfaction, according to a study published online Oct. 9 by the RAND Corporation.

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AAFP Urges Congress to End Federal Government Shutdown

WEDNESDAY, Oct. 9 (HealthDay News) -- The American Association of Family Physicians (AAFP) is urging Congress to end the federal shutdown, according to a statement from the association.

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Greater Potential for Health Gains From Delayed Aging

WEDNESDAY, Oct. 9 (HealthDay News) -- The most effective way to stall disease, extend years of life in good health, and enhance public health would be to delay aging, according to research published in the October issue of Health Affairs.

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Doctors Need to Focus on Treatment of Unhealthy Lifestyles

TUESDAY, Oct. 8 (HealthDay News) -- Physicians need to focus on preventing cardiovascular disease by addressing unhealthy lifestyles as much as treatment, according to an American Heart Association science advisory published online Oct. 7 in Circulation.

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PTSD Linked to Increased Risk of Metabolic Syndrome

TUESDAY, Oct. 8 (HealthDay News) -- Individuals with posttraumatic stress disorder (PTSD) are at increased risk for metabolic syndrome, according to a review and meta-analysis published in the Sept. 19 issue of Metabolic Syndrome and Related Disorders.

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Confusion Still Surrounds ACA Health Insurance Exchanges

TUESDAY, Oct. 8 (HealthDay News) -- Much confusion still exists surrounding the Affordable Care Act (ACA) health care insurance exchanges, which opened on Oct. 1, according to an article published online Sept. 30 in Medical Economics.

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Patient Satisfaction Is Poor Measure of Hospital Quality

TUESDAY, Oct. 8 (HealthDay News) -- The Pridit approach can be used to predict hospital quality and health outcomes, according to a study published online Sept. 30 in the Risk Management and Insurance Review.

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Patterns of Health Insurance Coverage Vary by State

TUESDAY, Oct. 8 (HealthDay News) -- Patterns of health insurance coverage among adults vary by state, and these differences may be used to guide efforts to expand coverage under the Affordable Care Act (ACA), according to research published online Sept. 25 in Health Affairs.

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USPSTF: Evidence Lacking for HTN Screening in Children

MONDAY, Oct. 7 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that there is currently insufficient evidence to weigh the benefits and harms of screening for primary hypertension in children and adolescents in order to prevent subsequent cardiovascular disease, according to a final Recommendation Statement published online Oct. 8 in the Annals of Internal Medicine.

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Both Patients and Doctors Tend to Be Creatures of Habit

MONDAY, Oct. 7 (HealthDay News) -- Doctors often struggle with their patients' reluctance or inability to modify behaviors for the sake of their health, but physicians themselves are prone to stay the path they're on even if it isn't working or recommended, according to an opinion piece published Oct. 5 in The New York Times.

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Design and Software Problems Plague Health Exchanges

MONDAY, Oct. 7 (HealthDay News) -- Problems signing up for health insurance through HealthCare.gov, the federal website serving health exchanges in 36 states, are the result of design and software problems, The Wall Street Journal reported.

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U.S. Health Exchange Website Faced Intermittent Shutdowns

MONDAY, Oct. 7 (HealthDay News) -- The U.S. Health and Human Services Department announced late Friday that the healthcare.gov site -- a key to the launch of the new health care insurance exchanges -- would be unavailable during "off-peak" hours over the weekend for repairs.

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Senators Request Delay in Transition to Meaningful Use 2

MONDAY, Oct. 7 (HealthDay News) -- A group of U.S. senators has requested that the transition to meaningful use 2 be delayed by one year, according to an article published Sept. 30 in Medical Economics.

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Regional STEMI Transfers Can Attain 90 Minute Balloon Times

FRIDAY, Oct. 4 (HealthDay News) -- A network approach to transfer ST-segment-elevation myocardial infarction (STEMI) patients can achieve consistent first door-to-balloon times (1st D2B) for percutaneous coronary intervention (PCI) within 90 minutes, according to a study published online Sept. 18 in the Journal of American College of Cardiology: Cardiovascular Interventions.

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Restaurant Menus Are Not Becoming Healthier

FRIDAY, Oct. 4 (HealthDay News) -- Although the Affordable Care Act required restaurants to post nutritional information, the energy and sodium content of menu items at chain restaurants did not change significantly from 2010 to 2011 despite industry pledges to offer healthier foods, according to a study published online Oct. 3 in the Journal of the Academy of Nutrition and Dietetics.

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Majority of Physicians Concerned About Future of Medicine

FRIDAY, Oct. 4 (HealthDay News) -- Although physicians are concerned about the future of medicine, the majority are satisfied with practicing medicine and feel financial incentives could provide a way to motivate patients to change behavior, according to a survey conducted by the Deloitte Center for Health Solutions.

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Patient Portal Market Earned $279.8 Million in 2012

FRIDAY, Oct. 4 (HealthDay News) -- The total U.S. patient portal market for hospitals and physicians earned $279.8 million in 2012, and this is expected to increase in the coming years, mainly due to stage 2 meaningful use requirements, according to a report published by consulting firm Frost & Sullivan.

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Number of EMR Functions Linked to Physician Stress

FRIDAY, Oct. 4 (HealthDay News) -- For primary care physicians, the number of electronic medical record (EMR) functions is associated with stress and satisfaction, according to a study published online Sept. 4 in the Journal of the American Medical Informatics Association.

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Various Oral Estrogen Drugs May Differ in Cardiovascular Risk

THURSDAY, Oct. 3 (HealthDay News) -- Among oral hormone therapy users, conjugated equine estrogens (CEE) use is associated with a higher risk of incident venous thrombosis and possibly myocardial infarction than estradiol use, according to a study published online Sept. 30 in JAMA Internal Medicine.

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Glitches Still Dog Online Health Exchanges

THURSDAY, Oct. 3 (HealthDay News) -- Problems navigating the new federal and state computer-based health insurance exchanges spilled into a third day Thursday.

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Impact of Shutdown on Docs, Patients Discussed

THURSDAY, Oct. 3 (HealthDay News) -- The shutdown of non-essential government services as of midnight Oct. 1 has led to questions about what the shutdown means for primary care physicians and their patients; answers have been issued in an article published Oct. 1 in Medical Economics.

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High Statin Dose Reduces Gum Inflammation

THURSDAY, Oct. 3 (HealthDay News) -- High doses of statins may reduce gum inflammation in heart disease patients, according to a study published online Sept. 25 in the Journal of the American College of Cardiology.

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Small Interfering RNA Can Reduce LDL Cholesterol

THURSDAY, Oct. 3 (HealthDay News) -- A small interfering RNA (ALN-PCS) that inhibits proprotein convertase subtilisin/kexin type 9 (PCSK9) is safe and seems effective for lowering low-density lipoprotein (LDL) cholesterol, according to a phase 1 study published online Oct. 3 in The Lancet.

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Elderly Blacks, Hispanics Have More Post-Op Complications

THURSDAY, Oct. 3 (HealthDay News) -- Elderly blacks and Hispanics have a greater risk of postoperative complications, which are largely explained by procedure type and health care status and differ between men and women, according to a study published in the September issue of the Journal of the American Geriatrics Society.

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Government Shutdown Impacting Health Care Agencies

THURSDAY, Oct. 3 (HealthDay News) -- The government shutdown is having a serious impact on health care agencies, according to an article published Oct. 1 in Medical Economics.

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Expanding Scope of Nurse Practitioners Practice Discussed

THURSDAY, Oct. 3 (HealthDay News) -- Non-physician practitioners could ease the anticipated increased demand for physicians, but broadening their scope of practice is controversial, according to an article published Sept. 10 in Medical Economics.

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Demand for Doctors Remained High in 2012

THURSDAY, Oct. 3 (HealthDay News) -- Demand for physicians, particularly primary care physicians remains high, according to a report published by the Association of Staff Physician Recruiters (ASPR).

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Fallout From Increase in High-Deductible Plans Examined

THURSDAY, Oct. 3 (HealthDay News) -- The expected increase in high-deductible health plan (HDHP) enrollment due to implementation of the Affordable Care Act (ACA) highlights the need for more research into the health impact of HDHPs, according to a perspective piece published online Oct. 2 in the New England Journal of Medicine.

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Technical Problems Still Vex Day 2 of ACA Exchange Rollout

WEDNESDAY, Oct. 2 (HealthDay News) -- Computer troubles continued to plague the launch of the Affordable Care Act's health insurance exchanges on Wednesday. But Obama administration officials said Wednesday that the computer glitches were a reflection of heavy consumer interest in the exchanges, not flaws with the online registration system.

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Technical Glitches Mar Affordable Care Act Exchange Debut

WEDNESDAY, Oct. 2 (HealthDay News) -- The Affordable Care Act health insurance exchanges rollout did not run smoothly on Tuesday as many consumers were frustrated by long delays and computer system failures.

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AMA: More Than Half of Doctors Self-Employed in 2012

WEDNESDAY, Oct. 2 (HealthDay News) -- More than half of physicians are self-employed, and 60 percent work in practices that are fully owned by physicians, according to the results of the 2012 Physician Practice Benchmark Survey.

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Early IV Metoprolol May Reduce Infarct Size in MI Patients

WEDNESDAY, Oct. 2 (HealthDay News) -- For patients with ST-segment-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention within six hours of symptom onset, the early administration of intravenous (IV) metoprolol reduces infarct size, according to research published in the Oct. 1 issue of Circulation.

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Technological Advances in Health Care for Google, Apple

WEDNESDAY, Oct. 2 (HealthDay News) -- Google and Apple have launched developments in health care technology, according to a report published Sept. 20 in Medical Economics.

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Exercise May Be As Effective As Drugs for Some Conditions

WEDNESDAY, Oct. 2 (HealthDay News) -- Exercise and drug interventions may be similar regarding their effect on mortality in the secondary prevention of coronary heart disease, stroke rehabilitation, and prevention of diabetes, according to research published online Oct. 1 in BMJ.

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Bystander CPR Linked to Improved Survival

TUESDAY, Oct. 1 (HealthDay News) -- Over the last decade in Denmark, bystander cardiopulmonary resuscitation (CPR) doubled and survival significantly improved for out-of-hospital cardiac arrest, according to a study published in the Oct. 2 issue of the Journal of the American Medical Association.

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Recreational Physical Activity Inversely Linked to HTN Risk

TUESDAY, Oct. 1 (HealthDay News) -- Recreational physical activity, at moderate and high levels, is associated with a significantly decreased risk of hypertension, according to a meta-analysis published online Sept. 30 in Hypertension.

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Affordable Care Act Exchanges Are Up and Running

TUESDAY, Oct. 1 (HealthDay News) -- Despite the first federal government shutdown in 17 years and a push by Republicans in the House of Representatives to delay further implementation of "Obamacare," the Affordable Care Act's health insurance exchanges opened for business today.

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Many Health Care Professionals Oppose ACA Proposals

TUESDAY, Oct. 1 (HealthDay News) -- The majority of health care professionals are concerned about negative outcomes relating to enactment of the Affordable Care Act (ACA), although they recognize the benefits, according to a survey conducted by Coupa Software.

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In the Doctor's Lounge With Dr. Cindy Haines

TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.

Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
editors@healthday.com

Poor Performance Triggering EMR Switch for Small Practices

TUESDAY, Oct. 1 (HealthDay News) -- Small physician practices are leaving electronic medical record (EMR) vendors as software systems have failed to meet growing expectations, according to a report from KLAS research.

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