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May 2014 Briefing - Cardiology

Last Updated: June 02, 2014.

Here are what the editors at HealthDay consider to be the most important developments in Cardiology for May 2014. 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.

Transitional Care Interventions Up Heart Failure Outcomes

FRIDAY, May 30, 2014 (HealthDay News) -- Transitional care interventions can prevent readmissions and mortality in patients with heart failure, according to research published online May 27 in the Annals of Internal Medicine.

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Lack of Data Plagues Physician Re-Entry Into Practice

FRIDAY, May 30, 2014 (HealthDay News) -- There are significant barriers for physicians wishing to re-enter practice following a temporary leave and there are not many available resources to aid in the transition, according to the American Medical Association (AMA).

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Heart Disease Risk Higher for Women Vs Men With Diabetes

FRIDAY, May 30, 2014 (HealthDay News) -- Among individuals with diabetes, women have a substantially greater risk of developing coronary heart disease (CHD) than men, according to research published online May 22 in Diabetologia.

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Med Delay Ups Heart Attack, Death Risk in Stent Patients

FRIDAY, May 30, 2014 (HealthDay News) -- Patients who delay filling the first clopidogrel prescription following coronary artery stenting are at increased risk of myocardial infarction (MI) and death, according to research published online May 28 in the Journal of the American Heart Association.

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CDC: More Americans Working to Control BP, Cholesterol

FRIDAY, May 30, 2014 (HealthDay News) -- In 2011, the U.S. Department of Health and Human Services launched the Million Hearts initiative, a program that aims to prevent one million heart attacks and strokes by 2016. A report looking at the early effects of the effort was published in the May 30 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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FDA: Remote Monitoring Device Approved for Heart Patients

THURSDAY, May 29, 2014 (HealthDay News) -- An implanted wireless device that measures key vital signs in people with heart failure has been approved by the U.S. Food and Drug Administration.

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Review: A-Fib Risk Up With Oral, Intravenous Bisphosphonates

THURSDAY, May 29, 2014 (HealthDay News) -- The risk of atrial fibrillation is increased with use of oral or intravenous bisphosphonates, with a greater risk seen for intravenous versus oral preparations, according to a review published in the June 1 issue of The American Journal of Cardiology.

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Global Prevalence of Obesity Increased From 1980 to 2013

THURSDAY, May 29, 2014 (HealthDay News) -- The global prevalence of obesity is increasing in adults, as well as in children and adolescents, according to a study published online May 29 in The Lancet.

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Docs Must Consider Legal Issues Relating to Text Messaging

WEDNESDAY, May 28, 2014 (HealthDay News) -- The legal issues surrounding text messaging by physicians need to be considered, according to an article published May 23 in Medical Economics.

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Rates of Angina Symptoms, Medical History Down 1988-2012

WEDNESDAY, May 28, 2014 (HealthDay News) -- For whites and adults aged ≥65 years, rates of angina symptoms and medical history of angina decreased from 1988 to 2012, according to a study published in the May issue of Circulation: Cardiovascular Quality and Outcomes.

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Impaired Lipolysis Leads to Severe Metabolic Disorder

WEDNESDAY, May 28, 2014 (HealthDay News) -- Genetic mutation causing interference with encoding of hormone-sensitive lipase (HSL) results in susceptibility to metabolic disorders, according to research published online May 21 in the New England Journal of Medicine.

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Heart Failure Severity Linked to Increasing Diabetes Risk

WEDNESDAY, May 28, 2014 (HealthDay News) -- The severity of heart failure is associated with an increasing risk of developing diabetes, according to a study published online May 20 in Diabetologia.

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Higher-Than-Expected Medicaid Enrollment Concerns States

WEDNESDAY, May 28, 2014 (HealthDay News) -- Unexpectedly high numbers of Americans who were previously eligible for Medicaid but were not enrolled are now signing up, and states are facing unanticipated costs for that coverage.

Health Highlights: May 27, 2014

Personalized Fluid Levels Cuts Acute Kidney Injury

WEDNESDAY, May 28, 2014 (HealthDay News) -- A new fluid protocol is safe and effective in preventing contrast-induced acute kidney injury in patients undergoing cardiac catheterization, according to a study published in the May 24 issue of The Lancet.

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Most Wikipedia Health Articles Contain Errors

WEDNESDAY, May 28, 2014 (HealthDay News) -- Ninety percent of health articles on Wikipedia contain errors, according to a new study published in the May issue of the Journal of the American Osteopathic Association.

Health Highlights: May 27, 2014
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Durability of Class I ACC/AHA Recommendations Varies

TUESDAY, May 27, 2014 (HealthDay News) -- The durability of class I American College of Cardiology/American Heart Association (ACC/AHA) guidelines varies, according to research published in the May 28 issue of the Journal of the American Medical Association.

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Physical Activity Protects Metabolic Health in Obese Women

TUESDAY, May 27, 2014 (HealthDay News) -- Physical activity may decrease the risk of progression from metabolically benign overweight/obesity (MBO) to at-risk overweight/obesity (ARO) in perimenopausal women, according to research published online May 20 in the Journal of Clinical Endocrinology & Metabolism.

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Online Game for Docs Can Speed Time to Patient BP Control

TUESDAY, May 27, 2014 (HealthDay News) -- An online spaced-education (SE) game among physicians can improve their patients' time to blood pressure (BP) target, according to a study published in the May issue of Circulation: Cardiovascular Quality and Outcomes.

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Socioeconomic Factors Improve Readmission Data Usefulness

TUESDAY, May 27, 2014 (HealthDay News) -- Incorporating socioeconomic data into standardized readmission measures provides more meaningful comparisons, according to a study published in the May issue of Health Affairs.

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Workflow Changes Can Remove Practice Hassles

FRIDAY, May 23, 2014 (HealthDay News) -- Physicians can implement workflow strategies that return their focus to patient care, according to an article published May 8 in Medical Economics.

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Many HIV Patients Not Meeting LDL Cholesterol Goals

FRIDAY, May 23, 2014 (HealthDay News) -- While the majority of HIV patients with dyslipidemia or hypertension are treated, a significant percentage still do not have adequate control, according to a study published online April 11 in the Journal of Acquired Immune Deficiency Syndromes.

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Hospitalizations for Atrial Fibrillation Up in the U.S.

FRIDAY, May 23, 2014 (HealthDay News) -- The hospitalization rate for atrial fibrillation (AF) in U.S. adults has increased during the past decade, according to research published online May 19 in Circulation.

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Mechanism ID'd for Impact of Mediterranean Diet on HTN

FRIDAY, May 23, 2014 (HealthDay News) -- The effect of the Mediterranean diet on hypertension may be mediated by lipid electrophiles such as 10-nitro-oleic acid (NO2-OA), which inhibits hydrolase activity in a mouse model, according to an experimental study published online May 19 in the Proceedings of the National Academy of Sciences.

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New Programs Aim to Forgive Student Medical Loans

THURSDAY, May 22, 2014 (HealthDay News) -- Changes to the student loan environment will make it possible for a significant amount, if not all, of medical student loans to be forgiven, according to an article published May 8 in Medical Economics.

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AHA Calls for Physical Activity Promotion in Stroke Survivors

THURSDAY, May 22, 2014 (HealthDay News) -- Physical activity should be incorporated into care management of stroke survivors, according to a scientific statement from the American Heart Association and the American Stroke Association published online May 20 in Stroke.

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Lasting Benefit for Cognitive Behavioral Intervention in PAD

THURSDAY, May 22, 2014 (HealthDay News) -- A six-month, home-based, group-mediated cognitive behavioral (GMCB) intervention is associated with lasting benefits for individuals with peripheral artery disease (PAD), according to a study published online May 21 in the Journal of the American Heart Association.

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Even Temporary Weight Loss Beneficial to Heart

THURSDAY, May 22, 2014 (HealthDay News) -- Longer adult exposure to higher than normal weight has a cumulative, adverse effect on cardiovascular health, according to a study published online May 21 in The Lancet Diabetes & Endocrinology.

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Couples' Cholesterol Levels Affect Time-to-Pregnancy

THURSDAY, May 22, 2014 (HealthDay News) -- Serum free cholesterol concentrations in both men and women have an effect on time-to-pregnancy (TTP), according to a study published online May 20 in the Journal of Clinical Endocrinology & Metabolism.

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FDA Approves New Artificial Sweetener

WEDNESDAY, May 21, 2014 (HealthDay News) -- A new sugar substitute called advantame has been approved by the U.S. Food and Drug Administration.

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Doctors' Use of Electronic Health Records More Than Doubles

WEDNESDAY, May 21, 2014 (HealthDay News) -- Almost 80 percent of doctors in the United States have switched from paper to electronic health records, new government statistics show.

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Resuscitation Choices Change Over Time in Heart Failure

WEDNESDAY, May 21, 2014 (HealthDay News) -- For patients with heart failure, resuscitation preferences seem to change over time and are influenced by advancing age and comorbidity, according to a study published online May 13 in Circulation: Cardiovascular Quality and Outcomes.

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Can E-Cigarettes Help You Quit Smoking?

WEDNESDAY, May 21, 2014 (HealthDay News) -- A new study by British researchers suggests that e-cigarettes can help people stop smoking. The study is published May 21 in the journal Addiction.

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Higher Exercise Capacity Cuts Mortality in Elderly Men With HTN

TUESDAY, May 20, 2014 (HealthDay News) -- Increased exercise capacity is associated with lower mortality rates in elderly men with hypertension, according to research published online May 12 in Hypertension.

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DYRK1B Identified as Cause of Inherited Metabolic Syndrome

TUESDAY, May 20, 2014 (HealthDay News) -- An inherited form of metabolic syndrome seems to be caused by a mutation at position 102 in DYRK1B, according to a study published in the May 15 issue of the New England Journal of Medicine.

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'Handshake-Free Zones' May Be Coming to Health Care Settings

FRIDAY, May 16, 2014 (HealthDay News) -- Regulations to restrict handshakes in the health care setting, along with more robust hand hygiene programs, may help limit the spread of disease, according to a viewpoint published online May 15 in the Journal of the American Medical Association.

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AMA Proposing Specialty Care, Payment Models to CMS

FRIDAY, May 16, 2014 (HealthDay News) -- The American Medical Association (AMA) and other specialty societies have created new care delivery and payment models that they expect to be supported by the Centers for Medicare & Medicaid Services, according to a recent AMA news release.

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Real Estate Owned Foreclosures May Increase Neighbors' BP

FRIDAY, May 16, 2014 (HealthDay News) -- Local foreclosure activity impacts neighbors' systolic blood pressure (SBP), according to a study published online May 12 in Circulation.

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There May Be Such a Thing as 'Too Much Exercise'

FRIDAY, May 16, 2014 (HealthDay News) -- Is there a limit to the benefits of exercise? Two studies, published online May 14 in the journal Heart, suggest that, for certain people, keeping to a moderate physical activity regimen may be best for heart health.

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Intensive Glycemic Control Has Lasting Effect After MI

FRIDAY, May 16, 2014 (HealthDay News) -- For patients with acute myocardial infarction and with diabetes and hyperglycemia at admission, intensive glycemic control provides lasting survival benefit, according to a study published online May 13 in The Lancet Diabetes & Endocrinology.

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Adverse Outcomes Up for Lower Extremity PVI in Females

THURSDAY, May 15, 2014 (HealthDay News) -- Female patients undergoing lower extremity (LE)-peripheral vascular intervention (PVI) are at increased risk for adverse outcomes, but have similar procedural success as men, according to a study published online April 23 in the Journal of the American College of Cardiology.

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Resveratrol Level Not Linked to Longevity in Older Adults

THURSDAY, May 15, 2014 (HealthDay News) -- Resveratrol levels in the diet do not appear to be associated with mortality or incidence of disease, such as cardiovascular disease or cancer, in older adults, according to research published online May 12 in JAMA Internal Medicine.

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CDC: Prescription Drug Use Continues to Climb in U.S.

WEDNESDAY, May 14, 2014 (HealthDay News) -- Prescription drugs are playing an increasingly larger role in U.S. life, with nearly half of all Americans taking one or more medications, according to a report -- titled "Health, United States, 2013" -- produced by the U.S. Centers for Disease Control and Prevention.

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Obesity in Early Adulthood Linked to Severe Obesity Later

WEDNESDAY, May 14, 2014 (HealthDay News) -- Obesity at age 25 years is associated with increased probability of subsequent severe obesity, with current body weight the best indicator of cardiovascular and metabolic risk, according to a study published online May 6 in the American Journal of Preventive Medicine.

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Computerized Tool Cuts Risk of Prolonged QTc Interval

WEDNESDAY, May 14, 2014 (HealthDay News) -- Use of a computerized clinical decision support system (CDSS) may reduce the risk of prolonged QTc interval in hospitalized patients at risk for torsades de pointes, according to research published online May 6 in Circulation: Cardiovascular Quality and Outcomes.

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Frailty Score Predicts Surgical Outcomes in the Elderly

WEDNESDAY, May 14, 2014 (HealthDay News) -- A multidimensional frailty score composed of comprehensive geriatric assessments is more useful than conventional methods for predicting surgery outcomes, including all-cause mortality, in older patients, according to a study published online May 7 in JAMA Surgery.

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Wasteful Medicare Spending Topped $1.9 Billion in One Year

TUESDAY, May 13, 2014 (HealthDay News) -- Medicare spent at least $1.9 billion in 2009 on 26 types of tests and procedures that offer patients few or no health benefits, according to a new study published online May 12 in JAMA Internal Medicine.

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Addition of Evolocumab to Statins Further Cuts LDL-C

TUESDAY, May 13, 2014 (HealthDay News) -- Evolocumab plus moderate- or high-intensity statin therapy results in additional cholesterol lowering, according to a study published in the May 14 issue of the Journal of the American Medical Association.

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Inactivity Main Risk Factor for Heart Disease in Over 30s

TUESDAY, May 13, 2014 (HealthDay News) -- For adult women aged over 30 years, the highest population-attributable risk (PAR) for heart disease is physical inactivity, according to a study published online May 8 in the British Journal of Sports Medicine.

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Planned Disruptions May Reduce Workplace Sitting Time

TUESDAY, May 13, 2014 (HealthDay News) -- An intervention to disrupt prolonged sitting time seems to result in less sitting in the workplace, according to a study published online May 1 in the U.S. Centers for Disease and Prevention's Preventing Chronic Disease.

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Many at High Cardiovascular Risk Still Not on Statins

TUESDAY, May 13, 2014 (HealthDay News) -- Many individuals at high risk for cardiovascular events, such as those with coronary artery disease, diabetes, or both, are not receiving statins, according to research published in the May/June issue of the Annals of Family Medicine.

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Direct Pay Reduces Practices' Administration Hassles, Costs

MONDAY, May 12, 2014 (HealthDay News) -- Direct-pay practice models can allow doctors to reduce, or possibly eliminate, the administrative hassles and costs of dealing with insurance, according to an article published April 24 in Medical Economics.

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USPSTF Urges Counseling for Overweight, Obese With CVD Risk

MONDAY, May 12, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) recommends intensive behavioral counseling interventions to promote a healthy diet and physical activity for overweight and obese adults with additional cardiovascular disease risk factors (Grade B recommendation). This draft recommendation statement is based on an evidence review published by the USPSTF.

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Physicians Need to Focus on Managing Their Own Stress

MONDAY, May 12, 2014 (HealthDay News) -- Managing stress and finding a reasonable work-life balance is important for physicians, according to a viewpoint written by Jeremy A. Lazarus, M.D., the immediate-past president of the American Medical Association (AMA).

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Impaired Functional Status at Discharge Ups Readmission

MONDAY, May 12, 2014 (HealthDay News) -- Functional status at admission from an acute care hospital to an inpatient rehabilitation facility correlates with acute care readmission, according to a study published in the May issue of the Journal of Hospital Medicine.

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Review: Fruit, Veggie Intake Tied to Lower Stroke Risk

MONDAY, May 12, 2014 (HealthDay News) -- Consumption of fruits and vegetables is inversely associated with the risk of stroke, according to a meta-analysis published online May 8 in Stroke.

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Stressful Social Relations Tied to Higher Mortality Risk

MONDAY, May 12, 2014 (HealthDay News) -- For middle-aged men and women, stressful social relations correlate with increased mortality risk, according to a study published online May 8 in the Journal of Epidemiology & Community Health.

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Specialty Care Shortage Leads to Lower Perceived Need for It

FRIDAY, May 9, 2014 (HealthDay News) -- Children with special health care needs living in counties with lower subspecialty supply have lower perceived need for subspecialty care, according to a study published online May 5 in Pediatrics.

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Cardioprotective Effect of 'Eskimo Diet' Lacks Support

FRIDAY, May 9, 2014 (HealthDay News) -- The "Eskimo diet" hypothesis, suggested as a factor in the alleged low incidence of coronary artery disease (CAD) in Greenland Eskimos, seems not to be supported in the literature, according to a review published online April 14 in the Canadian Journal of Cardiology.

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Zontivity Approved for People at High Risk of Heart Attack, Stroke

THURSDAY, May 8, 2014 (HealthDay News) -- Zontivity (vorapaxar) tablets have been approved by the U.S. and Drug Administration for people at high risk of heart attack or stroke.

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Most Docs Believe Patients Get Too Many Medical Tests

THURSDAY, May 8, 2014 (HealthDay News) -- Most physicians believe that doctors order too many medical tests, yet half admit to doing so themselves in response to a patient who insists, a new survey shows. The survey was part of the ABIM Foundation's Choosing Wisely initiative, which urges doctors and patients to avoid overused and inappropriate tests.

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Physicians Have Multiple EHR Documentation Strategies

THURSDAY, May 8, 2014 (HealthDay News) -- There are multiple documentation strategies available for physicians to use to improve their interaction with patients and optimize their use of electronic health records (EHRs), according to an article published April 8 in Medical Economics.

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Insurers: Sizeable Majority Has Paid ACA Premiums

THURSDAY, May 8, 2014 (HealthDay News) -- A significant majority of Americans who signed up for health insurance under the Affordable Care Act have completed the final step of enrollment by paying their first month's premium, insurers told a Congressional committee on Wednesday.

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Coronary Artery Calcium Score Could Help Guide Aspirin Therapy

THURSDAY, May 8, 2014 (HealthDay News) -- For those who have an elevated coronary artery calcium (CAC) score, aspirin therapy may be beneficial for primary prevention of coronary heart disease (CHD), according to research published online May 6 in Circulation: Cardiovascular Quality and Outcomes.

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Fitness Impacts Concentric Remodeling, Diastolic Function

THURSDAY, May 8, 2014 (HealthDay News) -- Low cardiorespiratory fitness is associated with increased concentricity and diastolic dysfunction, according to a study published in the April issue of the Journal of the American College of Cardiology: Heart Failure.

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Cheaper Copayments Boost Cardiovascular Drug Follow-Up

THURSDAY, May 8, 2014 (HealthDay News) -- Nonwhite heart attack survivors are more likely to take prescribed medicines if their copayments are eliminated, according to a new study published in the May issue of Health Affairs.

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Massachusetts Health Care Reform Cut Mortality

WEDNESDAY, May 7, 2014 (HealthDay News) -- Health care reform in Massachusetts led to significant decreases in all-cause mortality, according to a study published in the May 6 issue of the Annals of Internal Medicine.

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AMA Develops Payment Guides for New Care Models

WEDNESDAY, May 7, 2014 (HealthDay News) -- The American Medical Association (AMA) has developed new tools to aid physicians in understanding payment arrangements in evolving fee-for-value care models.

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Cutting Six Risk Factors Could Prevent 37 Million Deaths

WEDNESDAY, May 7, 2014 (HealthDay News) -- By meeting targets for reducing six risk factors, 37 million deaths from the four main non-communicable diseases (NCDs) can be prevented, according to a study published online May 3 in The Lancet.

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CDC: Half of People With Disabilities Don't Exercise

WEDNESDAY, May 7, 2014 (HealthDay News) -- Half of the 21 million Americans who have a disability don't exercise, and that lack of exercise is jeopardizing their health, according to a report published in the May 6 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Number of U.S. Elderly Will Double by 2050

WEDNESDAY, May 7, 2014 (HealthDay News) -- There will be almost twice as many elderly Americans in 2050 as there are now, posing serious issues for the nation's health care system, according to two U.S. Census Bureau reports released Tuesday.

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Chronic Stress Ups Metabolic Risk From Unhealthy Diet

WEDNESDAY, May 7, 2014 (HealthDay News) -- Chronic stress increases vulnerability to the metabolic risks associated with an unhealthy diet, such as visceral adiposity, according to research published online April 12 in Psychoneuroendocrinology.

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Physical Activity Linked to Heart Rate Variability in Elderly

WEDNESDAY, May 7, 2014 (HealthDay News) -- For older adults, total leisure time physical activity (PA) as well as walking are prospectively associated with indices of heart rate variability (HRV), according to a study published online May 5 in Circulation.

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Considerable Savings From WHI Estrogen + Progestin Trial

TUESDAY, May 6, 2014 (HealthDay News) -- The Women's Health Initiative estrogen plus progestin (WHI E+P) trial resulted in considerable economic savings, according to a study published in the May 6 issue of the Annals of Internal Medicine.

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MRI Evaluation of Carotid Plaque Could Help Define CV Risk

MONDAY, May 5, 2014 (HealthDay News) -- Carotid artery plaque morphology and composition determined by magnetic resonance imaging (MRI) may be useful in predicting cardiovascular events, according to research published in the May issue of Radiology.

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Highest Rates of Preventable Deaths in Southeastern States

FRIDAY, May 2, 2014 (HealthDay News) -- People in the southeastern United States have a much greater risk of dying early from any of the nation's five leading causes of death, according to a study published in the May 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Repeat Data Breaches Among Health Care Orgs Down

FRIDAY, May 2, 2014 (HealthDay News) -- Most health care organizations report having at least one recent data breach, but the number of organizations with more than five breaches has decreased, according to an article published April 8 in Medical Economics.

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White House Report Confirms Eight Million ACA Enrollees

FRIDAY, May 2, 2014 (HealthDay News) -- Eight million Americans enrolled in private marketplace health insurance plans under the Affordable Care Act between Oct. 1, 2013, and March 31, 2014, federal health officials confirmed Thursday.

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Lowering Cholesterol Doesn't Aid Kidney Disease Progression

FRIDAY, May 2, 2014 (HealthDay News) -- Lowering low-density lipoprotein (LDL) cholesterol in patients with chronic kidney disease (CKD) does not significantly benefit renal progression, according to a study published online May 1 in the Journal of the American Society of Nephrology.

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Dispatcher Aid Enhances Child Outcomes in Bystander CPR

FRIDAY, May 2, 2014 (HealthDay News) -- Dispatcher assistance in bystander cardiopulmonary resuscitation (CPR) improves neurological outcomes in children with out-of-hospital cardiac arrest (OHCA), according to research published online April 30 in the Journal of the American Heart Association.

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AMA Alliance Session Explores the Resilient Medical Family

THURSDAY, May 1, 2014 (HealthDay News) -- Practical, evidence-base strategies should be employed to maintain a resilient medical family, according to an educational session to be hosted during the American Medical Association (AMA) Alliance National Conference, scheduled for June 8 to 10 in Chicago.

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New Guidelines Issued for Prevention of Recurrent Stroke

THURSDAY, May 1, 2014 (HealthDay News) -- Treatment of hypertension and dyslipidemia, screening for other conditions such as diabetes and obesity, and lifestyle modifications are recommended to prevent future stroke for patients with stroke or transient ischemic attack (TIA), according to updated guidelines published online May 1 in Stroke.

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WHO: Drug-Resistant Bacteria Now Found Worldwide

THURSDAY, May 1, 2014 (HealthDay News) -- Antibiotic-resistant bacteria are now found worldwide, a situation that could have serious public health consequences, the World Health Organization warns in a new report.

Health Highlights: May 1, 2014
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Home Transition Program Cuts Readmission, Death Post-CABG

THURSDAY, May 1, 2014 (HealthDay News) -- For patients discharged home after coronary artery bypass graft (CABG) operations, a transitional program involving cardiac surgery nurse practitioners can reduce a composite end point of 30-day readmission and death, according to a study published online May 1 in the Annals of Thoracic Surgery.

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Subclinical Atherosclerosis Up in Metabolically Healthy Obese

THURSDAY, May 1, 2014 (HealthDay News) -- The prevalence of coronary calcification is higher for metabolically healthy obese (MHO) than for metabolically healthy normal-weight individuals, according to a study published online April 30 in the Journal of the American College of Cardiology.

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