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June 2014 Briefing - Cardiology

Last Updated: July 01, 2014.

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

New Plan Would Permit Doctors to Treat Patients in Other States

MONDAY, June 30, 2014 (HealthDay News) -- A proposal to make it much easier for doctors licensed in one state to treat patients in other states in person, online, or by videoconference has been prepared by the Federation of State Medical Boards, which includes the agencies that license and discipline doctors.

Health Highlights: June 30, 2014

Kidney Disease Risk Factors Present for Decades

MONDAY, June 30, 2014 (HealthDay News) -- Risk factors for chronic kidney disease (CKD) can be detected 20 to 30 years before diagnosis, according to a study published online June 26 in the Journal of the American Society of Nephrology.

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Court: Patients Responsible for Outcomes of Risky Behavior

FRIDAY, June 27, 2014 (HealthDay News) -- The Colorado Supreme Court has ruled that patients can be at least partially responsible for their health outcomes resulting from their own unhealthy behavior, according to the American Medical Association (AMA), which supported the physicians in the case.

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UnitedHealth Cutting More Docs From Medicare Advantage

FRIDAY, June 27, 2014 (HealthDay News) -- UnitedHealth Group's Medicare Advantage network has begun notifying physicians of a new wave of cuts to its network, according to an article published June 17 in Medical Economics.

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Television Viewing Time Linked to All-Cause Mortality

FRIDAY, June 27, 2014 (HealthDay News) -- Television viewing, but not computer or driving time, is associated with all-cause mortality, according to a study published online June 25 in the Journal of the American Heart Association.

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Tips Offered for Improving Practice Productivity

THURSDAY, June 26, 2014 (HealthDay News) -- Four steps can be utilized to improve practice productivity, according to an article published June 24 in Medical Economics.

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Wikipedia Drug Entries Often Not Up-to-Date

THURSDAY, June 26, 2014 (HealthDay News) -- Patients frequently turn to digital media for drug information; however, many Wikipedia entries about medications aren't up-to-date and accurate, according to a perspective piece published in the June 26 issue of the New England Journal of Medicine.

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30-Day ECG Monitoring Ups A-Fib Detection After Stroke

THURSDAY, June 26, 2014 (HealthDay News) -- For patients with ischemic stroke or transient ischemic attack, electrocardiogram (ECG) monitoring with a 30-day event-triggered recorder improves detection of atrial fibrillation, according to a study published June 26 in the New England Journal of Medicine.

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Higher Plasma Vitamin D May Cut Hypertension Risk

THURSDAY, June 26, 2014 (HealthDay News) -- People who have genetic variants tied to low production of 25-hydroxyvitamin D (25[OH]D) have an increased risk of hypertension, according to a study published online June 26 in The Lancet Diabetes & Endocrinology.

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CDC Readies Latest Graphic Anti-Smoking Ads

TUESDAY, June 24, 2014 (HealthDay News) -- A new series of ads featuring former smokers whose lives have been harmed by tobacco is set to be released, U.S. health officials said Tuesday.

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Medicaid Backlog May Have Financial Ramifications

TUESDAY, June 24, 2014 (HealthDay News) -- There is a considerable backlog in Medicaid enrollment applications, which may have financial ramifications on physicians and practices, according to an article published online June 10 in Medical Economics.

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USPSTF Says Evidence Doesn't Support Vitamin D Screening

TUESDAY, June 24, 2014 (HealthDay News) -- Current evidence is insufficient to weigh the benefits and harms of screening for vitamin D deficiency to improve health outcomes in asymptomatic adults, according to a draft evidence report from the U.S. Preventative Service Task Force.

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Overweight, Obese More Likely to Adhere to Statin Therapy

TUESDAY, June 24, 2014 (HealthDay News) -- Among patients with cardiovascular comorbidities, lifestyle factors predict nonadherence to statin therapy, according to research published online June 23 in the Canadian Medical Association Journal.

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Quitting Smokeless Tobacco Cuts Mortality Risk After Heart Attack

TUESDAY, June 24, 2014 (HealthDay News) -- Discontinuation of use of a moist smokeless tobacco product, snus (Swedish form of snuff), after myocardial infarction (MI) is associated with a reduced risk of mortality, according to a study published online June 23 in Circulation.

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USPSTF Recommends One-Time AAA Screening for Male Smokers

TUESDAY, June 24, 2014 (HealthDay News) -- The United States Preventive Services Task Force (USPSTF) has concluded that a one-time abdominal aortic aneurysm (AAA) screening should be offered to asymptomatic men, aged 65 to 75 years, who have ever smoked, while screening for non-smoking men should be selective. These findings are presented in a final recommendation statement published online June 24 in the Annals of Internal Medicine.

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CMS Launches Initiative to Assist Newly Insured

MONDAY, June 23, 2014 (HealthDay News) -- A national initiative has been launched to help answer questions that people may have about their new health coverage and to offer health providers the tools needed to promote patient engagement, according to a press release from the Centers for Medicare and Medicaid Services (CMS).

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Patients' Perceived Lifetime Risk for CVD Often Inaccurate

MONDAY, June 23, 2014 (HealthDay News) -- Patients' frequently have a misperception of lifetime risk for cardiovascular disease (CVD), according to a study published in the July issue of The American Journal of Cardiology.

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Complex Electronic Record Safety Issues Surface Long After Launch

MONDAY, June 23, 2014 (HealthDay News) -- Electronic health record-related safety concerns involving both unsafe technology and unsafe use of technology persist long after "go-live," according to a study published online June 20 in the Journal of the American Medical Informatics Association.

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Variation in Use of Imaging Tests in Newly Diagnosed Heart Failure

MONDAY, June 23, 2014 (HealthDay News) -- Cardiovascular testing in patients with newly diagnosed heart failure (HF) varies among U.S. hospitals, according to research published online June 18 in the Journal of the American College of Cardiology: Cardiovascular Imaging.

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FDA: Bee Pollen Weight Loss Products Pose Health Risks

MONDAY, June 23, 2014 (HealthDay News) -- The undeclared ingredients sibutramine and/or phenolphthalein have been found in the following bee pollen weight loss products: Zi Xiu Tang, Ultimate Formula, Fat Zero, Bella Vi Amp'd Up, Insane Amp'd Up, Slim Trim U, Infinity, Perfect Body Solution, Asset Extreme, Asset Extreme Plus, Asset Bold, and Asset Bee Pollen, according to the U.S. Food and Drug Administration.

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Frequent Prior Hospitalization May Predict Stroke Readmission

FRIDAY, June 20, 2014 (HealthDay News) -- Frequent prior hospitalization and National Institutes of Health Stroke Scale (NIHSS) rating at admission may predict 30-day readmission after ischemic or hemorrhagic stroke, according to a study published online June 11 in the American Journal of Medical Quality.

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Guidance Offered for Protection When Firing Employees

FRIDAY, June 20, 2014 (HealthDay News) -- Steps can be taken to protect employers in the case of termination of an employee, according to an article published online June 10 in Medical Economics.

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Pre-Load Stress Echo Benefits Heart Failure Prediction

FRIDAY, June 20, 2014 (HealthDay News) -- Pre-load stress echocardiography using leg-positive pressure (LPP) provides additional prognostic information beyond that provided by conventional Doppler echocardiography at rest in cases of mild heart failure, according to a study published online June 18 in JACC: Cardiovascular Imaging.

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Hospital Variation in Pediatric In-Hospital Cardiac Arrest Survival

FRIDAY, June 20, 2014 (HealthDay News) -- Despite risk-standardization, there is substantial hospital variation in survival for pediatric in-hospital cardiac arrest, according to a review published online June 17 in Circulation: Cardiovascular Quality and Outcomes.

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Depression Ups Risk of Death in Women With Heart Disease

FRIDAY, June 20, 2014 (HealthDay News) -- Among younger women being evaluated for coronary artery disease (CAD), the presence of depressive symptoms is associated with increased risk of death, according to research published June 18 in the Journal of the American Heart Association.

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Meta-Analysis Confirms Serum 25(OH)D, Mortality Link

FRIDAY, June 20, 2014 (HealthDay News) -- Serum 25-hydroxyvitamin (25[OH]D) levels are associated with all-cause and cardiovascular mortality, according to a meta-analysis published online June 17 in BMJ.

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Genetic Mutation May Lower Triglycerides, CVD Risk

THURSDAY, June 19, 2014 (HealthDay News) -- Mutations of the gene encoding apolipoprotein C3 (APOC3) appear to be associated with lower triglyceride levels and a lessened risk for ischemic cardiovascular disease, according to two articles published online June 18 in the New England Journal of Medicine.

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NCHS: Insurance Coverage Expands, Gaps Remain

THURSDAY, June 19, 2014 (HealthDay News) -- Two new U.S. government reports provide a statistical snapshot of health and health insurance coverage in 2013, before new coverage options took effect under the Affordable Care Act.

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Higher Operator Volume Linked to Better PCI Outcomes

THURSDAY, June 19, 2014 (HealthDay News) -- Higher individual operator percutaneous coronary intervention (PCI) volume is associated with better outcomes, according to a review published online June 17 in Circulation: Cardiovascular Quality and Outcomes.

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Considerable Symptom Burden in Postural Tachycardia Syndrome

THURSDAY, June 19, 2014 (HealthDay News) -- Patients with postural tachycardia syndrome (PoTS) are mainly women, young, and well-educated, with considerable symptom burden, according to a study published online June 16 in BMJ Open.

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Anesthesiologists Issue Choosing Wisely Recommendations

THURSDAY, June 19, 2014 (HealthDay News) -- A list of the top five unnecessary medical services in anesthesiology has been developed as part of the Choosing Wisely campaign, according to a study published online June 16 in JAMA Internal Medicine.

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Preop β-Blockers Don't Improve CABG Outcomes

WEDNESDAY, June 18, 2014 (HealthDay News) -- Preoperative β-blockers do not improve perioperative outcomes in patients undergoing nonemergent coronary artery bypass grafting (CABG) surgery, according to a study published June 16 in JAMA Internal Medicine.

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Lower Blood Pressure Might Not Be Better Once HTN Managed

WEDNESDAY, June 18, 2014 (HealthDay News) -- Among patients with hypertension (HTN), elevated systolic blood pressure (SBP) is associated with the highest risk for cardiovascular events, although once SBP is below 140, lowering it below 120 does not further reduce the risk of cardiovascular events, according to a study published June 16 in JAMA Internal Medicine.

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Beta-Blocker Therapy Cuts All-Cause Mortality in STEMI

WEDNESDAY, June 18, 2014 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI), beta-blocker therapy at discharge correlates with reduced all-cause mortality, according to a study published in the June issue of JACC: Cardiovascular Interventions.

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Text Message Program Seems Effective for Smoking Cessation

WEDNESDAY, June 18, 2014 (HealthDay News) -- An automated, personalized, and interactive mobile health program, Text2Quit, seems to be effective for promoting smoking cessation, according to a study published online June 5 in the American Journal of Preventive Medicine.

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ACA May Mean Healthier Young Adults, Study Suggests

WEDNESDAY, June 18, 2014 (HealthDay News) -- A popular provision of the Affordable Care Act that allows young adults to stay on a parent's health insurance plan up to age 26 may be good for their health and financial security, a new study suggests. The study was published as a research letter in the June 18 issue of the Journal of the American Medical Association.

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Dr. Oz Rebuked at Senate Hearing Into Fake Diet Products

WEDNESDAY, June 18, 2014 (HealthDay News) -- Celebrity doctor Mehmet Oz was raked over the coals Tuesday at a U.S. Senate hearing into the marketing of fake diet products.

Health Highlights: June 17, 2014

FDA Considers Appetite-Curbing Implant for Severely Obese

TUESDAY, June 17, 2014 (HealthDay News) -- A new implant designed to curb the appetite by electrically stimulating intra-abdominal vagus nerve trunks is under review Tuesday by a key advisory committee of the U.S. Food and Drug Administration.

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Thrombolytic Tx Cuts Mortality Rate With Pulmonary Embolism

TUESDAY, June 17, 2014 (HealthDay News) -- Among patients with pulmonary embolism, thrombolytic therapy is associated with lower rates of all-cause mortality but increased risks of major bleeding and intracranial hemorrhage (ICH) compared with anticoagulation therapy, according to research published in the June 18 issue of the Journal of the American Medical Association.

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FDA to Issue Salt Reduction Guidelines for Food Industry

TUESDAY, June 17, 2014 (HealthDay News) -- Voluntary guidelines to reduce the amount of salt in grocery and restaurant foods are being prepared for release by the U.S. Food and Drug Administration.

Health Highlights: June 17, 2014

Tips Offered for Finding Buyer for Medical Practice

TUESDAY, June 17, 2014 (HealthDay News) -- Suggestions are provided for finding a buyer for a medical practice in an article published online June 10 in Medical Economics.

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Guidelines Issued for Stroke Prevention in Women

TUESDAY, June 17, 2014 (HealthDay News) -- New guidelines have been released that highlight unique stroke risk factors for women and address prevention strategies, according to a synopsis article published in the June 17 issue of the Annals of Internal Medicine.

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U.S. Health Care System Ranked Last Again: Report

MONDAY, June 16, 2014 (HealthDay News) -- The United States' health system once again comes in last when compared to 10 other rich nations, according to the latest Commonwealth Fund report on the issue.

Health Highlights: June 16, 2014
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Clinicians Often Fail to Empathize After Adverse Event

MONDAY, June 16, 2014 (HealthDay News) -- The health care industry is recognizing the benefits of prompt and transparent physician communication with patients and families about bad outcomes, according to an article published June 10 in Medical Economics.

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Physician Leadership, Ownership Dominates ACOs

MONDAY, June 16, 2014 (HealthDay News) -- Physicians are playing strong leadership and ownership roles in accountable care organizations (ACOs), according to research published in the June issue of Health Affairs.

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Gender Differences in Caffeine Response Develop Post-Puberty

MONDAY, June 16, 2014 (HealthDay News) -- Gender differences in the effects of caffeine emerge after puberty, and responses vary across the menstrual cycle for postpubertal girls, according to a study published online June 16 in Pediatrics.

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Processed Red Meat May Increase Risk of Heart Failure in Men

MONDAY, June 16, 2014 (HealthDay News) -- Men who eat moderate amounts of processed red meat may have an increased risk of heart failure, according to research published online June 12 in Circulation: Heart Failure.

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HHS Inspector General Finds Big Problem With Medicare Coding

FRIDAY, June 13, 2014 (HealthDay News) -- Nearly 42 percent of Medicare claims for evaluation and management (E/M) services are incorrectly coded, according to an article published June 2 in Medical Economics.

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Frailty Index Predicts Adverse Outcomes in Geriatric Trauma

FRIDAY, June 13, 2014 (HealthDay News) -- Frailty index is an independent predictor of in-hospital complications and adverse discharge disposition among geriatric trauma patients, according to a study published online June 11 in JAMA Surgery.

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Life Expectancy Affects Treatment for Acute MI

FRIDAY, June 13, 2014 (HealthDay News) -- Evidence-based treatment for acute myocardial infarction is strongly influenced by the clinician's assessment of life expectancy of a patient, according to a study published online June 3 in Circulation: Cardiovascular Quality & Outcomes.

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Inverse Link for Cognitive Impairment, Heart Health

FRIDAY, June 13, 2014 (HealthDay News) -- Intermediate and high cardiovascular health (CVH), measured with Life's Simple 7 scores, correlate with lower incidence of cognitive impairment, according to a study published online June 11 in the Journal of the American Heart Association.

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Older Men on Statins Found Less Physically Active

FRIDAY, June 13, 2014 (HealthDay News) -- Among older, community-dwelling men, use of statins is associated with modestly lower levels of physical activity, according to research published online June 9 in JAMA Internal Medicine.

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Researchers Hesitant to Use Social Media to Show Findings

FRIDAY, June 13, 2014 (HealthDay News) -- Researchers remain uncertain about the use of social media to communicate their findings to policy makers, according to research published online June 6 in Health Affairs.

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Data From EHRs Should Be Used to Improve Patient Care

THURSDAY, June 12, 2014 (HealthDay News) -- The data from electronic health records (EHRs) should be utilized to improve the quality of patient care, according to an article published online June 10 in Medical Economics.

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Mortality Risk Up With Addition of Insulin to Metformin

THURSDAY, June 12, 2014 (HealthDay News) -- For patients with diabetes receiving metformin, the addition of insulin is associated with an increased risk of a composite of acute myocardial infarction (AMI), stroke, or death, compared with addition of a sulfonylurea. These findings were published in the June 11 issue of the Journal of the American Medical Association, a theme issue on diabetes.

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CPAP Cuts BP in Sleep Apnea; Other Heart Benefits Unclear

THURSDAY, June 12, 2014 (HealthDay News) -- Continuous positive airway pressure treatment (CPAP) for sleep apnea can effectively lower blood pressure but other heart health interventions are still important, according to new research published in the June 12 issue of the New England Journal of Medicine.

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Marriage, Not Cohabitation, Pays Health Dividends for Men

WEDNESDAY, June 11, 2014 (HealthDay News) -- Single and married men are more likely to see a doctor regularly than those living with a partner out of wedlock, according to a new U.S. National Center for Health Statistics (NCHS) study.

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Cancer Risk From Imaging Low in Children With Heart Disease

WEDNESDAY, June 11, 2014 (HealthDay News) -- The lifetime risk of cancer attributed to radiation exposure in children with heart disease is low, according to research published online June 9 in Circulation.

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CDC: U.S. Diabetes Rate Jumps to 29 Million

TUESDAY, June 10, 2014 (HealthDay News) -- The number of Americans with diabetes rose from 26 million in 2010 to 29 million -- 9 percent of the population -- in 2012, according to a report from the U.S. Centers for Disease Control and Prevention.

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Millions Will Not Have to Pay ACA Tax Penalties: Report

TUESDAY, June 10, 2014 (HealthDay News) -- Although an estimated 30 million people will still be uninsured in 2016, only four million are expected to pay penalties, according to the latest report from the nonpartisan Congressional Budget Office (CBO).

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Study Identifies 41 Powerhouse Fruits and Vegetables

TUESDAY, June 10, 2014 (HealthDay News) -- Forty-one powerhouse fruits and vegetables (PFV) have been classified and validated, according to a study published online June 5 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Cardiac Consequences of Adjuvant Trastuzumab Few

TUESDAY, June 10, 2014 (HealthDay News) -- The incidence of cardiac outcomes remains low in long-term follow-up of patients who received adjuvant trastuzumab for early-stage breast cancer, according to a study published online June 9 in the Journal of Clinical Oncology.

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Incentives May Lead to Greater Support for Practice Goals

MONDAY, June 9, 2014 (HealthDay News) -- Incentives may aid employees in meeting practice goals, according to an article published May 23 in Medical Economics.

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Improved Outcomes With Greater Use of Transradial PCI

MONDAY, June 9, 2014 (HealthDay News) -- Greater change in hospital-level use of transradial percutaneous coronary intervention (TRI) is associated with improved periprocedural outcomes, according to a study published online June 4 in Circulation: Cardiovascular Quality and Outcomes.

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Veterans Affected by Scandal May Seek Private Care

FRIDAY, June 6, 2014 (HealthDay News) -- The recent scandal at the U.S. Department of Veterans Affairs (VA) may lead to more veteran visits to private physicians and community health centers, according to an article published June 2 in Medical Economics.

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Physician Political Contributions Are Increasing, Shifting

FRIDAY, June 6, 2014 (HealthDay News) -- The political alignment of physicians in the United States has shifted from predominantly Republican to predominantly Democrat, based in part on the larger number of women physicians and smaller percentage of physicians practicing solo or in small practices, according to research published online June 2 in JAMA Internal Medicine.

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Air Pollution Has Short-Term Impact on Specific Cardiac Events

FRIDAY, June 6, 2014 (HealthDay News) -- Ambient air pollution has short-term effects on specific cardiovascular disease (CVD) events, according to a study published online June 4 in Heart.

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Fewer Major CVD Events Expected As HTN Management Improves

FRIDAY, June 6 , 2014 (HealthDay News) -- Annual surveys show progressive improvements in the management of blood pressure in the general population in England, which will correlate with reduction in major cardiovascular events, according to research published in a May 31 special themed issue of The Lancet. The issue precedes Hypertension 2014, the Joint Meeting of the European Society of Hypertension and International Society of Hypertension, to be held from June 13 to 16 in Athens.

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Many 'Inconsistencies' in ACA Sign-Ups: Report

THURSDAY, June 5, 2014 (HealthDay News) -- A new government document finds that more than a quarter of the eight million people who signed up for coverage under the Obama Administration's new health care law have "inconsistencies" in the data they supplied.

Health Highlights: June 5, 2014

Drug Policy Impacts Regional Trends of Ezetimibe Use

THURSDAY, June 5, 2014 (HealthDay News) -- Within Canada, regional variation has been noted in ezetimibe use, which is associated with the restrictiveness of publicly-funded drug formularies, according to a study published online June 3 in Circulation: Cardiovascular Quality and Outcomes.

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Midlife HTN Affects Late-Life BP, Brain Pathology Link

THURSDAY, June 5, 2014 (HealthDay News) -- For older men and women without dementia, the impact of late-life blood pressure on brain pathology varies with their history of midlife hypertension, according to a study published online June 4 in Neurology.

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No Difference in Stroke Risk Based on Body Mass Index

WEDNESDAY, June 4, 2014 (HealthDay News) -- There is no evidence of an obesity paradox in patients with stroke, suggesting that previous findings were an artifact of selection bias, according to a study published online June 2 in JAMA Neurology.

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Higher Survival Tied to Prophylactic ICD

WEDNESDAY, June 4, 2014 (HealthDay News) -- Older patients with a left ventricular ejection fraction (LVEF) between 30 and 35 percent have higher survival with a prophylactic implantable cardioverter-defibrillator (ICD), according to a study published in the June 4 issue of the Journal of the American Medical Association.

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Claim Denials Expected to Increase

WEDNESDAY, June 4, 2014 (HealthDay News) -- Even with good office procedures, most practices are plagued by claim denials, a hassle that is expected to increase in the coming years, according to an article published May 8 in Medical Economics.

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Most Physicians Would Forgo Aggressive Treatment

WEDNESDAY, June 4, 2014 (HealthDay News) -- Although physicians regularly recommend high-intensity, aggressive, life-prolonging care for their terminally ill patients, the vast majority would choose to forgo such care for themselves at the end of life, according to a study published online May 28 in PLOS ONE.

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High Blood Pressure Has Varied Effect on Cardio End Points

WEDNESDAY, June 4, 2014 (HealthDay News) -- The impact of high blood pressure on cardiovascular end points varies, with different effects for high systolic and diastolic blood pressure, according to a study published in the May 31 issue of The Lancet.

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Rx Adherence Up for Hispanics Post-Medicare Part D Launch

TUESDAY, June 3, 2014 (HealthDay News) -- Hispanics became much more likely to take their heart medicines after Medicare's prescription drug benefit plan was launched in 2006, but there was only a small increase seen among black patients, according to a new study slated for presentation Monday at an American Heart Association (AHA) meeting in Baltimore.

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Obama Moves to Cut Power Plant Emissions

TUESDAY, June 3, 2014 (HealthDay News) -- The Obama administration announced plans Monday that would require the United States to cut power plant emissions that many scientists blame for global warming by 30 percent by 2030. It's a move that would substantially improve the health of millions of Americans, federal officials said.

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β-Blockers Have No Impact on Cocaine-Related Chest Pain

TUESDAY, June 3, 2014 (HealthDay News) -- For patients with cocaine-associated chest pain, there are no differences in outcome for those treated with or without β-blockers, according to a study published in the June 1 issue of The American Journal of Cardiology.

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Outcomes of CABG Worse in Patients With Diabetes

TUESDAY, June 3, 2014 (HealthDay News) -- Coronary artery bypass graft surgery (CABG) is more expensive and the risk of long-term adverse outcomes is greater in patients with diabetes mellitus (DM), according to research published in the June issue of the Annals of Thoracic Surgery.

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EHRs Can Be Used to Boost Practice Revenue

TUESDAY, June 3, 2014 (HealthDay News) -- Practices can achieve return on investment (ROI) for implementation of electronic health record (EHR) systems if they participate in alternative delivery models, according to an article published May 8 in Medical Economics.

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FDA Approves Generic Version of Celebrex

MONDAY, June 2, 2014 (HealthDay News) -- The U.S. Food and Drug Administration on Friday gave its approval to the first generic version of the pain reliever Celebrex (celecoxib).

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Negative Social Interactions Linked to Incident HTN in Women

MONDAY, June 2, 2014 (HealthDay News) -- For older adults, negative social interactions are associated with increased risk of developing hypertension, according to a study published in the June issue of Health Psychology.

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