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July 2017 Briefing - Cardiology

Last Updated: August 01, 2017.

Here are what the editors at HealthDay consider to be the most important developments in Cardiology for July 2017. 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.

Sodium Intake >3.7 g/Day Linked to Adverse Cardiac Strain

MONDAY, July 31, 2017 (HealthDay News) -- Estimated sodium intake (ESI) above 3.7 g/day is associated with left ventricular longitudinal strain (LS), circumferential strain, and e' velocity, according to a study published in the Aug. 8 issue of the Journal of the American College of Cardiology.

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FDA Proposes Lowering Nicotine Levels in Cigarettes

MONDAY, July 31, 2017 (HealthDay News) -- The U.S. Food and Drug Administration plans to begin a public dialogue about reducing nicotine levels in combustible cigarettes to non-addictive levels through achievable product standards, agency officials said Friday.

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Interval Training Cuts CVD Risk in Testicular Cancer Survivors

FRIDAY, July 28, 2017 (HealthDay News) -- For testicular cancer survivors (TCS), a high-intensity aerobic interval training (HIIT) intervention improves cardiorespiratory fitness and reduces cardiovascular disease (CVD) risk, according to a study published online July 14 in Cancer.

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Total, Saturated Fat Linked to Increased Risk of Lung Cancer

FRIDAY, July 28, 2017 (HealthDay News) -- High intake of total and saturated fat is associated with increased risk of lung cancer, according to research published online July 25 in the Journal of Clinical Oncology.

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Serum γ-Glutamyltransferase Linked to MetS in Children, Teens

THURSDAY, July 27, 2017 (HealthDay News) -- For children and adolescents, serum γ-glutamyltransferase (GGT) is associated with metabolic syndrome (MetS), according to a study published online July 25 in the Journal of Diabetes Investigation.

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2016 Saw Increase in Number of Physicians Since 2010 Census

THURSDAY, July 27, 2017 (HealthDay News) -- Census reports have demonstrated an increase in the number of physicians and in the actively licensed U.S. physician-to-population ratio from 2010 to 2016, according to a study published in the Journal of Medical Regulation.

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CVD Risk Factors May Be Altered in Transgender Adults

THURSDAY, July 27, 2017 (HealthDay News) -- Cardiovascular disease (CVD) risk factors may be altered among transgender adults receiving cross-sex hormone therapy (CSHT), according to a review published online July 25 in the Annals of Internal Medicine.

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Mental Stress Tied to Abnormal Left Atrial Electrophysiology

THURSDAY, July 27, 2017 (HealthDay News) -- Acute mental stress is associated with abnormal left atrial electrophysiology, according to a study published online July 20 in the Journal of Cardiovascular Electrophysiology.

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Tocilizumab Effective for Treatment of Giant-Cell Arteritis

THURSDAY, July 27, 2017 (HealthDay News) -- Tocilizumab (Actemra) combined with a 26-week prednisone taper is superior to either 26-week or 52-week prednisone tapering plus placebo with regard to sustained glucocorticoid-free remission in patients with giant-cell arteritis, according to a study published in the July 26 issue of the New England Journal of Medicine.

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AHA Hands-Only CPR Training Kiosks Available at More Airports

WEDNESDAY, July 26, 2017 (HealthDay News) -- Hands-only cardiopulmonary resuscitation (CPR) training is now available at kiosks in three more major U.S. airports, bringing the total number to seven, according to a news release from the American Heart Association (AHA).

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Bariatric Surgery Delay Can Result in Worse Outcomes

WEDNESDAY, July 26, 2017 (HealthDay News) -- Bariatric surgery at body mass index (BMI) less than 40 kg/m² tends to achieve better results, according to research published online July 26 in JAMA Surgery.

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Health Benefits of Healthy Lifestyle Quantified in U.S.

WEDNESDAY, July 26, 2017 (HealthDay News) -- For people age 50 years and older, having a favorable behavioral profile is associated with increased life expectancy and delayed onset of disability compared with the whole U.S. population, according to a study published online July 19 in Health Affairs.

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Left Ventricular Mass Index Predicts All-Cause Mortality

WEDNESDAY, July 26, 2017 (HealthDay News) -- Left ventricular (LV) mass index independently predicts all-cause mortality and the need for revascularization in patients undergoing invasive coronary angiography, according to a study published online July 19 in JACC: Cardiovascular Imaging.

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Case Highlights Polygenic Risk in Severe Hypertriglyceridemia

WEDNESDAY, July 26, 2017 (HealthDay News) -- Polygenic risk can mimic major monogenic mutation in severe hypertriglyceridemia, according to a case report published online July 25 in the Annals of Internal Medicine.

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Stress Echo Value Questioned for Asymptomatic Aortic Stenosis

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with asymptomatic aortic stenosis (AS), neither increase in mean pressure gradient (MPG) nor systolic pulmonary artery pressure (SPAP) predicts outcome, according to a study published online July 19 in JACC: Cardiovascular Imaging.

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Greater Engagement for Patients Who Read Visit Notes

TUESDAY, July 25, 2017 (HealthDay News) -- Greater engagement is reported by patients who read notes and submit feedback, according to a study published in the July issue of the Journal of Medical Internet Research.

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Continuing Statin After Adverse Rx Tied to Lower Cardiac Risk

TUESDAY, July 25, 2017 (HealthDay News) -- For patients with an adverse reaction to a statin, continued statin prescriptions are associated with lower incidence of cardiovascular events and death, according to a study published online July 25 in the Annals of Internal Medicine.

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Average Increase in Physician Compensation 2.9% in 2016

MONDAY, July 24, 2017 (HealthDay News) -- The AMGA 2017 Medical Group Compensation and Productivity Survey reports that 77 percent of physician specialties experienced increases in compensation in 2016, with an overall weighted average increase of 2.9 percent.

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Many Americans Qualify As 'Overfat'

MONDAY, July 24, 2017 (HealthDay News) -- Traditional measurements do not fully capture the high rates of "overfat" individuals in developed countries, according to a study published online July 24 in Frontiers in Public Health.

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Mortality, Second Stroke Risk Up for Initially Stable Survivors

MONDAY, July 24, 2017 (HealthDay News) -- Risk of a second stroke or transient ischemic attack (TIA) remains considerable for at least five years after the first event, according to a study published online July 24 in CMAJ, the journal of the Canadian Medical Association.

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CCTA Accurate for Assessing Angiographic Outcomes After BVS

MONDAY, July 24, 2017 (HealthDay News) -- Coronary computed tomography angiography (CCTA) is accurate for assessing angiographic outcomes after bioresorbable vascular scaffold (BVS) implantation, according to a study published online July 19 in JACC: Cardiovascular Imaging.

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Exercise Training Improves Left Ventricular Function in T1DM

MONDAY, July 24, 2017 (HealthDay News) -- For adolescents with type 1 diabetes, a 20-week exercise training intervention is associated with improved aerobic capacity and stroke volume, according to a study published online July 18 in Diabetes Care.

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AMA Module Offers Help for Adding Pharmacist to Practice

FRIDAY, July 21, 2017 (HealthDay News) -- A new American Medical Association (AMA) education module has been developed to help embed clinical pharmacists within a medical practice.

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Perceived Physical Activity Level Predicts Mortality

FRIDAY, July 21, 2017 (HealthDay News) -- Perceived physical activity is associated with mortality, even after adjustment for actual physical activity, according to a study published online July 20 in Health Psychology.

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Visceral/Subcutaneous Fat Ratio Predicts CVD in T2DM

FRIDAY, July 21, 2017 (HealthDay News) -- For patients with type 2 diabetes, the ratio of visceral fat area (VFA) to subcutaneous fat area (SFA) (V/S ratio) is predictive of cardiovascular disease (CVD), according to a study published online July 7 in the Journal of Diabetes Investigation.

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Few Patients Receive Rx for Smoking Cessation Meds After MI

FRIDAY, July 21, 2017 (HealthDay News) -- Among older patients in community practice, the use of smoking cessation medications (SCMs) is low after myocardial infarction (MI), according to a study published online July 19 in JAMA Cardiology.

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Educational Intervention Doesn't Up Hand, Stethoscope Hygiene

FRIDAY, July 21, 2017 (HealthDay News) -- An intervention including education is not associated with an increased rate of hand hygiene or stethoscope hygiene, according to a study published in the July 1 issue of the American Journal of Infection Control.

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Aspirin Responsiveness Can Change After Bariatric Surgery

THURSDAY, July 20, 2017 (HealthDay News) -- The effects of aspirin on platelet inhibition may be more potent after bariatric surgery, according to a study published online July 14 in Cardiovascular Therapeutics.

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'Life's Simple 7' Adherence in 20s Tied to Better Brain Health Later

THURSDAY, July 20, 2017 (HealthDay News) -- People with heart-healthy habits in their 20s tend to have larger, healthier brains in their 40s, according to a study published online July 19 in Neurology.

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Heart Failure Risk Rises As Weight Increases

THURSDAY, July 20, 2017 (HealthDay News) -- Even a little weight gain can increase risk of developing heart failure, according to a report published online July 19 in the Journal of the American Heart Association.

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Chronic Disease Risk Rises With Even Slow, Steady Weight Gain

WEDNESDAY, July 19, 2017 (HealthDay News) -- Even a few extra pounds gained in early or middle adulthood can increase risk of chronic diseases such as type 2 diabetes and hypertension, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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CDC: >100 Million Americans Have Diabetes or Prediabetes

WEDNESDAY, July 19, 2017 (HealthDay News) -- As of 2015, 9.4 percent of the population -- 30.3 million -- had diabetes, and another 84.1 million had prediabetes, the U.S. Centers for Disease Control and Prevention reported Tuesday.

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Reducing Hospital Readmissions Doesn't Up Mortality Rates

WEDNESDAY, July 19, 2017 (HealthDay News) -- Reducing hospital readmission rates for acute myocardial infarction, heart failure, and pneumonia didn't increase mortality rates, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Survival Feasible Post Acute Liver Failure Secondary to Amiodarone

WEDNESDAY, July 19, 2017 (HealthDay News) -- In a report published online July 16 in the Journal of Clinical Pharmacy and Therapeutics, a case of survival after acute liver failure secondary to amiodarone administration is described.

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High Court Rules Against Interstate Medical Liability

TUESDAY, July 18, 2017 (HealthDay News) -- The Washington State high court has ruled against interstate medical liability, according to a report from the American Medical Association.

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NT-proBNP Improves Heart Failure Prediction in T2DM

TUESDAY, July 18, 2017 (HealthDay News) -- For patients with type 2 diabetes, N-terminal pro-B-type natriuretic peptide (NT-proBNP) improves prediction of heart failure, according to a study published online July 6 in Diabetes Care.

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Type of Plant-Based Diet Affects Risk of Coronary Heart Disease

TUESDAY, July 18, 2017 (HealthDay News) -- While a plant-based diet can reduce risk of coronary heart disease (CHD), not all plant-based foods are equally healthy, and this distinction deserves more emphasis in dietary recommendations, according to a study published in the July 25 issue of the Journal of the American College of Cardiology.

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Risk of Heart, Respiratory Disease Up in 9/11 Survivors

MONDAY, July 17, 2017 (HealthDay News) -- Rescue workers and survivors of the 9/11 terrorist attacks on the World Trade Center seem to have an increased risk for heart and lung diseases years later, according to findings published online July 17 in Injury Epidemiology.

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Patient-Centered Communication Could Help Reduce Burnout

MONDAY, July 17, 2017 (HealthDay News) -- Better patient-physician communication can improve care and reduce burnout, according to a report published by the American Medical Association.

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Organizational Changes Encouraged for Safer Prescribing

MONDAY, July 17, 2017 (HealthDay News) -- Organizational changes are recommended by primary care physicians to support safer prescribing, according to a study published in the July/August issue of the Annals of Family Medicine.

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Long Working Hours May Increase Risk of Developing A-Fib

FRIDAY, July 14, 2017 (HealthDay News) -- Working long hours could increase risk of atrial fibrillation, according to a study published online July 13 in the European Heart Journal.

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Early Career Burnout Can Be Contagious Via Social Networks

FRIDAY, July 14, 2017 (HealthDay News) -- For early career teachers (ECTs), social network members' burnout levels are associated with increased burnout levels, according to a study published in the August issue of Teaching and Teacher Education.

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Resistance Training Improves Microvascular Blood Flow in T2DM

FRIDAY, July 14, 2017 (HealthDay News) -- Resistance training is associated with improvement in oral glucose challenge (OGC)-stimulated muscle microvascular blood flow (MBF) and glycemic control, according to a study published online July 7 in Diabetes Care.

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Meds + Risk Factors Contribute to QTc Interval Lengthening

FRIDAY, July 14, 2017 (HealthDay News) -- In combination with risk factors, QTc interval-prolonging medications (QTPMs) are associated with greater QTc lengthening than QTPMs alone, according to a study published online July 10 in the Journal of Evaluation in Clinical Practice.

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Large Study Shows Eating Better at Any Age Can Prolong Life

THURSDAY, July 13, 2017 (HealthDay News) -- Sustained diet changes -- even later in life -- can extend people's lives, according to research published in the July 13 issue of the New England Journal of Medicine.

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Mortality Up With Impaired LV Global Longitudinal Strain in CKD

WEDNESDAY, July 12, 2017 (HealthDay News) -- Severely impaired left ventricular (LV) global longitudinal strain (GLS) is associated with worse prognosis in predialysis and dialysis patients, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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Rivaroxaban OK for Stroke Prevention in Cancer Patients

WEDNESDAY, June 12, 2017 (HealthDay News) -- The safety and efficacy of rivaroxaban treatment for nonvalvular atrial fibrillation (AF) in patients with active cancer is similar to the general population, according to a study published in the July 15 issue of the American Journal of Cardiology.

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Chest CT Is Increasingly Being Used in COPD Assessment

WEDNESDAY, July 12, 2017 (HealthDay News) -- Chest computed tomography (CT) is increasingly being used, and can provide additional insight, in chronic obstructive pulmonary disease (COPD), according to research published online June 29 in the American Journal of Respiratory and Critical Care Medicine.

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No Evidence CPAP Reduces Risks of CV Events, Mortality

WEDNESDAY, July 12, 2017 (HealthDay News) -- Treatment with continuous positive airway pressure (CPAP) doesn't appear to reduce risk of adverse cardiovascular-related outcomes or mortality, according to a meta-analysis published in the July 11 issue of the Journal of the American Medical Association.

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Doctors Should Also Advise Healthy People on Diet, Exercise

WEDNESDAY, July 12, 2017 (HealthDay News) -- Lifestyle counseling could help protect the long-term heart health of adults who aren't yet at high risk for heart attack and stroke, according to a final recommendation statement from the U.S. Preventive Services Task Force (USPSTF) published in the July 11 issue of the Journal of the American Medical Association.

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Medicaid Enrollees Are Satisfied With Their Health Care

WEDNESDAY, July 12, 2017 (HealthDay News) -- Medicaid enrollees are largely satisfied with their health care, and most are able to access the care they need when they need it, according to a research letter published online July 10 in JAMA Internal Medicine.

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Sildenafil-Coated Stent May Help Prevent Clots, Stenosis

TUESDAY, July 11, 2017 (HealthDay News) -- Sildenafil-coated stents appear to cut a patient's odds for clots, according to an experimental study presented at the American Heart Association's Basic Cardiovascular Sciences 2017 Scientific Sessions, held from July 10 to 13 in Portland, Ore.

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Health Service Use Unchanged From 1996-1997 to 2011-2012

TUESDAY, July 11, 2017 (HealthDay News) -- Utilization of health services was largely unchanged from 1996-1997 to 2011-2012, but expenditures increased, according to a study published in the July/August issue of the Annals of Family Medicine.

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American Adults Without Health Insurance Rises by Two Million

TUESDAY, July 11, 2017 (HealthDay News) -- The number of American adults without health insurance has increased by about two million so far this year, according to a new Gallup-Sharecare Well-Being Index poll.

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Patients Are Often Recording Doctor's Visits

TUESDAY, July 11, 2017 (HealthDay News) -- Patients may be recording office visits, with or without permission, according to an opinion piece published online July 10 in the Journal of the American Medical Association.

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Rate of Non-Health Care Facility Medication Errors on the Rise

MONDAY, July 10, 2017 (HealthDay News) -- The rate of serious medication errors has doubled since 2000, according to a study published online July 10 in Clinical Toxicology.

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2011 Tsunami in Japan Had Lasting Impact on Fatal MI

MONDAY, July 10, 2017 (HealthDay News) -- The 2011 tsunami in Japan was associated with an increase in fatal myocardial infarction (MI) in the high-impact zone, which was sustained through 2014, according to a study published in the Aug. 1 issue of The American Journal of Cardiology.

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Coronary CT Angiography Ups Prediction of MACE in T2DM

MONDAY, July 10, 2017 (HealthDay News) -- For asymptomatic patients with type 2 diabetes, the addition of coronary computed tomography angiography (CCTA)-detected obstructive coronary artery disease (CAD) improves prediction of major adverse cardiovascular events (MACE), according to a study published online June 29 in Diabetes Care.

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No Advance Directives for Almost Two-Thirds of U.S. Population

FRIDAY, July 7, 2017 (HealthDay News) -- An estimated two of three people in the United States have not completed an advanced directive, according to a review published in the July issue of Health Affairs.

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New Opioid Use in Older Adults With COPD May Up Cardiac Events

FRIDAY, July 7, 2017 (HealthDay News) -- Adverse cardiac events may need to be considered with new opioid use in older adults with chronic obstructive pulmonary disease (COPD), according to a study published online June 29 in the European Journal of Clinical Pharmacology.

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Market Competition Linked to Change in Generic Drug Prices

THURSDAY, July 6, 2017 (HealthDay News) -- Market competition levels are associated with changes in the price of generic drugs, according to a study published online July 4 in the Annals of Internal Medicine.

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Risk of Sudden Death Declining in Heart Failure Patients

THURSDAY, July 6, 2017 (HealthDay News) -- Rates of sudden death from heart failure have declined by nearly half over the past two decades, according to research published in the July 6 issue of the New England Journal of Medicine.

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AMA: Doctors Should Make Sure Their Online Info Is Accurate

THURSDAY, July 6, 2017 (HealthDay News) -- In a technologically advanced society, physicians need to take advantage of the internet to reach patients and exercise caution in their online presence, according to a report published by the American Medical Association.

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Advanced Practice Provider Can Safely Perform Cardioversion

THURSDAY, July 6, 2017 (HealthDay News) -- An advanced practice provider (APP) can safely perform electrical cardioversion (CV) for atrial fibrillation, according to a study published online June 28 in JACC: Clinical Electrophysiology.

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Herpes Zoster May Increase Risk of Myocardial Infarction, Stroke

THURSDAY, July 6, 2017 (HealthDay News) -- Herpes zoster (HZ) may be associated with an increased risk of cardiovascular events, according to a research letter published in the July 11 issue of the Journal of the American College of Cardiology.

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Comparable Metabolic Effects for E-Cigarettes, Smoking

WEDNESDAY, July 5, 2017 (HealthDay News) -- Electronic cigarette smoking has the same deleterious effect on weight and metabolic parameters as traditional cigarettes, according to research published online June 29 in Obesity Reviews.

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