Cardiovascular Disease

Managing patients with chronic heart failure

Managing patients with chronic heart failure

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Clinicians will encounter more patients at risk for CHF as the population ages and cardiovascular risk factors become more prevalent.

Antiplatelet drug use may lead to bleeding risk in elderly

Antiplatelet drug use may lead to bleeding risk in elderly

The researchers found that during 13,509 patient-years of follow-up, 3166 patients had 405 first bleeding events.

Many patients taking NOACs for atrial fibrillation may not be receiving correct dose

Many patients taking NOACs for atrial fibrillation may not be receiving correct dose

Researchers found that 16% of patients received doses inconsistent with US Food and Drug Administration labeling.

Restarting anticoagulation may be cost-effective in some VTE cases

Restarting anticoagulation may be cost-effective in some VTE cases

The therapy may be cost-effective for patients with a predicted 1-year VTE risk of 17.5% or more.

Reducing blood pressure below recommended targets significantly reduces CVD, mortality risk

Reducing blood pressure below recommended targets significantly reduces CVD, mortality risk

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Blood pressure levels below the recommended targets lower risk of CVD and all-cause mortality.

Regular chocolate consumption may lower atrial fibrillation risk

Regular chocolate consumption may lower atrial fibrillation risk

Compared with individuals reporting chocolate intake less than once per month, the rate of AF was lower for people consuming chocolate regularly.

Statins vs usual care for primary cardiovascular prevention in older adults

Statins vs usual care for primary cardiovascular prevention in older adults

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The ALLHAT-LLT trial showed that statin therapy for primary cardiovascular prevention may not benefit adults older than 65 years of age.

Vitamin D not effective for preventing cardiovascular disease

Vitamin D not effective for preventing cardiovascular disease

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CVD occurred in 11.8% of participants in the vitamin D group and 11.5% in the placebo group.

Screening for preeclampsia throughout pregnancy recommended by USPSTF

Screening for preeclampsia throughout pregnancy recommended by USPSTF

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The USPSTF recommends that pregnant women receive screening for preeclampsia with blood pressure measurements throughout pregnancy.

Apixaban linked to lower risk of gastrointestinal bleeding

Apixaban linked to lower risk of gastrointestinal bleeding

Apixaban is associated with a lower risk of gastrointestinal bleeding than rivaroxaban or dabigatran.

Statin eligibility differs between ACC/AHA vs USPSTF guidelines

Statin eligibility differs between ACC/AHA vs USPSTF guidelines

Nine million fewer adults would be taking statins if clinicians followed the USPSTF guidelines.

Undiagnosed chest pain may increase long-term cardiovascular risk

Undiagnosed chest pain may increase long-term cardiovascular risk

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Most patients in primary care with undiagnosed chest pain do not undergo diagnostic testing.

Moderate alcohol consumption linked to lower risk of some types of cardiovascular disease

Moderate alcohol consumption linked to lower risk of some types of cardiovascular disease

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The researchers found heterogeneity in the association between recorded alcohol consumption and the initial presentation of 12 cardiovascular diseases.

Case Study: Chest pain radiating into the neck

Case Study: Chest pain radiating into the neck

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A 44-year-old man presents to his local urgent care clinic for chest pain radiating up into his neck that is gradually getting worse.

Valvular heart disease: 2017 updated guideline from the AHA/ACC

Valvular heart disease: 2017 updated guideline from the AHA/ACC

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The updated guideline includes recent advances in diagnostic imaging and improvements in catheter-based and surgical interventions for patients with valvular heart disease.

Statins may reduce pulmonary artery pressure in COPD patients

Statins may reduce pulmonary artery pressure in COPD patients

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A daily dose of atorvastatin could reduce pulmonary artery pressure among patients with COPD.

Physical activity important for adults with CVD

Physical activity important for adults with CVD

In older adults, the consequences of functional impairment include increased morbidity and mortality, and reduced ability to perform activities of daily living.

Dabigatran linked to fewer bleeding complications in patients with atrial fibrillation

Dabigatran linked to fewer bleeding complications in patients with atrial fibrillation

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Anticoagulation with dabigatran was associated with fewer bleeding complications compared with warfarin among patients undergoing ablation for atrial fibrillation.

Coronary reperfusion improved with longer time between antiplatelet therapy and PCI

Coronary reperfusion improved with longer time between antiplatelet therapy and PCI

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A longer period between P2Y12 inhibitor administration and primary percutaneous coronary intervention improves coronary reperfusion.

Same-day discharge may be safe for patients after percutaneous coronary intervention

Same-day discharge may be safe for patients after percutaneous coronary intervention

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Same-day discharge after percutaneous coronary intervention for non-ST-segment elevation acute coronary syndromes was not predictive of 30-day readmission, death, or bleeding.

Hospitalization, mortality rates higher for heart failure patients in winter

Hospitalization, mortality rates higher for heart failure patients in winter

Researchers find that hospitalizations and deaths among heart failure patients are highest during winter months.

Nearly half of all cardiometabolic deaths linked to poor diet

Nearly half of all cardiometabolic deaths linked to poor diet

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Suboptimal intake of 10 specific dietary factors is associated with a substantial proportion of deaths due to heart disease, stroke, or type 2 diabetes.

NSAID use for respiratory infection increases myocardial infarction risk

NSAID use for respiratory infection increases myocardial infarction risk

NSAID use during ARI was associated with a 3.4-fold increased risk of AMI compared with 2.7-fold increased risk without NSAID use.

Electronic cigarette use linked to higher CVD risk

Electronic cigarette use linked to higher CVD risk

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Electronic cigarettes cause an imbalance of cardiac autonomic tone and increased oxidative stress, which may increase cardiovascular risk.

High-potency statins increase hospitalization for community-acquired pneumonia

High-potency statins increase hospitalization for community-acquired pneumonia

Higher-potency statins increased hospitalization for community-acquired pneumonia compared with lower-potency statins.

Meal timing and frequency in CVD prevention: an AHA scientific statement

Meal timing and frequency in CVD prevention: an AHA scientific statement

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The AHA found that irregular eating patterns are less ideal for maintaining body weight and cardiometabolic health.

Diabetes without insulin may not increase thromboembolic risk in atrial fibrillation

Diabetes without insulin may not increase thromboembolic risk in atrial fibrillation

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Diabetes without insulin did not appear to increase thromboembolic risk in patients with atrial fibrillation treated with anticoagulation.

Efficacy of renin angiotensin system inhibitors for coronary artery disease

Efficacy of renin angiotensin system inhibitors for coronary artery disease

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RASIs reduced cardiovascular events and death only when compared with placebo but not when compared with active controls.

Safety alert issued for LIFEPAK 1000 defibrillator

Safety alert issued for LIFEPAK 1000 defibrillator

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The device has shut down due to an intermittent connection between the battery and electrical contacts.

Increasing number of US adults with masked hypertension

Increasing number of US adults with masked hypertension

An estimated 12.3% of Americans over the age of 21 have masked hypertension.

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