Vascular Medicine

Intensive blood pressure reduction offers no added benefit in stroke outcomes

Intensive blood pressure reduction offers no added benefit in stroke outcomes

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For patients with intracerebral hemorrhage, intensive blood pressure reduction has similar outcomes compared with standard treatment.

Aspirin significantly reduces the risk for secondary stroke

Aspirin significantly reduces the risk for secondary stroke

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Aspirin significantly reduces the risk of a recurrent stroke 6 weeks after a transient ischemic attack or minor stroke.

Patients with psoriasis have an increased risk of abdominal aortic aneurysm

Patients with psoriasis have an increased risk of abdominal aortic aneurysm

Patients with psoriasis are more likely to have an abdominal aortic aneurysm, with the likelihood increasing with more severe psoriasis.

More severe psoriasis increases vascular inflammation levels

More severe psoriasis increases vascular inflammation levels

The most severe cases of psoriasis can increase vascular inflammation levels by as much as 41%.

Discussion urged with statins

Discussion urged with statins

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Clinicians should clearly explain the risks and benefits to patients beginning statin therapy.

Gender 
effects 
of statins

Gender 
effects 
of statins

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A patient's gender does not affect the efficacy of statin therapy for major vascular events.

Estradiol, diabetes up dementia risk in women

Estradiol, diabetes up dementia risk in women

Women with both diabetes and elevated estradiol levels were 14 times more likely to develop new-onset dementia.

FDA approves Opsumit for pulmonary hypertension

FDA approves Opsumit for pulmonary hypertension

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Macitentan is the first oral pulmonary arterial hypertension drug approved with an indication to delay disease progression and reduce hospitalizations.

Combating patient noncompliance with DVT prophylaxis

Combating patient noncompliance with DVT prophylaxis

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Successful DVT prophylaxis with pharmacologic agents and adjunctive treatment modalities depends on both consistency and accuracy.

Oral contraceptive labels updated to include clot risk

The FDA warns that drospirenone-containing combination oral contraceptives may increase the risk for blood clots as much as three-fold compared with other oral contraceptives.

Trans fat intake linked to stroke risk in older women

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High trans fat intake increased ischemic stroke risk among a large cohort of postmenopausal women, but taking aspirin appears to lessen the risk.

Phenylephrine HCl injection recalled

American Regent has issued a nationwide voluntary recall of Phenylephrine HCl Injection, USP, 1% (10mg/mL), 5mL vials.

Mediterranean diet protects small brain vessels

Mediterranean diet protects small brain vessels

Eating a Mediterranean-style diet is associated with lower burden of white matter hyperintensity volume, a marker of small-vessel brain damage.

AHA: Anemia may triple stroke mortality

AHA: Anemia may triple stroke mortality

Severe anemia a strong predictor of death after stroke, but even slight anemia increases the risk, data presented at the American Heart Association's 2012 International Stroke Conference indicates.

AHA: Rivaroxaban lowers brain bleed risk in A-fib

AHA: Rivaroxaban lowers brain bleed risk in A-fib

Patients with atrial fibrillation treated with rivaroxaban had a lower risk for intracranial hemorrhage than those treated with warfarin.

Dementia risk up in patients with depression, diabetes

Dementia risk up in patients with depression, diabetes

Patients with both diabetes and depression had a two-fold risk for developing dementia compared with patients who only had diabetes.

A visual hypertension warning

A nurse practitioner offers an easy tip to help increase patient adherence to antihypertensive medication by enabling them to visualize their condition.

Choosing the best inflammation marker

Which serologic measure of inflammation is the most cost-effective and reliable when monitoring inflammatory disease?

Chest CT before ED discharge to prevent pulmonary embolism

Since 50% of patients admitted to the ED with deep vein thrombosis, should it be common practice to do a chest CT prior to discharge?

Testing for cold intolerance

An elderly man complains of feeling cold all the time, even though the weather is warm.

Guideline lowers PAD screening age to 65

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People age 65 years and older have a one-in-five chance of developing either symptomatic or asymptomatic peripheral artery disease. Updated management guidelines suggest lowering the age for ankle-brachial index diagnostic testing from 70 years to 65 years.

Acute onset of pain and a noncompressible area in the anterior forearm

Acute onset of pain and a noncompressible area in the anterior forearm

After a high-impact fall, a middle-aged 
firefighter presents with ecchymosis and fixed flexion in the right arm and hand.

Dialysis access when both arms have shunts

If a patient has a nonfunctional arteriovenous (AV) shunt in one arm and a functional shunt used for dialysis in the other, does the avoidance of an IV access in the arm with the nonfunctional shunt still apply?

NSAIDS increase risk for recurrences, death in patients with prior MI

For patients with cardiovascular disease, current guidelines recommend NSAIDs for pain relief only in patients for whom there are no alternatives and only at the lowest doses and durations necessary.

Acute onset of recent memory loss

Acute onset of recent memory loss

Suddenly unable to remember the year or the president's name, an otherwise healthy man is admitted for observation.

Etiology of bilateral lower-extremity edema

Did a drug reaction cause bilateral lower-extermity edema in a patient with pityriasis rubra pilaris?

VTE risk high for tall, obese men

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Men who are 6 ft tall or taller and have a BMI >30 are more prone to venous thromboembolism (VTE) than their shorter, lighter counterparts.

Patients often underestimate functional capacity

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Patient reported functional capacity does not accurately reflect exercise determined capacity, data presented during a poster presentation at the American Academy of Physician Assistants' 39th Annual Meeting indicates.

Diabetes drug-statin combo benefits patients with metabolic syndrome

Using a thiazolidinedione drug in combination with a statin may decrease systemic inflammation and reduce the incidence of new-onset diabetes among patients with metabolic syndrome.

NSAIDs may heighten risk of erectile dysfunction

A large, ethnically diverse study has linked the regular use of nonsteroidal anti-inflammatory drugs with erectile dysfunction beyond what would be expected due to age and comorbidity.

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