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MDedge Cardiology

MDedge Cardiology Over 50,000 cardiologists rely on MDedge Cardiology to cover the world of medicine with breaking news, on-site meeting coverage, and expert perspectives.

Part of the Medscape Professional Network. Over 50,000 cardiologists rely on MDedge Cardiology to cover the world of medicine with breaking news, on-site medical meeting coverage, and expert perspectives in print and online. Since 2003, our independent reporting has focused on impacting the way cardiologists practice medicine. Cardiology News is published by Frontline Medical Communications.

Operating as usual

DTCA for prescription heart drugs was associated with favorable perceptions of both medication use and pharmaceutical co...
08/26/2022
Does DTC heart drug advertising discourage lifestyle changes?

DTCA for prescription heart drugs was associated with favorable perceptions of both medication use and pharmaceutical companies, but did not seem to negate intentions to use lifestyle interventions, a survey study shows.

Brief, direct exposure to prescription cardiovascular drug advertising seems to boost consumer perceptions of medications and pharmaceutical companies without deterring use of lifestyle interventions.

New study supports the clinical guidelines from the AHA and the ESC that recommend antibiotic prophylaxis before dental ...
08/25/2022
Antibiotic before oral surgery spares endocarditis; study validates guidelines

New study supports the clinical guidelines from the AHA and the ESC that recommend antibiotic prophylaxis before dental procedures for patients at high-risk of IE.

"You have to have this [antibiotic prophylaxis] conversation when you see your patient with a prosthetic valve or who's had endocarditis every time they come in."

The findings of a recent study underscore the need to shift the conversation from saying that patients with cancer are a...
08/25/2022
CV admissions on the rise in Americans with cancer

The findings of a recent study underscore the need to shift the conversation from saying that patients with cancer are at increased CVD risk to asking how to mitigate this risk.

"I would say that this increase in cardiovascular admissions, that's a failure from a preventative perspective."

HTN is a global problem that affects poorer countries as much as it affects more affluent ones, a new study suggests.
08/24/2022
Rich or poor, educated or not, all face risk for hypertension

HTN is a global problem that affects poorer countries as much as it affects more affluent ones, a new study suggests.

Historically thought to be a disease of the rich and sedentary, hypertension occurs with similar frequency in low- and middle-income countries.

Symptoms of six common CVD – ACS, HF, valvular disorders, CVA, rhythm disorders, and PVD – often overlap and may vary ov...
08/23/2022
AHA statement outlines symptoms of common heart diseases

Symptoms of six common CVD – ACS, HF, valvular disorders, CVA, rhythm disorders, and PVD – often overlap and may vary over time and by s*x, the AHA noted in a new scientific statement.

Symptoms of six common cardiovascular diseases often overlap and vary over time and by s*x, the AHA says in a new 'state of the science' compendium.

Many adults take daily dietary supplements believing their anti-inflammatory and antioxidative properties help prevent  ...
08/23/2022
Vitamins and CVD, cancer prevention: USPSTF says evidence isn't there

Many adults take daily dietary supplements believing their anti-inflammatory and antioxidative properties help prevent and cancer. However, according to , this belief is not supported by evidence.

Taking vitamins and minerals in the hope of preventing cancer or cardiovascular disease may be ineffective-and with a particular supplement, it could actually be harmful.

Study shows that while stroke in adolescence and very early adulthood may not be caused by  , starting to accumulate tho...
08/22/2022
Risk factors in children linked to stroke as soon as 30s, 40s

Study shows that while stroke in adolescence and very early adulthood may not be caused by , starting to accumulate those risk factors early in life clearly increases the risk of stroke in the 30s and 40s.

Evidence of atherosclerosis was present in 1.4% of the 10- to 19-year age group, 8.5% of the 20- to 29-years age group, 21.5% of the 30- to 39-years age group, and 42.5% of the 40-to 49-years age group.

The relationship between BMI and all-cause mortality in patients with AFib is U-shaped, with the risk highest in those w...
08/22/2022
'Obesity paradox' in AFib challenged as mortality climbs with BMI

The relationship between BMI and all-cause mortality in patients with AFib is U-shaped, with the risk highest in those who are underweight or severely obese and lowest in patients defined simply as obese.

Mortality rose with body mass index in patients with new atrial fibrillation in a GARFIELD-AF analysis, which also examined BMI effects on bleeding with NOACs vs. vitamin K antagonists.

Aspirin is 125 years old and deserves to be celebrated as one of the most used and affordable drugs all around the world...
08/21/2022
The role of aspirin today

Aspirin is 125 years old and deserves to be celebrated as one of the most used and affordable drugs all around the world.

This transcript has been edited for clarity.

Part of solving complex problems is allowing all stakeholders’ voices to be heard.
08/21/2022
Reliably solving complex problems

Part of solving complex problems is allowing all stakeholders’ voices to be heard.

Part of solving complex problems is allowing all stakeholders' voices to be heard.

For the 2022 Physicians Behaving Badly Report, more than 1,500 physicians shared how often they see fellow doctors misbe...
08/20/2022
Physicians' bad behavior seen at work, online by colleagues: Survey

For the 2022 Physicians Behaving Badly Report, more than 1,500 physicians shared how often they see fellow doctors misbehaving in person or on social media, and shared some of the worse behavior they’ve seen.

Bullying or harassing clinicians and staff was the runaway winner, with 86% of respondents saying they'd seen this type of behavior at work at some time.

Of all the headaches inherent in a private medical practice, few are more frustrating than patients who make appointment...
08/20/2022
No-shows

Of all the headaches inherent in a private medical practice, few are more frustrating than patients who make appointments and then fail to keep them.

The most common reason for missed appointments, however, according to multiple studies, is that patients simply forget that they have one.

Cardiorespiratory fitness emerged as a strong predictor of all-cause mortality in a modeling study that included more th...
08/20/2022
Cardiorespiratory fitness key to longevity for all?

Cardiorespiratory fitness emerged as a strong predictor of all-cause mortality in a modeling study that included more than 750,000 U.S. veterans. Results also showed mortality risk was cut in half for individuals achieving a moderate CRF level.

Risk for all-cause death was four times greater for U.S. veterans with lowest vs. those with highest cardiorespiratory fitness levels, regardless of age, s*x, or race, in an observational study.

The connection between red meat and ASCVD has been well established, but newly reported findings indicate that metabolit...
08/19/2022
Gut metabolites may explain red meat-ASCVD link

The connection between red meat and ASCVD has been well established, but newly reported findings indicate that metabolites in the gut microbiome may explain that relationship more than cholesterol and blood pressure.

A large cohort study implicates gut microbiome metabolites as the key link between red meat consumption and atherosclerotic cardiovascular disease.

Dietary salt substitutes not only lower BP but also have a clear impact on hard clinical endpoints, lowering the risk of...
08/19/2022
More evidence salt substitutes lower risk of CVD and death

Dietary salt substitutes not only lower BP but also have a clear impact on hard clinical endpoints, lowering the risk of MI, stroke, and death from all causes and CVD, a meta-analysis shows.

The blood pressure-lowering effects of dietary salt substitutes have a clear protective effect on hard clinical outcomes, leading to a reduction in heart attack, stroke, and death.

Sleep behaviors, both individually and combined, are associated with an increased risk of developing metabolic dysfuncti...
08/18/2022
Poor sleep raises risk for fatty liver disease

Sleep behaviors, both individually and combined, are associated with an increased risk of developing metabolic dysfunction–associated fatty liver disease.

Late bedtimes, snoring, and prolonged daytime napping were significantly associated with MAFLD,

For competitive athletes, IV nutrition threatens to become the norm with accessible “drip bars” and concierge IV nutriti...
08/18/2022
IV nutrition becoming the norm for athletes despite no evidence it works

For competitive athletes, IV nutrition threatens to become the norm with accessible “drip bars” and concierge IV nutrition services. Experts warn of the lack of scientific evidence that this is safe or beneficial, and it may result in nutrient toxicity.

'Some players are hooked up to IV nutrition drips as often as every week as part of a pre- or postgame routine.'

In patients with T2DM and stage III CKD, active vitamin D (calcitriol) did not show any significant reduction in Ao-PWV,...
08/17/2022
Does Calcitriol Improve Arterial Stiffness in Patients With T2DM and CKD?

In patients with T2DM and stage III CKD, active vitamin D (calcitriol) did not show any significant reduction in Ao-PWV, indices of central arterial stiffness, or albuminuria.

Calcitriol does not show any significant reduction in patients with type 2 diabetes and stage III chronic kidney disease, study finds.

The relationship between BMI and all-cause mortality in patients with AFib is U-shaped, with the risk highest in those w...
08/17/2022
'Obesity paradox' in AFib challenged as mortality climbs with BMI

The relationship between BMI and all-cause mortality in patients with AFib is U-shaped, with the risk highest in those who are underweight or severely obese and lowest in patients defined simply as obese.

Mortality rose with body mass index in patients with new atrial fibrillation in a GARFIELD-AF analysis, which also examined BMI effects on bleeding with NOACs vs. vitamin K antagonists.

Study shows that while stroke in adolescence and very early adulthood may not be caused by  , starting to accumulate tho...
08/16/2022
Risk factors in children linked to stroke as soon as 30s, 40s

Study shows that while stroke in adolescence and very early adulthood may not be caused by , starting to accumulate those risk factors early in life clearly increases the risk of stroke in the 30s and 40s.

Evidence of atherosclerosis was present in 1.4% of the 10- to 19-year age group, 8.5% of the 20- to 29-years age group, 21.5% of the 30- to 39-years age group, and 42.5% of the 40-to 49-years age group.

Two very different sets of clinical evidence have offered new twists on how nonadherence to cardiovascular medicines not...
08/16/2022
How nonadherence complicates cardiology, in two trials

Two very different sets of clinical evidence have offered new twists on how nonadherence to cardiovascular medicines not only leads to suboptimal outcomes, but also complicates the data from clinical studies.

Nonadherence prevents patients from achieving treatment benefits, but it also complicates trial interpretation, suggests subanalyses of MASTER DAPT and ISCHEMIA.

The connection between red meat and ASCVD has been well established, but newly reported findings indicate that metabolit...
08/16/2022
Gut metabolites may explain red meat-ASCVD link

The connection between red meat and ASCVD has been well established, but newly reported findings indicate that metabolites in the gut microbiome may explain that relationship more than cholesterol and blood pressure.

A large cohort study implicates gut microbiome metabolites as the key link between red meat consumption and atherosclerotic cardiovascular disease.

More and more physicians are being wooed by private equity firms that want to buy their practices. While the potential p...
08/15/2022
Should you sell your practice to a private equity firm?

More and more physicians are being wooed by private equity firms that want to buy their practices. While the potential profit may seem alluring, physicians have mixed feelings as to whether this will be a boon or a disappointment.

Private equity firms expand practices to receive more favorable reimbursements and achieve economies of scale.

Early improvement of LVEF after TAVR is associated with improved all-cause and cardiac death at 5 years in patients with...
08/15/2022
Early LV recovery after TAVR tied to 5-year mortality

Early improvement of LVEF after TAVR is associated with improved all-cause and cardiac death at 5 years in patients with severe aortic stenosis and LVEF less than 50%, new research shows.

A new study found that the relationship between early left-ventricular recovery after TAVR and improved mortality was robust and durable.

Screening for atrial fibrillation with wearable devices is cost effective, when compared with either no screening or scr...
08/15/2022
Using wearable devices to detect AFib 'cost effective'

Screening for atrial fibrillation with wearable devices is cost effective, when compared with either no screening or screening using traditional methods, a new study concludes. h

Screening for atrial fibrillation using wrist-worn devices is cost effective, compared with no screening or screening for AFib using traditional methods.

Dietary salt substitutes not only lower BP but also have a clear impact on hard clinical endpoints, lowering the risk of...
08/14/2022
More evidence salt substitutes lower risk of CVD and death

Dietary salt substitutes not only lower BP but also have a clear impact on hard clinical endpoints, lowering the risk of MI, stroke, and death from all causes and CVD, a meta-analysis shows.

The blood pressure-lowering effects of dietary salt substitutes have a clear protective effect on hard clinical outcomes, leading to a reduction in heart attack, stroke, and death.

Taking a brief walk, even for just 2-5 minutes, after eating can help lower the risk of type 2 diabetes, according to a ...
08/14/2022
Short walks after meals can cut diabetes risk

Taking a brief walk, even for just 2-5 minutes, after eating can help lower the risk of type 2 diabetes, according to a recent study.

“Each incremental step, each incremental stand or brisk walk appears to have a benefit,” according to one expert.

A student loan forgiveness plan soon to be released would broadly forgive $10K in federal student loans. However, the pl...
08/13/2022
Saddled with med school debt, yet left out of loan forgiveness plans

A student loan forgiveness plan soon to be released would broadly forgive $10K in federal student loans. However, the plan is restricted to borrowers with incomes below $150K which would unfairly exclude many in health care.

Drawing an income line inappropriately restricts those in health care from receiving any forgiveness.

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Meet the Committee:

Dr. Weir of The Ummed School is a scientific committee member of this year.

View the rest of the committee at
https://www.wcir.org/scientific-committee

MDedge Cardiology California Chapter of the American College of Cardiology National Lipid Association
Meet the Committee:
Meet Dr. Peter Grant of Leeds Teaching Hospitals NHS Trust
See the rest of the WCIRDC at http://ow.ly/DkJ250BoAaC
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Michigan has become the first state to ban the sale of flavored ni****ne va**ng products in both stores and online. The American Academy of Pediatrics, American Lung Association, and other organizations praised the action taken by the state; calling the steps “necessary and appropriate.” The groups also noted that health authorities are investigating reports of "severe respiratory illness" associated with e-cigarette use in at least 215 people ... in 25 states,” adding that many are youth and young adults. **ng CDC Global CDCMDedge Pediatrics MDedge Cardiology MDedge Psychiatry National Institutes of Health (NIH)
"This is as close to a home run as you see in heart failure treatment," editor-in-chief Dr. Douglas Mann told MDedge Cardiology about DAPA-HF at . https://fal.cn/33ORv
The latest digital CE/CME brought to you by Global Academy for Medical Education together with MDedge Cardiology: http://bit.ly/2TJFdBr
Food Products from H**p Seed Improve Heart Health
A new research about Egg A Day Keeps You Away From Heart Diseases
The latest digital CME/CE brought to you by Global Academy for Medical Education on behalf of MDedge Cardiology: http://bit.ly/2HFLzjG
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