MDedge Cardiology

10/06/2022

📍IN-PERSON EVENT: December 3-5, 2022 for our 3rd Annual Going Back to the Heart of Cardiology Conference presented live at the Hilton La Jolla Torrey Pines in San Diego, CA. Join our expert faculty and keynote speaker Bob Harper http://ms.spr.ly/6185dyGlh

08/26/2022

New research suggests that regular physical activity can help lower the risk of COVID-19 infection and its severity.

Regular physical activity may help lower the risk of COVID-19 infection and its severity.

08/26/2022

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.

08/25/2022

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."

08/25/2022

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."

08/25/2022

Older adults with may have up to 35% higher risk for dementia even before symptoms develop, new research suggests. http://ms.spr.ly/6188jjAXK

Older adults with atrial cardiopathy may have up to 35% higher risk for dementia even before symptoms develop.

08/24/2022

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.

08/24/2022

Acute versus long COVID. Know the difference. http://ms.spr.ly/6180jbAtw

COVID-19 can damage multiple organs in the body.

08/24/2022

The real competition in medicine is not between companies. Rather it's us against disease. http://ms.spr.ly/6187jjBXl

08/23/2022

Anatomy appears to be a major driver of worse COPD outcomes in women.

Worse COPD outcomes found for women for each unit change in wall thickness or lumen area.

08/23/2022

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.

08/23/2022

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.

08/22/2022

After COVID-19 infection as opposed to after COVID-19 vaccination, myocarditis risk is higher, UK researchers declare.

The risk of myocarditis is substantially higher in the 4 weeks after COVID-19 infection than after a first dose of a COVID-19 vaccine, say researchers of new study.

08/22/2022

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.

08/22/2022

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.

08/21/2022

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.

08/21/2022

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.

08/21/2022

Centenarians are the antithesis of the misguided belief that the older you get, the sicker you get. Quite the opposite occurs.

Between 1980 and 2019, the share of American centenarians grew faster than the total population.

08/20/2022

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.

08/20/2022

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.

08/20/2022

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.

08/19/2022

Dyspnea and exercise intolerance are major determinants of QOL in COPD, but inhalers will only get you so far.

Only one of three major COPD abnormalities responds to inhalers.

08/19/2022

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.

08/19/2022

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.

08/18/2022

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,

08/18/2022

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.'

08/17/2022

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.

08/17/2022

Using a smartphone application to track blood pressure won’t lead to any greater reduction in BP than self-monitoring the old-fashioned way, a new study finds.

Here's another vote for less screen time.

08/16/2022

🚨 TODAY: Earn CME credits on Linkedin and Twitter. Join our experts at 5:30 PM ET, MedscapeLIVE is hosting Can You Crack the Case? Applying Advances in Pericarditis. 📲 Click the link to secure your spot: http://ms.spr.ly/6185jnwwf

08/16/2022

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.

08/15/2022

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.

08/15/2022

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.

08/15/2022

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.

08/14/2022

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.

08/14/2022

Endoscopic sleeve gastroplasty combined with lifestyle modifications was safe and effective for weight loss among obese individuals with a BMI

ESG is a minimally invasive, reversible, organ-sparing bariatric procedure that might be able to fill care gaps left by traditional approaches.

08/13/2022

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.