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
New study highlights the importance of avoiding both exogenous hyperthyroidism and hypothyroidism to decrease CV risk among patients receiving thyroid hormone treatment.
'Both undertreatment and overtreatment were associated with adverse cardiovascular outcomes,' including higher mortality, but keeping thyroid hormone levels normal is a tricky task.
Good hand hygiene and other cost-effective infection prevention and control practices can eliminate up to 70% of health care–setting infections in all countries regardless of economic status, WHO reports. http://ms.spr.ly/6189bPrdJ
Infection prevention and control practices could eliminate 35%-70% of health care-setting infections in all countries regardless of economic status.
Patients with left-sided breast cancer who received radiation doses to the LAD artery experienced an elevated risk for adverse cardiac outcomes.
Key clinical point: Patients with left-sided breast cancer (BC) who received radi
Cardiologist, hacker, ransomware developer. Multitasking French-Venezuelan citizen faces criminal charges in the U.S.
Dr. Zagala's Thanos software allows users to create their own unique ransomware software for personal use or to rent to other cybercriminals.
Vaccinated people who have a breakthrough case of Omicron will have better protection against COVID-19 variants than vaccinated people who receive a booster shot, two preprint studies show. http://ms.spr.ly/6188bPHjk
"We should think about breakthrough infections as essentially equivalent to another dose of vaccine."
Blaming underrepresented minority groups in clinical trials on medical mistrust is the easy answer but, as this article explains, it’s so much more complicated than that.
The FDA wants researchers conducting clinical trials to submit a plan on how they will diversify participant pools. While the effort to undo underrepresentation is appreciated, many say it's not enough.
A recent ISCHEMIA trial substudy is under scrutiny from surgeons for a data discrepancy, rekindling concerns about reliance on the landmark trial data in the latest coronary revascularization guidelines.
Discrepancies between the paper and supplemental data have been slow to come to light, but the substudy authors say it's a simple formatting error.
The ketogenic diet is emerging as an effective strategy not only to promote weight loss, but also to manage many comorbidities associated with obesity.
"Despite the strong weight loss it induces, it preserves muscle mass and function and improves resting metabolic rate."
Patients with aortic stenosis may benefit by undergoing a valve replacement earlier than conventionally thought before experiencing irreversible heart muscle damage.
Valve replacement heart surgery should be performed earlier than conventionally thought for people with aortic stenosis say researchers.
Investigators expected to see normal BMI associated with a lower prevalence of cardiovascular conditions. That’s not what they found.
The link between nonalcoholic fatty liver disease and higher risk of CVD may extend beyond people who are overweight or living with obesity.
Stroke might be the first manifestation of an underlying cancer, an intriguing new study finds. #ESOC2022
"Stroke in the young differs from stroke in older patients, and one of the major differences is that stroke in the young has a higher proportion of cryptogenic stroke."
The twincretin era for treating patients with type 2 diabetes has begun.
Endocrinologists voice enthusiasm for the first approved agent for patients with type 2 diabetes that is a dual incretin agonist, but they also express concern about cost and patient accessibility.
A unique study uses narrative inquiry to explore the domains of psychosocial adjustments of veterans living with HF and the important implications for interdisciplinary health care research and clinical practice.
This study used narrative inquiry to explore illness narratives for veterans living with heart failure and how they adjust to this significant and impactful illness
Climate change can alter just about every system within the human body. Medical students help create new curriculum to address one of the most widespread, insidious health threats of our time. http://ms.spr.ly/6188b3DzC
Medical schools are educating the next generation of doctors on one of the most widespread, insidious health threats of our time.
PHOTO ROUNDS: Substantially enlarged cardiac silhouette. Dx? #JournalofFamilyPractice
This case highlights an impressive manifestation of a diagnosis that affects many people around the world.
Both “white-coat” and “masked” hypertension underscore the importance of @AHA's recommendation for home BP monitoring. #JournalofFamilyPractice
Office BPs are notoriously inaccurate, because it is exceedingly difficult to measure BP properly in a busy office setting.
Phase 2 trial results are promising for effective and safer management of hyperglycemia in acute stroke patients with GLP-1 agonist.
The diabetes drug may offer better control than insulin for hyperglycemia, a common condition following stroke that leads to worse outcomes.
Influenza vaccine is linked to lower stroke risk.
One theory is that it’s the stimulation of the immune system rather than the protection of infection against influenza that is the key factor.
As many as 240K people per year in the U.S. experience a TIA, review the updated work-up and treatment recommendations. #JournalofFamilyPractice
Your patient with a focal neurologic deficit is rushed to the ED for diagnostic imaging. Which initial and long-term interventions can best reduce their risk of recurrent TIA and stroke?
FDA approves the Onyx Frontier DES to treat patients with CAD.
The low-profile stent shares the same platform as the previous-generation Resolute Onyx zotarolimus-eluting stent and features an enhanced delivery system.
75% of clinicians appropriately screen their pregnant patients for hypertensive disorders, but only 25% comprehensively identify their cardiovascular risk, according to a recent survey in the U.S.
Approximately 74% of physicians and allied professionals reported screening, but only 25% identified all cardiovascular risks.
Colombia is the first Latin American country to back death by suicide for those suffering serious or incurable illnesses.
The ruling requires that patients meet the standards already in place for euthanasia.
25% of adolescents living with obesity are unaware of their condition, in part by society’s failure to recognize and treat obesity as a chronic disease.
Two-thirds of adolescents living with obesity feel it is their sole responsibility to deal with their excess weight.
Use of race-based diabetes screening thresholds could reduce the disparity that arises from the current USPSTF screening guidelines.
Diabetes screening for Asian and Black individuals aged 35 and over, even at BMIs that are not considered overweight, would be 'a good place to start' to reduce disparities.
Predicting the risk of death within 90 days after hospital discharge for COPD patients is possible utilizing a 12 variable risk calculator.
A few variables could help predict a patient’s risk of dying within 90 days after a hospital stay for COPD.
Influenza vaccine is protective from more than just the flu.
One theory is that it’s the stimulation of the immune system rather than the protection of infection against influenza that is the key factor.
#Cardiometabolic damage is evident in overweight children as early as 6-8 years of age, but absent in 2-5 year olds. Long-running Danish study suggests a short window for intervention.
"Detection needs to start as early as age 2-5 years because if you wait just a few years longer these children will show early signs of disease starting to take hold."
Despite having minimal impact on HbA1c, a vegan diet results in clinically significant weight loss and can be used in the management of overweight and T2D. #ECO2022
A vegan diet most likely led to weight loss because it is "associated with a reduced calorie intake due to a lower content of fat and higher content of dietary fiber."
Those who are unvaccinated against COVID pose a disproportionate risk to those who are vaccinated, according to a mathematical modeling study. http://ms.spr.ly/6181bJcb1
A mathematical model underscores the fact that vaccination is more than a personal choice and provides support for vaccine mandates and passports, according to the authors.
Post Watchman implantation therapy of warfarin or DOAC anticoagulation alone, without aspirin, reduces major adverse events with lower rates of bleeding.
National registry data show substantial deviation from the treatment protocols used in the pivotal randomized trials in the years following approval of the device.
Trial underway as two Ohio counties seek $878 million from the three largest retail pharmacies to help alleviate the health crisis caused by the opioid epidemic.
CVS, Walgreens Boots Alliance, and Walmart on Tuesday begin a first-of-its-kind trial to determine what the pharmacy chains owe for their role in the opioid epidemic in two Ohio counties, which are seeking $878 million.
Telehealth is here to stay as 9 out of 10 patients surveyed would recommend telemedicine to their friends and family.
Nine out of ten patients would recommend telemedicine to friends and family, and most physicians say they're willing to devote significant time to telemedicine visits, according to survey.
Natriuretic peptide screening helps identify hypertensive and/or diabetic patients who are at higher risk for HF.
Clinical pharmacists worked collaboratively with a cardiology specialist and primary care practitioners to establish a protocol using natriuretic peptide levels to identify patients at risk for heart failure.
Experts agree that too many COVID boosters may not be sensible for young healthy people, but the definition of “young” varies from country to country.
The more boosters the better?
Increasingly more doctors are finding ways to expedite documentation tasks. http://ms.spr.ly/6184byGnq
Speech-to-text software is still the most popular solution, but more physicians are now using human scribes, driven by the decisions of some large organizations to start paying for them.
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