Here are what the editors at HealthDay consider to be the most important developments in Cardiology for May 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Providers, Peers Influence Aspirin Use Among African-Americans
FRIDAY, May 31, 2019 (HealthDay News) — Positive cultural beliefs around taking aspirin for prevention of cardiovascular disease (CVD) are associated with greater adoption of the intervention among African-Americans, according to a study published in the June issue of the Journal of Community Health.
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Nonfasting Lipid Levels Adequate for Assessing Cardiovascular Risk
FRIDAY, May 31, 2019 (HealthDay News) — Fasting before a cholesterol test is not necessary when evaluating risk for cardiovascular events, according to a study published online May 28 in JAMA Internal Medicine.
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Lupus Manifestations Appear to Differ by Race, Ethnicity
FRIDAY, May 31, 2019 (HealthDay News) — Clinical manifestations of systemic lupus erythematosus (SLE) vary by racial and ethnic groups, according to a study published online May 22 in Arthritis Care & Research.
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Excess Cause-Specific Mortality Tied to Chronic Proton Pump Inhibitor Use
FRIDAY, May 31, 2019 (HealthDay News) — Taking proton pump inhibitors (PPIs) is associated with an excess of cause-specific mortality, according to a study published online May 30 in The BMJ.
Higher LDL-C Levels Linked to Early-Onset Alzheimer Disease
FRIDAY, May 31, 2019 (HealthDay News) — Low-density lipoprotein (LDL) cholesterol is associated with the probability of developing early-onset Alzheimer disease (EOAD), according to a study published online May 28 in JAMA Neurology.
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Pediatric Nurse Practitioner Shortage Looming
THURSDAY, May 30, 2019 (HealthDay News) — There is a looming critical shortage of pediatric nurse practitioners (PNPs), according to a white paper published in the May-June issue of the Journal of Pediatric Health Care.
Syncope in Pregnancy May Up Risk for Adverse Outcomes
THURSDAY, May 30, 2019 (HealthDay News) — Pregnant women with syncope may be at higher risk for adverse pregnancy outcomes, especially when the event occurs during the first trimester, according to a study published in the May 21 issue of the Journal of the American Heart Association.
High Costs Associated With Physician Burnout in U.S.
THURSDAY, May 30, 2019 (HealthDay News) — High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.
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Ultra-Processed Food Intake Linked to Increased CVD Risk
THURSDAY, May 30, 2019 (HealthDay News) — Ultra-processed food consumption is associated with an increased risk for cardiovascular disease and all-cause mortality, according to two studies published online May 29 in The BMJ.
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More Steps Tied to Lower Death Risk in Older Women
THURSDAY, May 30, 2019 (HealthDay News) — More steps taken per day are associated with lower mortality rates among older women, according to a study published online May 29 in JAMA Internal Medicine.
Long-Term Survival Similar for Endovascular, Open AAA Repair
WEDNESDAY, May 29, 2019 (HealthDay News) — For patients with asymptomatic abdominal aortic aneurysm, long-term overall survival is similar with either endovascular repair or open repair, according to a study published in the May 30 issue of the New England Journal of Medicine.
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Global Burden of Serious Health-Related Suffering to Double by 2060
WEDNESDAY, May 29, 2019 (HealthDay News) — The global burden of serious health-related suffering is set to increase 47 percent by 2060, according to a study published online May 22 in The Lancet Global Health.
Energy Drinks Prolong QTc Interval, Elevate Blood Pressure
WEDNESDAY, May 29, 2019 (HealthDay News) — Energy drinks prolong the QTc interval and are associated with an increase in blood pressure, according to a study published online May 29 in the Journal of the American Heart Association.
Reading Visit Notes May Improve Medication Management
WEDNESDAY, May 29, 2019 (HealthDay News) — Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.
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Hip Fracture Linked to Increased Risk for Death in T2DM Patients
WEDNESDAY, May 29, 2019 (HealthDay News) — For patients with type 2 diabetes, hip fracture is associated with an increased risk for death, according to a study published online May 21 in the Journal of Diabetes Investigation.
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Meds for Weight Management Underutilized Among Veterans
TUESDAY, May 28, 2019 (HealthDay News) — Weight management medications (WMM) are underutilized among veterans, according to a study published online May 15 in Obesity.
Higher BMI in Male Teens Tied to Cardiomyopathy in Adulthood
TUESDAY, May 28, 2019 (HealthDay News) — Increased body mass index (BMI) in adolescence is associated with an increased risk for cardiomyopathy in adulthood among men, according to a study published online May 28 in Circulation.
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Suboptimal BP, Fasting Glucose Tied to Atrioventricular Block
TUESDAY, May 28, 2019 (HealthDay News) — Suboptimal blood pressure and fasting glucose levels are associated with atrioventricular (AV) block, according to a study published online May 24 in JAMA Network Open.
Antiplatelets Do Not Up Recurrence in Intracerebral Hemorrhage
TUESDAY, May 28, 2019 (HealthDay News) — For patients with intracerebral hemorrhage, those who start antiplatelet therapy do not have an increased risk for recurrence, including those with cerebral microbleeds, according to two studies published online May 22 in The Lancet and The Lancet Neurology.
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Intracranial Hemorrhage Risk Up With Low-Dose Aspirin
FRIDAY, May 24, 2019 (HealthDay News) — For individuals without symptomatic cardiovascular disease, the use of low-dose aspirin for primary prevention of cardiovascular events is associated with an increased risk for intracranial hemorrhage, according to a review and meta-analysis published online May 13 in JAMA Neurology.
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Specialized Programs in Clinical Cardiovascular Genetics Needed
FRIDAY, May 24, 2019 (HealthDay News) — The importance of establishing specialized clinical cardiovascular genetics programs is addressed in an American Heart Association scientific statement published online May 23 in Circulation: Genomic and Precision Medicine.
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Statin Use With Colorectal Cancer Lowers Risk for Early Death
FRIDAY, May 24, 2019 (HealthDay News) — Use of statins before or after colorectal cancer (CRC) diagnosis is linked to a lower risk for premature death, from either cancer or other causes, according to a review published online May 8 in Cancer Medicine.
Pediatricians Should Encourage Fish Consumption for Children
THURSDAY, May 23, 2019 (HealthDay News) — Fish and shellfish consumption should be encouraged for children, according to a technical report published online May 20 in Pediatrics.
Classification System Developed for Cardiogenic Shock
THURSDAY, May 23, 2019 (HealthDay News) — A classification system has been developed for categorizing cardiogenic shock; the consensus statement, endorsed by the American College of Cardiology, American Heart Association, Society of Critical Care Medicine, and Society of Thoracic Surgeons, was published online May 19 in Catheterization & Cardiovascular Interventions.
Blood Donor Screening Data IDs Familial Hypercholesterolemia
THURSDAY, May 23, 2019 (HealthDay News) — Data from a blood donor screening program could represent a novel strategy for identifying familial hypercholesterolemia (FH), according to a study published online May 22 in JAMA Cardiology.
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Medication Nonadherence Common in Patients With T2DM
THURSDAY, May 23, 2019 (HealthDay News) — Routine urine samples can be used to test for medication adherence in patients with type 2 diabetes, according to a study published in the June issue of Diabetes Care.
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CDC: Cancer Death Rates Decreased, Heart Disease Deaths Rose
WEDNESDAY, May 22, 2019 (HealthDay News) — Cancer death rates declined for adults aged 45 to 64 years from 1999 to 2017, while heart disease death rates decreased to 2011 and then increased, according to the May 22 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.
CDC: Seniors Use Various Strategies to Reduce Rx Costs
WEDNESDAY, May 22, 2019 (HealthDay News) — A proportion of older adults employ strategies to reduce prescription drug costs, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Bystander Resuscitation Attempted Less Often for Women in Cardiac Arrest
WEDNESDAY, May 22, 2019 (HealthDay News) — In out-of-hospital cardiac arrest (OHCA), women are less often resuscitated than men, and they have lower survival rates with resuscitation, according to a study published online May 21 in the European Heart Journal.
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Depression, PTSD Linked to More Participation in Cardiac Rehab
WEDNESDAY, May 22, 2019 (HealthDay News) — The presence of comorbid depression and/or posttraumatic stress disorder (PTSD) is associated with increased participation in cardiac rehabilitation (CR) among patients with ischemic heart disease, according to a study published online May 22 in the Journal of the American Heart Association.
Favorable Trends Seen in Lipids, Apolipoprotein B in U.S. Youth
TUESDAY, May 21, 2019 (HealthDay News) — Between 1999 and 2016, there were favorable trends in lipid and apolipoprotein B levels in U.S. youth, according to a study published in the May 21 issue of the Journal of the American Medical Association.
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Bill Would Raise U.S. Legal Age to Buy Tobacco to 21
TUESDAY, May 21, 2019 (HealthDay News) — A bill to raise the minimum age for buying any type of tobacco product, including electronic cigarettes, from 18 to 21 years was introduced Monday by Senate Majority Leader Mitch McConnell.
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Clinical Drug Diversion Costly to Health Care Organizations
TUESDAY, May 21, 2019 (HealthDay News) — U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.
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Higher Consumption of Sugary Drinks May Up Mortality in Adults
TUESDAY, May 21, 2019 (HealthDay News) — Consumption of sugary beverages, including 100 percent fruit juices, is associated with higher all-cause mortality in U.S. adults, according to a study published online May 17 in JAMA Network Open.
One-Third of Patients on Statins Do Not Reach Target Thresholds
MONDAY, May 20, 2019 (HealthDay News) — More than one-third of patients on statin therapy fail to achieve therapeutic thresholds for low-density lipoprotein cholesterol (LDL-C), according to a study published in the May issue of the Journal of Managed Care & Specialty Pharmacy.
Many Lives Could Be Saved if All Hospitals Had Grade A Rating
FRIDAY, May 17, 2019 (HealthDay News) — More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to “A” grade hospitals, according to an updated report prepared for The Leapfrog Institute.
Private Insurers Pay 241 Percent of What Medicare Would Pay
FRIDAY, May 17, 2019 (HealthDay News) — Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.
Open Heart Surgery Beats Stents for Multivessel Disease
FRIDAY, May 17, 2019 (HealthDay News) — Coronary artery bypass graft (CABG) surgery may be a better treatment option than percutaneous coronary intervention (PCI) for most patients with more than one blocked heart artery, according to a study published online May 1 in the Annals of Thoracic Surgery.
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Recs Updated for TB Screening, Treatment in Health Care Workers
THURSDAY, May 16, 2019 (HealthDay News) — Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Habitual Glucosamine Use Linked to Reduced Risk for CVD Events
WEDNESDAY, May 15, 2019 (HealthDay News) — Habitual use of glucosamine supplements is associated with a reduced risk for cardiovascular disease (CVD) events, according to a study published online May 14 in The BMJ.
Thyroid Hormones Not Endorsed for Subclinical Hypothyroidism
WEDNESDAY, May 15, 2019 (HealthDay News) — Thyroid hormones are not recommended for adults with subclinical hypothyroidism (SCH), according to an article published online May 14 in The BMJ.
CDC: Racial Disparity Seen With Lupus-Related Deaths
WEDNESDAY, May 15, 2019 (HealthDay News) — Mortality from systemic lupus erythematosus (SLE) is significantly higher among blacks, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Home-Based Cardiac Rehab May Be Option for Some Heart Patients
TUESDAY, May 14, 2019 (HealthDay News) — For low- to moderate-risk patients, home-based cardiac rehabilitation (HBCR) may be a reasonable alternative to center-based cardiac rehabilitation (CBCR), according to a joint scientific statement issued by the American Association of Cardiovascular and Pulmonary Rehabilitation, the American Heart Association, and the American College of Cardiology. The statement was published online May 13 in Circulation, the Journal of the American College of Cardiology, and the Journal of Cardiopulmonary Rehabilitation and Prevention.
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Patients Find Note Reading Important for Health Management
MONDAY, May 13, 2019 (HealthDay News) — Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.
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Heart Patients at Risk When Pharmacies Close
MONDAY, May 13, 2019 (HealthDay News) — When pharmacies close, people with heart disease stop taking widely used heart medications, such as statins, beta-blockers, and oral anticoagulants, according to a study published online April 19 in JAMA Network Open.
Health Professionals Supportive of Medicinal Cannabis
FRIDAY, May 10, 2019 (HealthDay News) — Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.
Doctors Aware of Patient Difficulties Affording Medical Care
FRIDAY, May 10, 2019 (HealthDay News) — Physicians are aware of patients’ difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.
2018 Saw More Employed Physicians Than Self-Employed
THURSDAY, May 9, 2019 (HealthDay News) — In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).
CDC: Uninsurance Levels Did Not Change Significantly in 2018
THURSDAY, May 9, 2019 (HealthDay News) — In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Longer Duration of Statin Use Linked to Lower Risk for Glaucoma
THURSDAY, May 9, 2019 (HealthDay News) — Statin use may lower the risk for primary open-angle glaucoma (POAG), according to a study published online May 2 in JAMA Ophthalmology.
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Lupus Affects Emotional, Mental Well-Being of Patients
THURSDAY, May 9, 2019 (HealthDay News) — More than 60 percent of patients with lupus report that the disease has a large effect on their emotional and mental well-being, according to a report published online May 9 by the World Lupus Federation.
Prices Will Soon Be Included in TV Drug Ads
WEDNESDAY, May 8, 2019 (HealthDay News) — In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.
In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs
WEDNESDAY, May 8, 2019 (HealthDay News) — In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).
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Patent Foramen Ovale Ups Ischemic Stroke in Those With PE
WEDNESDAY, May 8, 2019 (HealthDay News) — For patients with symptomatic pulmonary embolism (PE), the frequency of recent ischemic stroke is higher in those with patent foramen ovale (PFO), according to a study published online May 7 in the Annals of Internal Medicine.
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Burden of Heart Failure-Related CVD Mortality Higher in Blacks
TUESDAY, May 7, 2019 (HealthDay News) — The burden of heart failure-related cardiovascular disease (CVD) mortality is increased among young and middle-aged blacks, according to a research letter published in the May 14 issue of the Journal of the American College of Cardiology.
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Arsenic Exposure Linked to Changes in Heart Structure
TUESDAY, May 7, 2019 (HealthDay News) — In young American Indians, arsenic exposure is associated with an increase in left ventricular (LV) hypertrophy, according to a study published in the May issue of Circulation: Cardiovascular Imaging.
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Efforts Needed to Ensure Publication of All Trials
TUESDAY, May 7, 2019 (HealthDay News) — Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.
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External Reference Pricing Could Cut Drug Costs in U.S.
TUESDAY, May 7, 2019 (HealthDay News) — The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.
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Plant-Based Diets Tied to Lower Risk for Heart Failure
TUESDAY, May 7, 2019 (HealthDay News) — Plant-based diets are associated with a lower risk for heart failure (HF) in adults without known heart disease, according to a study published in the April 30 issue of the Journal of the American College of Cardiology.
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FDA Approves Treatments for Heart Failure Caused by Rare Disease
MONDAY, May 6, 2019 (HealthDay News) — Vyndaqel (tafamidis meglumine) and Vyndamax (tafamidis) capsules have been approved to treat adults with cardiomyopathy caused by transthyretin mediated amyloidosis (ATTR-CM), the U.S. Food and Drug Administration announced today.
Guidance Issued for Managing Heart Disease in Pregnancy
MONDAY, May 6, 2019 (HealthDay News) — Recommendations have been developed for managing heart disease during pregnancy; the “Pregnancy and Heart Disease” practice bulletin was published in the May issue of Obstetrics & Gynecology.
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Cardio-Oncology Services Growing in Number and Demand
FRIDAY, May 3, 2019 (HealthDay News) — Cardio-oncology is an emerging discipline and subspecialty in response to the rapidly growing number of patients with comorbid cardiovascular disease and cancer and the complexity of these conditions, according to a review published in the May 7 issue of the Journal of the American College of Cardiology.
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Prolonged Exposure to Low-Dose Radiation May Increase HTN Risk
FRIDAY, May 3, 2019 (HealthDay News) — For Russian Mayak nuclear enterprise workers occupationally exposed to ionizing radiation, hypertension incidence is associated with cumulative liver-absorbed dose from external γ-rays, according to a study published online May 3 in Hypertension.
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More Than Half of U.S. Adults Have Medical Financial Hardship
FRIDAY, May 3, 2019 (HealthDay News) — Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.
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Implementing Surgical Safety Checklist Reduces Mortality
FRIDAY, May 3, 2019 (HealthDay News) — There has been a significant reduction in surgical mortality during the last decade in Scotland that is partially attributable to the implementation of the World Health Organization Surgical Safety Checklist, according to a study published online April 16 in the British Journal of Surgery.
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Childhood Oral Infection Linked to Atherosclerosis in Adulthood
THURSDAY, May 2, 2019 (HealthDay News) — Oral infections in childhood are associated with subclinical carotid atherosclerosis in adulthood, according to a study published online April 26 in JAMA Network Open.
Thiazide Use May Lower Fracture Risk in Patients With Alzheimer Disease
WEDNESDAY, May 1, 2019 (HealthDay News) — Community-dwelling patients with Alzheimer disease (AD) experience a lower risk for fractures, including hip fractures, with thiazide use, according to a study published online April 16 in Osteoporosis International.
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