Here are what the editors at HealthDay consider to be the most important developments in Cardiology for October 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.
Rate of Surgical Bailout Low for TAVR
THURSDAY, Oct. 31, 2019 (HealthDay News) — The need for surgical bailout in patients undergoing transcatheter aortic valve replacement (TAVR) is low, according to a study recently published in JACC: Cardiovascular Interventions.
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Small Drop in Calories Purchased With Labeling in Restaurants
THURSDAY, Oct. 31, 2019 (HealthDay News) — Implementation of calorie labeling in a large franchise of fast food restaurants was associated with a small decrease in mean calories per transaction, according to a study published online Oct. 30 in The BMJ.
AI Model Helps ID Those at Risk for Familial Hypercholesterolemia
WEDNESDAY, Oct. 30, 2019 (HealthDay News) — The FIND FH model can successfully identify individuals with familial hypercholesterolemia (FH) from a scan of large, diverse health care encounter databases, according to a study published online Oct. 21 in The Lancet Digital Health.
CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017
WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
2011 to 2017 Saw Increase in Heart Disease Deaths in the U.S.
WEDNESDAY, Oct. 30, 2019 (HealthDay News) — From 2011 to 2017, the age-adjusted mortality rate decreased for heart disease, but the number of heart disease deaths increased, according to a study published online Oct. 30 in JAMA Cardiology.
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Many Patients Take OTC Meds That May Interact With Apixaban
WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Many patients take over-the-counter (OTC) products with potentially serious interactions with the direct-acting oral anticoagulant apixaban, according to research published online Oct. 28 in the Journal of the American Geriatrics Society.
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Hypoglycemia Increases Risk for Sudden Cardiac Arrest in T2DM
WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Hypoglycemic episodes may increase the risk for ventricular arrhythmia (VA) and sudden cardiac arrest (SCA) among patients with type 2 diabetes, according to a study published online Oct. 26 in Diabetes/Metabolism Research and Reviews.
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Facebook Launches Preventive Health Tool
TUESDAY, Oct. 29, 2019 (HealthDay News) — A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.
Racial Inequity Seen for Admission to Cardiology for Heart Failure
TUESDAY, Oct. 29, 2019 (HealthDay News) — Black and Latinx patients are less likely than white patients to be admitted to cardiology for heart failure care, according to a study published online Oct. 29 in Circulation: Heart Failure.
Patients Should Restart Blood Thinners After GI Bleed
TUESDAY, Oct. 29, 2019 (HealthDay News) — Patients who restart their blood thinners after a gastrointestinal bleed have a lower risk for dying within the next two years even though they have a higher risk for recurrent gastrointestinal bleeding, according to a study recently published in Alimentary Pharmacology and Therapeutics.
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CV Risk Score Tied to Subclinical Cerebrovascular Disease on MRI
TUESDAY, Oct. 29, 2019 (HealthDay News) — Simple cardiovascular risk scores are associated with the presence of imaging-detected subclinical cerebrovascular disease, according to a study published online Sept. 30 in the European Heart Journal: Cardiovascular Imaging.
Cardiac Biomarkers May ID High CV Risk in Patients With CKD
MONDAY, Oct. 28, 2019 (HealthDay News) — Individuals with chronic kidney disease (CKD) have elevated cardiac biomarkers and are at increased risk for adverse cardiovascular events, according to research published online Oct. 23 in Mayo Clinic Proceedings.
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Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators
MONDAY, Oct. 28, 2019 (HealthDay News) — Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.
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Spironolactone Noninferior in Duchenne Muscular Dystrophy
MONDAY, Oct. 28, 2019 (HealthDay News) — In a head-to-head study of mineralocorticoid receptor antagonists, spironolactone was found to be noninferior to eplerenone for slowing the progression of heart damage in boys with Duchenne muscular dystrophy (DMD), according to a study published in the Oct. 1 issue of the Journal of the American Heart Association.
Doctors Mostly Dissatisfied With Electronic Health Record Systems
MONDAY, Oct. 28, 2019 (HealthDay News) — The majority of physicians are dissatisfied with their current electronic health record (EHR) systems, according to survey results released Oct. 16 by Medical Economics.
Cardiologist Most Represented Specialist in Diabetes Care
MONDAY, Oct. 28, 2019 (HealthDay News) — Cardiologists are the highest represented specialists among patients with diabetes, according to a research letter published online Oct. 23 in JAMA Cardiology.
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Family Involvement Cuts Postop Delirium in Older Patients
FRIDAY, Oct. 25, 2019 (HealthDay News) — The Tailored, Family-Involved Hospital Elder Life Program (t-HELP) is effective in reducing postoperative delirium (POD) for older patients, according to a Chinese study published online Oct. 21 in JAMA Internal Medicine.
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One-Third of CVD in Blacks Attributable to Hypertension
FRIDAY, Oct. 25, 2019 (HealthDay News) — A substantial proportion of cases of cardiovascular disease (CVD) among black individuals are associated with hypertension, according to a study published online Oct. 23 in JAMA Cardiology.
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One in Five Receive Opioid Rx After Cardiac Implant Procedure
THURSDAY, Oct. 24, 2019 (HealthDay News) — One in five patients received opioid prescriptions for management of pain following cardiac implantable electronic device (CIED) procedures, according to a study published online Oct. 20 in HeartRhythm.
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Frequent Alcohol Drinking May Up Risk for New-Onset A-Fib
THURSDAY, Oct. 24, 2019 (HealthDay News) — Frequent alcohol drinking is associated with an increased risk for new-onset atrial fibrillation (AF), while the amount of alcohol consumed per drinking session is not, according to a study published online Oct. 17 in EP Europace.
Prediagnosis Exercise May Reduce CV Risk in Breast Cancer
THURSDAY, Oct. 24, 2019 (HealthDay News) — For women with primary breast cancer, prediagnosis exercise exposure is associated with a graded reduction in subsequent cardiovascular event (CVE) risk, according to a study published in the September issue of JACC: CardioOncology.
FDA: Smokeless Tobacco Snus Can Be Marketed as Less Risky Than Cigarettes
WEDNESDAY, Oct. 23, 2019 (HealthDay News) — U.S. health groups are slamming the U.S. Food and Drug Administration’s decision to permit the General brand of the smokeless tobacco product snus to claim that it poses a “lower risk of mouth cancer, heart disease, lung cancer, stroke, emphysema, and chronic bronchitis” than cigarettes.
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CVD Risk Declines When BP Meds Taken at Bedtime
WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Ingestion of prescribed blood pressure-lowering medications at bedtime is associated with a reduction in cardiovascular disease (CVD) risk, according to a study published online Oct. 22 in the European Heart Journal.
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Pregnancy Complications Tied to Higher Risk for Later Hypertension
WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Several first-time pregnancy complications are associated with development of hypertension (HTN) two to seven years later, according to a study published in the Oct. 1 issue of the Journal of the American Heart Association.
Prophylactic Melatonin Does Not Cut Delirium After Major Cardiac Surgery
WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Prophylactic use of melatonin does not prevent delirium after major cardiac surgery, according to a study published online Oct. 8 in the Journal of the American Geriatrics Society.
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Limited English Proficiency May Worsen Chronic Disease Outcome
WEDNESDAY, Oct. 23, 2019 (HealthDay News) — In predominantly English-speaking settings, patients with limited English proficiency (LEP) and chronic conditions have higher rates of emergency department revisits and hospital readmissions than patients with English proficiency (EP), according to a research letter published in the Oct. 22/29 issue of the Journal of the American Medical Association.
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More Choices, Lower Premiums for ACA Consumers Next Year
TUESDAY, Oct. 22, 2019 (HealthDay News) — There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.
Substance Use Disorder Ups Risk for Death After IE Valve Surgery
TUESDAY, Oct. 22, 2019 (HealthDay News) — Patients with infective endocarditis (IE) and substance use disorder (SUD) have a more than twofold risk for dying following valve surgery compared with patients without SUD, according to a study published online Oct. 16 in the Annals of Thoracic Surgery.
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Review Links Periodontitis to Increased Odds for Hypertension
TUESDAY, Oct. 22, 2019 (HealthDay News) — Periodontitis (PD) is a possible risk factor for hypertension, according to a review published online Sept. 24 in Cardiovascular Research.
Recommendations Updated for Nonvariceal Upper GI Bleeding
MONDAY, Oct. 21, 2019 (HealthDay News) — In clinical guidelines published online Oct. 22 in the Annals of Internal Medicine, updated recommendations are presented for the management of nonvariceal upper gastrointestinal bleeding.
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Atrial Fibrillation Risk Found to Be Higher Among American Indians
MONDAY, Oct. 21, 2019 (HealthDay News) — American Indians have a higher risk for incident atrial fibrillation (AF) compared with all other racial and ethnic groups, according to a study published online Oct. 21 in Circulation.
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Public Outcomes Reporting Tied to Drop in Valve Replacements
MONDAY, Oct. 21, 2019 (HealthDay News) — Initiating public reporting was associated with a significant decrease in valve surgery for all infective endocarditis (IE) cases, regardless of injection drug use (IDU) status, according to a study published Oct. 10 in Clinical Infectious Diseases.
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Lean-Fat Individuals Have Worst Outcome in Heart Failure
FRIDAY, Oct. 18, 2019 (HealthDay News) — For Asian patients with heart failure, those who are lean-fat with a high waist-to-height ratio (WHtR) and low body mass index (BMI) have the worst outcomes, according to a study published online Sept. 24 in PLOS Medicine.
Use of E-Cigarettes in U.K. Tied to Quit Rates Among Smokers
FRIDAY, Oct. 18, 2019 (HealthDay News) — Electronic cigarette use in England is positively associated with overall cigarette quit rates and quit success rates, according to a study published online Oct. 17 in Addiction.
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Obesity in Early Adulthood Tied to Higher Risk for Early Mortality
FRIDAY, Oct. 18, 2019 (HealthDay News) — Weight gain in young adulthood and stable obesity across adulthood are associated with increased risks for early death, according to a study published online Oct. 16 in The BMJ.
Most Cardiovascular Disease Deaths Now Occur at Home
FRIDAY, Oct. 18, 2019 (HealthDay News) — From 2003 to 2017, the proportion of cardiovascular disease (CVD) deaths that occurred in the hospital decreased, while CVD deaths at home increased, according to a study published in the Oct. 15 issue of the Journal of the American College of Cardiology.
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Suicide Risk Up With ARB Exposure Versus ACEI Exposure
FRIDAY, Oct. 18, 2019 (HealthDay News) — Among individuals aged 66 years and older, the use of angiotensin receptor blockers (ARBs) is associated with an increased risk for suicide compared with the use of angiotensin-converting enzyme inhibitors (ACEIs), according to a study published online Oct. 16 in JAMA Network Open.
Depression, Anxiety, Stress Impact Adherence to Cardiac Rehab
THURSDAY, Oct. 17, 2019 (HealthDay News) — Moderate depression, anxiety, and stress affect adherence to cardiac rehabilitation, according to a study published online Oct. 9 in the European Journal of Preventive Cardiology.
PTSD Linked to Early Incident TIA, Stroke in Young Veterans
THURSDAY, Oct. 17, 2019 (HealthDay News) — For young and middle-aged veterans, posttraumatic stress disorder (PTSD) is associated with an increased risk for early incident transient ischemic attack (TIA) and ischemic stroke, according to a study published online Oct. 17 in Stroke.
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Statins in Childhood Aid Familial Hypercholesteremia Outcomes
WEDNESDAY, Oct. 16, 2019 (HealthDay News) — Initiation of statin therapy during childhood in patients with familial hypercholesterolemia slows the progression of carotid intima-media thickness and reduces the risk for cardiovascular disease over 20 years, according to a study published in the Oct. 17 issue of the New England Journal of Medicine.
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High Perceived Stress Tied to Higher Blood Pressure in Blacks
WEDNESDAY, Oct. 16, 2019 (HealthDay News) — African-Americans with higher perceived stress over time may be at increased risk for developing hypertension, according to a study published online Oct. 16 in the Journal of the American Heart Association.
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Gastric Bypass Linked to Lower Risk for Major Birth Defects
TUESDAY, Oct. 15, 2019 (HealthDay News) — Infants born to women who have undergone Roux-en-Y gastric bypass surgery have a lower risk for major birth defects than those born to matched control women, according to a study published in the Oct. 15 issue of the Journal of the American Medical Association.
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Meat Study Authors Have Financial Ties to Beef Industry
TUESDAY, Oct. 15, 2019 (HealthDay News) — The authors of a recent study downplaying the health risks of red meat have financial ties with meat producers. The international group of researchers has received funding from a university program partially backed by the beef industry, the Washington Post reported Monday.
Pulmonary Embolism Risk Elevated for More Than Six Weeks Postop
TUESDAY, Oct. 15, 2019 (HealthDay News) — The postoperative risk for pulmonary embolism extends more than six weeks for six types of surgery, according to a study published online Oct. 9 in JAMA Surgery.
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Global Prevalence of Pediatric Hypertension About 4 Percent
FRIDAY, Oct. 11, 2019 (HealthDay News) — The estimated pooled prevalence of hypertension in children is 4 percent, according to a review published online Oct. 7 in JAMA Pediatrics.
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Nearly 5 Million Youth Are Obese in the United States
FRIDAY, Oct. 11, 2019 (HealthDay News) — Nationwide, 4.8 million young people ages 10 to 17 years have obesity, according to the State of Childhood Obesity: Helping All Children Grow Up Healthy report published Oct. 10 by the Robert Wood Johnson Foundation.
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Patient Portal Use Has Positive Impact on Preventive Health Behaviors
FRIDAY, Oct. 11, 2019 (HealthDay News) — Patient portal use has a positive impact on preventive health behaviors, but not on chronic health outcomes, according to a study published in the October issue of the Journal of Medical Internet Research.
Ibrutinib Therapy Linked to New, Worsened Hypertension
FRIDAY, Oct. 11, 2019 (HealthDay News) — Ibrutinib is associated with an increased risk for new or worsened hypertension in patients treated for B-cell malignancies, according to a study published online Oct. 3 in Blood.
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Changes in Household Income Tied to Cardiovascular Disease Risk
FRIDAY, Oct. 11, 2019 (HealthDay News) — A drop in household income over six years is associated with a higher risk for subsequent incident cardiovascular disease (CVD) during the next 17 years, according to a study published online Oct. 9 in JAMA Cardiology.
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Poor Glycemic Control May Up Risk for Stroke, Death in T2DM
FRIDAY, Oct. 11, 2019 (HealthDay News) — Poor glycemic control is associated with increased risks for stroke and death among patients with type 2 diabetes, according to a study published online Oct. 1 in Diabetes, Obesity and Metabolism.
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Odds of Autism Up in Children With Congenital Heart Disease
THURSDAY, Oct. 11, 2019 (HealthDay News) — The odds of developing autism spectrum disorder (AuSD) are increased for children with congenital heart disease (CHD), according to a study published online Oct. 10 in Pediatrics.
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Statins Tied to Osteoporosis in Dose-Dependent Manner
THURSDAY, Oct. 10, 2019 (HealthDay News) — There is a dose-dependent relationship between diagnosis of osteoporosis and statin treatment, according to a study published online Sept. 26 in Annals of the Rheumatic Diseases.
No Increased Mortality Seen With Paclitaxel Drug-Eluting Devices
THURSDAY, Oct. 9, 2019 (HealthDay News) — Paclitaxel drug-eluting devices used for endovascular revascularization (EVR) of peripheral vessels do not appear to be associated with increased mortality over 11 years compared with uncoated devices, according to a study published online Oct. 9 in the European Heart Journal.
Medicare Fraud-Prevention Rules to Be Revised
WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.
2000 to 2015 Saw Increase in Medicare GME Payments
WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.
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Maintaining Weight Loss Cuts Cardiovascular Risk in T2DM
WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Among individuals with type 2 diabetes, maintaining weight loss is better than weight regain for improving cardiometabolic risk factors, according to a study published online Oct. 9 in the Journal of the American Heart Association.
Out-of-Office BP Readings More Predictive in Black Adults
WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Home-based blood pressure readings are more accurate for non-Hispanic black adults than readings in the physician’s office, according to a study published online Sept. 16 in Hypertension.
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Pregnancy-Related Hypertension Increases Later Heart Disease Risk
WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Hypertensive disorders of pregnancy, including preeclampsia, increase the risk for 12 cardiovascular disorders and chronic hypertension, according to a study published in the Sept. 24 issue of Circulation.
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Dog Ownership May Lower Risk for Death After Major CV Event
TUESDAY, Oct. 8, 2019 (HealthDay News) — Dog ownership is associated with better outcomes after a major cardiovascular event as well as a reduced risk for all-cause mortality, according to a cohort study and a meta-analysis published online Oct. 8 in Circulation: Cardiovascular Quality and Outcomes.
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Cost of Waste in U.S. Health System Estimated
TUESDAY, Oct. 8, 2019 (HealthDay News) — The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.
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Burnout Linked to Poor Quality Care in Published Literature
TUESDAY, Oct. 8, 2019 (HealthDay News) — In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.
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Financial Incentives Have Short-Term Effect on BP Control
MONDAY, Oct. 7, 2019 (HealthDay News) — A patient-centered behavioral economics intervention only yields short-term benefits for blood pressure (BP) control in a highly disadvantaged population, according to a study published online Sept. 12 in the Journal of General Internal Medicine.
Food Insecurity Linked to Chronic Disease in Young Adults
FRIDAY, Oct. 4, 2019 (HealthDay News) — For young adults, food insecurity is associated with chronic disease and with mental health problems, according to two studies published online Oct. 1 in the Journal of General Internal Medicine and the Journal of Adolescent Health.
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PCI, CABG for Left Main CAD Have Similar Five-Year Outcomes
FRIDAY, Oct. 4, 2019 (HealthDay News) — Five-year rates of a composite outcome of death, stroke, and myocardial infarction are similar for patients with left main coronary artery disease following either percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), according to a study published online Sept. 28 in the New England Journal of Medicine. The research was published to coincide with Transcatheter Cardiovascular Therapeutics 2019, the annual meeting of the Cardiovascular Research Foundation, held from Sept. 25 to 29 in San Francisco.
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Survey: Many U.S. Adults Not Planning to Get Flu Vaccine
FRIDAY, Oct. 4, 2019 (HealthDay News) — Many U.S. adults, including some at the highest risk for the flu and pneumonia, do not plan to get preventive vaccines, according to a survey conducted by NORC at the University of Chicago on behalf of the National Foundation for Infectious Diseases.
With Comorbidities, Less Than Six Hours of Sleep Ups Risk for Early Death
FRIDAY, Oct. 4, 2019 (HealthDay News) — Middle-aged adults with high blood pressure, type 2 diabetes, heart disease, or stroke could be at higher risk for cancer and early death when sleeping less than six hours per day, according to a study published online Oct. 2 in the Journal of the American Heart Association.
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2014 to 2018 Saw Drop in Flavored Tobacco Products in Youth
THURSDAY, Oct. 3, 2019 (HealthDay News) — From 2014 to 2018, there was a decrease in current use of one or more flavored tobacco products among youth, according to research published in the Oct. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Risk Calculator Can Help Predict Postmenopausal Morbidity
THURSDAY, Oct. 3, 2019 (HealthDay News) — A new risk prediction calculator can make health risk predictions for several outcomes simultaneously in postmenopausal women, according to a study published online Sept. 16 in Menopause.
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Smartphone-Operated One-Lead ECG Detects A-Fib, Flutter
WEDNESDAY, Oct. 2, 2019 (HealthDay News) — A smartphone-operated one-lead electrocardiography (1L-ECG) device with an integral algorithm can diagnose atrial fibrillation (AF) and atrial flutter (AFL), according to a study published in the September/October issue of the Annals of Family Medicine.
Gradual ACS Symptom Onset Linked to Delay in Presentation for Acute Care
WEDNESDAY, Oct. 2, 2019 (HealthDay News) — For patients with acute coronary syndrome (ACS), having a gradual onset of symptoms is associated with longer prehospital delay, according to a study published online Sept. 11 in the European Journal of Cardiovascular Nursing.
Monitoring HTN Med Adherence Does Not Improve BP Control
WEDNESDAY, Oct. 2, 2019 (HealthDay News) — Interactive interventions to improve medication adherence do not improve blood pressure (BP) control, according to a study recently published in the Journal of General Internal Medicine.
FDA: Pacemakers, Insulin Pumps Could Be Hacking Targets
TUESDAY, Oct. 1, 2019 (HealthDay News) — Medical devices that can connect to the internet might be at risk for hacking, the U.S. Food and Drug Administration warned Tuesday.
Uptitration of Drugs Varies With Target Dosage in Chronic HF
TUESDAY, Oct. 1, 2019 (HealthDay News) — Uptitration of drugs for chronic systolic heart failure stops farther away from the recommended dosage for drugs with higher versus lower recommended dosages, according to a research letter published online Oct. 1 in the Annals of Internal Medicine.
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Marine Omega-3 Supplements May Lower CVD Risk
TUESDAY, Oct. 1, 2019 (HealthDay News) — Marine omega-3 supplementation seems to lower the risk for myocardial infarction, coronary heart disease (CHD) mortality, total CHD events, cardiovascular disease (CVD) mortality, and total CVD events, according to a review published online Sept. 30 in the Journal of the American Heart Association.
Decrease in Stroke Incidence Continued Through 2017 in ARIC
TUESDAY, Oct. 1, 2019 (HealthDay News) — In the Atherosclerosis Risk in Communities (ARIC) study, the decrease in stroke rates reported for 1987 to 2011 extended to 2017, according to a study published online Sept. 30 in JAMA Neurology.
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