Monthly Archive: May 2016

May 31

Study suggests inability to return to work as an additional quality metric for care of heart failure

A new registry study from Denmark presented at the European Society of Cardiology (ESC) Heart Failure 2016 on May 22, 2016 in Florence, Italy, among nearly 12,000 patients employed before a first-time hospitalization for heart failure, 25.1% did not return to their jobs during the following year. Significant predictors of returning to work included being …

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May 27

Late AF recurrences arise from triggers outside the pulmonary vein

In patients with paroxysmal atrial fibrillation (AF) undergoing extended pulmonary vein antrum isolation, the rate of late recurrence is lower than what previously reported with segmental or less extensive antral isolation as reported online in May 2016 issue of Circulation: Arrhythmia and Electrophysiology. But, after 12 years of follow-up, nearly 14% of patients developed recurrence …

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May 26

Cardiorespiratory fitness is inversely associated with lower risk of AF

Cardiorespiratory fitness is inversely and independently associated with lower risk for developing atrial fibrillation (AF) in diabetic or hypertensive individuals, says a new study presented May 14, 2016 at the American Society of Hypertension (ASH) 2016 Annual Scientific Meeting. For every 1-MET increase in exercise capacity, the risk of AF was 29% lower. The risk …

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May 25

Daily glucose fluctuations may affect vessel healing post stunting

Glucose fluctuation may affect vessel healing after everolimus-eluting stent (EES) implantation in patients with CAD who are receiving lipid-lowering therapy, says a study reported May 21, 2016 in the journal Cardiovascular Diabetology. Therefore, glucose fluctuations may be an important target for secondary prevention after coronary stenting, which is independent of dyslipidemia control………

May 24

A single blood test may rule out acute MI

Results of TRAPID-AMI study published May 14, 2016 in the journal of Academic Emergency Medicines have shown that in the absence of ECG ischemia, the detection of very low levels of hs-cTnT at admission may help to rapidly and safely exclude acute myocardial infarction in one-third of patients without serial sampling. This could be used …

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May 18

Upper extremity DVT associated with greater mortality and hemodynamic instability

A large study of hospitalized patients demonstrated that upper-extremity deep vein thrombosis is less prevalent than lower-extremity deep vein thrombosis (0.19 vs 0.96 per 100,000 hospitalizations), but the outcomes are worse. Also, for patients with deep vein thrombosis, mortality rates and the prevalence of hemodynamically unstable pulmonary embolism are significantly higher when the upper extremities …

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May 17

Tighter control of hypertension will not hasten decline for older adults

Subanalyses of the landmark SPRINT trial reported at the American Society of Hypertension Annual Scientific Meeting, which concludes today in New York, USA showed that its under 120 mm Hg systolic target didn’t accelerate cognitive or physical decline, nor did it amplify the effect of older age on syncope and falls compared with the standard …

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May 13

Low-dose IV Alteplase may reduce risk of intracerebral haemorrhage in acute ischemic stroke

A low dose of tissue plasminogen activator (tPA, alteplase) was safer in terms of intracerebral hemorrhage (ICH) rates but missed the noninferiority criteria that made up the primary efficacy endpoint in the Enhanced Control of Hypertension and Thrombolysis Stroke Study (ENCHANTED) trial in patients with acute stroke. The results were presented May 10 at the …

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May 11

Risk directed interventions in PCI to reduce bleeding events

A quality-improvement program, evaluating patients, scheduled for PCI, for bleeding risk to determine whether they should be anticoagulated with bivalirudin or heparin–resulted in a decline in bivalirudin use and a progressive decline in the incidence of bleeding. Risk adjusted bleeding event rates decreased by 40% (6.30% to 3.78%). The reduced use of anticoagulation also significantly …

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May 09

Treatment of AF with long term warfarin increases risk of dementia

The presence of AF significantly increases risk of dementia, including Alzheimer’s disease, according to data from a 7-year follow-up presented May 5, 2016 at the Heart Rhythm Society (HRS) 2016 Scientific Sessions. Patients with AF were older, and had higher rates of hypertension, diabetes, heart failure and stroke. They also had higher rates of total …

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