Here are what the editors at HealthDay consider to be the most important developments in Cardiology for January 2018. 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.
Characteristics of Asymptomatic Paroxysmal A-Fib Identified
WEDNESDAY, Jan. 31, 2018 (HealthDay News) — For patients with paroxysmal atrial fibrillation (PAF), determinants of asymptomatic status have been identified, and mortality is increased for these patients, according to a study published in the December issue of CHEST.
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Statin, BP Lowering Meds Don’t Impact Erectile Function
TUESDAY, Jan. 30, 2018 (HealthDay News) — For older men with at least one cardiovascular risk factor, treatment with statin and/or pharmacologic blood pressure reduction does not significantly impact erectile function, according to a study published in the January issue of the Canadian Journal of Cardiology.
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Prevalence of PE Low for Patients Presenting to ER With Syncope
MONDAY, Jan. 29, 2018 (HealthDay News) — For patients presenting to the emergency department with syncope, the prevalence of pulmonary embolism (PE) is low, according to a study published online Jan. 29 in JAMA Internal Medicine.
E-Cigarette Smoke Carcinogenic to Murine Lung, Bladder
MONDAY, Jan. 29, 2018 (HealthDay News) — Electronic cigarette (e-cigarette) smoke causes damage to DNA and reduces repair activity in a mouse model and in human cells, according to a study published online Jan. 29 in the Proceedings of the National Academy of Sciences.
Mortality, CVD, T2DM Risks Not Up for Living Kidney Donors
MONDAY, Jan. 29, 2018 (HealthDay News) — Living kidney donors have no increased risks for all-cause mortality, cardiovascular disease, hypertension, type 2 diabetes, or adverse psychological health outcomes, according to a review published online Jan. 30 in the Annals of Internal Medicine.
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Regulators Trying to Reduce Physician Burden Linked to EHR
MONDAY, Jan. 29, 2018 (HealthDay News) — The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics.
Pre-Op Physical Therapy May Cut Pulmonary Complications
MONDAY, Jan. 29, 2018 (HealthDay News) — A 30-minute preoperative physical therapy session focused on breathing exercises is associated with a reduced incidence of postoperative pulmonary complications (PPCs) among patients undergoing upper abdominal surgery, according to a study published online Jan. 24 in The BMJ.
Health Care Spending Up, Mainly Due to Rising Prices
MONDAY, Jan. 29, 2018 (HealthDay News) — Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)’s annual Health Care Cost and Utilization Report.
Hearing Loss Common Among Heart Failure Patients
MONDAY, Jan. 29, 2018 (HealthDay News) — Nearly three-quarters of patients aged 70 or older with heart failure (HF) have hearing loss, according to a research letter published online Jan. 25 in JAMA Otolaryngology-Head & Neck Surgery.
Smokers Have Distorted View of Onset of Adverse Consequences
FRIDAY, Jan. 26, 2018 (HealthDay News) — Compared with nonsmokers, smokers believe the mild and severe adverse consequences of smoking will take a longer time to develop, according to a study published recently in the Journal of Cognitive Psychology.
Left Bundle Branch Block Tied to Left Ventricular Dysfunction
FRIDAY, Jan. 26, 2018 (HealthDay News) — Left bundle branch block (LBBB) is associated with a smaller degree of left ventricular ejection fraction (LVEF) improvement compared with other QRS morphologies, according to a study published in the Jan. 23 issue of the Journal of the American College of Cardiology.
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Odds of Post-Op Mortality Increase As Weekend Approaches
FRIDAY, Jan. 26, 2018 (HealthDay News) — Following elective surgery, the odds of mortality rise in a graded manner as the day of the week of surgery approaches the weekend, according to research published in the February issue of Medical Care.
Diabetes Impacts Mortality in Breast Cancer Patients
FRIDAY, Jan. 26, 2018 (HealthDay News) — Breast cancer-specific mortality remains higher among women with diabetes who have longer diabetes duration or preexisting cardiovascular disease, according to a study published online Jan. 19 in Diabetes Care.
Biomarkers Help Identify CHF Patients Needing Med Titration
THURSDAY, Jan. 25, 2018 (HealthDay News) — Using biomarkers to identify heart failure patients for up-titration of medications may improve mortality and hospitalization rates, according to a study published in the Jan. 30 issue of the Journal of the American College of Cardiology.
Heart Disease, Stroke Risk Up Even Smoking 1 Cigarette/Day
THURSDAY, Jan. 25, 2018 (HealthDay News) — Smoking one cigarette per day is still associated with a significant increased risk of coronary heart disease and stroke, according to research published online Jan. 24 in The BMJ.
Care for Key Surgical Issues Up With ACA Medicaid Expansion
THURSDAY, Jan. 25, 2018 (HealthDay News) — For patients with five common surgical conditions, the Affordable Care Act (ACA)’s Medicaid expansion was associated with increased probability of early presentation and of receiving optimal management, according to a study published online Jan. 24 in JAMA Surgery.
Influenza, Some Viral URIs Increase Risk of Acute MI
WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Certain respiratory infections, especially influenza, are associated with an increased risk of acute myocardial infarction during the first seven days after respiratory specimen collection, according to a study published in the Jan. 25 issue of the New England Journal of Medicine.
Probiotics Tied to Lower Preterm Delivery, Preeclampsia Risk
WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Probiotic milk consumption during pregnancy may be tied to a reduced incidence of preeclampsia and preterm delivery, according to a study published online Jan. 23 in BMJ Open.
In-Hospital Cardiac Arrest Survival Differs With Time of Day
WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Survival after in-hospital cardiac arrest (IHCA) that occurs during off-hours remains lower versus on-hours IHCA, according to a study published in the Jan. 30 issue of the Journal of the American College of Cardiology.
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No Maintenance Period Seen After Weight Loss Plan Completed
TUESDAY, Jan. 23, 2018 (HealthDay News) — Patients may begin to regain weight immediately after completing a weight management program, according to a study published recently in Obesity.
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Out-of-Pocket Expenditures Down With ACA Implementation
TUESDAY, Jan. 23, 2018 (HealthDay News) — Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine.
Available Evidence on Marijuana’s Cardiovascular Effects Is Scant
TUESDAY, Jan. 23, 2018 (HealthDay News) — The evidence examining associations between marijuana use and cardiovascular risk factors and outcomes is limited, according to a review published online Jan. 23 in the Annals of Internal Medicine.
Prevalence of Cigarette Smoking 15.5 Percent in 2016
TUESDAY, Jan. 23, 2018 (HealthDay News) — The prevalence of cigarette smoking was 15.5 percent in 2016, which was not significantly different from the 15.1 percent prevalence in 2015, according to research published in the Jan. 19 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
New ACC/AHA Recs Developed for BP Evaluation, Management
MONDAY, Jan. 22, 2018 (HealthDay News) — New recommendations have been developed for the prevention, detection, evaluation, and management of high blood pressure (BP). The recommendations are summarized in an article published online Jan. 23 in the Annals of Internal Medicine.
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Bikram Yoga Improves Vascular Health With or Without Heat
MONDAY, Jan. 22, 2018 (HealthDay News) — Bikram yoga is associated with endothelium-dependent vasodilation (as measured using brachial artery flow-mediated dilation) in a heated or thermoneutral environment, according to a study published online Jan. 18 in Experimental Physiology.
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Anticoagulation Guidance Issued for Cardiopulmonary Bypass
MONDAY, Jan. 22, 2018 (HealthDay News) — Clinical practice guidelines for anticoagulation therapy for cardiopulmonary bypass (CPB) have been developed and were published in the February issue of the Annals of Thoracic Surgery.
Greater Prior Authorization Requirements Seen for PCSK9i Rx
MONDAY, Jan. 22, 2018 (HealthDay News) — Prior authorization (PA) requirements are greater for proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9is) than for other cardiometabolic drugs, according to a study published online Jan. 11 in Circulation: Cardiovascular Quality and Outcomes.
Sleep Extension Can Lead to Reduced Free Sugar Intake
FRIDAY, Jan. 19, 2018 (HealthDay News) — For adults who are habitually short sleepers, a personalized sleep extension protocol is feasible and may improve diet by reducing sugar intake, according to a study published online Jan. 10 in the American Journal of Clinical Nutrition.
LDL-C Still High in Autosomal Recessive Hypercholesterolemia
FRIDAY, Jan. 19, 2018 (HealthDay News) — For patients with autosomal recessive hypercholesterolemia (ARH), low-density lipoprotein cholesterol (LDL-C) levels remain high despite intensive treatment, according to a study published in the Jan. 23 issue of the Journal of the American College of Cardiology.
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Interactive Simulation Can Affect Activity Intentions in T2DM
FRIDAY, Jan. 19, 2018 (HealthDay News) — An interactive, personalized simulation can change behavioral intentions among individuals with type 2 diabetes mellitus (T2DM), according to a study published in the January to June issue of JMIR Diabetes.
Pharmacist Participation in Stroke Response Cuts Door➜Needle Time
FRIDAY, Jan. 19, 2018 (HealthDay News) — Having a pharmacist at bedside during acute ischemic stroke is associated with significantly shorter door-to-needle (DTN) times, according to a study published recently in the Annals of Pharmacotherapy.
Increased Risk of Complications With Bariatric Surgery
THURSDAY, Jan. 18, 2018 (HealthDay News) — Bariatric surgery is associated with lower risks of obesity-related comorbidities but a clinically important increased risk for complications compared with medical treatment, according to a study published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.
Professionals Disagree About Asking Patients About Sexuality
THURSDAY, Jan. 18, 2018 (HealthDay News) — National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ.
Lap Sleeve Gastrectomy, RYGB Equally Effective in Weight Loss
WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For patients with morbid obesity, there is no statistically significant difference in terms of weight loss at five years after laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.
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Nearly 30 Percent of Veterans Report Current Tobacco Use
WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Overall, 29.2 percent of veterans report current use of one of five tobacco products, according to research published in the Jan. 12 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Brain Is Susceptible to Acute MI, Chronic Heart Failure
WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Acute myocardial infarction (MI) and chronic heart failure have effects on the brain, according to a study published in the Jan. 23 issue of the Journal of the American College of Cardiology.
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Reduced All-Cause Mortality for Obese Patients After Bariatric Sx
TUESDAY, Jan. 16, 2018 (HealthDay News) — Obese patients who undergo bariatric surgery have reduced all-cause mortality; and obese adults with type 2 diabetes who undergo gastric bypass have improved outcomes compared with lifestyle and intensive medical management alone, according to two studies published in the Jan. 16 issue of the Journal of the American Medical Association, a theme issue on obesity.
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Rising BMI Has Slowed Improvement in U.S. Mortality
TUESDAY, Jan. 16, 2018 (HealthDay News) — The rate of improvement in mortality in the United States has been slowed by rising body mass index (BMI), according to a study published online Jan. 15 in the Proceedings of the National Academy of Sciences.
USPSTF: Evidence Lacking for Nontraditional CVD Risk Factors
TUESDAY, Jan. 16, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient to assess the use of nontraditional risk factors for cardiovascular disease (CVD) risk assessment. They also conclude that evidence is lacking for the use of the ankle-brachial index (ABI) to screen for peripheral arterial disease (PAD) in asymptomatic individuals. These findings form the basis of two draft recommendation statements published online Jan. 16 by the USPSTF.
Evidence Review – CVD
Draft Recommendation Statement – CVD
Comment on Recommendation Statement – CVD
Evidence Review – PAD
Draft Recommendation Statement – PAD
Comment on Recommendation Statement – PAD
Wearable Patch Can Assess Heart Failure States
TUESDAY, Jan. 16, 2018 (HealthDay News) — Wearable technology that records cardiac function, along with machine learning algorithms, can assess compensated and decompensated heart failure states, according to a study published online Jan. 12 in Circulation: Heart Failure.
Higher CVD Risk With Early Menarche, Menopause
TUESDAY, Jan. 16, 2018 (HealthDay News) — Reproductive factors, including early menarche and menopause, are associated with increased cardiovascular disease (CVD) risk, according to a study published online Jan. 15 in Heart.
Increased Risk of Thrombosis in Myeloproliferative Neoplasms
TUESDAY, Jan. 16, 2018 (HealthDay News) — Patients with myeloproliferative neoplasms (MPNs) have increased risk of arterial thrombosis and venous thrombosis across all age groups and MPN subtypes, according to a study published online Jan. 16 in the Annals of Internal Medicine.
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Sauna Exposure Improves Cardiovascular Function
TUESDAY, Jan. 16, 2018 (HealthDay News) — Sauna exposure is associated with improvements in cardiovascular function and arterial compliance, according to a study published online Dec. 21 in the Journal of Human Hypertension.
AMA Offering New Nutrition Science Course for Physicians
FRIDAY, Jan. 12, 2018 (HealthDay News) — The American Medical Association (AMA) is offering a three-hour online nutrition course for physicians to help patients make the nutritional changes they need to prevent and help treat heart disease, diabetes, and high blood pressure.
Worry About Deportation May Increase CV Risk Factors
FRIDAY, Jan. 12, 2018 (HealthDay News) — Worry about deportation is significantly tied to higher levels of known cardiovascular risk factors, according to a study published online Jan. 8 in the Annals of Behavioral Medicine.
Duration of Diabetes, Prediabetes Linked to Presence of CAC
FRIDAY, Jan. 12, 2018 (HealthDay News) — Diabetes and prediabetes duration are both independently associated with the presence of coronary artery calcified plaque (CAC) and left ventricular dysfunction, according to a study published online Jan. 9 in Diabetes Care.
AMA Online Tools Address Systems-Level Physician Burnout
THURSDAY, Jan. 11, 2018 (HealthDay News) — Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).
Adherence to Healthy Diet May Cut Effects of Genetics on Obesity
THURSDAY, Jan. 11, 2018 (HealthDay News) — Improving adherence to healthy dietary patterns may help reduce the genetic association with weight gain, according to a study published online Jan. 10 in The BMJ.
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Psoriasis Is Independent Risk Factor for Comorbidity in Children
THURSDAY, Jan. 11, 2018 (HealthDay News) — Children with psoriasis have an increased risk of comorbidities compared to children without psoriasis, independent of obesity, according to a study published online Jan. 10 in JAMA Dermatology.
Closure of Patent Foramen Ovale Cuts Recurrent Stroke/TIA Risk
THURSDAY, Jan. 11, 2018 (HealthDay News) — Percutaneous and transcatheter patent foramen ovale (PFO) closure prevent recurrent stroke in adults with PFO and cryptogenic stroke, according to two reviews published online Jan. 9 in the Annals of Internal Medicine.
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High-Risk Plaque on Coronary CTA Linked to Future MACE
WEDNESDAY, Jan. 10, 2018 (HealthDay News) — For outpatients with stable chest pain, high-risk plaque found by coronary computed tomographic angiography (CTA) is associated with subsequent major adverse cardiovascular events (MACE), according to a study published online Jan. 10 in JAMA Cardiology.
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Economic Impact of Physicians Quantified for 2015
WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.
Predictors of Improved CVD Risk Factors After Bariatric Sx ID’d
WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Increased weight loss, female sex, and younger age predict increased probability of resolution of specific cardiovascular disease risk factors (CVD-RFs) in adolescents undergoing metabolic and bariatric surgery (MBS), according to a study published online Jan. 8 in Pediatrics.
Vitamin D3 Improves Arterial Stiffness in Dose-Response Way
WEDNESDAY, Jan. 10, 2018 (HealthDay News) — For overweight African-Americans with vitamin D deficiency, arterial stiffness is improved by vitamin D3 supplementation in a dose-response manner, according to a study published online Dec. 7 in PLOS ONE.
AICDs Effective for Symptoms, Lethal Arrhythmia in Brugada
WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Implantable cardioverter-defibrillators (ICDs) are effective in young patients with symptomatic Brugada syndrome, according to a study published in the Jan. 16 issue of the Journal of the American College of Cardiology.
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Follow-Up Delta CHA2DS2-VASc Score Better Predicts CVA in A-Fib
TUESDAY, Jan. 9, 2018 (HealthDay News) — Assessing change in the CHA2DS2-VASc score over time is more predictive of ischemic stroke in patients with atrial fibrillation (AF) than the baseline score, according to a study published in the Jan. 16 issue of the Journal of the American College of Cardiology.
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Kidney Injury Common After Non-Kidney Transplants in Children
MONDAY, Jan. 8, 2018 (HealthDay News) — In children who receive a non-kidney solid organ transplant, acute kidney injury (AKI) is common in the first year after surgery and is associated with an increased risk of chronic kidney disease (CKD), according to a study published online Dec. 29 in the American Journal of Transplantation.
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Idiopathic Thrombocytopenic Purpura Tied to Higher CVD Risk
MONDAY, Jan. 8, 2018 (HealthDay News) — There is an increased risk of developing cardiovascular disease (CVD) among patients with idiopathic thrombocytopenic purpura (ITP), especially those who undergo splenectomy, according to a study published online Jan. 3 in the Journal of Thrombosis and Haemostasis.
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CV Exercise Betters Cardiac Aging in Sedentary Middle-Aged Adults
MONDAY, Jan. 8, 2018 (HealthDay News) — Two years of high-intensity exercise training (ExT) is associated with improved maximal oxygen uptake and reduced cardiac stiffness in previously sedentary healthy middle-aged adults, according to a study published online Jan. 8 in Circulation.
Physicians Frequently Continue to Work While Ill
FRIDAY, Jan. 5, 2018 (HealthDay News) — Many physicians continue working and caring for patients while they are sick, according to an article published in Medical Economics.
Hydrochlorothiazide May Up Basal, Squamous Cell Cancer Risk
FRIDAY, Jan. 5, 2018 (HealthDay News) — Hydrochlorothiazide use is associated with an increased risk of non-melanoma skin cancer (NMSC), with evidence of a dose-response relationship, according to a study published online Dec. 3 in the Journal of the American Academy of Dermatology.
Incomplete Revascularization in PCI Linked to Higher Mortality
FRIDAY, Jan. 5, 2018 (HealthDay News) — The risk of mortality is increased for certain patients undergoing percutaneous coronary intervention (PCI) with incomplete revascularization (IR), according to a study published online Dec. 27 in JAMA Cardiology.
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For Hospitals, No Benefit for Early Adoption of Financial Incentives
FRIDAY, Jan. 5, 2018 (HealthDay News) — Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters), according to a study published online Jan. 4 in The BMJ.
CV Morbidity With Hysterectomy Despite Ovarian Conservation
THURSDAY, Jan. 4, 2018 (HealthDay News) — Hysterectomy with ovarian conservation for benign indications is associated with increased risk of cardiovascular and metabolic conditions, according to a study published online Jan. 3 in Menopause.
Certain Stresses, Burnout Causing Some Women to Leave Medicine
THURSDAY, Jan. 4, 2018 (HealthDay News) — Though equal numbers of men and women are now entering medical schools, the majority of physicians are still male, and female physicians face several unique stressors, according to a report published online in Medical Economics.
Impaired Survival With LVEF <60 Percent in Aortic Stenosis
THURSDAY, Jan. 4, 2018 (HealthDay News) — For patients with severe aortic stenosis (AS), left ventricular ejection fraction (LVEF) below 60 percent is associated with impaired survival, according to a study published online Dec. 27 in JACC: Cardiovascular Interventions.
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CVD Risk Up With β2-Agonist, Antimuscarinic Antagonist Start
THURSDAY, Jan. 4, 2018 (HealthDay News) — For patients with chronic obstructive pulmonary disease (COPD), new initiation of inhaled long-acting β2-agonists (LABAs) and long-acting antimuscarinic antagonists (LAMAs) is associated with increased risk of cardiovascular disease (CVD), according to a study published online Jan. 2 in JAMA Internal Medicine.
Best Diet Rankings Revealed for More Than 40 Diet Plans
WEDNESDAY, Jan. 3, 2018 (HealthDay News) — More than 40 diet plans across nine categories have been ranked to help those dieting achieve healthier lifestyles. The results were published Jan. 3 in U.S. News & World Report.
Silent Myocardial Infarction Linked to Heart Failure Risk
WEDNESDAY, Jan. 3, 2018 (HealthDay News) — Silent myocardial infarction (SMI) is associated with an increased long-term risk of heart failure, according to a study published in the Jan. 2 issue of the Journal of the American College of Cardiology.
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Higher Risk of Musculoskeletal Disorders in Some Physicians
WEDNESDAY, Jan. 3, 2018 (HealthDay News) — The prevalence of work-related musculoskeletal disorders (MSDs) appears to be high for at-risk physicians, according to a review published online Dec. 27 in JAMA Surgery.
Broader Statin Use Improves Atherosclerotic CVD Prevention
TUESDAY, Jan. 2, 2018 (HealthDay News) — Guidelines that recommend statins for more people for primary prevention of atherosclerosis are likely to prevent more atherosclerotic cardiovascular disease (ASCVD) events than guidelines that recommend fewer people take statins, according to a study published online Jan. 1 in the Annals of Internal Medicine.
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10 Percent of Heart Recipients Develop De Novo Malignancy
TUESDAY, Jan. 2, 2018 (HealthDay News) — More than one in 10 adult heart transplant recipients develop de novo malignancy between one and five years after transplantation, and this is associated with increased mortality, according to a study published in the Jan. 2 issue of the Journal of the American College of Cardiology.
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Pre-Op Accelerometry Can Assess Cardiopulmonary Fitness
TUESDAY, Jan. 2, 2018 (HealthDay News) — For patients scheduled for major surgery, preoperative accelerometry can assess cardiopulmonary fitness and act as a supplement to formal cardiopulmonary exercise tests, according to a study published online Dec. 12 in Anaesthesia.
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Outcome Scores Predict Discharge Destination Post Stroke
TUESDAY, Jan. 2, 2018 (HealthDay News) — For patients with acute or subacute stroke, outcome measure scores are associated with discharge destination, according to a review published in the January issue of the Journal of Neurologic Physical Therapy.
Pharmaceutical Aids Not Found to Be Helpful for Smoking Cessation
TUESDAY, Jan. 2, 2018 (HealthDay News) — Pharmaceutical aids are not effective for increasing long-term smoking cessation, according to a study published online Dec. 21 in the Journal of the National Cancer Institute.
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