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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for September 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.<\/p>\n
Increased Cardiovascular Risk for Diclofenac Initiators<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — Diclofenac initiators have increased cardiovascular risk compared with non-initiators, according to a study published online Sept. 4 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Handheld Device Inspired by Star Trek May Allow Rapid Diagnosis<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — A device inspired by the Star Trek famous tricorder device pairs a handheld sensor with a smartphone app to measure the levels of various metabolites associated with multiple diseases in fluid samples from patients, according to a report published in an upcoming issue of Biosensors and Bioelectronics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Physicians Often Don’t Address Their Burnout<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Implementing EMRs Affects Time Spent With Patients in Clinic<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — Following a six-month learning period to implement an electronic medical record (EMR) system, outpatient orthopedic clinics return to pre-implementation efficiency, but there may be other lasting effects on productivity, according to a study published in the Sept. 19 issue of The Journal of Bone & Joint Surgery<\/i>.<\/p>\n Abstract\/ Full Text<\/a><\/p>\n Cardioverter-Defibrillator Vests Do Not Cut Sudden Death Post MI<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — Wearing a cardioverter-defibrillator does not reduce arrhythmic death in patients with acute myocardial infarction and an ejection fraction of 35 percent or less, according to a study published in the Sept. 27 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Strategies to Cut Cardiovascular Risk Factors Show Mixed Results<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — Cardiovascular disease (CVD) risk factors remain prevalent despite known, proven strategies to reduce risk, according to research published in the Sept. 7 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Business Degree Increasingly Useful for Doctors<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Guidelines Updated for Adult Congenital Heart Disease<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — Updated guidelines have been developed for management of adult congenital heart disease (ACHD), according to a report published online Aug. 16 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Practices Should Set Rules for Staff Social Media Use<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Time to Defib Not Linked to Survival in Pediatric IHCA<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — For pediatric patients with in-hospital cardiac arrest (IHCA), time to first defibrillation attempt is not associated with survival, according to a study published online Sept. 21 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Burnout, Career Choice Regret Prevalent in U.S. Residents<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n PCI, CABG Both Acceptable for CKD Patients With LMCAD<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — For patients with left main coronary artery disease (LMCAD), those with and without chronic kidney disease (CKD) undergoing revascularization have similar long-term outcomes with percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG), according to a study published in the Aug. 14 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Policies Should Encourage Healthy Food Consumption<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Diet is an important component that impacts cardiovascular risk, and policies should be implemented to improve dietary composition, according to an article published in the Aug. 21 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Enlarged Kidneys in Neonates With Congenital Heart Disease<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Neonates with congenital heart disease (CHD) have enlarged kidneys on average, according to a study published online Sept. 11 in Pediatric Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Many Countries Failing on Non-Communicable Dz Death Targets<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Many countries are falling short on targets to reduce mortality from non-communicable diseases (NCDs), according to a study published in the Sept. 22 issue of The Lancet<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Lorcaserin Facilitates Weight Loss in Overweight, Obese<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Lorcaserin facilitates sustained weight loss without increasing the rate of major cardiovascular events among overweight or obese patients, according to a study published in the Sept. 20 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Lack of CHD4 Leads to Abnormal Myofibrils, Heart Defects<\/font><\/p>\n TUESDAY, Sept. 25, 2018 (HealthDay News) — The absence of CHD4 in heart cells results in inappropriate production of non-cardiac muscle proteins, which subsequently leads to heart defects, according to an animal study published recently in the Proceedings of the National Academy of Sciences<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Physician-Group ACOs Generate Medicare Savings<\/font><\/p>\n TUESDAY, Sept. 25, 2018 (HealthDay News) — Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n In 2016, Proportion of Uninsured Americans Down to 10 Percent<\/font><\/p>\n TUESDAY, Sept. 25, 2018 (HealthDay News) — From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.<\/p>\n More Information<\/a><\/p>\n Total Diabetes at 14 Percent in U.S. Adults for 2013-2016<\/font><\/p>\n TUESDAY, Sept. 25, 2018 (HealthDay News) — The prevalence of diabetes was 14.0 percent among U.S. adults in 2013 to 2016, with prevalence of undiagnosed diabetes 4.3 percent, according to a September data brief published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n New Risk Factors Identified for Varicose Vein Disease<\/font><\/p>\n MONDAY, Sept. 24, 2018 (HealthDay News) — New risk factors have been identified for varicose vein disease, including height, according to a study published online Sept. 24 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Net Benefit of Anticoagulants for A-Fib Varies With Stroke Rate<\/font><\/p>\n MONDAY, Sept. 24, 2018 (HealthDay News) — There is variation in the net clinical benefit of anticoagulants based on variation in published atrial fibrillation (AF) stroke rates, according to a study published online Sept. 25 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Heart Failure Patients Enrolled in Hospice Use Less Health Care<\/font><\/p>\n MONDAY, Sept. 24, 2018 (HealthDay News) — Patients with advanced heart failure enrolled in hospice have fewer emergency department visits, hospital days, and intensive care unit (ICU) stays, according to a study published in the September issue of JACC: Heart Failure<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Some Clinicians, Patients Record Clinic Visits for Patient Use<\/font><\/p>\n FRIDAY, Sept. 21, 2018 (HealthDay News) — A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient’s personal use, according to a study published in the September issue of the Journal of Medical Internet Research<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Mortality Rate From Heart Failure Higher in Women Than Men<\/font><\/p>\n FRIDAY, Sept. 21, 2018 (HealthDay News) — Despite decreases in overall heart failure incidence and mortality in ambulatory patients from 2009 to 2014, mortality rates remain higher in women than in men, according to a study recently published in CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Dozens of Medical Groups Join Forces to Improve Diagnoses<\/font><\/p>\n FRIDAY, Sept. 21, 2018 (HealthDay News) — Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed — resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).<\/p>\n More Information<\/a><\/p>\n Study Provides Estimates of U.S. Prevalence of Type 1, 2 Diabetes<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — The prevalence of type 1 and type 2 diabetes is 0.5 and 8.5 percent, respectively, among U.S. adults, according to a study published online Sept. 4 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Research Links Doctor Burnout to Patient Safety Incidents<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Allopurinol Dose Escalation for Gout Doesn’t Improve Mortality<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Allopurinol dose escalation is not associated with reductions in mortality risk among patients with gout, according to a study published in the August issue of Arthritis & Rheumatology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Cardiac Monitoring Needed for High-Risk Breast Cancer Patients<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Risk of cardiotoxicity is higher for patients receiving trastuzumab and\/or anthracyclines for the treatment of breast cancer, according to a study published in the Aug. 1 issue of JACC: Cardiovascular Imaging<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Hospitals Charge 479 Percent of Cost of Drugs on Average<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).<\/p>\n More Information<\/a><\/p>\n Statins Improve Long-Term Survival After AAA Repair<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Preoperative statin therapy is associated with higher long-term survival following abdominal aortic aneurysm (AAA) repair, according to a study published in the August issue of the Journal of Vascular Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Residents Should Take Advantage of Paid Time Off<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n No Clear Benefit for Rivaroxaban After Hospital Discharge<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Rivaroxaban does not lower risk of symptomatic venous thromboembolism and related death in medical patients after hospital discharge, compared to placebo, according to a study published in the Sept. 20 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Global Prevalence of Insufficient Activity 27.5 Percent<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n HTN Tx Intensification Common Upon Discharge in U.S. Vets<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Fourteen percent of older adults hospitalized with non-cardiac conditions are discharged with intensified antihypertensive treatment, of whom more than half had previously well-controlled outpatient blood pressure, according to a study published online Sept. 12 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Cardiac MR With Contrast Feasible in Developing World<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — A cardiac magnetic resonance (CMR) with contrast protocol is feasible for implementation in the developing world and can impact management, according to a study published in the Sept. 4 issue of the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n EPA Plan Will Maintain Carbon Emissions From Power Plants<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The U.S. Environmental Protection Agency (EPA) has formally released its proposal to replace the Clean Power Plan with the Affordable Clean Energy Rule, which will keep carbon emissions from power plants constant, according to a report published by the American Thoracic Society.<\/p>\n More Information<\/a><\/p>\n 20% of Children, Adolescents Use Prescription Medications<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Almost 20 percent of children and adolescents used prescription medications in 2013 to 2014, and 8.2 percent of concurrent users of prescription medications in 2009 to 2014 were at risk for a potentially major drug-drug interactions (DDIs), according to a study published in the September issue of Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Patient Health Information Often Shared Electronically<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Tafamidis Treats Transthyretin Amyloid Cardiomyopathy<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — In patients with transthyretin amyloid cardiomyopathy, treatment with tafamidis reduces all-cause mortality and cardiovascular-related hospitalizations versus placebo, according to a study published in the Sept. 13 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Scribes Improve Physician Workflow, Patient Interaction<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions, according to a study published online Sept. 17 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Drug Prices Increase More Than Expected After Shortages<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Compliance With Requirement to Report Results on EUCTR Is Poor<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission’s requirement that all trials post results to the registry within 12 month of completion, according to a study published online Sept. 13 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Tips for Advising Patients Living in Highly Polluted Settings<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — Clinicians advising families living overseas in highly polluted settings should understand their patients’ concerns and have a network of resources to draw upon for guidance, according to an article published in the Aug. 1 issue of the Annals of the American Thoracic Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Ranolazine Doesn’t Cut VT, VF, Death in High-Risk ICD Patients<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — For high-risk patients with implantable cardioverter-defibrillators (ICDs), ranolazine does not significantly reduce the risk of ventricular tachycardia (VT) or ventricular fibrillation (VF) requiring appropriate ICD therapy, or death, according to a study published in the Aug. 7 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Proportion of Female Authors Rising in Cardiology Literature<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — Over the last two decades, the proportion of women in the first and senior authorship positions has increased in academic cardiology literature, according to an article published in the Aug. 7 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n FDA Approves Device for Acute Coronary Artery Perforations<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — The PK Papyrus Covered Coronary Stent System has been approved by the U.S. Food and Drug Administration to treat acute coronary artery perforations.<\/p>\n More Information<\/a><\/p>\n Use of Aspirin in Healthy Elderly Questioned in Three Studies<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — Low-dose aspirin appears to have limited effect on healthy life span in older people, according to three studies published online Sept. 16 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text 1<\/a><\/p>\n Abstract\/Full Text 2<\/a><\/p>\n Abstract\/Full Text 3<\/a><\/p>\n Mercury in Traditional Tibetan Medicine Could Be Harmful<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — The high mercury (Hg) concentration contained in traditional Tibetan medicine (TTM) could be harmful to humans and contribute to the environmental Hg burden in Tibet, according to a study published in the Aug. 7 issue of Environmental Science & Technology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Model Estimates Mortality in Patients Waiting for Hearts<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — For patients with advanced heart failure who are listed for transplantation, mortality risk is related to adverse events and end-organ dysfunction that vary over time, according to a study published in the Aug. 7 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Drug Prices Seem Not to Be Influenced by Their Value<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — For commonly prescribed cardiovascular drugs, there is no evidence that drug prices are influenced by their value, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n