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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for April 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
Review: Need to Strengthen Natural Experiments in Obesity<\/font><\/p>\n MONDAY, April 30, 2018 (HealthDay News) — Based on findings from a systematic review of the literature, recommendations have been developed for improving the evidence for natural experiments in obesity; the review and position paper were published online May 1 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text – Review (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Position Paper (subscription or payment may be required)<\/a><\/p>\n Reforms Suggested for Improving Medical Nutrition Education<\/font><\/p>\n MONDAY, April 30, 2018 (HealthDay News) — Enhancing physician education and training in nutrition is expected to improve engagement in diet counseling for outpatients with atherosclerotic cardiovascular disease (ASCVD), according to an American Heart Association science advisory published online April 30 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Five Healthy Lifestyle Habits Could Add >10 Years to Life<\/font><\/p>\n MONDAY, April 30, 2018 (HealthDay News) — Adopting a healthy lifestyle, with five low-risk lifestyle factors is associated with increased life expectancy, according to a study published online April 30 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n CCHD Newborn Screening May Detect Other Diseases<\/font><\/p>\n MONDAY, April 30, 2018 (HealthDay News) — Critical congenital heart disease (CCHD) newborn screening detects a low percentage of new cases of CCHD, but it can detect other important diseases, according to a study published online April 24 in Pediatrics<\/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 New Clinic Satisfaction Tool Provides Real-Time Feedback<\/font><\/p>\n THURSDAY, April 26, 2018 (HealthDay News) — A new clinic satisfaction tool improves communication and provides real-time feedback, according to a study published online April 14 in Neurosurgery<\/i>.<\/p>\n Abstract\/ Full Text (subscription or payment may be required)<\/a><\/p>\n Sickle Cell Trait Not Linked to Stroke in African-Americans<\/font><\/p>\n FRIDAY, April 27, 2018 (HealthDay News) — For African-Americans, sickle cell trait (SCT) seems not to be associated with the incidence of ischemic stroke, according to a meta-analysis published online April 23 in JAMA Neurology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n ALS by Physician May Improve Traumatic Arrest Outcomes<\/font><\/p>\n FRIDAY, April 27, 2018 (HealthDay News) — For patients with traumatic out-of-hospital cardiac arrest (OHCA), pre-hospital advanced life support (ALS) provided by a physician is associated with increased likelihood of one-month survival, according to a study published online April 25 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Previous Stroke Tied to Higher Risks in Aortic Valve Replacement<\/font><\/p>\n FRIDAY, April 27, 2018 (HealthDay News) — For patients undergoing surgical aortic valve replacement (SAVR), previous stroke is a risk factor for recurrent ischemic stroke and major adverse cardiovascular events (MACE), according to a study published online April 25 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Improvement in Race-Based Disparities in Years of Life Lost<\/font><\/p>\n THURSDAY, April 26, 2018 (HealthDay News) — From 1990 to 2014 there was a decrease in race-based disparities in years of life lost (YLL) in the United States, according to a study published online April 25 in PLOS ONE<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Tenecteplase Appears Superior to Alteplase After Ischemic Stroke<\/font><\/p>\n THURSDAY, April 26, 2018 (HealthDay News) — For patients with ischemic stroke, treatment with tenecteplase within 4.5 hours of symptom onset and before thrombectomy is associated with better outcomes than treatment with alteplase during the same timeframe, according to a study published in the April 26 issue 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 Pros and Cons for E-Cigarettes As Aid to Smoking Cessation<\/font><\/p>\n THURSDAY, April 26, 2018 (HealthDay News) — Evidence relating to the pros and cons of electronic cigarettes (e-cigarettes) as helpful smoking cessation tools is presented and discussed in a head to head article published online April 25 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Saturday Is National Prescription Drug Take Back Day<\/font><\/p>\n THURSDAY, April 26, 2017 (HealthDay News) — The U.S. Drug Enforcement Administration and local agencies are holding the 15th National Prescription Drug Take Back Day across the country this Saturday, April 28.<\/p>\n More Information<\/a><\/p>\n Find a Nearby Collection Site<\/a><\/p>\n Medicare Requiring Hospitals to Post Prices Online<\/font><\/p>\n WEDNESDAY, April 25, 2018 (HealthDay News) — U.S. hospitals will have to post their standard prices online and make it easier for patients to access their electronic medical records, Medicare officials said Tuesday.<\/p>\n More Information<\/a><\/p>\n Lonafarnib May Lower Mortality in Hutchinson-Gilford Progeria<\/font><\/p>\n WEDNESDAY, April 25, 2018 (HealthDay News) — Lonafarnib monotherapy is associated with lower mortality among patients with Hutchinson-Gilford progeria syndrome (HGPS), according to a study published in the April 24 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 Increase in HTN in Children Based on 2017 AAP Guidelines<\/font><\/p>\n WEDNESDAY, April 25, 2018 (HealthDay News) — The prevalence and severity of high blood pressure (BP) in children have increased based on the 2017 American Academy of Pediatrics clinical practice guidelines, according to a study published online April 23 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Lupus Is a Leading Cause of Death in Young Women<\/font><\/p>\n WEDNESDAY, April 25, 2018 (HealthDay News) — Systemic lupus erythematous (SLE) is among the top 20 leading causes of death in females between the ages of 5 and 64 years in the United States, according to a study published online April 18 in Arthritis & Rheumatology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Aortic Stiffness, Concentric LV Remodeling Linked in T2DM<\/font><\/p>\n WEDNESDAY, April 25, 2018 (HealthDay News) — For patients with type 2 diabetes, aortic stiffness is associated with concentric left ventricular (LV) remodeling, according to a study published online April 16 in Diabetes<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Exercise Intervention Doesn’t Improve Walking Ability in PAD<\/font><\/p>\n TUESDAY, April 24, 2018 (HealthDay News) — For patients with peripheral artery disease (PAD), a home-based exercise intervention does not improve walking ability over nine months compared with usual care, according to a study published in the April 24 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Ticagrelor + Aspirin Beneficial After Elective CABG<\/font><\/p>\n TUESDAY, April 24, 2018 (HealthDay News) — For patients undergoing elective coronary artery bypass grafting (CABG), ticagrelor + aspirin is associated with significantly increased saphenous vein graft patency rates compared with aspirin alone, according to a study published in the April 24 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 Electric Cars Safe With Cardiac Implantable Electronic Devices<\/font><\/p>\n MONDAY, April 23, 2018 (HealthDay News) — Electric cars seem to be safe for patients with cardiac implantable electronic devices (CIEDs), and do not result in electromagnetic interference (EMI), according to a study published online April 24 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Patients Prefer Doctors Who Engage in Face-to-Face Visits<\/font><\/p>\n MONDAY, April 23, 2018 (HealthDay News) — Patients prefer physicians who engage in face-to-face (F2F) clinic visits, rather than those using an examination room computer (ERC), according to a research letter published online April 19 in JAMA Oncology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Controlling High Blood Pressure Could Prevent Dementia<\/font><\/p>\n MONDAY, April 23, 2018 (HealthDay News) — Controlling high blood pressure in older African-Americans may prevent future dementia, according to a study published recently in the Journal of General Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n High FGF-23 Linked to Recurrent Cardiac Events After ACS<\/font><\/p>\n FRIDAY, April 20, 2018 (HealthDay News) — Elevated fibroblast growth factor 23 (FGF-23) is associated with increased risk of recurrent major cardiovascular (CV) events in patients after an acute coronary syndrome (ACS), according to a study published online April 18 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Systolic BP Increases at Rapid Rate Above 120 to 125 mm Hg<\/font><\/p>\n FRIDAY, April 20, 2018 (HealthDay News) — After systolic blood pressure (BP) reaches 120 to 125 mm Hg, it increases at a relatively rapid rate toward overt hypertension, according to a study published online March 21 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n In LVSD, Diabetes Tied to Higher Risk of Heart Failure<\/font><\/p>\n FRIDAY, April 20, 2018 (HealthDay News) — In patients with asymptomatic left ventricular systolic dysfunction, diabetes is associated with an increased risk of developing heart failure, according to a study published online April 6 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Delayed Coronary Obstruction Rare After TAVR<\/font><\/p>\n THURSDAY, April 19, 2018 (HealthDay News) — Delayed coronary obstruction (DCO) after transcatheter aortic valve replacement (TAVR) is a rare phenomenon but is associated with a high in-hospital mortality rate, according to a study published in the April 10 issue 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 Number of Cigarettes Smoked Daily Tied to Stroke Risk<\/font><\/p>\n THURSDAY, April 19, 2018 (HealthDay News) — There is a strong dose-response relationship between the number of cigarettes smoked daily and ischemic stroke risk among men younger than 50 years of age, according to a study published online April 19 in Stroke<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Stronger Link With Mortality for Ambulatory Versus Clinic BP<\/font><\/p>\n WEDNESDAY, April 18, 2018 (HealthDay News) — Compared with clinic blood-pressure measurement, ambulatory blood-pressure measurement is more strongly associated with mortality, according to a study published in the April 18 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 Smartphone App May Up Medication Adherence in HTN<\/font><\/p>\n WEDNESDAY, April 18, 2018 (HealthDay News) — Randomization to use of a smartphone app is associated with a small improvement in medication adherence but no change in systolic blood pressure among individuals with poorly controlled hypertension, according to a study published online April 16 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Calcium Channel Blockers May Up Pancreatic Cancer Risk in Women<\/font><\/p>\n TUESDAY, April 17, 2018 (HealthDay News) — Use of short-acting calcium channel blockers (CCBs) is associated with increased risk of pancreatic cancer in postmenopausal women, according to a study presented at the annual meeting of the American Association for Cancer Research, held from April 14 to 18 in Chicago.<\/p>\n Press Release<\/a><\/p>\n More Information<\/a><\/p>\n Caffeine Does Not Appear to Be Linked to Risk of Arrhythmia<\/font><\/p>\n TUESDAY, April 17, 2018 (HealthDay News) — Regular intake of coffee and tea does not appear to be associated with the risk of arrhythmia, according to a review published in the April 1 issue of JACC: Clinical Electrophysiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Social Worker-Led Intervention Beneficial in Heart Failure<\/font><\/p>\n TUESDAY, April 17, 2018 (HealthDay News) — A social worker-led palliative care intervention seems beneficial for patients with advanced heart failure at high risk for mortality, according to a study published online April 11 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Nut Consumption Associated With Reduced Risk of A-Fib<\/font><\/p>\n TUESDAY, April 17, 2018 (HealthDay News) — Nut consumption is associated with reduced risk of atrial fibrillation, according to a study published online April 16 in Heart<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Recommendations Developed on Gender Equity in Medicine<\/font><\/p>\n MONDAY, April 16, 2018 (HealthDay News) — In a position paper published online April 17 in the Annals of Internal Medicine<\/i>, recommendations are provided aimed at addressing gender equity in physician compensation and career advancement opportunities.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Similar Outcomes for Transplant With Overdose-Death Donors<\/font><\/p>\n MONDAY, April 16, 2018 (HealthDay News) — Transplantation of organs from overdose-death donors (ODDs) is associated with similar five-year patient survival and graft survival as organs from trauma-death donors (TDDs) and medical-death donors (MDDs), according to a study published online April 17 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 Women Less Likely to Fill Post-MI Statin Prescription<\/font><\/p>\n MONDAY, April 16, 2018 (HealthDay News) — Women are less likely than men to fill a prescription for high-intensity statins after hospitalization for myocardial infarction (MI), according to a study published in the April 24 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 Cigarette Smoking a Risk Factor for Heart Failure in Blacks<\/font><\/p>\n MONDAY, April 16, 2018 (HealthDay News) — Cigarette smoking is a risk factor for left ventricular (LV) hypertrophy, systolic dysfunction, and incident heart failure hospitalization in blacks, according to a study published online April 16 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Nonoptimized Drug Therapy Costs More Than $500 Billion Annually<\/font><\/p>\n MONDAY, April 16, 2018 (HealthDay News) — The estimated annual cost of drug-related morbidity and mortality resulting from nonoptimized medication therapy is more than half a trillion dollars in the United States, according to a study published online March 26 in the Annals of Pharmacotherapy<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Negative Affect That Lingers Tied to Health 10 Years Later<\/font><\/p>\n FRIDAY, April 13, 2018 (HealthDay News) — Negative affect that lingers is associated with worse physical health outcomes almost 10 years later, according to a study published online March 19 in Psychological Science<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Review: Lowest Mortality Risk Seen With \u2264100 g Alcohol\/Week<\/font><\/p>\n FRIDAY, April 13, 2018 (HealthDay News) — For current alcohol drinkers, the threshold for the lowest risk of all-cause mortality is about 100 g\/week, according to a review published in the April 14 issue of The Lancet<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Rapid Deployment Valve for Aortic Stenosis Ups Stroke Risk<\/font><\/p>\n FRIDAY, April 13, 2018 (HealthDay News) — For patients with aortic valve stenosis, treatment with a rapid deployment valve (RDV) is associated with increased rates of new-onset pacemaker implantation and disabling stroke, compared with conventional biological valves (CBVs), according to a study published in the April 3 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 Recent Years Saw Increase in Burden of Prior Authorization<\/font><\/p>\n THURSDAY, April 12, 2018 (HealthDay News) — The burden of prior authorization (PA) has increased over the past five years, and 92 percent of physicians report associated delays in access to care, according to the results of a survey published by the American Medical Association (AMA).<\/p>\n Abstract\/Full Text<\/a><\/p>\n CVD Burden Decreased From 1990 to 2016 Across U.S.<\/font><\/p>\n THURSDAY, April 12, 2018 (HealthDay News) — From 1990 to 2016 there were decreases in cardiovascular disease (CVD) disability-adjusted life years (DALYs) in all states across the United States, according to a study published online April 11 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Vascular Dysfunction Linked to Greater Symptoms of Menopause<\/font><\/p>\n THURSDAY, April 12, 2018 (HealthDay News) — Menopause-related general somatic symptom frequency and severity are inversely associated with arterial stiffness and endothelial function among women across the stages of menopause, according to a study published online April 11 in Menopause<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Cigarette Price Hike Would Provide More Gains for the Poor<\/font><\/p>\n THURSDAY, April 12, 2018 (HealthDay News) — An increase in the market prices of cigarettes would provide more health and financial gains to the poorest 20 percent of the population, according to a study published online April 11 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Higher Mortality Risk Seen for ‘Night Owls’<\/font><\/p>\n THURSDAY, April 12, 2018 (HealthDay News) — Individuals with a later chronotype have increased mortality risk, according to a study published online April 12 in Chronobiology International<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Workplace Noise Exposure Affects Cardiovascular Risk Factors<\/font><\/p>\n THURSDAY, April 12, 2018 (HealthDay News) — Hypertension, elevated cholesterol, and hearing difficulty are more prevalent among noise-exposed workers, according to a study published online March 14 in the American Journal of Industrial Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n No Higher Cancer Risk Seen for Heart Failure Patients<\/font><\/p>\n THURSDAY, April 12, 2018 (HealthDay News) — Heart failure is not associated with an increased risk of cancer, according to a study published in the April 10 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 Declines Seen in Cardiovascular Risk Factors From 1990 to 2010<\/font><\/p>\n WEDNESDAY, April 11, 2018 (HealthDay News) — Among adults aged 40 years and older, cardiovascular risk decreased in men from 1990 to 2010 and increased followed by a decrease in women over the same time period, according to a study published online March 22 in Aging Clinical and Experimental Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n No Reduced CVD Risk for SBP <120 mm Hg in Type 2 Diabetes<\/font><\/p>\n WEDNESDAY, April 11, 2018 (HealthDay News) — For patients with type 2 diabetes mellitus (T2DM), there is no reduction in cardiovascular disease (CVD) risk with achieved systolic blood pressure (SBP) of <120 mm Hg versus <130 or <140 mm Hg, according to a study published online March 28 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Civilian Prehospital Tourniquets Linked to Reduction in Mortality<\/font><\/p>\n WEDNESDAY, April 11, 2018 (HealthDay News) — Civilian prehospital tourniquet application is associated with a six-fold mortality reduction in patients with peripheral vascular injuries, according to a study published in the Journal of the American College of Surgeons<\/i>.<\/p>\n