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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for May 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
No Consistent Cardiovascular Benefit Seen for Supplements<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — The data on popular supplements show no consistent cardiovascular benefit, according to a study published in the June 5 issue of the Journal of the American College of Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CVD Risk Up Even in Metabolically Healthy Obese Women<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — Obesity is associated with increased risk of cardiovascular disease risk even among metabolically healthy women, according to a study published online May 30 in The Lancet Diabetes & Endocrinology<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care<\/font><\/p>\n THURSDAY, May 31, 2018 (HealthDay News) — The widespread shortages of injectable opioids and small-volume parenteral (SVP) solutions are jeopardizing patient care and placing a strain on hospital operations, according to a report published by the American Society of Health-System Pharmacists (ASHP).<\/p>\n More Information<\/a><\/p>\n Annual Health Care Expenditure Higher for Hypertensive Patients<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — Individuals with hypertension have a higher annual adjusted incremental expenditure of $1,920, according to a study published online May 30 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Genomic Medicine Will Help Shift Cardio Care to Proactive Approach<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — Genomic medicine is likely to help clinical care shift from a reactive to a proactive approach, especially in the field of cardiovascular medicine, according to a scientific statement from the American Heart Association published online May 29 in Circulation: Genomic and Precision Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: Outpatient Rehab Rates Suboptimal for Stroke Survivors<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — In 2015, 35.5 percent of adult stroke survivors used outpatient rehabilitation, up from 31.2 percent in 2013, according to research published in the May 25 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 Does Higher Protein Intake Up Heart Failure Risk in Men?<\/font><\/p>\n WEDNESDAY, May 30, 2018 (HealthDay News) — Higher dietary protein intake is associated with a trend toward increased heart failure risk among middle-aged men, according to a study published online May 29 in Circulation: Heart Failure<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n New Hypertension Guideline Discussed for Older Adults<\/font><\/p>\n TUESDAY, May 29, 2018 (HealthDay News) — Clinicians caring for older adults with hypertension should be mindful of the specific blood pressure (BP) goals proven to reduce cardiovascular disease events, while adopting the new 2017 American College of Cardiology\/American Heart Association (ACC\/AHA) hypertension guideline, according to an article published online May 20 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Reduced-Dose Anticoagulants Feasible for Extended VTE Tx<\/font><\/p>\n TUESDAY, May 29, 2018 (HealthDay News) — For an extended duration, reduced-dose direct oral anticoagulants (DOACs) may be as effective as full-dose treatment for preventing recurrent venous thromboembolism (VTE), according to a review published online May 17 in the Journal of Thrombosis and Haemostasis<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Increase in Tx Candidates With 2017 Hypertension Guidelines<\/font><\/p>\n FRIDAY, May 25, 2018 (HealthDay News) — The 2017 American College of Cardiology\/American Heart Association hypertension guideline is associated with an increase in the proportion of adults recommended for antihypertensive treatment compared with the 2014 guideline, according to a study published online May 23 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial 1 (subscription or payment may be required)<\/a><\/p>\n Editorial 2 (subscription or payment may be required)<\/a><\/p>\n Severe Atopic Eczema Tied to Higher CV Disease Risk<\/font><\/p>\n FRIDAY, May 25, 2018 (HealthDay News) — Adults with severe atopic eczema are at increased risk of cardiovascular disease, according to a study published online May 23 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Mortality Still High After Surgery for Congenital Heart Defects<\/font><\/p>\n FRIDAY, May 25, 2018 (HealthDay News) — Long-term mortality after congenital heart surgery is higher than that of the general population for all forms of congenital heart defects (CHDs), according to a study published in the May 29 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 60-Day Mortality Not Significantly Lower With ECMO in ARDS<\/font><\/p>\n FRIDAY, May 25, 2018 (HealthDay News) — For patients with very severe acute respiratory distress syndrome (ARDS), 60-day mortality is not significantly lower with venovenous extracorporeal membrane oxygenation (ECMO) than with continued conventional treatment, according to a study published online in the May 24 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 Congress Approves Bill Expanding Private Care for VA Patients<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — Patients served by the beleaguered Veterans Affairs health system may have wider access to private care, thanks to a bill approved Wednesday by the Senate. President Donald Trump is known to support the bill, which now awaits his signature.<\/p>\n AMA Statement<\/a><\/p>\n More Information<\/a><\/p>\n Atherosclerotic CVD Mortality Higher in South Asians in the U.S.<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — South Asians in the United States have increased proportional mortality rates from atherosclerotic cardiovascular disease (ASCVD), although there are no unique risk factors in this population, according to a scientific statement from the American Heart Association published online May 24 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Financial Incentives May Up Rates of Smoker Abstinence<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — Financial incentives added to free cessation aids can improve the rate of sustained abstinence among smokers, according to a study published online May 23 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Social Isolation Tied to Worse Heart Failure Outcomes<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — Greater perceived social isolation is associated with an increased risk of death and health care use among patients with heart failure, according to a study published online May 23 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Global Variation in Personal Health Care Access and Quality<\/font><\/p>\n THURSDAY, May 24, 2018 (HealthDay News) — There is considerable global variation in personal health care access and quality, according to a study published online May 23 in The Lancet<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Pediatricians Should Advocate for Life Support Training<\/font><\/p>\n WEDNESDAY, May 23, 2018 (HealthDay News) — Pediatricians should advocate for life support training for children, parents, caregivers, school personnel, and the public, according to a technical report and policy statement published online May 23 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text – Technical Report<\/a><\/p>\n Abstract\/Full Text – Policy Statement<\/a><\/p>\n Morbidity in Pregnancy Common for Women With Heart Disease<\/font><\/p>\n WEDNESDAY, May 23, 2018 (HealthDay News) — For women with heart disease, cardiac complications occur in 16 percent of pregnancies and are mainly linked to arrhythmias and heart failure, according to a study published in the May 29 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 Extended INR Test Intervals Safe for Warfarin-Treated Patients<\/font><\/p>\n WEDNESDAY, May 23, 2018 (HealthDay News) — For stable warfarin-treated patients, extended international normalized ratio (INR) testing can be successfully and safely implemented, according to a study published online May 15 in the Journal of Thrombosis and Haemostasis<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Less Driving Tied to Lower Cardiovascular Disease Risk<\/font><\/p>\n WEDNESDAY, May 23, 2018 (HealthDay News) — More active alternatives to the car for travel are associated with a reduced risk of cardiovascular disease (CVD) and all-cause mortality, according to a study published online May 21 in Heart<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Post-Surgical Readmissions Higher Among Homeless Veterans<\/font><\/p>\n TUESDAY, May 22, 2018 (HealthDay News) — Readmissions are higher in homeless veterans discharged to the community after surgery, compared to housed veterans, according to a study published in the June issue of Medical Care<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Daily Egg Consumption Linked to Reduced CVD Risk <\/font><\/p>\n TUESDAY, May 22, 2018 (HealthDay News) — A moderate level of egg consumption is associated with a reduced risk of cardiovascular disease (CVD), according to a study published online May 21 in Heart<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: No Change in Level of Uninsured in U.S. in 2017<\/font><\/p>\n TUESDAY, May 22, 2018 (HealthDay News) — Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016, according to a report published online May 22 by the U.S. Centers for Disease Control and Prevention’s National Centers for Health Statistics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Starting Exercise Even in Older Age Cuts Heart Failure Risk<\/font><\/p>\n MONDAY, May 21, 2018 (HealthDay News) — Increasing patients’ physical activity is an effective strategy to lower future risk of heart failure, according to a study published in the May issue of Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Depression-Heart Rate Variability Link Is Bidirectional<\/font><\/p>\n MONDAY, May 21, 2018 (HealthDay News) — There is a bidirectional association between depression and heart rate variability (HRV), according to a study published online May 16 in JAMA Psychiatry<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Language Used in Medical Record Can Affect Patient Care<\/font><\/p>\n FRIDAY, May 18, 2018 (HealthDay News) — Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making, according to a study published in the May issue of the Journal of General Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Proportion of Drug-Intoxicated Organ Donors on the Rise in U.S.<\/font><\/p>\n FRIDAY, May 18, 2018 (HealthDay News) — The drug abuse epidemic in the United States has been associated with an increase in the recovery of organs from brain-dead donors, according to a research letter published in the May 17 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Ischemic Heart Disease, CHF Mortality Vary Across VA Systems<\/font><\/p>\n FRIDAY, May 18, 2018 (HealthDay News) — Risk-standardized mortality rates for ischemic heart disease (IHD) and chronic heart failure vary across Veterans Affairs Medical Centers (VAMCs), according to a study published online May 16 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Higher Adiposity Increases Odds of Smoking<\/font><\/p>\n FRIDAY, May 18, 2018 (HealthDay News) — Obesity is linked to an increased risk of smoking and an increase in the number of cigarettes smoked daily, according to a study published online May 16 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure<\/font><\/p>\n THURSDAY, May 17, 2018 (HealthDay News) — Acute kidney injury (AKI) is independently associated with a higher risk of cardiovascular events, especially heart failure, after hospital discharge, according to a study published online May 17 in the Clinical Journal of the American Society of Nephrology<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Seafood Recommended 1 to 2 Times\/Week for Cardiac Benefit<\/font><\/p>\n THURSDAY, May 17, 2018 (HealthDay News) — One to two servings of seafood per week is recommended for cardiovascular benefits, according to an American Heart Association science advisory published online May 17 in Circulation<\/i>.<\/p>\n Abstract \/Full Text (subscription or payment may be required)<\/a><\/p>\n More Variants in DCM-Tied Genes in Alcoholic Cardiomyopathy<\/font><\/p>\n THURSDAY, May 17, 2018 (HealthDay News) — Patients with alcoholic cardiomyopathy (ACM) have more variants in dilated cardiomyopathy (DCM)-associated genes than those without ACM, according to a study published in the May 22 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 Nonprofit Manufacturer Could Keep Generic Drug Costs Down<\/font><\/p>\n WEDNESDAY, May 16, 2018 (HealthDay News) — A nonprofit manufacturer could help keep generic drug prices down and maintain their supply, according to a perspective piece published in the May 17 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Doctors May Avoid Performing PCI Due to Public Reporting<\/font><\/p>\n WEDNESDAY, May 16, 2018 (HealthDay News) — Current percutaneous coronary intervention (PCI) public reporting programs could have negative effects, with physicians avoiding PCI in high-risk patients, according to a study published online May 9 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Best Practices Developed for Use of EHR to Enhance Patient Care<\/font><\/p>\n WEDNESDAY, May 16, 2018 (HealthDay News) — Best practices have been developed for using electronic health records (EHRs) to enhance patient-centered care, according to an article published online in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Hyoscyamine Helps in A-Fib With Slow Ventricular Response<\/font><\/p>\n TUESDAY, May 15, 2018 (HealthDay News) — Hyoscyamine can prevent pacemaker placement in a patient with symptoms caused by a slow ventricular response during atrial fibrillation, according to a case study published online May 15 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n High Occupational Exercise Level Tied to Early Mortality in Men<\/font><\/p>\n TUESDAY, May 15, 2018 (HealthDay News) — High levels of occupational physical activity in men are associated with an increased risk of early mortality, according to a review published online May 14 in the British Journal of Sports Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Early Post-Op APAP Exposure May Cut AKI Risk in Peds Cardiac Sx<\/font><\/p>\n TUESDAY, May 15, 2018 (HealthDay News) — For pediatric patients undergoing cardiac surgery, early postoperative acetaminophen exposure may be associated with a reduced rate of acute kidney injury (AKI), according to a study published online May 14 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Maternal Exposure to Polluted Air Tied to Elevated Child BP<\/font><\/p>\n MONDAY, May 14, 2018 (HealthDay News) — Exposure to ambient air pollution in the third trimester of pregnancy is associated with increased risk of elevated blood pressure (BP) among offspring, according to a study published online May 14 in Hypertension<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Malnutrition Is Associated With Poor Prognosis in Heart Failure<\/font><\/p>\n FRIDAY, May 11, 2018 (HealthDay News) — Patients with heart failure frequently have malnutrition, which is associated with increased mortality, according to a study published online May 9 in JACC: Heart Failure<\/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 FDA Targets Clinics Offering Unapproved Stem Cell Therapies<\/font><\/p>\n THURSDAY, May 10, 2018 (HealthDay News) — The U.S. Food and Drug Administration has launched legal action to stop two stem cell clinics from providing unapproved treatments that have caused serious, long-term harm to some patients.<\/p>\n More Information<\/a><\/p>\n Ob-Gyns Should Play Role in Reducing CVD Risk for Women<\/font><\/p>\n THURSDAY, May 10, 2018 (HealthDay News) — Obstetrician-gynecologists (ob-gyns) can help promote risk identification and reduction of cardiovascular disease among women at well-women visits, according to an American Heart Association\/American College of Obstetrics and Gynecology presidential advisory published online May 10 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Regulatory Requirements Drive Dissatisfaction With EHRs<\/font><\/p>\n TUESDAY, May 8, 2018 (HealthDay News) — Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records (EHRs) that is driving burnout, according to an Ideas and Opinions piece published online May 8 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Long-Term Cardiovascular Risk for Endometrial Cancer Survivors<\/font><\/p>\n TUESDAY, May 8, 2018 (HealthDay News) — Endometrial cancer survivors have an elevated risk of various adverse long-term cardiovascular outcomes, according to a study published online May 8 in the Journal of the National Cancer Institute<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Folic Acid May Cut Stroke Risk in High-Risk Hypertensive Patients<\/font><\/p>\n MONDAY, May 7, 2018 (HealthDay News) — Hypertensive patients may lower their stroke risk with folic acid supplements, according to a study published in the May 15 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 Many Organizations Not Meeting Trial Reporting Requirements<\/font><\/p>\n FRIDAY, May 4, 2018 (HealthDay News) — Many organizations are not meeting the trial registration and results reporting requirements clarified by “The Final Rule,” which had a compliance date of April 18, 2017, according to a study published online May 1 in BMC Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n High Incidence of Sudden and\/or Arrhythmic Death in CHD<\/font><\/p>\n FRIDAY, May 4, 2018 (HealthDay News) — Among patients with coronary heart disease without severe systolic dysfunction, sudden and\/or arrhythmic deaths (SAD) account for a considerable proportion of deaths, according to a study published online May 2 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Frequency of Sauna Bathing Linked to Reduced Stroke Risk<\/font><\/p>\n WEDNESDAY, May 2, 2018 (HealthDay News) — For adults, frequent sauna bathing is associated with reduced risk of future stroke, according to a study published online May 2 in Neurology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Women’s Representation in CVD Drug Trials Varies<\/font><\/p>\n WEDNESDAY, May 2, 2018 (HealthDay News) — Women are well-represented in some cardiovascular disease clinical trials, but representation of women is low for trials in certain conditions, according to a study published in the May 8 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 In Heart Failure, Initial ICU Care by Cardiologist Differs by Race<\/font><\/p>\n WEDNESDAY, May 2, 2018 (HealthDay News) — Among heart failure patients admitted to the intensive care unit (ICU), African-Americans are less likely than Caucasians to receive primary care by a cardiologist, according to a study published in the May 1 issue of JACC: Heart Failure<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n