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Here are what the editors at HealthDay consider to be the most important developments in Cardiology for June 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
Practice Management Can Improve Efficiency<\/font><\/p>\n FRIDAY, June 29, 2018 (HealthDay News) — Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times<\/i>.<\/p>\n More Information<\/a><\/p>\n Course<\/a><\/p>\n Nitric Oxide Cuts Kidney Injury After Long Cardiac Surgery<\/font><\/p>\n FRIDAY, June 29, 2018 (HealthDay News) — Nitric oxide gas may lead to a reduction in the incidence of acute kidney injury and an improvement in long-term kidney function in patients undergoing multiple valve replacement and prolonged cardiopulmonary bypass, according to a study published in the American Journal of Respiratory and Critical Care Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Prehabilitation May Improve Post Cardiac Surgery Outcomes<\/font><\/p>\n FRIDAY, June 29, 2018 (HealthDay News) — A three-pronged approach to prehabilitation, which includes improving nutritional status, exercise capacity, and worry reduction, may improve outcomes after cardiac surgery, according to a study published online June 27 in the Canadian Journal of Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA Calls for Electronic Health Record Training<\/font><\/p>\n FRIDAY, June 29, 2018 (HealthDay News) — The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.<\/p>\n More Information<\/a><\/p>\n Initial Outcomes No Worse for Surgical ICU Patients With CA<\/font><\/p>\n FRIDAY, June 29, 2018 (HealthDay News) — Surgical patients who are admitted to the intensive care unit (ICU) and have cancer do not have worse initial outcomes than those without cancer, according to a study published online June 27 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Weight Loss Linked to Reversal of Atrial Fibrillation Progression<\/font><\/p>\n FRIDAY, June 29, 2018 (HealthDay News) — For obese patients offered weight and risk factor management (RFM), weight loss is associated with reversal of the type and progression of atrial fibrillation (AF), according to a study published online June 14 in Europace<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk<\/font><\/p>\n FRIDAY, June 29, 2018 (HealthDay News) — Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Variation in Quality of Trials for Atrial Fibrillation, Flutter<\/font><\/p>\n THURSDAY, June 28, 2018 (HealthDay News) — The quality of atrial fibrillation\/atrial flutter (AF\/AFL) trials is variable, and trials often rely on recurrence as the primary endpoint, according to a review published online June 27 in JACC: Clinical Electrophysiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Genetic Risk, Lifestyle Predict CVD, Diabetes Independently<\/font><\/p>\n THURSDAY, June 28, 2018 (HealthDay News) — Genetic risk and lifestyle are independent predictors of incident cardiovascular disease and diabetes, according to a study published online June 27 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Midlife Fitness Linked to Lower Risk of Depression, CVD Death<\/font><\/p>\n THURSDAY, June 28, 2018 (HealthDay News) — Midlife fitness is associated with reduced risk of depression in later life and with reductions in the risk of cardiovascular disease (CVD) mortality and CVD mortality after later-life depression, according to a study published online June 27 in JAMA Psychiatry<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Health Care Technology Impacts Younger Patient Satisfaction<\/font><\/p>\n THURSDAY, June 28, 2018 (HealthDay News) — Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.<\/p>\n More Information<\/a><\/p>\n Most Bleeding Events in Non-CVD Patients Are GI-Related<\/font><\/p>\n WEDNESDAY, June 27, 2018 (HealthDay News) — Among a cohort of individuals without cardiovascular disease (CVD) not receiving antiplatelet therapy, most major bleeding events involved gastrointestinal bleeding and 7 percent of bleeding events were fatal, according to a study published online June 26 in the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Binge Drinking Linked to Increased Systolic BP in Men<\/font><\/p>\n WEDNESDAY, June 27, 2018 (HealthDay News) — For men, binge drinking is associated with increased systolic blood pressure and any drinking is associated with an increased relative risk of hypertension, according to two studies published online June 27 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text — Piano<\/a><\/p>\n Abstract\/Full Text — Roerecke<\/a><\/p>\n Half of CV Events Occur from Two to Five Years Post-TIA, -Stroke<\/font><\/p>\n WEDNESDAY, June 27, 2018 (HealthDay News) — For patients who experienced a transient ischemic attack (TIA) or minor stroke, the rate of a composite of stroke, acute coronary syndrome, or death from cardiovascular causes is 12.9 percent at five years, with half of these events occurring in the second through fifth years, according to a study published June 7 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Clotting Time in Transfemoral PCI Linked to Bleeding Risk<\/font><\/p>\n WEDNESDAY, June 27, 2018 (HealthDay News) — Higher maximal activated clotting time (ACT) is associated with a greater risk of major bleeding after transfemoral (TF) percutaneous coronary intervention (PCI) than after transradial (TR) PCI, according to a study published in June in JACC: Cardiovascular Interventions<\/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 Sleep Disruption Increases Risk of Atrial Fibrillation<\/font><\/p>\n WEDNESDAY, June 27, 2018 (HealthDay News) — Sleep disruption consistently predicts risk of atrial fibrillation (AF) before and after adjusting for obstructive sleep apnea, according to a study published online June 25 in Heart Rhythm<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA Adopts Ethical Guidance on Medical Tourism <\/font><\/p>\n TUESDAY, June 26, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.<\/p>\n More Information<\/a><\/p>\n More Than 2,000 U.S. Campuses Smoke-Free as of Nov. 2017<\/font><\/p>\n TUESDAY, June 26, 2018 (HealthDay News) — As of November 2017, at least 2,082 U.S. college and university campuses had smoke-free policies, with most of these campuses tobacco-free, prohibiting both smoking and smokeless tobacco products, according to a study published online June 21 in Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Full Text<\/a><\/p>\n For Pediatric Patients, Wearable Cardioverter Defibrillator Safe<\/font><\/p>\n TUESDAY, June 26, 2018 (HealthDay News) — For pediatric patients with ventricular arrhythmias at risk for sudden cardiac death (SCD), a wearable cardioverter defibrillator (WCD) seems safe and effective, according to a review published online June 26 in Circulation: Arrhythmia and Electrophysiology<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Percentage of Teens Trying to Lose Weight Decreasing<\/font><\/p>\n MONDAY, June 25, 2018 (HealthDay News) — From 1988-1994 to 2009-2014 there was an increase in the prevalence of overweight and obesity among U.S. adolescents and a decrease in the percentage who tried to lose weight, according to a research letter published online June 25 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA: Docs Declare Drug Shortages Public Health Emergency<\/font><\/p>\n MONDAY, June 25, 2018 (HealthDay News) — At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.<\/p>\n More Information<\/a><\/p>\n Stress Echo Safe for ER Triage of Patients With Chest Pain<\/font><\/p>\n MONDAY, June 25, 2018 (HealthDay News) — For patients presenting to the emergency department with chest pain, a smaller proportion are hospitalized after undergoing stress echocardiography (SE) versus coronary computed tomography angiography (CCTA), according to a study published online June 13 in 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 E-Cigarettes May Help Some Quit Tobacco Smoking<\/font><\/p>\n FRIDAY, June 22, 2018 (HealthDay News) — Some individuals self-report that electronic cigarettes (e-cigarettes) help them quit smoking conventional cigarettes, according to a small study published online June 20 in the Harm Reduction Journal<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Handheld Device Can ID Cardiac Dysfunction in Cancer Survivors<\/font><\/p>\n FRIDAY, June 22, 2018 (HealthDay News) — A novel handheld mHealth platform (Vivio) can accurately detect cardiac dysfunction in anthracycline-exposed childhood cancer survivors, according to a study published online June 21 in Clinical Cancer Research<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n More Cash-Pay Patients Means Docs Need Billing Strategies<\/font><\/p>\n THURSDAY, June 21, 2018 (HealthDay News) — More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Many Physicians Not Prepared for End-of-Life Talks With Patients<\/font><\/p>\n THURSDAY, June 21, 2018 (HealthDay News) — While nearly all physicians say end-of-life conversations are important, many report lacking the training to have such conversations, according to a brief report published online May 23 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n User Ratings Didn’t Catch Blood Pressure App Inaccuracies<\/font><\/p>\n THURSDAY, June 21, 2018 (HealthDay News) — User reviews and ratings of a popular, yet inaccurate, blood pressure-measuring mobile app were largely positive, according to a study published online June 7 in the Journal of the American Medical Informatics Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Educational Strategies Could Improve Cardiac Arrest Outcomes<\/font><\/p>\n THURSDAY, June 21, 2018 (HealthDay News) — Addressing shortcomings in resuscitation educational efficiency and local implementation could improve outcomes after cardiac arrest, according to a scientific statement published online June 21 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Adult Obesity Prevalence Varies With Level of Urbanization<\/font><\/p>\n WEDNESDAY, June 20, 2018 (HealthDay News) — For U.S. adult males and females, the prevalence of obesity is 38.9 percent and varies with level of urbanization, according to a study published in the June 19 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Sociodemographic Factors Impact Heart-Healthy Behaviors<\/font><\/p>\n WEDNESDAY, June 20, 2018 (HealthDay News) — Socioeconomic factors, largely outside an individual’s control, account for racial differences in cardiovascular health behaviors, according to a study published in the July issue the American Journal of Preventive Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Cardiovascular Comorbidity Tied to Hearing Loss in Older Old<\/font><\/p>\n WEDNESDAY, June 20, 2018 (HealthDay News) — Cardiovascular disease (CVD) and related risk factors are associated with hearing loss among the older old, according to a study published online June 14 in JAMA Otolaryngology-Head & Neck Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Attitudes Among Obese Are Not Aligned With Healthy Living<\/font><\/p>\n WEDNESDAY, June 20, 2018 (HealthDay News) — Food-related policies differently impact consumers with obesity and healthy weight, according to a report published by the Hudson Institute.<\/p>\n More Information<\/a><\/p>\n Considerable Costs Associated With Switching EHR<\/font><\/p>\n TUESDAY, June 19, 2018 (HealthDay News) — Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Prevalence of Obesity 17.8 Percent for Youth in 2013 to 2016<\/font><\/p>\n TUESDAY, June 19, 2018 (HealthDay News) — The prevalence of obesity and severe obesity among U.S. youth was 17.8 and 5.8 percent, respectively, in 2013 to 2016, according to a study published in the June 19 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n High Success Rates for Mitral Valve Repair With Robotic Surgery<\/font><\/p>\n TUESDAY, June 19, 2018 (HealthDay News) — Robotic and minimally invasive (mini) approaches to mitral surgery are associated with high rates of mitral repair, although robotic patients have longer procedural time, according to a study published online June 18 in Heart<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Increased Risk of MI, Ischemic Stroke After COPD Exacerbation<\/font><\/p>\n TUESDAY, June 19, 2018 (HealthDay News) — For adults with chronic obstructive pulmonary disease (COPD), acute exacerbations are associated with increased risk of myocardial infarction and ischemic stroke, according to a study published online May 3 in the Annals of the American Thoracic Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Less Improvement in AHA Diet Score for SNAP Participants<\/font><\/p>\n TUESDAY, June 19, 2018 (HealthDay News) — Participants in the Supplemental Nutrition Assistance Program (SNAP) have less improvement in American Heart Association (AHA) diet scores than other U.S. adults, according to a study published online June 15 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Rates of Cardiac Stress Testing Down but Still Higher in CKD<\/font><\/p>\n TUESDAY, June 19, 2018 (HealthDay News) — From 2008 to 2012 there was a decrease in overall rates of cardiac stress testing in Medicare beneficiaries, though rates were consistently higher for patients with chronic kidney disease (CKD) than those without CKD, according to a study published online June 13 in JACC: Cardiovascular Imaging<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA Vows to Improve Access for Docs Seeking Mental Health Care<\/font><\/p>\n MONDAY, June 18, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.<\/p>\n More Information<\/a><\/p>\n Risk of CV Events Down With Med Diet Plus Olive Oil, Nuts<\/font><\/p>\n MONDAY, June 18, 2018 (HealthDay News) — Individuals at high cardiovascular risk who are assigned to a Mediterranean diet supplemented with extra-virgin olive oil or nuts have reduced incidence of major cardiovascular events compared with those assigned to a reduced-fat diet, according to a study published online June 13 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: Obesity Prevalence Higher in Non-Metropolitan Counties<\/font><\/p>\n MONDAY, June 18, 2018 (HealthDay News) — The prevalence of obesity is higher among those living in non-metropolitan counties versus metropolitan counties, according to research published in the June 15 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 Screen Does Not Cut Abdominal Aortic Aneurysm Mortality in Men<\/font><\/p>\n FRIDAY, June 15, 2018 (HealthDay News) — Screening men for abdominal aortic aneurysm (AAA) does not reduce AAA-related mortality, according to a study published in the June 16 issue of The Lancet<\/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 VTE Linked to Acute Decline in Physical Function in Women<\/font><\/p>\n FRIDAY, June 15, 2018 (HealthDay News) — For women, venous thromboembolism (VTE) is associated with acute decline in physical function, according to a study published online June 8 in the Journal of Thrombosis and Haemostasis<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Walk Test IDs Risk of Cognitive Dysfunction Post Cardiac Surgery<\/font><\/p>\n FRIDAY, June 15, 2018 (HealthDay News) — The six-minute walk distance (6MWD) test is useful in identifying patients with a higher likelihood of developing postoperative cognitive dysfunction (POCD) following cardiac surgery, according to a study published online May 9 in the Annals of Thoracic Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Good Sleep Tied to Better Cardiometabolic Health in Youths<\/font><\/p>\n FRIDAY, June 15, 2018 (HealthDay News) — Longer sleep duration and higher sleep efficiency are associated with a more favorable cardiometabolic profile in early adolescence, according to a study published online June 15 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Elevated NT-proBNP Found to Up Cardiovascular Risk in T2DM<\/font><\/p>\n FRIDAY, June 15, 2018 (HealthDay News) — Elevated baseline N-terminal B-type natriuretic peptide (NT-proBNP) is independently associated with development of major cardiovascular (CV) events, in particular hospitalization for heart failure, according to a study published online May 30 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n E-Cigarette Flavorings May Impair Vascular Function<\/font><\/p>\n THURSDAY, June 14, 2018 (HealthDay News) — Flavoring additives used in electronic cigarettes (e-cigarettes) may have adverse effects on blood vessels, according to a study published online June 14 in Arteriosclerosis, Thrombosis, and Vascular Biology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n African-Americans Less Likely to Get Recommended Statin Therapy<\/font><\/p>\n THURSDAY, June 14, 2018 (HealthDay News) — African-Americans are less likely than whites to be treated with statins or to receive a statin at guideline-recommended intensity, according to a study published online June 13 in JAMA 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 Peri-Op RBC Transfusions Linked to Postoperative VTE<\/font><\/p>\n THURSDAY, June 14, 2018 (HealthDay News) — Perioperative red blood cell (RBC) transfusions are associated with the development of new or progressive postoperative venous thromboembolism (VTE), according to a study published online June 13 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Personalized Goals, Cash Motivate Heart Patients to Exercise<\/font><\/p>\n THURSDAY, June 14, 2018 (HealthDay News) — Personalized goals, combined with financial incentives, motivate heart patients to increase their exercise, according to a study published online June 13 in the Journal of the American Heart Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Work Stress May Increase Risk of Developing Atrial Fibrillation<\/font><\/p>\n WEDNESDAY, June 13, 2018 (HealthDay News) — Job strain is associated with an increased risk of incident atrial fibrillation, according to a study published online May 30 in the European Journal of Preventive Cardiology<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Exposure to Maternal HTN May Up Risk of ASD, ADHD in Child<\/font><\/p>\n WEDNESDAY, June 13, 2018 (HealthDay News) — Exposure to hypertensive disorders of pregnancy (HDP) may be associated with an increase in the risk of autism spectrum disorder (ASD) and attention deficit\/hyperactivity disorder (ADHD) in offspring, according to a review published online June 6 in JAMA Psychiatry<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Higher Blood Pressure at Mid-Life Increases Dementia Risk<\/font><\/p>\n WEDNESDAY, June 13, 2018 (HealthDay News) — The risk of dementia is increased in 50-year-olds with blood pressure \u2265130 mm Hg, which is below the current threshold for hypertension, according to a study published online June 13 in the European Heart Journal<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n How Do Business Partner Data Breaches Affect Your Practice?<\/font><\/p>\n TUESDAY, June 12, 2018 (HealthDay News) — Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Older Age, ICU, Poor Renal Fcn Up Risk of Opioid OD in Hospital<\/font><\/p>\n TUESDAY, June 12, 2018 (HealthDay News) — Risk factors for opioid overdose among hospitalized patients include being age 65 years or older, being in an intensive care unit (ICU), and having renal impairment, according to a study published online May 23 in the Journal of Clinical Pharmacy and Therapeutics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n USPSTF: No to ECG Screening to Prevent CVD in Low-Risk Adults<\/font><\/p>\n TUESDAY, June 12, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in low-risk asymptomatic adults. This final recommendation statement has been published in the June 12 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Evidence Review<\/a><\/p>\n Final Recommendation Statement<\/a><\/p>\n