Here are what the editors at HealthDay consider to be the most important developments in Cardiology for January 2019. 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.
Long-Term Incidence of A-Fib Increased in Women With Breast Cancer
THURSDAY, Jan. 31, 2019 (HealthDay News) — Women with breast cancer have an increased long-term incidence of atrial fibrillation (AF), according to a study published online Jan. 28 in Heart Rhythm.
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Rising Temps May Up Burden of Congenital Heart Disease in U.S.
THURSDAY, Jan. 31, 2019 (HealthDay News) — Projected increases in maternal heat exposure may result in increased congenital heart defect (CHD) burden, according to a study published online Jan. 30 in the Journal of the American Heart Association.
AHA: Nearly Half of U.S. Adults Have Cardiovascular Disease
THURSDAY, Jan. 31, 2019 (HealthDay News) — The prevalence of cardiovascular disease (CVD) is 48.0 percent in adults in the United States based on 2013 to 2016 data, according to a report published online Jan. 31 in Circulation.
Fruit, Vegetable Intake Very Low in Hemodialysis Population
THURSDAY, Jan. 31, 2019 (HealthDay News) — Fruit and vegetable intake is very low in the hemodialysis population, with higher consumption associated with lower mortality, according to a study published online Jan. 31 in the Clinical Journal of the American Society of Nephrology.
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E-Cigarettes More Effective for Smoking Cessation
THURSDAY, Jan. 31, 2019 (HealthDay News) — Electronic cigarettes are more effective for smoking cessation than nicotine replacement therapy, according to a study published online Jan. 30 in the New England Journal of Medicine.
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Meta-Analysis: Small Weight Increase Seen for Breakfast Eaters
THURSDAY, Jan. 31, 2019 (HealthDay News) — Eating breakfast may not be a good strategy for weight loss, according to research published online Jan. 30 in The BMJ.
Death at 10 Years Similar With Bilateral-, Single-Artery CABG
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — There is no difference in the rate of death from any cause at 10 years for patients undergoing coronary artery bypass grafting (CABG) with bilateral or single internal-thoracic-artery grafting, according to a study published in the Jan. 31 issue of the New England Journal of Medicine.
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Infective Endocarditis Related to Injection Drug Use Rising
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — The risk for infective endocarditis related to injection drug use increased from 2006 to 2015, according to a study published online Jan. 28 in CMAJ, the journal of the Canadian Medical Association.
FDA Receives an ‘F’ in Tobacco Prevention Report Card
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — The U.S. Food and Drug Administration was given an “F” in a new American Lung Association report card evaluating tobacco prevention programs.
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State of Tobacco Control
Avoiding Full-Blown Diabetes Cuts Cardiovascular Risk
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Midlife increases in fasting glucose (FG) with conversion to diabetes are associated with higher cardiovascular disease (CVD) risk, according to research published online Jan. 7 in Diabetes Care.
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Intensive BP Treatment Does Not Reduce Dementia Risk
TUESDAY, Jan. 29, 2019 (HealthDay News) — Treating systolic blood pressure (BP) to a goal of less than 120 mm Hg rather than 140 mm Hg does not result in a significant reduction in the risk for probable dementia, according to a study published online Jan. 28 in the Journal of the American Medical Association.
NOACs Recommended as First-Line Prevention of Stroke in A-Fib
TUESDAY, Jan. 29, 2019 (HealthDay News) — For patients with atrial fibrillation, novel oral anticoagulants (NOACs) are recommended over warfarin to prevent stroke and weight loss is recommended for overweight and obese individuals, according to updated guidelines published online Jan. 28 in Circulation.
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MEESSI-Acute Heart Failure Risk Score Validated
TUESDAY, Jan. 29, 2019 (HealthDay News) — The Multiple Estimation of risk based on the Emergency department Spanish Score In patients with Acute Heart Failure (MEESSI-AHF) can accurately predict 30-day mortality in patients with AHF, according to a study published online Jan. 29 in the Annals of Internal Medicine.
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Financial Stress, Coronary Heart Disease Linked in African-Americans
MONDAY, Jan. 28, 2019 (HealthDay News) — Financial stress may be associated with coronary heart disease among African-Americans, according to a study published in the February issue of the American Journal of Preventive Medicine.
Tachycardia May Indicate Higher Mortality Risk in Cancer Patients
MONDAY, Jan. 28, 2019 (HealthDay News) — For patients with cancer, tachycardia can predict the risk for mortality, according to a study presented at the Advancing the Cardiovascular Care of the Oncology Patient conference organized by the American College of Cardiology and held from Jan. 25 to 27 in Washington, D.C.
Paclitaxel Exposure in Vascular Device Not Linked to Mortality
MONDAY, Jan. 28, 2019 (HealthDay News) — Exposure to paclitaxel in drug-coated balloons used in procedures for the treatment of symptomatic femoropopliteal peripheral arterial disease is not associated with mortality, according to a study published online Jan. 25 in the Journal of the American College of Cardiology.
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Virtual Video Visits Liked by Patients, Providers
FRIDAY, Jan. 25, 2019 (HealthDay News) — Virtual video visits can effectively replace office visits for selected patients across medical specialties without sacrificing quality of care or patient-physician communication, according to a study published in the January issue of the American Journal of Managed Care.
Assessment Tools Aid Risk Planning at Nursing Homes
FRIDAY, Jan. 25, 2019 (HealthDay News) — Better use of risk assessment tools, like the Changes in Health and End-stage disease Signs and Symptoms (CHESS) score, can help nursing homes identify which new residents are at risk for hospitalization or death within the first 90 days after admission, according to a study recently published in the Journal of the American Medical Directors Association.
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Report IDs Areas Lacking Good Practice in Health Tech Assessment
FRIDAY, Jan. 25, 2019 (HealthDay News) — In a report published in the January issue of Value in Health, an ISPOR–The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).
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Home-Based Program Achieves Hypertension Control
FRIDAY, Jan. 25, 2019 (HealthDay News) — A new home-based care delivery program can provide efficient and effective blood pressure (BP) control in individuals with hypertension, according to a study recently published in Clinical Cardiology.
Fried Chicken, Fish Linked to All-Cause, Cardiovascular Death
THURSDAY, Jan. 24, 2019 (HealthDay News) — Among postmenopausal women, fried food consumption, especially fried chicken and fish/shellfish, is associated with an increased risk for all-cause and cardiovascular mortality, according to a study published online Jan. 23 in The BMJ.
CDC: Proportion of Increased-Risk Deceased Organ Donors on Rise
THURSDAY, Jan. 24, 2019 (HealthDay News) — Among deceased organ donors, there has been an increase in the proportion at increased risk for transmitting hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV to recipients, according to research published in the Jan. 25 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
BP >120/80 mm Hg Linked to Lower Gray Matter Volume
THURSDAY, Jan. 24, 2019 (HealthDay News) — In young adults, lower gray matter volume (GMV) is seen in individuals with blood pressure (BP) >120/80 mm Hg, according to a study published online Jan. 23 in Neurology.
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Smoking Tied to Peripheral Artery Disease in African-Americans
THURSDAY, Jan. 24, 2019 (HealthDay News) — Cigarette smoking is associated with measures of subclinical peripheral artery disease (PAD) in African-Americans, according to a study published online Jan. 23 in the Journal of the American Heart Association.
Meta-Analysis: Aspirin Linked to Lower Risk for CV Events in Primary Prevention
WEDNESDAY, Jan. 23, 2019 (HealthDay News) — For individuals without cardiovascular disease, use of aspirin is associated with a reduced risk for cardiovascular events and an increased risk for major bleeding, according to a meta-analysis published in the Jan. 22 issue of the Journal of the American Medical Association.
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Canadian Syncope Risk Score IDs ED Monitoring Time Postsyncope
TUESDAY, Jan. 22, 2019 (HealthDay News) — The risk for arrhythmic conditions can be identified quickly among patients with syncope presenting to the emergency department, according to a study published online Jan. 21 in Circulation.
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Wait Times Have Improved in VA Health Care System
FRIDAY, Jan. 18, 2019 (HealthDay News) — From 2014 to 2017, there were improvements in wait times in the Department of Veterans Affairs (VA) health care system, resulting in reduced wait times versus the private sector (PS) in 2017, according to a study published online Jan. 18 in JAMA Network Open.
FDA Investigating Paclitaxel-Coated Balloons, Paclitaxel-Eluting Stents
FRIDAY, Jan. 18, 2019 (HealthDay News) — The U.S. Food and Drug Administration alerted health care providers on Thursday that the agency is investigating the use of paclitaxel-coated balloons and paclitaxel-eluting stents to treat peripheral arterial disease (PAD) in the femoropopliteal artery because of a potentially increased mortality risk in the long term.
Variation in Revascularization for Asymptomatic SIHD Unexplained
FRIDAY, Jan. 18, 2019 (HealthDay News) — For asymptomatic patients with stable ischemic heart disease (SIHD) and coronary artery disease (CAD), there is considerable variation in revascularization practice that is not explained by known factors, according to a study published online Jan. 16 in JACC: Cardiovascular Interventions.
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Radiographic Knee Osteoarthritis Tied to Increased Risk for Death
FRIDAY, Jan. 18, 2019 (HealthDay News) — Radiographic knee osteoarthritis (RKOA) is associated with an increased risk for mortality from cardiovascular disease (CVD), diabetes, and renal diseases, but self-reported OA is not, according to a study published in the December issue of the International Journal of Epidemiology.
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Sex Differences Seen in Pursuit of Interventional Cardiology Career
THURSDAY, Jan. 17, 2019 (HealthDay News) — Unique factors dissuade female fellows-in-training from pursuing a career in interventional cardiology (IC), according to a study published online Jan. 16 in JACC: Cardiovascular Interventions.
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FDA Down to 5 Weeks of Funding to Review New Drug Applications
THURSDAY, Jan. 17, 2019 (HealthDay News) — Due to the federal government shutdown, the U.S. Food and Drug Administration has only about five weeks of funding left to review new drug applications, according to Commissioner Scott Gottlieb, M.D.
Achieving Healthy Diet From Sustainable Food Feasible
THURSDAY, Jan. 17, 2019 (HealthDay News) — Achieving a healthy diet from sustainable food systems is feasible but will require considerable shifts toward healthy dietary patterns, according to a report from the EAT-Lancet Commission published online Jan. 16 by The Lancet.
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Risk for Uninsurance in AMI Patients Reduced With Medicaid Expansion
THURSDAY, Jan. 17, 2019 (HealthDay News) — Medicaid expansion was associated with a reduced risk for uninsurance among acute myocardial infarction (AMI) patients, according to a study published online Jan. 16 in JAMA Cardiology.
Coronary Artery Calcium May Help Predict CVD in South Asians
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — The incidence and progression of coronary artery calcium (CAC) in South Asians may be an important prognostic marker of cardiovascular disease, according to a study published online Jan. 11 in the Journal of the American Heart Association.
Adoption of Advanced Health IT Capabilities Inconsistent
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — Adoption of advanced health information technology (HIT) capabilities is inconsistent across health care systems, with electronic health record (EHR) standardization being the strongest predictor of advanced capabilities, according to a study published in the January issue of the American Journal of Managed Care.
Intermittent Fasts Plus Energy Restriction Best for Weight Loss
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — Intermittent fasting with restricted energy intake may provide better outcomes than daily continuous diet restriction for health and weight loss in obese women, according to a study published in the January issue of Obesity.
Replacing Sitting Time With Activity Lowers Mortality Risk
Poor Mental Health Tied to Premature Heart Disease
Autism Tied to Higher Risk for Developing Cardiometabolic Disease
Cardiovascular Hospitalization Increased After Sepsis Hospitalization
Risk for Cardiovascular Disease Increased for Patients With Celiac Disease
Emergency Diagnosis Linked to Worse Outcomes for Range of Conditions
Non-Celiac Gluten/Wheat Sensitivity Self-Reported by 10.3 Percent
Gluten-Stimulated Interleukin-2 Secretion Useful for Diagnosing Celiac Disease
Gluten-Free Diet for Celiac Disease Increases Arsenic Exposure in Children