Pregnancy: More than 3 Increases Atherosclerosis Risk
March 24th 2015Women who have 4 or more children have a higher risk of developing atherosclerosis, a Texas study found. Researchers who analyzed data on coronary artery calcium and aortic wall thickness found these 2 cardiac risk factors were most pronounced in that high-birth group and far lower in women who had 2 or 3 children. Curiously, women who had 1 or no children also showed they had the risk factors similar to the high-birth group.
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Study: Short Stays OK after Percutaneous Coronary Intervention
March 23rd 2015Pressure on US hospitals to cut costs is fueling a new trend, sending patients home as little as 2 days after primary percutaneous coronary intervention after a serious heart attack. Most US patients go home in 4 to 5 days. A new study finds the short stay is usually safe and the research will likely add momentum to the trend.
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Vitamin D Fails Fall-Prevention Test
March 23rd 2015Falls are a constant health threat for older people. A study in Finland looked at whether vitamin D supplements, exercise, or both could lessen the risk of falling for women ages 70 to 80. The US Preventive Services Task Force recommends that those at risk of falling should take vitamin D. A new study finds that does not help.
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Preventive Angioplasty: Safe for Most STEMI Patients
March 20th 2015Preventive angioplasty may be the next big thing. In a study presented at the American College of Cardiology meeting in San Diego, CA, researchers recommended complete revascularization of constricted arteries in patients who had a STEMI heart attack.
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Ablation with Valve Repair Has Advantages
March 19th 2015About two-thirds of surgeons performing mitral valve surgery on patients with atrial fibrillation (AF) do ablation procedures at the same time. There are no official guidelines on when to do both. Trying to provide more information to guide such decisions, a US-Canada team randomized a group of these patients to either valve repair alone, or valve repair with ablation. The dual approach seems better.
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Radial Artery Approach Safer than Femoral
March 19th 2015Interventional cardiologists would do better to access heart arteries through a patient's arm than groin, a Dutch study found. Though the radial approach is technically more difficult, it is safer with a lower risk of severe bleeding.
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Older Patients Benefit from Aggressive Heart Care
March 19th 2015Physicians may think patients over 80 are too old to benefit from agressive care to treat unstable angina or clogged arteries that caused a heart attack. Think again, a Norwegian researcher said at the American College of Cardiology meeting in San Diego, CA. These patients were 47% more likely to survive and healthier after invasive procedures than a group that got non-invasive care.
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Manual Thrombectomy Raises Stroke Risk
March 18th 2015The practice of using a syringe to suck a blood clot out of a coronary artery when a heart attack patient is undergoing angioplasty is common. But a study of 10,000 patients showed this manual thrombectomy procedure was associated with a higher rate of strokes in these patients.
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Atrial Fibrillation: Ablation Beats Drug
March 17th 2015In patients with heart failure and atrial fibrillation, those who had catheter ablation had better results than those who took the anti-arrhythmic medication amiodarone, reported researchers at Albert Einstein College of Medicine in New York City.
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Allergic Reactions End Anti-Clotting Drug's Trial
March 15th 2015A trial of an anti-clotting therapy that might have given physicians a way to turn on and turn off the blood's tendency to clot had to be halted because some patients had severe allergic reactions, researchers reported. Now they are focusing on why that happened in hopes of reviving the work.
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Bendavia Trial Shows No Benefit in Angioplasty
March 15th 2015Researchers had high hopes for the potential tissue-damage mediation capabilities of Bendavia, an experimental drug that targets the mitochondria. But a trial of Bendavia in patients undergoing angioplasty failed to show any significant benefit.
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PCSK9 Inhibitors: Good News on Evolocumab
March 15th 2015A new class of cholesterol-lowering drugs is emerging, known as PCSK9 inhibitors. Reporting on results of a safety and efficacy trial of Amgen's entry in this race, evolocumab, showed it did better than standard therapy when it came to adverse events and cholesterol lowering, and showed promise for reducing cardiac events.
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Antidote for Ticagrelor Coming
March 15th 2015AstraZeneca researchers report that a new drug call MED12452 is being developed as an antidote for patients who need to reverse the effects of ticagrelor (Brilinta/AstraZeneca) on an emergency basis. That could be important for patients taking ticagrelor who need emergency surgery or are bleeding from an accident.
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Heart Screening for Pilots "Not Efficacious"
March 14th 2015The time and money involved in screening echocardiography of stress testing in asymptomatic individuals with no cardiac risk factors is likely not worth it, an analysis of the US Air Force School of Aerospace Medicine's database found
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Verghese: Patients Have Two Hearts
March 14th 2015Medicine is far more than a science. Physicians should never forget that their patients are more than collections of data and that care is not measured in mouse clicks, physician-author, educator and bedside manner expert extraordinaire Abraham Verghese, MD, told a standing room crowd. His talk "I Carry Your Heart" kicked off the American College of Cardiology's meeting in San Diego, CA.
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