Cardiology (all articles)
Study: Apple Watch Can Spot Atrial Fibrillation, But More Research is Needed
17 Mar, 2019 | 18:59h | UTCPresented at the American College of Cardiology (ACC) 2019 Scientific Session.
See also: Beware the hype over the Apple Watch heart app. The device could do more harm than good – STAT (free) AND Apple Watch may spot heart problem but more research needed – Associated Press (free) AND Apple Watch May Detect A-fib in the General Population, but at What Cost? – TCTMD (free)
Related: Editorial: Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients (free) AND USPSTF Statement: Screening with Resting or Exercise Electrocardiography (ECG) Not Recommended (free Guideline and commentaries) AND Wearable technology to screen for atrial fibrillation: does it raise more questions than it answers? (free commentaries) AND Get Ready For A Tsunami Of ECGs (free commentaries)
Cohort Study: High Sensitivity Cardiac Troponin May Result in Misdiagnosis of Acute Myocardial Infarction
17 Mar, 2019 | 18:58h | UTCCommentaries: Evaluate Troponin Results Carefully, Researchers Warn – NEJM Journal Watch (free) AND Blood test to diagnose heart attacks is flawed, warn researchers – The BMJ (free) AND CHARIOT: 1 in 20 Hospitalized Patients Undergoing Blood Tests Have Elevated Troponin – TCTMD (free)
Related: Randomized Trial: High-Sensitivity Troponin in the Evaluation of Suspected Acute Coronary Syndrome (free study and commentaries) AND Cohort Study: The Introduction of High-sensitive Troponins Had No Impact on Survival (free study and commentaries)
Related Commentary on Twitter
This study found that the true 99th centile of high sensitivity cardiac troponin for a general hospital population was not consistent with the manufacturer's recommended upper limit of normal #BMJResearch @NickCurzen https://t.co/IQy62VenOx
— The BMJ (@bmj_latest) March 15, 2019
Cohort Study: Associations of Dietary Cholesterol or Egg Consumption with Incident Cardiovascular Disease and Mortality
17 Mar, 2019 | 18:50h | UTCAssociations of Dietary Cholesterol or Egg Consumption With Incident Cardiovascular Disease and Mortality – JAMA (free for a limited period)
Commentaries: Are Eggs Good Or Bad? How You Should Interpret This Latest Study – Forbes (free) AND Are eggs good or bad for you? New research rekindles the debate – STAT (free) AND Eggs are bad – then good – then bad again? What gives? – Diet Doctor (free)
Related Commentary on Twitter
Disagrees with several notable papers:
In NHS & HPFS, eggs not assoc w MI or stroke. https://t.co/F1OcIr0GjZ
In China Kadoorie study, eggs assoc w LOWER risk of CVD.https://t.co/MX6NTPfdhJ
Meta analysis: eggs assoc w LOWER stroke, no assoc w MI.https://t.co/UOFLKBw8dv https://t.co/oX6I6uvXaa
— Andrew Mente (@ToYourHealth101) March 15, 2019
Review: Perioperative Management of the Diabetic Patient Referred to Cardiac Surgery
17 Mar, 2019 | 18:16h | UTC
Significant Incidental Cardiac Disease on Thoracic CT: What the General Radiologist Needs to Know
17 Mar, 2019 | 18:14h | UTC
Cardiovascular Disease Burden from Ambient Air Pollution Reassessed
13 Mar, 2019 | 06:07h | UTCCommentaries: Air pollution causes 8.8 million extra early deaths a year – European Society of Cardiology (free) AND Air Pollution Causes 8.8 Million Extra Deaths a Year – U.S. News (free) AND Air pollution kills 8.8 million people per year globally, study says – UPI (free)
Related: 9 out of 10 people worldwide breathe polluted air, but more countries are taking action – World Health Organization (free) AND The cost of a polluted environment: 1.7 million child deaths a year, says WHO – World Health Organization (free) AND Estimates and 25-year trends of the global burden of disease attributable to ambient air pollution: an analysis of data from the Global Burden of Diseases Study 2015 – The Lancet (free) AND Death in the Air: Air Pollution Costs Money and Lives – World Bank (free infographic and report)
Evidence Evolving on Aspirin as Prevention
13 Mar, 2019 | 06:04h | UTCEvidence evolving on aspirin as prevention – ACP Internist (free)
Related: Randomized Trial: Aspirin for Primary Prevention of Cardiovascular Disease (link to abstract and commentaries) AND Randomized Trial: Effects of Aspirin for Primary Prevention in Persons with Diabetes (link to abstract and commentaries) AND Randomized Trial: Effect of Aspirin on All-Cause Mortality in the Healthy Elderly (link to abstract and commentaries) AND Meta-Analysis: Association of Aspirin Use for Primary Prevention with Cardiovascular Events and Bleeding Events (link to abstract and commentaries)
“In patients who have not had a prior cardiovascular event, aspirin’s protective effects are modest and may not necessarily outweigh its potential downsides (namely, risk of bleeding and hemorrhagic stroke).”
AHA Scientific Statement: Sensitization in Heart Transplantation
13 Mar, 2019 | 03:18h | UTCCommentary: Navigating Allosensitization in Heart Transplant Candidates and Recipients – American Heart Association (free)
Top Ten Things to Know: Sensitization in Heart Transplantation: Emerging Knowledge – American Heart Association (free)
Systematic Review: Physical Maneuvers as a Preventive Intervention to Manage Vasovagal Syncope
12 Mar, 2019 | 02:47h | UTCRelated: 2018 ESC Guidelines for the diagnosis and management of syncope (free) AND 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (free) AND Review: The Management of Vasovagal Syncope (free)
AHA Statement on Cardiorenal Syndrome – Classification, Pathophysiology, Diagnosis, and Treatment Strategies
12 Mar, 2019 | 02:52h | UTCCommentary: The Heart-Kidney, Kidney-Heart Connection and Our Improving Understanding of a Complex and Intimate Relationship – American Heart Association (free)
Top Things to Know: Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies – American Heart Association (free)
Study: E-Cigarettes Linked to Increased Risk of Heart Attacks, Coronary Artery Disease and Depression
11 Mar, 2019 | 03:37h | UTCCommentaries: E-cigarettes linked to heart attacks, coronary artery disease and depression – American College of Cardiology (free) AND E-cigarettes raise risk of heart attacks, strokes, depression, study says – UPI (free) AND e-Cigarettes Boost Heart Attack Risk, Emotional Stress, Findings Show – AJMC (free)
Cohort Study: Control of Blood Pressure and Risk of Mortality in a Cohort of Older Adults
8 Mar, 2019 | 02:46h | UTCControl of blood pressure and risk of mortality in a cohort of older adults: the Berlin Initiative Study – European Heart Journal (link to abstract – $ for full-text)
Commentary: Blood Pressure Control and Mortality Risk in Older Adults – American College of Cardiology (free)
Related Commentary on Twitter
#BloodPressure in older adults – How low is too low and how high is too high? https://t.co/iEfF568O7J @AnastasiaSMihai @ESC_Journals @escardio https://t.co/4tZdVfuiG0
— Dominik Linz (@Dominik_Linz) March 6, 2019
ORBITA Absorbed: Principal Investigator Reflects on How Results Have Changed Her Practice
8 Mar, 2019 | 02:49h | UTCORBITA Absorbed: Principal Investigator Reflects on How Results Have Changed Her Practice – TCTMD (free)
Related: Research: Percutaneous coronary intervention in stable angina (ORBITA) (link to abstract and commentaries) AND Research: Physiology-Stratified Analysis of ORBITA (free study and commentaries)
Meta-Analysis: Coronary Heart Disease and Dietary Carbohydrate, Glycemic Index, and Glycemic Load
8 Mar, 2019 | 02:47h | UTC
Study: β-blockers Safe after Acute Myocardial Infarction in Patients with COPD
7 Mar, 2019 | 02:58h | UTCRelated: Observational Study: β-Blocker Therapy Reduces the Risk for COPD Hospitalization (free study and reviews on the subject) AND β‐Blocker Use and Mortality in COPD Patients After Myocardial Infarction: A Swedish Nationwide Observational Study (free – a similar study from Sweden)
Source: Hospital Medicine Virtual Journal Club
Cohort Study: Statin Use Associated with a 38% Higher Risk of Incident Type 2 Diabetes
7 Mar, 2019 | 02:37h | UTCCommentaries: Statins associated with 38 per cent increased risk of type 2 diabetes – Diabetes.co.uk (free) AND Cholesterol-lowering drugs linked to higher risk for developing type 2 diabetes – News Medical (free)
Chest Pain in General Practice: A Systematic Review of Prediction Rules
6 Mar, 2019 | 20:09h | UTCChest pain in general practice: a systematic review of prediction rules – BMJ Open (free)
Related: Meta‐analysis: Prognostic Accuracy of the HEART Score for Prediction of Major Adverse Cardiac Events in Patients Presenting With Chest Pain (free)
German Guidelines for the Diagnosis and Treatment of Type B Aortic Dissection
6 Mar, 2019 | 01:38h | UTCS2k guidelines for the diagnosis and treatment of type B aortic dissection – Gefässchirurgie (free)
Related Guidelines: 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult (free) AND 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease (free)
Brazilian Guidelines for Sports and Exercise Cardiology
6 Mar, 2019 | 01:34h | UTCRelated Guideline: Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes (free)
AHA Scientific Statement: Measurement of Blood Pressure in Humans
5 Mar, 2019 | 03:13h | UTCNews Release: New scientific statement on blood pressure measurement in people – American Heart Association (free) AND Heart Group Updates Statement on Blood Pressure Measurement – NEJM Journal Watch (free) AND AHA Details Accurate BP Measurement in Updated Scientific Statement – TCTMD (free)
Guideline: Preoperative Evaluation of Adult Patients Before Elective, Noncardiothoracic Surgery
4 Mar, 2019 | 00:43h | UTCPreoperative evaluation of adult patients before elective, noncardiothoracic surgery – Der Anaesthesist (free for a limited period)
Related guidelines: 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery (free) AND 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management (free) AND Routine preoperative tests for elective surgery – NICE Guideline (free) AND Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery (free) AND 3rd Guideline for Perioperative Cardiovascular Evaluation of the Brazilian Society of Cardiology (free)
Meta-Analysis: Higher vs. Lower Doses of ACE Inhibitors, Angiotensin-2 Receptor Blockers and Beta-blockers in Heart Failure with Reduced Ejection Fraction
1 Mar, 2019 | 05:38h | UTC
Related Commentary on Twitter
Our meta-analysis on higher versus lower doses of medications for heart failure just came out in PLOS ONE. You might be surprised at the magnitude of benefits vs harms of getting to "target doses" -always start with low doses and only increase if tolerated https://t.co/wvtTDqjV60
— James McCormack (@medmyths) February 28, 2019
AHA Scientific Statement: Cardiovascular Risk Reduction in High-Risk Pediatric Patients
1 Mar, 2019 | 05:36h | UTCNews Release: Better options needed for children at higher risk of premature heart disease – American Heart Association (free)
Study: Risk of Heart Failure in Breast Cancer Patients After Treatment with Trastuzumab
28 Feb, 2019 | 05:55h | UTCLong-Term Risk of Heart Failure in Breast Cancer Patients After Adjuvant Chemotherapy With or Without Trastuzumab – JACC: Heart Failure (link to abstract – $ for full-text) (via @md_arianemacedo)
Commentary: Long-Term Risk of Heart Failure After Chemotherapy With Trastuzumab – American College of Cardiology (free)
“Trastuzumab treatment is associated with a 2-fold increased risk of late HF compared with chemotherapy treatment alone.”
Study: Stress Testing Versus CT Angiography in Patients with Diabetes and Suspected Coronary Artery Disease
26 Feb, 2019 | 02:21h | UTCStress Testing Versus CT Angiography in Patients With Diabetes and Suspected Coronary Artery Disease – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentary: CT Angiography Bests Functional Testing in Diabetic Patients With Chest Pain: PROMISE – TCTMD (free)