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Cardiology (all articles)

Guideline Synopsis: Management of High Blood Pressure in Adults

23 Jan, 2018 | 16:57h | UTC

Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline – Annals of Internal Medicine (free)

Related: Redefining Hypertension: Assessing the New Blood-Pressure Guidelines – New England Journal of Medicine (free) AND AAFP Decides to Not Endorse AHA/ACC Hypertension Guideline – American Academy of Family Physicians (free)

 


Guideline on Pre-operative Exercise Training in Patients Awaiting Major Non-cardiac Surgery

23 Jan, 2018 | 16:54h | UTC

Clinical guideline and recommendations on pre-operative exercise training in patients awaiting major non-cardiac surgery – Anaesthesia (free)

 


Consensus: Integrating new Approaches to Atrial Fibrillation Management

23 Jan, 2018 | 16:42h | UTC

Integrating new approaches to atrial fibrillation management: the 6th AFNET/EHRA Consensus Conference – EP Europace (free)

 


Research: Early Menarch and Menopause and Cardiovascular Risk

23 Jan, 2018 | 16:46h | UTC

Women’s reproductive factors and incident cardiovascular disease in the UK Biobank – Heart (link to abstract – $ for full-text)

Commentaries: Starting periods before age of 12 linked to heightened risk of heart disease and stroke – The BMJ, via EurekAlert (free) AND Early periods linked to heightened cardiovascular risk – OnMedica (free) AND Starting periods early linked to health risks later in life – Medical News Today (free) AND Early menarche and menopause linked to cardiovascular disease risk – The Guardian (free)

 


Review: Coronary Artery Disease in HIV

23 Jan, 2018 | 13:34h | UTC

Coronary Artery Disease in HIV – American College of Cardiology, Latest in Cardiology (free)

 


Systematic Review: Clopidogrel plus Aspirin vs Aspirin Alone for Preventing Cardiovascular Events

23 Jan, 2018 | 13:27h | UTC

Clopidogrel plus aspirin versus aspirin alone for preventing cardiovascular events – Cochrane Library (free)

Summary: Clopidogrel plus aspirin versus aspirin alone for preventing cardiovascular events (free)

 


Perspective: Assessing the New Blood-Pressure Guidelines

21 Jan, 2018 | 17:01h | UTC

Perspective: Redefining Hypertension: Assessing the New Blood-Pressure Guidelines – New England Journal of Medicine (free)

Related: AAFP Decides to Not Endorse AHA/ACC Hypertension Guideline – American Academy of Family Physicians (free)

 


Meta-analysis: Identifying Older Adults at Risk of Harm Following Elective Surgery

21 Jan, 2018 | 14:24h | UTC

Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis – BMC Medicine (free)

Commentary : Age itself is not a risk factor for complications after surgery among older patients – OnMedica (free)

“Q: What predicts poor outcome after elective surgery in older people?

A: Frailty, cognitive impairment, depression, smoking but NOT age per se”. (via @trishgreenhalgh see Tweet)

 


USPSTF Says Evidence is Insufficient to Recommend Ankle-Brachial Index, CRP, or Coronary Calcium

21 Jan, 2018 | 14:15h | UTC

USPSTF Not Backing Ankle-Brachial Index, CRP, or Coronary Calcium – MedPage Today (free registration required) AND No Change in USPSTF’s Stance on Using Nontraditional Risk Factors to Assess CV Risk – Physician’s First Watch (free)

Draft Recommendation Statement 1: Cardiovascular Disease: Risk Assessment With Nontraditional Risk Factors – USPSTF (free)

Draft Recommendation Statement 2: Peripheral Artery Disease and Cardiovascular Disease: Screening and Risk Assessment With the Ankle-Brachial Index (free)

“The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adding the ankle-brachial index (ABI), high-sensitivity C-reactive protein (hsCRP), or coronary artery calcification (CAC) score to traditional risk assessment for cardiovascular disease (CVD) in asymptomatic adults to prevent CVD events”.

 


European Resuscitation Council Guidelines for Resuscitation

16 Jan, 2018 | 19:16h | UTC

European Resuscitation Council Guidelines for Resuscitation: 2017 update (free)

Source: Critical Care Reviews Newsletter

Related guidelines: 2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary – Resuscitation (free) 2017 American Heart Association Focused Update on Adult Basic Life Support and Cardiopulmonary Resuscitation Quality (free PDF) AND 2017 American Heart Association Focused Update on Pediatric Basic Life Support and Cardiopulmonary Resuscitation Quality (free PDF)

 


Research: Reversing the Cardiac Effects of Sedentary Aging in Middle Age

16 Jan, 2018 | 18:56h | UTC

Reversing the Cardiac Effects of Sedentary Aging in Middle Age—A Randomized Controlled Trial: Implications For Heart Failure Prevention – Circulation (free PDF)

Commentaries: Exercise Study Hints at Volume, Intensity Levels Needed to Improve Cardiac Fitness in Middle Age – TCTMD (free) AND Exercise in middle age can reverse heart effects of sedentary lifestyle – Cardiovascular Business (free) AND Exercise May Reverse Negative Cardiac Effects of Sedentary Life – Medscape (free registration required) AND Exercise is good for you, but did this study actually show it can ‘reverse damage from heart aging’? – HealthNewsReview (free)

 


Which Stent is Best for Heart Attacks?

16 Jan, 2018 | 18:28h | UTC

Which stent is best for heart attacks? – Evidently Cochrane (free)

Original article: Drug-eluting stents versus bare-metal stents for acute coronary syndrome – Cochrane Library (free)

“The current review suggests that using DES rather than BMS may reduce the need for future coronary procedures but there is no evidence that it saves lives or reduces major cardiovascular events”.

 


Meta-Analysis: Subclinical Device-Detected Atrial Fbrillation and Stroke Risk

16 Jan, 2018 | 18:29h | UTC

Subclinical device-detected atrial fibrillation and stroke risk: a systematic review and meta-analysis – European Heart Journal (free)

See related opinion and commentaries in Get Ready For A Tsunami Of ECGs

 


Research: Cardiovascular Risk Factors After Adolescent Bariatric Surgery

16 Jan, 2018 | 18:19h | UTC

Cardiovascular Risk Factors After Adolescent Bariatric Surgery – Pediatrics (free for a period)

Commentary: Bariatric Surgery Helps Teens With Severe Obesity Reduce Heart Disease Risk – NPR (free) AND Teens show decreased risk for heart disease later in life after bariatric surgery – Nationwide Children’s Hospital, via ScienceDaily (free)

 


Research: Radial Vs Femoral Access PCI in Women With Acute Coronary Syndromes

16 Jan, 2018 | 17:02h | UTC

Impact of Sex on Comparative Outcomes of Radial Versus Femoral Access in Patients With Acute Coronary Syndromes Undergoing Invasive Management – JACC: Cardiovascular Interventions (link to abstract – $ for full-text)

Commentaries: Study confirms recommendation for radial access PCI in women – Cardiovascular Business (free) AND Higher Bleeding Risks, Radial Advantages Confirmed in Women With ACS Undergoing PCI: MATRIX Subanalysis – TCTMD (free)

 


Guideline: Preoperative Cardiopulmonary Exercise Testing

16 Jan, 2018 | 16:53h | UTC

Preoperative Cardiopulmonary Exercise Testing (PCPET): consensus clinical guidelines on indications, organisation, conduct and physiological interpretation – British Journal of Anaesthesia (free)

Source: Critical Care Reviews Newsletter

 


What Is the Optimal Intraoperative Blood Pressure Among High-Risk Patients?

16 Jan, 2018 | 13:15h | UTC

What Is the Optimal Intraoperative Blood Pressure Among High-Risk Patients? – Medscape (free registration required)

Original article: Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

 


Research: Risk of Stroke in Patients With Short-Run Atrial Tachyarrhythmia

16 Jan, 2018 | 13:11h | UTC

Risk of Stroke in Patients With Short-Run Atrial Tachyarrhythmia – Stroke (free)

Source: EvidenceAlerts

Short-run AT seems to increase the risk of stroke. Randomized controlled trials to find out which group of patients would benefit from anticoagulation are warranted.

 


Guideline: Recommendations for Multimodality Cardiac Imaging in Patients with Chagas Disease

16 Jan, 2018 | 12:43h | UTC

Recommendations for Multimodality Cardiac Imaging in Patients with Chagas Disease: A Report from the American Society of Echocardiography in Collaboration With the InterAmerican Association of Echocardiography (ECOSIAC) and the Cardiovascular Imaging Department of the Brazilian Society of Cardiology (DIC-SBC) (free)

 


Review – Mitral Valve Prolapse: An Underestimated Cause of Sudden Cardiac Death

13 Jan, 2018 | 19:27h | UTC

Mitral valve prolapse: an underestimated cause of sudden cardiac death-a current review of the literature – Journal of Thoracic Disease (free)

 


Review: Isolated Tricuspid Regurgitation

13 Jan, 2018 | 19:03h | UTC

Isolated tricuspid regurgitation: outcomes and therapeutic interventions – Heart (free)

 


Research: Incremental Effects of Antihypertensive Drugs

12 Jan, 2018 | 16:27h | UTC

Incremental effects of antihypertensive drugs: instrumental variable analysis – The BMJ (free)

Commentary: Addition of new class of antihypertensive drug effective for lowering BP – Clinical Advisor (free)

 


Meta-Analysis: Patent Forame Ovale Closure Tied to Lower Risk for Recurrent Stroke

10 Jan, 2018 | 23:15h | UTC

Percutaneous PFO Closure Tied to Lower Risk for Recurrent Stroke – Physician’s First Watch (free) AND Meta-Analyses Support Stroke Prevention With PFO Closure – MedPage Today (free registration required)

Original article 1: Device Closure Versus Medical Therapy Alone for Patent Foramen Ovale in Patients With Cryptogenic Stroke: A Systematic Review and Meta-analysis – Annals of Internal Medicine (link to abstract – $ for full-text)

Original article 2: Percutaneous Closure Versus Medical Treatment in Stroke Patients With Patent Foramen Ovale: A Systematic Review and Meta-analysis – Annals of Internal Medicine (link to abstract – $ for full-text)

 


Research: Ambient Carbon Monoxide and Cardiovascular Mortality

10 Jan, 2018 | 23:13h | UTC

Ambient carbon monoxide and cardiovascular mortality: a nationwide time-series analysis in 272 cities in China – The Lancet Planetary Health (free)

See 2 other recent studies showing the association of air pollution and mortality: Association of Short-term Exposure to Air Pollution With Mortality in Older Adults AND Air Pollution and Mortality in the Medicare Population

Related: 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)

 


Research: Silent Myocardial Infarction and Long-Term Risk of Heart Failure

10 Jan, 2018 | 23:12h | UTC

Silent Myocardial Infarction and Long-Term Risk of Heart Failure: The ARIC Study – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Silent MI and the Risk of Heart Failure – American College of Cardiology, Latest in Cardiology (free) AND Silent MI associated with downstream heart failure risk – Cardiovascular Business (free) AND Heart Failure Risk Following ‘Silent’ MI Warrants Scrutiny: ARIC Analysis – TCTMD (free) AND Silent MI Predicts Heart Failure, Deserves More Respect as CHD Risk Factor – Medscape (free registration required)

 


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