Cardiology (all articles)

Review: Optimizing diagnostic testing for venous thromboembolism

21 Jul, 2017 | 18:04h | UTC

Clinical Review: Optimizing diagnostic testing for venous thromboembolism – Cleveland Clinic Journal of Medicine (free)

Antiplatelet Regimen for Patients With Breakthrough Strokes While on Aspirin

21 Jul, 2017 | 17:51h | UTC

Antiplatelet Regimen for Patients With Breakthrough Strokes While on Aspirin: A Systematic Review and Meta-Analysis – Stroke (link to abstract – $ for full-text)

Commentary: Adjusting Antiplatelet Regimen Could Decrease Risk For Stroke Patients on Aspirin Monotherapy – American College of Cardiology, Latest in Cardiology (free)

Meta-analysis of cohort studies: in patients who experienced an ischemic stroke or transient ischemic attack while on aspirin monotherapy, the addition of or a switch to another antiplatelet agent, versus aspirin monotherapy, was associated with a 32 percent reduction in the risk of major adverse cardiovascular events (HR 0.68; 0.54–0.85) and 30 percent reduction in recurrent strokes (HR, 0.70; 0.54–0.92). Additional randomized trials would better clarify the best antiplatet regimen for these patients.

The Effects of Public Access Defibrillation on Survival After Out-of-Hospital Cardiac Arrest

21 Jul, 2017 | 17:46h | UTC

The Effects of Public Access Defibrillation on Survival After Out-of-Hospital Cardiac Arrest: A Systematic Review of Observational Studies – Circulation (link to abstract – $ for full-text)

Commentary: Bystander CPR Best Hope for Out-of-Hospital Cardiac Arrest? – Medscape (free registration required)

Efficacy and Safety of Spironolactone in Acute Heart Failure

21 Jul, 2017 | 00:21h | UTC

Efficacy and Safety of Spironolactone in Acute Heart Failure: The ATHENA-HF Randomized Clinical Trial – JAMA Cardiology (link to abstract – $ for full-text)

Commentaries: High-dose spironolactone didn’t affect acute heart failure outcomes – ACP Hospitalist (free) AND High-Dose Spironolactone in Acute Heart Failure – American College of Cardiology, Latest in Cardiology (free)

Healthful and Unhealthful Plant-Based Diets and the Risk of Coronary Heart Disease

20 Jul, 2017 | 00:13h | UTC

Healthful and Unhealthful Plant-Based Diets and the Risk of Coronary Heart Disease in U.S. Adults – Journal of The American College of Cardiology (link to abstract – $ for full-text)

Commentaries: Some Plant-Based Diets May Increase Heart Disease Risk –American College of Cardiology, Latest in Cardiology (free) AND Not All Vegetarian, Plant-Based Diets Equal for CHD Risk – Medscape (free registration required) AND Not all plant-based diets are created equal – American College of Cardiology, via ScienceDaily (free)

Comprehensive geriatric assessment and optimization in vascular surgery

20 Jul, 2017 | 00:02h | UTC

Randomized clinical trial of comprehensive geriatric assessment and optimization in vascular surgery – British Journal of Surgery (link to abstract – $ for full-text)

Source: ACP Journal Club ($ resource to find articles of interest)

In this RCT, a comprehensive preoperative geriatric assessment and optimization before vascular surgery was associated with shorter length of hospital stay, lower incidence of complications, and patients were less likely to be discharged to a higher level of dependency.

Iron substitution in the treatment of chronic heart failure

18 Jul, 2017 | 22:57h | UTC

Clinical Review: Iron substitution in the treatment of chronic heart failure – Swiss Medical Weekly (free)

Rehabilitation in patients with pulmonary arterial hypertension

18 Jul, 2017 | 22:58h | UTC

Clinical Review: Rehabilitation in patients with pulmonary arterial hypertension – Swiss Medical Weekly (free)

Three-dimensional echocardiography in adult congenital heart disease

18 Jul, 2017 | 22:39h | UTC

Clinical Review: Three-dimensional echocardiography in adult congenital heart disease – Korean Journal of Internal Medicine (free)

Hypertensive disorders of pregnancy

17 Jul, 2017 | 01:34h | UTC

Risk of post-pregnancy hypertension in women with a history of hypertensive disorders of pregnancy: nationwide cohort study – The BMJ (free)

Editorial: Hypertensive disorders of pregnancy – The BMJ (free)

Commentaries: Hypertensive Disorders of Pregnancy Tied to Increased Hypertension Risk Decades Later – Physician’s First Watch (free)

Diabetes Mellitus and Heart Failure

16 Jul, 2017 | 23:36h | UTC

Clinical Review: Diabetes Mellitus and Heart Failure – American Journal of Medicine (free)

Association of Changes in Diet Quality with Total and Cause-Specific Mortality

16 Jul, 2017 | 12:43h | UTC

Association of Changes in Diet Quality with Total and Cause-Specific Mortality – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Improvement in diet quality linked to decreased all-cause mortality – 2 Minute Medicine (free) AND Improving Diet Over Time May Reduce Risk of Death – MedPage Today (free registration required) Change in Diet Can Lower Mortality Risk – Medscape (free registration required) AND Eating a Little Bit Healthier Helps You Live Longer – TIME (free) AND A Range of Healthy Dietary Changes Could Help You Live Longer – Physician’s First Watch (free)

Implantable Hemodynamic Monitoring for Heart Failure

13 Jul, 2017 | 20:51h | UTC

Summary with 10 key points to remember: Implantable Hemodynamic Monitoring for Heart Failure – American College of Cardiology, Latest in Cardiology (free)

Original article: Implantable Hemodynamic Monitoring for Heart Failure Patients – Journal of The American College of Cardiology (link to abstract – $ for full-text)

Detecting human coronary inflammation by imaging perivascular fat

13 Jul, 2017 | 20:47h | UTC

Detecting human coronary inflammation by imaging perivascular fat – Science Translational Medicine (free)

Commentaries: Scan finds heart’s ticking time bombs – BBC News (free) AND New way of reading scans can predict heart attack risk, research finds – The Guardian (free)

Review: Supervised Treadmill Exercise Therapy for Peripheral Artery Disease

13 Jul, 2017 | 20:44h | UTC

Review: Supervised Treadmill Exercise Therapy for Peripheral Artery Disease – American College of Cardiology, Latest in Cardiology (free)

Pericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality

13 Jul, 2017 | 20:46h | UTC

Pericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality – Circulation (link to abstract – $ for full-text)

Commentary: Pericarditis as a Marker of Occult Cancer – American College of Cardiology, Latest in Cardiology (free)

Blood pressure and in-hospital outcomes in patients presenting with ischaemic stroke

12 Jul, 2017 | 20:13h | UTC

Blood pressure and in-hospital outcomes in patients presenting with ischaemic stroke – European Heart Journal (link to abstract – $ for full-text)

Commentary: Blood Pressure and Outcomes After Ischemic Stroke – American College of Cardiology, Latest in Cardiology (free)

Observational analysis of over 300.000 patients suggests a J-shaped, or U-shaped relationships between BP and outcomes (both lower and higher BP levels detrimental). Among patients submitted to thrombolytic therapy, there were fewer complications with lower blood pressure.

Positive airway pressure doesn’t reduce cardiovascular events and death in adults with sleep apnea

12 Jul, 2017 | 15:01h | UTC

Association of Positive Airway Pressure With Cardiovascular Events and Death in Adults With Sleep Apnea: A Systematic Review and Meta-analysis – JAMA (link to abstract – $ for full-text)

Commentaries: More Doubt Cast on CPAP for Reducing CVD Risk in Sleep Apnea Patients – MedPage Today (free registration required) AND Positive airway pressure doesn’t reduce heart risk with sleep apnea – Reuters (free)

“PAP for obstructive sleep apnea improves quality of life but not CV events or BP with up to 5 years of follow up” (RT @AnilMakam see Tweet)

Diagnosis and Management of Resistant Hypertension

11 Jul, 2017 | 21:39h | UTC

Summary with 10 key points to remember: Diagnosis and Management of Resistant Hypertension – American College of Cardiology, Latest in Cardiology (free)

Original article: Diagnosis and management of resistant hypertension – Heart (link to abstract – $ for full-text)

Electrocardiograms in Low-Risk Patients Undergoing An Annual Health Examination

11 Jul, 2017 | 19:22h | UTC

Electrocardiograms in Low-Risk Patients Undergoing An Annual Health Examination – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: More than 20% of low-risk patients receive an ECG as part of annual health exam – Institute for Clinical Evaluative Sciences (ICES) (RT @ICESOntario and @ChooseWiselyCA see Tweet) (free) AND ECGs Common in Low-Risk Patients After Annual Health Exam, Leading to More Cardiac Care – American College of Cardiology, Latest in Cardiology (free) Routine ECG With Annual Physical Questioned – MedPage Today (free registration required)

Meta-analysis: Dual Versus Triple Antithrombotic Therapy in Patients Undergoing Percutaneous Coronary Intervention

11 Jul, 2017 | 21:26h | UTC

Meta-analysis: Safety and Efficacy of Dual Versus Triple Antithrombotic Therapy in Patients Undergoing Percutaneous Coronary Intervention – American Journal of Medicine (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“In patients receiving anticoagulant therapy, a strategy of single antiplatelet therapy confers a benefit of less major bleeding with no difference in all-cause mortality, cardiovascular mortality, major adverse cardiac events, myocardial infarction, stent thrombosis, or thromboembolic event rate compared with dual antiplatelet therapy”.

Commentaries: Palliative Care Intervention Improves Quality of Life in Advanced Heart Failure Patients – American College of Cardiology, Latest in Cardiology (free) AND Palliative Care Improves Heart Failure Quality-of-Life – MedPage Today (free registration required)

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Risk Factors

11 Jul, 2017 | 17:12h | UTC

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement – JAMA (free)

Editorial 1: Healthful Physical Activity and Diet Promotion—For the Many or the Few? (free)

Editorial 2: Cardiovascular Risk Factor Control for All (free)

Editorial 3: Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Risk Factors: Is Behavioral Counselling Necessary? (free)

The JAMA Network – For The Media: USPSTF Recommendation Regarding Behavioral Counseling for Cardiovascular Disease Prevention (free)