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About 5,365 results

Add Atrial Fibrillation to Pre-Noncardiac Surgery Risk Evaluation: New Support
https://www.medscape.com/viewarticle/975926

Jun 20th, 2022 - Practice has gone back and forth on whether atrial fibrillation (AF) should be considered in the preoperative cardiovascular risk (CV) evaluation of patients slated for noncardiac surgery, and the Revised Cardiac Risk Index (RCRI), currently widely used as an assessment tool, doesn't include the arrhythmia. But consideration of preexisting AF along with the RCRI predicted 30-day mortality more ...

Prolonged Sitting Time Linked to CVD Events, Mortality
https://www.medscape.com/viewarticle/975873

Jun 17th, 2022 - A new analysis using data from the Prospective Urban Rural Epidemiology (PURE) study shows that sitting more than 8 hours per day was associated with an increased risk of a composite of all-cause death and cardiovascular disease (CVD) events. In this study that tracked over 100,000 adults from 21 countries for 8 to 12 years, more time spent sitting during the day was associated with increased r...

Update on Managing Heart Failure in Primary Care
https://www.medscape.com/viewarticle/974076

Jun 15th, 2022 - This transcript has been edited for clarity. I'm Dr Neil Skolnik. Today we're going to talk about the new American Heart Association/American College of Cardiology guidelines on the treatment of heart failure. In addition to giving us strong evidence-based guidance, these new guidelines also discuss two new categories of heart failure (HF). Let's start with diagnosis. It's symptoms, an echocard...

FDA Panel Strongly Backs Protein-Based Novavax COVID Vaccine
https://www.medscape.com/viewarticle/975218

Jun 7th, 2022 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. A federal advisory panel strongly supported a bid for Novavax to win US emergency authorization for its COVID-19 vaccine, which is based on a more traditional, protein-based approach than the cutting-edge technology used in mRNA-based shots. ​​The Vaccines and Related Biological Products Advisor...

FDA Advisers Consider Novavax COVID-19 Vaccine This Week
https://www.medscape.com/viewarticle/975076

Jun 6th, 2022 - The FDA's vaccine advisors are scheduled to meet on Tuesday to consider authorizing the Novavax COVID-19 vaccine. The committee will vote on whether the benefits of the two-dose vaccine outweigh the risks for ages 18 and older, according to the 80-page briefing document posted Friday. Based on data included in the document, an FDA review found that the vaccine's effectiveness was 90.4% overall ...

Management of Post-COVID Cardiac Symptoms
https://www.medscape.com/viewarticle/972410

May 20th, 2022 - This transcript has been edited for clarity. Neil Skolnik, MD: I'm Dr Neil Skolnik, and today we're going to talk about the American College of Cardiology's expert consensus statement on cardiovascular sequelae of COVID-19. Joining us today is Dr Sue Fidler, who is a family physician and a sports medicine specialist. Susan K. Fidler, MD: Thanks, Neil. Skolnik: This statement is important becaus...

Keeping Thyroid Hormone Treatment On Target Is Key for the Heart
https://www.medscape.com/viewarticle/974130

May 17th, 2022 - A new study highlights the importance of avoiding both exogenous hyperthyroidism and exogenous hypothyroidism to decrease cardiovascular risk and death among patients receiving thyroid hormone treatment. "Our findings suggest that clinicians should make every effort to maintain euthyroidism in patients on thyroid hormone treatment, regardless of underlying cardiovascular risk, particularly in v...

Taking Cardiac Pacing From Boring to Super-Cool
https://www.medscape.com/viewarticle/973615

May 9th, 2022 - For the past two decades, catheter ablation stole most of the excitement in electrophysiology. Cardiac pacing was seen as necessary but boring. His-bundle pacing earned only modest attention.  But at the Heart Rhythm Society (HRS) 2022 scientific sessions in San Francisco, cardiac pacing consolidated its comeback and entered the super-cool category. Not one but three late-breaking clinical tria...

Hands-on for Heart Failure: New Considerations for Cardiac Rehab
https://www.medscape.com/viewarticle/970096

May 5th, 2022 - This transcript has been edited for clarity. Daniel E. Forman, MD: Hello. My name is Daniel Forman. I am a cardiologist based at the University of Pittsburgh and the VA Pittsburgh Healthcare System. In my clinical and research work, I have strong ties to cardiac rehabilitation and heart failure. I'm here today with Gordon Reeves, my colleague and friend, to discuss cardiac rehabilitation and th...

Type 2 Diabetes, Hypoglycemia Worsen Heart Failure Hospitalizations
https://www.medscape.com/viewarticle/973456

May 5th, 2022 - Researchers published the study covered in this summary on researchsquare.com as a preprint that has not yet been peer reviewed. Key Takeaways Among 783 patients hospitalized for heart failure at a single center in South Korea the presence of type 2 diabetes and hypoglycemia at admission was a significant independent risk factor for incident major adverse cardiovascular events as well as for al...

Race, Sex Affect NT-proBNP Levels When Assessing Heart Failure Risk
https://www.medscape.com/viewarticle/973376

May 4th, 2022 - NEW YORK (Reuters Health) - The absolute risk of heart failure (HF) associated with a given NT-proBNP volume varied substantially by sex and race in a cohort study. Therefore, applying proBNP cut points regardless of sex and race could lead to an underestimation of risk in Black men and an overestimate in white women, researchers say. "NT-proBNP has been known to be lower in men compared to wom...

Bone, Breath, Heart, Guts: Eight Essential Papers in Primary Care
https://www.medscape.com/viewarticle/973409

May 4th, 2022 - From stubborn high blood pressure to diverticulitis, two deputy editors of the Annals of Internal Medicine reviewed eight recently published articles they feel will influence practice. 1. Adding a New Medication Versus Maximizing Dose to Intensify Hypertension Treatment in Older Adults: A Retrospective Observational Study Roughly 1 in 3 adults with hypertension have inadequate blood pressure co...

Takotsubo Syndrome Also Linked to Happy Life Events
https://www.medscape.com/viewarticle/973421

May 4th, 2022 - Takotsubo syndrome, a condition that's also been called "broken heart syndrome," can be triggered by both positive and negative life stressors, especially in men, a new study suggests. The findings show that although Takotsubo syndrome, a type of acute heart failure related to atypical patterns of transient left ventricular contraction abnormalities, is often triggered by negative emotional str...

Early Arrhythmia-Specialist Consult, Ordered in the ER, a Boon to AF Outcomes: ER2EP Study
https://www.medscape.com/viewarticle/973250

May 2nd, 2022 - A tweak to the usual way patients with atrial fibrillation (AF) are handled in the emergency room could improve outcomes like death or hospitalization, suggests a new study that some see as a model for care-delivery settings beyond the ER. Half of patients with new-onset AF in the study were managed in the ER on a care pathway calling for electrophysiology (EP) consultation early in the process...

Why Are Numbers of Women, Minorities So Low in Cardiac EP?
https://www.medscape.com/viewarticle/972968

Apr 29th, 2022 - The very low number of women and individuals from ethnic minorities in the cardiac electrophysiology (EP) speciality in the United States has been highlighted in two new studies. The first study showed that only 5% of EP operators of Medicare procedures are women, and this number has not increased over the past several years. The second study found a very low rate of applications for EP trainin...

Will You Suffer Cardiac Arrest? New Tech May Predict If and When
https://www.medscape.com/viewarticle/972766

Apr 26th, 2022 - COVID-19 fatalities may have captured more attention lately, but heart disease remains the leading cause of death in the U.S. More than 300,000 Americans this year will die of sudden cardiac arrest (also called sudden cardiac death, or SCD), where the heart stops functioning properly. These events occur suddenly and often without warning, making them nearly impossible to predict. But that may b...

Survey IDs Need for Better, Broader Cardio-Obstetrics Training
https://www.medscape.com/viewarticle/972646

Apr 22nd, 2022 - Although cardiovascular disease (CVD) is the number-one cause of pregnancy-related death in the United States, a new survey suggests the cardiology workforce may be ill-prepared to care for pregnant and postpartum women. The national survey found that only 29% of practicing cardiologists received cardio-obstetrics didactics during training, and among these, only 13% believed their clinical expo...

MELOS: LBB Area Pacing Promising for Bradyarrhythmias, HF
https://www.medscape.com/viewarticle/972270

Apr 15th, 2022 - In the largest multicenter study to date on left bundle-branch area pacing (LBBAP), the technique was shown to be feasible as a primary pacing technique for treating bradyarrhythmias and heart failure. However, there is still a need for greater experience and better devices to improve success rates and safety for the heart failure indication. Basic questions of feasibility and safety of the var...

Bariatric Surgery Cuts Cardiovascular Events, Even in Seniors
https://www.medscape.com/viewarticle/972177

Apr 14th, 2022 - Bariatric surgery can reduce the risk of long-term cardiovascular outcomes in older Medicare beneficiaries with obesity, a large new observational study in which a third of the patients were over age 65 years, suggests. Overall, patients who underwent bariatric surgery had 37% lower all-cause mortality and were significantly less likely to have admissions for new-onset heart failure (64% risk r...

Cardiac Issues After COVID Infection and Vaccination: New Data
https://www.medscape.com/viewarticle/972122

Apr 13th, 2022 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. New data from two different sources on cardiac complications linked to COVID-19 have shown that such issues are low overall, but are higher after infection than after vaccination. The new information comes from the Centers for Disease Control and Prevention's (CDC's) National Patient-Centered Cl...