November 2019 Briefing - Cardiology

Here are what the editors at HealthDay consider to be the most important developments in Cardiology for November 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Outcomes Poorer With New U.S. Donor Heart Allocation System

WEDNESDAY, Nov. 27, 2019 (HealthDay News) -- Change in the U.S. allocation system for donor hearts has reduced waitlist mortality, but posttransplantation outcomes may have been worsened, according to a research letter published online Nov. 20 in the Journal of Heart and Lung Transplantation.

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U.S. Adults With ASCVD Report Skipping Meds Due to Costs

WEDNESDAY, Nov. 27, 2019 (HealthDay News) -- More than 12 percent of patients with atherosclerotic cardiovascular disease (ASCVD) report nonadherence to medications due to costs, according to a study published online Nov. 25 in Circulation.

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U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults

TUESDAY, Nov. 26, 2019 (HealthDay News) -- U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014, according to research published in the Nov. 26 issue of the Journal of the American Medical Association.

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Peds Cardiac Surgical Outcomes Improved in Consortium

TUESDAY, Nov. 26, 2019 (HealthDay News) -- Children's hospitals participating in the Pediatric Cardiac Critical Care Consortium (PC4) have improved cardiac surgery outcomes, including a 24 percent reduction in in-hospital mortality, according to a study published in the Dec. 3 issue of the Journal of the American College of Cardiology.

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Changes in Metabolic Syndrome Status Linked to MACE Risk

TUESDAY, Nov. 26, 2019 (HealthDay News) -- Recovery from metabolic syndrome (MetS) is associated with a decreased risk for major adverse cardiovascular events (MACE), while increased risk is seen in association with MetS development, according to a study published online Nov. 26 in the Annals of Internal Medicine.

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Large BP Variation Tied to Greater Long-Term Risk for Dementia

TUESDAY, Nov. 26, 2019 (HealthDay News) -- Large variation in blood pressure is associated with an increased long-term risk for dementia, according to a study published online Nov. 12 in PLOS Medicine.

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Elevated Risk for CVD Mortality Observed in U.S. Cancer Patients

MONDAY, Nov. 25, 2019 (HealthDay News) -- Cancer patients have elevated cardiovascular disease (CVD) mortality risk, with the highest risk seen in the first year after cancer diagnosis, according to a study published online Nov. 24 in the European Heart Journal.

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Risk for Skin Infections, Diabetes Increase With Statin Use

MONDAY, Nov. 25, 2019 (HealthDay News) -- Using statins for as short a time as three months can put patients at risk for developing diabetes and skin and soft tissue infections (SSTIs), according to a study published in the November issue of the British Journal of Clinical Pharmacology.

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Most Teens Worldwide Are Not Exercising Enough

FRIDAY, Nov. 22, 2019 (HealthDay News) -- The majority of adolescents worldwide do not meet current physical activity guidelines, according to a study published online Nov. 21 in The Lancet Child & Adolescent Health.

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Electronic Health Record Usability Graded F by Physicians

FRIDAY, Nov. 22, 2019 (HealthDay News) -- The usability of current electronic health records (EHRs) is classified as unacceptable, with physician-rated EHR usability independently linked to the odds of burnout, according to a study published online Nov. 14 in the Mayo Clinic Proceedings.

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Hypertension During Pregnancy May Up CV Risk in Middle Age

FRIDAY, Nov. 22, 2019 (HealthDay News) -- Hypertension during pregnancy heightens women's cardiovascular risk during middle age, according to a study published online Nov. 11 in the Journal of the American College of Cardiology.

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Testosterone Replacement May Benefit Younger Male Cancer Survivors

FRIDAY, Nov. 22, 2019 (HealthDay News) -- Testosterone replacement is associated with an improvement in body composition among younger male cancer survivors with low-normal morning total serum testosterone, according to a study published online Nov. 12 in PLOS Medicine.

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Employee Premiums, Deductibles Eating Larger Share of Income

THURSDAY, Nov. 21, 2019 (HealthDay News) -- During the last decade, health care costs have eaten up a larger share of income for millions of middle-class Americans with employer coverage, according to Trends in Employer Health Care Coverage, 2008-2018, a Nov. 21 report from The Commonwealth Fund.

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Number of Pregnant Women Taking Antidepressants Down

THURSDAY, Nov. 21, 2019 (HealthDay News) -- There has been a significant decrease in the use of antidepressants by pregnant women in Denmark, with consumption falling by more than 33 percent since 2011, according to a study published in the November issue of Brain and Behavior.

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Vigorous Activity Weekly May Improve Outcomes in Stable CAD

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- Performing vigorous physical activity once or twice a week compared with sedentary behavior or light physical activity may improve long-term cardiac health in patients with stable coronary artery disease, according to a study recently published in the European Journal of Preventive Cardiology.

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Rheumatoid Arthritis Linked to Comorbidities Before, After Diagnosis

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- There are associations between rheumatoid arthritis (RA) and multiple comorbidities before and after diagnosis, with inflammatory bowel disease, type 1 diabetes, and venous thromboembolism (VTE) occurring more often before RA diagnosis versus controls, according to a study published online Nov. 20 in the Mayo Clinic Proceedings.

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Cardiovascular Disease Rates Dropping in American Indians

WEDNESDAY, Nov. 20, 2019 (HealthDay News) -- New cardiovascular disease is declining among American Indians, according to a study published in the Nov. 5 issue of the Journal of the American Heart Association.

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Statin Use Not Linked to Rate of Cognitive Decline in Seniors

TUESDAY, Nov. 19, 2019 (HealthDay News) -- Statin therapy is not associated with increased decline in memory or cognition among older adults, according to a study published in the Nov. 26 issue of the Journal of the American College of Cardiology.

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CDC: ~20 Percent of U.S. Adults Currently Use Tobacco Products

TUESDAY, Nov. 19, 2019 (HealthDay News) -- In 2018, 19.7 percent of U.S. adults reported currently using any tobacco products, according to research published in the Nov. 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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VA, DoD Update Guideline for Rehabilitation After Stroke

TUESDAY, Nov. 19, 2019 (HealthDay News) -- In a systematic review and clinical practice guideline, published online Nov. 19 in Annals of Internal Medicine, recommendations from the U.S. Department of Veterans Affairs and the U.S. Department of Defense are presented for stroke rehabilitation and nonpharmacologic and pharmacologic treatments for motor deficits and mood disorders in adults who have had stroke.

The Management of Stroke Rehabilitation
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HbA1c Variability Linked to Cardiovascular Disease Risk

TUESDAY, Nov. 19, 2019 (HealthDay News) -- For patients with newly diagnosed type 2 diabetes, visit-to-visit hemoglobin A1c (HbA1c) variability is associated with increased risks for cardiovascular disease and microvascular complications, according to a study published online Nov. 14 in Diabetes Care.

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Bipartisan Bill to Curb Drug Costs Backed by White House

MONDAY, Nov. 18, 2019 (HealthDay News) -- A bipartisan Senate bill that would curb prescription drug costs is being backed by the Trump administration as a new poll shows that many Americans think the White House has done little to tackle the issue.

AP News Article

White House Wants Hospitals, Insurers to Provide Actual Costs of Care

MONDAY, Nov. 18, 2019 (HealthDay News) -- New rules requiring hospitals and insurers to disclose the actual prices for common tests and procedures before they are performed have been proposed by the Trump Administration.

AP News Article

FDA Panel: Expand Use of Fish Oil Drug Vascepa

FRIDAY, Nov. 15, 2019 (HealthDay News) -- Approved use of the prescription-strength fish oil drug Vascepa should be widened to include more patients at risk for heart attack and stroke, a U.S. Food and Drug Administration advisory panel recommended Thursday.

AP News Article

Minimum Age to Buy Tobacco, E-Cigarettes Raised in NY State

THURSDAY, Nov. 14, 2019 (HealthDay News) -- The minimum age to buy tobacco and electronic cigarette products in New York State is now 21.

CNN Article

Survey of U.S. Registered Nurses Points to Worsening Shortages

THURSDAY, Nov. 14, 2019 (HealthDay News) -- The 2019 AMN Healthcare Survey of Registered Nurses raises concerns about the outlook for the nursing profession in the United States.

2019 Survey of Registered Nurses

Surgery for Congenital Heart Disease Tied to Kidney Disease

THURSDAY, Nov. 14, 2019 (HealthDay News) -- The risk for mortality and end-stage kidney disease (ESKD) is high in children who undergo surgical repair for congenital heart disease compared with the general population, according to a study published in the October issue of the Clinical Journal of the American Society of Nephrology.

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Higher Skeletal Muscle Mass May Lower Long-Term Risk for CVD

THURSDAY, Nov. 14, 2019 (HealthDay News) -- Skeletal muscle mass (SMM) is inversely associated with the incidence of cardiovascular disease (CVD) among middle-aged and older adults, according to a study published online Nov. 11 in the Journal of Epidemiology & Community Health.

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1999 to 2016 Saw Increase in U.S. Adults Trying to Lose Weight

THURSDAY, Nov. 14, 2019 (HealthDay News) -- From 1999 to 2016, there were trends for increases in measured body mass index (BMI) and weight among adults in the United States, and there was an increase in the proportion of adults attempting to lose weight, according to a study published online Nov. 13 in JAMA Network Open.

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Insomnia Symptoms Associated With Increased Risk of CVD

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Individual and coexisting symptoms of insomnia are associated with increased risk for cardio-cerebral vascular diseases (CVD), according to a study published on Nov. 6 in Neurology.

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Smartwatch App Shows Promise for Identifying Atrial Fibrillation

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- For participants without atrial fibrillation, use of a smartwatch application (app) can identify irregular pulse, which may indicate atrial fibrillation with high positive predictive value, according to a study published in the Nov. 14 issue of the New England Journal of Medicine.

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Injecting Illegal Drugs Ups Risk for Death After Heart Surgery

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- People who inject drugs (PWID) have shorter survival following cardiac surgery than non-PWID, according to a review published online Nov. 8 in BMC Infectious Diseases.

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High-Risk Surgical Patients Benefit From Teaching Hospitals

WEDNESDAY, Nov. 13, 2019 (HealthDay News) -- High-risk patients benefit from having surgery at teaching hospitals, according to a study published online Oct. 15 in the Annals of Surgery.

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Cholesterol Levels Have Been Dropping Since 2013 Guidelines

TUESDAY, Nov. 12, 2019 (HealthDay News) -- Implementation of guidelines for lipid management in 2013 correlated with a reduction in mean total cholesterol, triglyceride, and low-density lipoprotein cholesterol (LDL-C) levels, according to research published in the Nov. 19 issue of the Journal of the American College of Cardiology.

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High Birth Number May Harm Cardiovascular Health in Women

FRIDAY, Nov. 8, 2019 (HealthDay News) -- Multiparity is associated with poorer cardiovascular health, especially among women with five or more live births, according to a study recently published in the American Journal of Obstetrics & Gynecology.

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Exercising More Often May Lower CVD Risk in Older Adults

FRIDAY, Nov. 8, 2019 (HealthDay News) -- Older adults who increase their frequency of moderate-to-vigorous physical activity (MVPA) have a significantly lower risk for cardiovascular disease (CVD) compared with those who are continuously physically inactive, according to a study published online Nov. 7 in the European Heart Journal.

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Test of Vascular Function May Predict Solid-Tumor Cancer Risk

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Microvascular endothelial dysfunction is associated with an increased risk for solid-tumor cancer, according to a study published online Oct. 31 in the European Journal of Preventive Cardiology.

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Poorer Neighborhood Walkability May Increase Cardiovascular Risk

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Adults living in less walkable neighborhoods have a higher predicted 10-year cardiovascular disease risk compared with individuals living in highly walkable areas, according to a study published in the Nov. 5 issue of the Journal of the American Heart Association.

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Number of Potentially Excess Deaths Up in Nonmetropolitan Counties

THURSDAY, Nov. 7, 2019 (HealthDay News) -- During 2010 to 2017, nonmetropolitan counties had higher percentages of potentially excess deaths from five leading causes than metropolitan counties nationwide, according to research published in the Nov. 8 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Ibuprofen Does Not Increase Postpartum Blood Pressure

THURSDAY, Nov. 7, 2019 (HealthDay News) -- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, do not increase blood pressure among postpartum women with hypertensive disorders of pregnancy, according to a study published online Nov. 4 in Obstetrics & Gynecology.

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Many Adult Health Problems Due to Adverse Childhood Experiences

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Preventing adverse childhood experiences could potentially prevent chronic conditions, depression, health risk behaviors, and poor socioeconomic outcomes among adults, according to research published in the Nov. 5 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Women Less Likely to Receive Treatment for Myocardial Infarction

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Use of sex-specific diagnostic thresholds for myocardial infarction identifies more additional women than men with myocardial injury, but women are less likely to receive treatment, according to a study published in the Oct. 22 issue of the Journal of the American College of Cardiology.

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Few Eligible Patients Receive Rx for Weight-Loss Medications

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Few eligible patients receive prescriptions for weight-loss medications, according to a study published online Oct. 11 in Obesity.

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Cardiorespiratory Fitness May Improve Lung Cancer Outcomes

WEDNESDAY, Nov. 6, 2019 (HealthDay News) -- Higher cardiorespiratory fitness is associated with a lower risk for lung cancer incidence in former smokers and a reduced risk for cancer mortality in current smokers diagnosed with lung cancer, according to a study published in the November issue of the American Journal of Preventive Medicine.

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FDA: Biotin Supplements Could Affect Results of Medical Tests

TUESDAY, Nov. 5, 2019 (HealthDay News) -- Biotin supplements can interfere with the results of some critical lab tests, the U.S. Food and Drug Administration warned Tuesday.

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Medical Practices Burdened by Regulatory Requirements

TUESDAY, Nov. 5, 2019 (HealthDay News) -- The vast majority of group medical practices report that regulatory requirements, including prior authorization and quality payment programs, are burdensome, according to a survey released by the Medical Group Management Association.

Annual Regulatory Burden Survey

All-Cause Mortality Up With Loneliness in Cardiac Patients

TUESDAY, Nov. 5, 2019 (HealthDay News) -- For cardiac patients, loneliness is associated with poorer patient-reported outcomes and increased all-cause mortality, according to a study published online Nov. 4 in Heart.

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Running Participation Linked to Reduced Risk for Mortality

TUESDAY, Nov. 5, 2019 (HealthDay News) -- Running participation is associated with a significantly lower risk for all-cause, cardiovascular, and cancer mortality, according to a review and meta-analysis published online Nov. 4 in the British Journal of Sports Medicine.

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Seriously Ill Medicare Beneficiaries Face Financial Hardship

MONDAY, Nov. 4, 2019 (HealthDay News) -- Seriously ill Medicare enrollees experience considerable financial distress, according to a report published in the November issue of Health Affairs.

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Dr. Stephen Hahn Nominated to Head FDA

MONDAY, Nov. 4, 2019 (HealthDay News) -- Radiation oncology expert Stephen Hahn, M.D., has been nominated as the new U.S. Food and Drug Administration commissioner.

CNN Article

Intensive BP Control in Elderly With HTN May Aid Brain Health

MONDAY, Nov. 4, 2019 (HealthDay News) -- Intensive lowering of ambulatory blood pressure in older patients with hypertension reduced accumulation of small vessel disease in the white matter of the brain, according to a study published online Oct. 14 in Circulation.

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Coronary Calcium Score May ID CV Risk in Rheumatoid Arthritis

MONDAY, Nov. 4, 2019 (HealthDay News) -- The Coronary Calcium Score (CCS) may be a useful tool in cardiovascular (CV) risk assessment among female patients with rheumatoid arthritis (RA), according to a study published in the October issue of the International Journal of Rheumatic Diseases.

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Recommendations Developed to Address Clinician Burnout

FRIDAY, Nov. 1, 2019 (HealthDay News) -- In Taking Action Against Clinician Burnout, a new report published online Oct. 23 by the National Academies of Sciences, Engineering, and Medicine, recommendations are presented to address clinician burnout.

Taking Action Against Clinician Burnout

Equivalence Seen Between Drug Classes for HTN Monotherapy

FRIDAY, Nov. 1, 2019 (HealthDay News) -- Most estimates show no differences in effectiveness between classes of antihypertensive agents, according to a systematic, multinational, large-scale analysis published online Oct. 24 in The Lancet.

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Borderline Personality Disorder May Raise Cardiometabolic Risk

FRIDAY, Nov. 1, 2019 (HealthDay News) -- Middle-aged adults with borderline personality disorder (BPD) seem to have an increased cardiometabolic risk, according to a study published online Oct. 24 in Personality Disorders: Theory, Research, and Treatment.

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