Articles tagged with Cardiology
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A new protocol has excellent results and should become the standard of care for treating severe heart attacks. Paramedics trained to read ECGs expedite treatment by evaluating patients with chest pain and restoring blood flow to the heart within 30 minutes.
The American Heart Association has released a scientific statement addressing varied cardiac evaluation policies in transplant patients. The guidelines aim to standardize cardiac evaluation practices before kidney and liver transplantation, reducing unnecessary testing and improving patient outcomes.
The new 2012 Joint European Societies' Guidelines on cardiovascular disease prevention in clinical practice focus on lifestyle changes, public health initiatives, and individual preventive measures to address the growing burden of CVD. Experts stress the need for a co-ordinated society-wide effort to reduce mortality.
The EVINCI study found that non-invasive imaging tests, such as multi-slice CT and radionuclide imaging, can accurately diagnose coronary artery disease in most patients. This approach could safely avoid invasive procedures in 75% of cases, reducing unnecessary treatments.
A new survey found that only 36.5% of coronary heart disease patients in Europe participate in cardiac rehabilitation, despite the American Heart Association's recommendation. The study suggests that smoking, older age, and lower educational attainment are associated with lower attendance rates.
A new study from Children's National Medical Center found that routine echocardiogram screenings can identify three times as many cases of rheumatic heart disease (RHD) as clinical examinations. The screenings can detect clinically silent RHD in children, allowing for early intervention and prevention of serious complications.
A new program, RACE-ER, has been implemented to improve heart attack treatment times and patient survival rates. The initiative, which involves all hospitals and emergency services in North Carolina, has reduced the time from diagnosis to treatment from 103 minutes to 91 minutes.
Researchers at Mount Sinai School of Medicine are pioneering a new way to diagnose heart disease by focusing on fluid dynamics, not muscle mechanics. This approach uses advanced ultrasound techniques to visualize blood flow in the heart, providing clues for early detection and effective therapeutic interventions.
The European Society of Cardiology has released new guidelines for the diagnosis and treatment of heart failure, emphasizing the importance of new device recommendations and increased use of left ventricular assist devices. The guidelines also highlight the benefits of cardiac resynchronisation therapy in patients with mild symptoms.
Results from the first-in-human studies show meaningful and sustained low clinical events after treatment with the Parachute system, demonstrating a near-full New York Heart Association (NYHA) class improvement at two years.
At EuroPCR 2012, expert panel discussions highlighted the potential for interventional cardiologists to support stroke patients with mechanical thrombectomy. Keynote speakers emphasized the need for education and training in interventional neuroradiology to ensure timely care for these patients.
The Stent for Life Initiative is driving equal access to primary percutaneous coronary intervention (PPCI) in Europe, reducing mortality and morbidity among acute coronary syndrome patients. PPCI rates are increasing across participating countries, with a focus on improving patient awareness and streamlining healthcare systems.
Two US Army physicians, Col. Gregory J. Argyros and Alan J. Magill, were inducted as Masters in the American College of Physicians for their contributions to internal medicine through teaching, research, and medical practice. The honors recognize the Army's commitment to board certification, continuing education, and exceptional patien...
Researchers conducted a 10-year retrospective study on HIV patients in San Francisco, finding that they suffered sudden cardiac death at a rate four times higher than the general population. The study suggests that HIV changes the electrophysiology of the heart, increasing the risk of conduction abnormalities and sudden death.
A new program will coordinate regional systems to reduce time from heart attack to treatment, building on the successful Mission: Lifeline program. The Regional Systems of Care Demonstration Project aims to develop coordinated, regional systems of care that start at the 911 call and include ambulance transport and hospital treatment.
A new report provides detailed criteria for clinicians to determine when cardiac catheterization is a reasonable option for evaluating patients with heart disease. The guidelines identify 166 possible clinical scenarios and assess the appropriateness of each indication, concluding that cardiac catheterization is appropriate in about ha...
A new study found that patients who received guidance on sexual activity before leaving the hospital were more likely to recapture their sex lives after a heart attack. Researchers urge doctors to address sexual health as an important part of overall physical function, especially for women.
The updated consensus statement provides guidance on setting up, operating, and maintaining high-quality cardiac catheterization laboratories. Modern cath labs now incorporate minimally invasive techniques for congenital heart defects and valvular heart disease, as well as developing hybrid labs with surgical features.
The new guidelines stress CVD prevention should be a lifelong effort starting in the womb, with greater emphasis on behavioral aspects. They highlight evidence from clinical trials and observational studies showing that 90% of heart attacks may be prevented through personal lifestyle choices.
A recent study published at the EuroPRevent2012 meeting found that regular jogging increases life expectancy by 6.2 years in men and 5.6 years in women. The study analyzed data from over 20,000 participants and showed a significant reduction in mortality risk among joggers.
Scientists have developed a new imaging method that combines PET and CT scanning to identify patients at high risk of a heart attack. The technique, which targets active calcification in coronary arteries, shows promise in improving heart attack prediction and reducing mortality rates.
Global cardiovascular disease leaders urge the world to adopt a 25% reduction target for premature NCD mortality by 2025. The Taskforce, comprising leading CVD organizations, aims to reduce the global burden of CVD and address its impact on families and economies.
A global study presented at the World Congress of Cardiology reveals that patients with rheumatic heart disease are not receiving necessary surgery or secondary prevention treatments. In Africa and India, only 41% of patients enrolled had received surgery, highlighting a dire lack of surgical services available in most centers.
Two new studies presented at the World Congress of Cardiology show that coordinated screening and control programmes can identify patients with rheumatic heart disease (RHD) early, reducing treatment costs. In Uganda and Fiji, children were screened using a stethoscope and portable echocardiography machine, detecting 1.5% RHD cases.
Three large studies from India, China, and the Middle East expose a consistent pattern of inadequate treatment for women with acute coronary syndrome (ACS), resulting in poorer outcomes. Women tend to be admitted later, have more comorbid disease, and receive less aggressive treatment than men.
A recent study found that short-term treatment with omega-3 fatty acids improves arterial stiffness and moderates the negative effects of smoking on vascular elastic properties in smokers. The cardioprotective effects of omega-3 fatty acids are attributed to their anti-inflammatory and anti-atherosclerotic properties.
A new study at the World Congress of Cardiology found that women with diagnosed heart disease are more likely to give birth to female babies. The study, which reviewed 200 pregnant women with cardiac disease, found that 75% of their children were female.
A new study found that exposure to alcohol use in Bollywood movies is directly associated with alcohol consumption among Indian adolescents. The study, presented at the World Congress of Cardiology, reveals that students who were highly exposed to such content were 2.78 times more likely to have tried alcohol.
A new study from Hong Kong reveals that smokefree legislation has led to a decrease in total smokers, but hard-to-quit 'hardcore' smokers have increased. The number of hardcore smokers grew from 23.8% to 29.4% among males and 10.6% to 16.3% among females between 2005 and 2008.
A new study has identified left-ventricular hyper-trabeculation as a common feature among black male athletes, with a prevalence of 6.8% compared to 0.4% in non-athletes. This finding raises concerns about the challenges of differentiating between athlete's heart and serious medical conditions in this demographic.
A recent study published in the European Heart Journal found that RAAS inhibitors significantly reduced all-cause and cardiovascular mortality in patients with high blood pressure. The treatment was shown to have a beneficial effect on mortality, particularly for ACE inhibitor users.
A large-scale study analyzing 190,000 patients found that bypass surgery resulted in a lower death rate compared to coronary angioplasty. The study's lead investigator notes that while bypass surgery is not the best option for every patient, it can now be recommended with more confidence.
Researchers found that lower doses of clot-busting drug tissue plasminogen activator (t-PA) effectively dissolve clots in patients with moderate pulmonary embolism, leading to earlier hospital discharge and reduced complications. Eighty percent of pulmonary embolism patients could benefit from this treatment.
Two-year data show comparable death and durability rates between catheter-placed heart valves and open-heart surgery in very old patients. Valve durability appears to be comparable, with no significant difference in mortality between the two groups over time.
A new study found that the novel oral anti-coagulant rivaroxaban is as effective as traditional treatment for blocked lung blood vessels, with lower rates of major bleeding. The EINSTEIN-PE trial compared rivaroxaban to standard therapy and demonstrated its non-inferiority in treating pulmonary embolism.
The CORONARY trial found that off-pump CABG reduces the need for blood products, reoperations, and pulmonary complications, but increases the risk of technical failure. The study suggests that patient-specific decisions can be made for bypass surgery, allowing surgeons to individualize the technique.
A dual-chamber pacemaker reduces the relative risk of fainting episodes by 57% in patients with severe asystolic NMS, according to a new study. The treatment is effective in reducing syncopal recurrences in this highly selected population.
A 10-week program combining interactive lessons and healthier food options significantly reduced cardiovascular risk factors in sixth-graders. Students showed improvements in dietary habits, physical activity levels, and physiological markers such as blood pressure and cholesterol.
A new study found that pregnancy increases the risk of heart attack, with more severe attacks and different causes than in non-pregnant women. The standard approach to managing heart attacks during pregnancy may not always be best, and alternative treatments may be needed to prevent complications.
Research suggests that interventions targeting obesity in adolescents should be tailored to gender differences, with exercise and sports benefiting boys and drinking milk predicting healthier weight in girls. Regular physical activity and improved school lunches are also key predictors of obesity.
A recent study found that community hospitals can safely and effectively perform elective angioplasty without on-site cardiac surgery units. The study showed no significant differences in death rates or complications between patients undergoing elective angioplasty at facilities with and without on-site cardiac surgery units.
A randomized controlled trial found that consuming three servings of raisins per day can significantly reduce systolic and diastolic blood pressure in people with mild hypertension. Raisins' high potassium content is believed to be the key factor behind this effect.
A large-scale study found that underweight patients are twice as likely to experience complications or die during ICD insertion compared to obese and normal-weight patients. Smaller body size is associated with longer hospital stays, more complications, and increased risk of dying from the procedure.
A three-pronged intervention improved physician adherence to evidence-based protocols for treating acute coronary syndrome, raising the rate of total adherence by 18 percent. The study's strategies, including nurse case management and educational materials, were adaptable to other countries.
A new study has found that a three-drug regimen is as safe and effective as a double-dose two-drug treatment in preventing blood clots after angioplasty. The study compared the effectiveness of adding cilostazol to conventional dual anti-platelet therapy versus doubling the dose of clopidogrel.
A nationwide CPR training effort in Denmark led to a significant increase in bystander CPR, from 20% in 2001 to 44% in 2010, resulting in improved cardiac arrest survival rates. The study found patients treated with CPR or AEDs by bystanders were about four times more likely to survive 30 days after the cardiac event.
A large population survey found that adults getting less than six hours of sleep a night are at significantly greater risk of stroke, heart attack, and congestive heart failure. Those sleeping more than eight hours also have a higher prevalence of heart problems, including chest pain and coronary artery disease.
A recent study found that selected 90-year-old patients who experience acute heart attacks can benefit from coronary stenting, leading to reasonable outcomes and low cardiovascular readmissions. The study suggests that reperfusion therapy should be considered for this age group, which is expected to quadruple by 2050.
A pilot program at OB/GYN clinics screened 2,234 women for cardiovascular risk factors or disease. Cardiovascular assessment in these settings may enhance primary prevention and education to female patients. Many women are unaware of their heart disease risk factors, including diabetes, high blood pressure, and high cholesterol.
A new CMS requirement mandates deeper sedation, adding $844 to ICD implant costs; Researchers recommend revising guidelines to minimize unnecessary expenses while preserving patient safety
Researchers recommend including race-specific criteria to reduce false positives and anxiety among healthy black athletes. A study found 43% of black athletes would be identified for further investigation under current guidelines.
The International multicenter ADVANCE study found significant improvement in valve function and low mortality rates at 30 days after TAVI. The study analyzed data from 1,015 high-risk patients with severe aortic stenosis.
A new, one-page checklist for heart failure patients significantly reduced hospital readmissions from 20% to 2%, with improved medication adherence and quality of care. The study suggests the checklist could save billions by improving patient outcomes and reducing healthcare costs.
A Canadian study reveals that non-cardiac co-morbidities such as COPD and chronic kidney disease are the main predictors of late mortality after TAVI, emphasizing the importance of closer patient evaluation and follow-up. The study also shows that valve performance is maintained throughout the follow-up period.
The Canadian Journal of Cardiology has published new guidelines for atrial fibrillation, which provide updated guidance on stroke prevention and heart rhythm control. The guidelines are based on recent changes in drugs available to treat the condition and will have a significant impact on how doctors worldwide treat atrial fibrillation.
Two Cedar-Sinai Heart Institute physicians, Prediman K. Shah and C. Noel Bairey Merz, receive American College of Cardiology's highest honors for groundbreaking work in cardiovascular disease research and clinical care. The accolades recognize their pioneering efforts to develop innovative treatments and improve heart health outcomes.
Patients interested in art had better general health, found it easier to walk, and had more energy. They were also happier, less anxious or depressed, and felt calmer.
A landmark clinical trial found that plugging a hole in the heart is no more effective than medication in preventing strokes. The study enrolled 909 patients with patent foramen ovale (PFO) and suffered previous strokes or transient ischemic attacks, and found that closure device was not superior to drug therapy alone.
A recent study by the European Society of Cardiology has found that depression increases the risk of death in patients who have a coronary stent implanted. After seven years of follow-up, depressed patients were 1.5 times more likely to die than non-depressed patients.
A study published in the Canadian Journal of Cardiology found that patients with lower socioeconomic status were 16% more likely to die from a heart attack. Despite equal access to advanced healthcare, socioeconomic factors still had a negative impact on health outcomes.