Articles tagged with Cardiology
A recent study by the American College of Cardiology found that patients not given aspirin before artery-clearing coronary angioplasty and stenting have a significantly higher in-hospital death rate. The study examined registry data from over 65,000 patients and found that nearly 7% did not receive aspirin as recommended.
Research shows that even five years after Hurricane Katrina, heart attacks were still less likely to occur during the morning or on weekdays and instead more frequent at night and on weekends. Prolonged periods of stress are believed to be the most likely cause for these changes.
A 12-week cardiac rehabilitation program reduced mortality in women with coronary artery disease by two-thirds, yet referrals and attendance among women fall short compared to men. Women who receive a referral but don't attend also have better outcomes, suggesting a referral bias towards healthier individuals.
A study found that modest financial incentives significantly increased sustained participation in a weight-loss program and long-term maintenance of weight loss. Participants who received financial rewards lost more weight (9.08 pounds) compared to those without incentives (2.34 pounds).
Researchers found that electronic discharge orders significantly improved patient care by increasing adherence to core measures and lowering hospital readmission rates. The study showed a 23% lower all-cause hospital readmission rate and a 10-fold increase in compliance with quality care measures among heart failure patients.
A study of 26,389 coronary patients found that 17% had a history of stroke or transient ischemic attack (TIA), associated with increased risk of heart attack and hemorrhagic stroke. Higher doses of anti-platelet or anti-coagulant therapy were linked to a high risk of bleeding complications.
A Saint Louis University study found that cardiologists often focus on the device's technology rather than its psychosocial impact and long-term risks. As a result, patients may be left unaware of potential anxiety, depression, and changes in body image after ICD implantation.
The radial approach for percutaneous coronary interventions (PCI) is associated with reduced bleeding complications and improved survival rates, particularly in STEMI patients. The European Society of Cardiology recommends radial access as the default strategy for PCI in high-risk acute coronary syndromes.
Researchers have identified 35 hearts without significant coronary artery disease that are eligible for transplantation using pharmacological stress echo. The study found successful transplantation in emergency recipients with minimal complications, paving the way for an upward shift in donor age cut-off limit from 55 to 65 years.
Researchers advise limiting daily vigorous exercise to 30-50 minutes due to potential harm from excessive intensity. A balanced routine of moderate physical activity can add years to life, while marathon-like activities may speed progress towards the finish line.
The American College of Cardiology and European Society of Cardiology disagree on mandatory ECG screenings. The ACC suggests $69 billion over 20 years to save 4,813 lives, while experts like Antonio Pelliccia argue cultural and policy obstacles hinder widespread adoption.
Dr. Barry D. Rutherford, MD, was awarded the TCT 2012 Geoffrey O. Hartzler Master Clinical Operator Award for his technical expertise and innovation in interventional cardiovascular medicine.
Philippe Généreux, a practicing Interventional Cardiologist and PhD candidate, has been honored with the TCT Young Investigator Award for his outstanding clinical skills and dedication to patient care. The award aims to encourage promising researchers in interventional cardiovascular medicine.
A study found that women are more likely to die from myocardial infarction due to longer treatment delays and less aggressive treatment. Women STEMI patients had higher intra-hospital mortality rates, more complications, and longer hospital stays compared to men.
China is experiencing a rising epidemic of hypertension and type 2 diabetes, leading to an increasing burden of cardiovascular disease. The country has seen a significant increase in smoking rates, with 54% of men smoking and 92 million people living with type 2 diabetes.
The new online journal bridges the disciplines of cardiology, endocrinology, and metabolism to address diabetes, hypertension, dyslipidemia, and related diseases. Original research articles and reviews will provide insights into the interaction between these specialties.
A study published in JAMA found that obese individuals who underwent gastric bypass surgery experienced significant weight loss and reductions in cardiovascular risk factors. The surgery helped improve fitness, quality of life, and even reduced the incidence of diabetes, hypertension, and sleep apnea.
The European Society of Cardiology is tackling the issue of underused implantable cardiac devices, particularly ICDs, due to financial constraints. The initiative aims to raise awareness about their importance and reduce sudden cardiac death rates in countries like Ukraine and Germany.
A European registry study found that TAVI valves were mainly used on patients over 80 years old with comorbidities, resulting in a high risk of complications and mortality. The study also showed significant differences in procedural approaches and post-procedure care across countries.
A new study published in JAMA found that noninvasive CT scanning technology combined with fractional flow reserve can improve diagnostic accuracy for heart disease. The DeFACTO study involved 252 patients from 17 centers worldwide, showing improved detection of coronary artery disease using this approach.
The PRAGUE-12 trial revealed that surgical ablation using the MAZE procedure significantly improves sinus rhythm presence one year post-operatively among patients with permanent AF. However, it had no impact on mortality, stroke or other hard clinical outcomes during a one-year follow-up.
A Swedish registry analysis found a significant decline in ischemic stroke risk after AMI over the past decade. The risk decreased by 21% from 4.7% in 1998-2000 to 3.8% in 2007-2008, likely due to improved care and modernization of coronary care.
The study found that TAVI leads to significant improvements in health-related quality of life, including increased mobility and reduced discomfort, for patients with severe aortic stenosis. Patients reported remarkable increases in self-rated quality of life scores after TAVI procedure.
Analysis of four French registries from 1995 to 2010 shows significant improvements in management and outcomes for acute myocardial infarction (AMI) patients, resulting in a notable decrease in 30-day mortality rates. This improvement is attributed to increased use of coronary angiography/PCI and early adoption of recommended medications.
The ESC has launched a new acute cardiovascular care association, expanding its scope to cover the entire first seven days of acute cardiovascular disease. The association aims to improve quality of care through an integrated patient-oriented approach.
Research from the SPICI study found that adhering to a heart-healthy lifestyle in combination with drug treatment after an acute myocardial infarction treated with coronary artery balloon intervention (PCI) can lead to significant reductions in new cardiac events. The study estimated that preventing 300 to 400 cardiac events annually c...
Patients who resume smoking after a stroke are at three times the risk of dying within a year, with early relapse increasing mortality. The study highlights the importance of comprehensive smoking cessation interventions for post-stroke patients.
The ASTRID study found that patients with high and very high risk benefited from transfemoral TAVI, with mortality rates of 4.7% and 7.7%, respectively. The registry also showed differences in vascular complications and residual aortic regurgitation between valve types.
The PROTECT study found that zotarolimus-eluting and sirolimus-eluting stents have comparable rates of stent thrombosis at three years. The study also showed that dual antiplatelet therapy use can affect the long-term clinical relevance of stent type.
Research from the European Society of Cardiology reveals that normal-weight individuals with belly fat have a higher death risk than obese individuals. The study found that those with central obesity, even at a normal weight, had the highest cardiovascular death risk and death risk from all causes.
The IABP-SHOCK II trial randomized 600 patients to receive either an intraaortic balloon pump or conventional optimal medical treatment, but found no reduction in 30-day mortality rates. The study also showed that the IABP did not improve blood pressure, organ perfusion, or reduce treatment time in the intensive care unit.
A global registry study found that women with acute heart failure have similar in-hospital mortality rates as men, but receive fewer treatments. The study revealed differences in clinical presentation, co-morbidities, and treatment patterns between genders.
A new study confirms ECG as a cost-effective method for detecting cardiac abnormalities in young athletes, preventing fatal events. The program's mean cost per athlete is €115, with most subsequent examinations being low-cost echocardiograms.
Research presented at the ESC Congress 2012 found that patients who experience a cardiac arrest during or shortly after exercise are three times more likely to survive than those who experience an exercise-unrelated cardiac arrest. The study also showed that exercise-related cardiac arrests tend to occur in younger, male individuals an...
A country-wide German registry found that women received a lower percentage of drug eluting stents (DES) compared to men for the same condition. DES are known to decrease repeat target vessel revascularization procedures and provide favorable long-term results, especially in women with smaller epicardial vessels.
A study published by the European Society of Cardiology found that passive smoking increases platelet activation and carbon monoxide levels in healthy individuals. The researchers investigated three parameters: mean platelet volume (MPV), carboxyhemoglobin (COHb), and lactate.
Research from Bremen, Germany found that non-smokers experienced a 26% decrease in ST-elevation myocardial infarctions (STEMIs) following the introduction of a smoking ban. In contrast, active smokers showed little change in STEMI rates, highlighting the benefits of anti-smoking legislation.
A clinical study found that electronic cigarettes do not cause significant defects in cardiac function, unlike smoking tobacco cigarettes. The study compared the effects of e-cigarettes and tobacco cigarettes on 20 young daily smokers and 22 electronic cigarette users, showing no acute adverse effects from e-cigarette use.
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.