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Practice Management

 - High blood pressure, hypertension

Lowering blood pressure might be as simple as encouraging hypertensive patients to check in. In a study published online Oct. 28 in Circulation: Cardiovascular Quality and Outcomes, a community-outreach program improved hypertensive blood pressure after six weeks using web portals and personalized care.

 - Gavel and stethoscope

Two cardiologists in Kentucky agreed to pay $380,000 in the culmination of a whistleblower case that led to a $16.5 million settlement and a prison term for a third cardiologist.

 - High blood pressure, hypertension

With nearly five years left on the Healthy People 2020 goals for hypertension, researchers measured progress and found much wanting. Although key areas have improved, according to the study published online Oct. 20 in Circulation, prevalent hypertension remained well above the goal of 26.9 percent and hypertension control efforts plateaued well below the goal of 61.2 percent.

 - health_costs

An accountable care organization (ACO) pilot failed to see reductions in discretionary spending for cardiovascular nonessentials, researchers found. The study published online Oct. 20 in Circulation noted that care did not diminish for those patients for whom procedures were essential, however. 

 - energy drink

Fighting adolescent obesity with a healthy message has sweet effects. Researchers studied how adolescents made purchasing choices after being exposed to four different messages about sugar-sweetened drinks. Some decided against drink purchases altogether, according to the study published online Oct. 16 in the American Journal of Public Health.

 

More Stories

Acute MI patients sent to noncardiac units face higher risk of death

Location, location, location. Patients with acute MI who mistakenly were admitted to noncardiology departments were more likely to die before and after discharge than counterparts treated in coronary care units, according to a subanalysis of the DEF-AMI study. Their mortality risk was almost twice as high.

Outdated already? Analysis explores gap in risk calculator results

A risk prediction tool unveiled in the 2013 American College of Cardiology and the American Heart Association cholesterol guidelines took another broadside hit with an analysis that tried to explain the difference in actual vs. calculated risks. The most recent salvo used data from the Women’s Health Study.

Customized cholesterol care: How lipid guidelines help tailor management

The goal: To reduce the risk of atherosclerotic cardiovascular disease. The management plan: Assess the patient, guideline limitations and options. In this editorial, a director of a preventive cardiovascular medicine program explains how new lipid recommendations can guide care.

Antibody therapy cuts LDL in patients with familial hypercholesterolemia

Patients with familial hypercholesterolemia given a monoclonal antobody had a 30.9 percent reduction in low-density lipoprotein (LDL) concentrations after 12 weeks in a study published Oct. 2 in The Lancet.

Good day, Sunshine

Open payments is open for business. How has your experience been so far?

Fenoldopam flops in preventing renal replacement therapy after AKI

Fenoldopam was found to be ineffective at reducing risks for renal replacement therapy in cardiovascular patients with acute kidney injury (AKI), according to a study published Sept. 29 in JAMA. It was also ineffective at reducing risk of death over placebo.

CKD does not indicate extra bleeding risks in stroke treatment

Chronic kidney disease (CKD) was not an indicator of increased bleeding risk in stroke patients treated with intravenous thrombolysis, according to a study published online Sept. 23 in Circulation: Cardiovascular Quality and Outcomes. The research team did note that stroke patients with CKD did have increased risks for poorer outcomes, however.

Postoperative cardiac events increased in sleep apnea patients

Obstructive sleep apnea increased rates of postoperative cardiac events, according to a study published in the October issue of Anesthesiology.

Asthma drug elevates cardiovascular risk

The FDA warned that the asthma drug omalizumab slightly increases the risk of cardiovascular and cerebrovascular events in patients treated with the medicine.

Compressions in CPR: Guidelines may need to dial back

Guidelines on chest compressions for cardiac arrest may be encouraging well-meaning aid to push too far. Out-of-hospital cardiac arrest patients had best outcomes with a chest compression depth between 40.3 and 55.3 mm, according to findings published online Sept. 24 in Circulation.

Cardiologist pays $200K to settle kickback case

A cardiologist in Georgia agreed to pay $200,000 to settle a longstanding kickback case, the Atlanta U.S. Attorney’s Office announced.

Making guidelines an ally

How avidly do clinicians follow guidelines? Perhaps only to the degree that their worth is apparent and appreciated.

Lipid recommendations fill cholesterol guidelines’ black holes

The National Lipid Association published recommendations that are designed to help fill the gaps in the 2013 cholesterol guidelines jointly released by two cardiology associations. The report aligns with some aspects of the guidelines but diverges on cholesterol targets.

Debate is on: On-site vs. hospital treatment for cardiac arrest

To transport to hospital or not when an out-of-hospital cardiac arrest has no shockable rhythm was at the center of a debate published online Sept. 23 in BMJ.

Guideline updates: Goodbye NSTEMI, hello NSTE-ACS

New terms like non-ST-elevation acute coronary syndrome (NSTE-ACS) and a continuum view of unstable angina are a large part of the updated joint guidelines published Sept. 23 in Circulation. 

Statins significantly improve 30-day outcomes in ICH study

Patients on statins had a 4.25 times greater 30-day survival rate following intracranial hemorrhage (ICH) than patients who were not on statins in a study published online Sept. 22 in JAMA: Neurology. Statin use also had a significant impact on whether or not patients were sent home or to a rehabilitation facility.

Study finds 4 out of 5 MIs preventable with healthy lifestyle

Checking off all of the boxes for a healthy lifestyle could reduce the risk of MI in men by as much as 86 percent. These findings were published Sept. 30 in the Journal of the American College of Cardiology.

Generic statins increase adherence, improve outcomes

When it comes to statin adherence, cost matters. A 6 percent greater adherence was seen in patients using generic statins compared with patients on brand-name drugs, according to a study published Sept. 16 in Annals of Internal Medicine.

Variability in CAD detection questioned in invasive testing study

When clinicians are looking for stable ischemic heart disease and obstructive coronary heart disease, are they overusing invasive methods? A group of researchers wondered how frequently angiographies are diagnosing obstructive coronary heart disease. The answer: is it varies.  

SOLID-TIMI 52: Darapladib a dud for acute coronary syndrome

Acute coronary syndrome patients did not experience benefit from using darapladib in a study published Aug. 31 in JAMA.