Cardiology
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Can Quality of Diet Lower the Risk of Depressive Symptoms?
In a meta-analysis of 42 studies, researchers found that subjects who reported following the Mediterranean diet closely had a 0.67 reduced risk of developing depressive symptoms compared with low adherence to this diet.
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An Herbal Mixture for Enhanced Memory
SYNOPSIS: These researchers showed that a tincture of sage, rosemary, and lemon balm improved one aspect of cognition after two weeks in healthy people.
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Do Omega-3 Polyunsaturated Fatty Acids Play a Role in the Treatment of Anxiety?
In a review and meta-analysis of 19 studies regarding use of omega-3 fatty acids for treating anxiety, researchers showed improvement in anxiety symptoms with these nutrients. The effect appears most significant in a clinically diagnosed subpopulation.
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Lifestyle Modification for the Prevention and Reversal of Cardiovascular Disease
Lifestyle is a critical determinant of the common risk factors for cardiovascular disease (hypertension, diabetes, hyperlipidemia, and smoking) that have been well-known to predict disease outcomes. Lifestyle medicine can be used in conjunction with traditional medications to provide the best care to patients. Clinicians need to act now to prevent being overwhelmed with the eventual increase in coronary artery disease following the obesity/diabetes epidemic.
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Left Ventricular Unloading During Venoarterial ECMO in Cardiogenic Shock
In a series of patients with cardiogenic shock, the use of venoarterial extracorporeal membrane oxygenation with a percutaneous left ventricular unloading device was associated with better-than-expected outcomes.
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Combination Drug Therapy for Hypertension
A large regional database study from Italy demonstrated that initial combination therapy for newly diagnosed hypertension results in fewer major adverse cardiovascular events at one year compared to monotherapy.
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Safety and Efficacy of HEART Score Use in the ED
A prospective observational study of 30-day outcomes in patients with suspected acute coronary syndromes triaged in EDs before and after the implementation of the HEART score showed that there were fewer hospitalizations and a very low risk of death or myocardial infarction among low-risk patients who were discharged without further cardiac testing.
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An Update to the Management of Atrial Fibrillation
This focused update to the 2014 guidelines for the management of atrial fibrillation (AF) includes revisions to anticoagulation recommendations and the role of catheter ablation of AF in patients with heart failure.
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Volume-Outcome Relationship With Newer-Generation TAVR Devices?
This large-scale retrospective analysis of all balloon-expandable transcatheter aortic valve replacement valves revealed no apparent relationship between procedure volume and outcomes after an initial learning curve of 200 procedures.
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Rethinking the Prophylactic Use of Proton Pump Inhibitors in the ICU
The authors of this multicenter, blinded, randomized trial found that among critically ill adults at risk for gastrointestinal (GI) bleeding, fewer patients in the pantoprazole group exhibited clinically important GI bleeding compared to placebo, although mortality at 90 days was similar in both groups.