Cardiology
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Canagliflozin Reduces Risk of Heart Failure Hospitalizations for Diabetic Patients
In type 2 diabetes mellitus patients with a higher risk of cardiovascular disease, canagliflozin lowered the risk of cardiovascular death or heart failure hospitalization. Patients with pre-existing heart failure may experience even greater benefit.
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Substance Abuse and Myocardial Infarction
Among patients ≤ 50 years of age with first myocardial infarctions, use of cocaine or marijuana increased the likelihood of an ST-segment elevation myocardial infarction and the subsequent risk of all-cause and cardiovascular mortality.
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Vitamin C for Postoperative Atrial Fibrillation Risk
The authors of a systematic review of 13 studies found convincing evidence that vitamin C supplementation, beginning before cardiac surgery and continuing for a few days postoperatively, can decrease the risk of atrial fibrillation.
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Tele-yoga for Chronic Pain: A Management Therapy for the Future?
Researchers reviewed the use of yoga instruction, transmitted remotely for access-challenged patients in treating chronic pain. The study suggests that tele-yoga can be an effective treatment, but it is unknown if it is as effective as in-person yoga instruction.
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B Vitamins and Hip Fracture Risk: To B or Not to B?
Researchers conducted a secondary analysis and extended follow-up of two large, randomized, controlled trials to show the relationship between supplementing with B vitamins and the incidence of hip fractures.
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Chicken or Egg: Does Improving Sleep Improve Mental Health?
Authors of this large, randomized, controlled study strongly suggest that better sleep leads to improvement in several areas of mental health, and that a digital form of cognitive behavior therapy can significantly help in treatment of insomnia.
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Aerobic Exercise and Heart Health: Is It Ever Too Late to Start?
In this prospective, randomized, controlled trial, researchers demonstrated improvements in exercise tolerance and diastolic cardiac function in middle-aged, healthy, sedentary men and women performing intensive aerobic exercise over a two-year period.
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Atrial Flutter, Atrial Fibrillation, and Ischemic Stroke
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Therapeutic Strategies for Hypertension
This article on hypertension will cover treatments (pharmacological and nonpharmacological), initial therapy, relationship to various disease conditions (diabetes, ischemic heart disease, heart failure, chronic kidney disease, cerebrovascular disease, ischemic stroke, stroke prevention, atrial fibrillation, valvular heart disease, aortic regurgitation, sexual dysfunction), resistant hypertension, hypertensive crises and emergencies, preoperative management, and adherence strategies.
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Instantaneous Wave-free Ratio vs. Fractional Flow Reserve: Defining Low-risk Population for Deferral of PCI
Researchers recently found that deferral of percutaneous coronary intervention based on fractional flow reserve and instantaneous wave-free ratio is equally safe, with a low one-year major adverse cardiac event rate of approximately 4%.