Central obesity raises mortality risks, study says | Study links health outcomes to glycemic control in diabetes after PCI | Study: Many cardiac ICU patients also have non-cardiac conditions
April 26, 2017
ASNC SmartBrief
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Central obesity raises mortality risks, study says
Central obesity raises mortality risks, study says
(Jeff J Mitchell/Getty Images)
Research in the Annals of Internal Medicine found people with a normal BMI but central obesity had a 22% higher risk of early death, and those with a BMI in the obesity range had a 13% increased risk, compared with people who stored fat in other areas of the body. Data showed having central obesity increased the risk of heart-related death by 25% among people with a normal BMI, 26% for those who were overweight and 56% for people with a BMI in the obese range.
HealthDay News (4/24) 
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Study links health outcomes to glycemic control in diabetes after PCI
A South Korean study in Circulation: Cardiovascular Interventions showed that type 2 diabetes patients who maintained good blood glucose control experienced improved long-term health outcomes seven years after undergoing percutaneous cardiac intervention, compared with those who didn't manage their blood glucose levels. Researchers evaluated 980 diabetes patients and found an association between lower A1C levels after PCI and a reduced rate of major adverse cardiac and cerebrovascular events.
Diabetes.co.uk (U.K.) (4/21) 
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Medical Focus
Study: Many cardiac ICU patients also have non-cardiac conditions
A study found 16% of more than 1,000 patients admitted to a cardiac ICU over one year also had sepsis, while acute kidney failure and acute respiratory failure were each found in 30% of patients, researchers reported in the Journal of the American College of Cardiology. Data showed patients with lung or kidney failure had longer ICU lengths of stay, and lung or kidney failure or sepsis significantly increased the risk of hospital mortality.
Medscape (free registration) (4/24) 
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Study: Choline in foods may increase blood clotting risk
Choline, a nutrient found in meats and eggs, may increase production of the chemical trimethylamine N-oxide, or TMAO, which can make blood more likely to clot, according to a study published in the journal Circulation. Researcher Dr. Stanley Hazen of the Cleveland Clinic said moving toward a plant-based diet may inhibit TMAO formation for people at risk of cardiovascular disease.
HealthDay News (4/24) 
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Study: Biking to work reduces cardiovascular, cancer risks
A study published in The BMJ found riding a bike to work, compared with a sedentary commute, was associated with a 46% reduced risk of cardiovascular disease, a 45% lower likelihood of cancer and a 41% lower chance of premature death over five years. Researchers said walking to work was linked to a 27% lower risk of CVD and a 36% lower likelihood of dying from it.
Physician's Briefing/HealthDay News (4/24) 
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Regulatory & Policy
Safety-net hospitals work to reduce penalties in value-based care
Safety-net hospitals received disproportionate penalties and payment adjustments in the Hospital Readmissions Reduction Program and the Hospital Value-Based Purchasing program, compared with other hospitals, according to a study in the Journal of the American Medical Association. The study found safety-net hospitals are closing the gap, however, and noted better performance in the HRRP program was linked to reduced readmission rates for heart failure and pneumonia.
HealthLeaders Media (4/24) 
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CMS sets deadline for comments on proposed EHR incentive program changes
The CMS will accept formal comments on proposed changes to the Medicare and Medicaid EHR Incentive Programs until June 13. These changes include revising the EHR reporting period from the full calendar year to any continuous 90-day period, implementing a policy that would not allow payment adjustments for eligible providers who conduct most of their professional services in ambulatory surgery centers, and adding a Medicare payment adjustment for eligible hospitals and professionals who cannot comply with meaningful-use requirements because of decertified technology.
BeckersHospitalReview.com (4/24) 
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Next week: Inova Heart and Vascular Institute 2017 Cardiovascular Symposium in Va.
This CME conference examines contemporary strategies for the detection, prevention and treatment of cardiovascular disease while also focusing on the future of health care. It is the largest cardiovascular symposium in Virginia, attended by more than 350 physicians. $50 discounted registration for ASNC members. Come visit ASNC in the Exhibitor Hall, Friday, May 5. Learn more.
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Call for Nominations: 2018 ASNC Board of Directors
The ASNC Nominating Committee is seeking recommendations for members to serve as Director of the Society. The Board of Directors is the chief governing and policy-making body of the Society. The Nominating Committee will submit a slate of nominations for approval by the Board at its June meeting. The Board-approved slate is voted upon by the membership at the annual business meeting. Directors serve four-year terms. View nomination guidelines and submit by May 10.
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Bruce Lee,
martial artist, actor and filmmaker
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