An American Heart Association advisory published in the journal Circulation said a review of study data strongly indicates that lowering saturated fat consumption and replacing it with unsaturated fats will reduce cardiovascular disease. The advisory noted some studies have disagreed about the adverse cardiovascular effects of saturated fat, and the issue has been hotly debated, so lead author Dr. Frank Sacks said the AHA wanted to clarify that research "overwhelmingly supports limiting saturated fat in the diet to prevent diseases of the heart and blood vessels."
A study in The American Journal of Cardiology found no gender differences in how stress affects the risk of coronary heart disease. Researchers also found urinary cortisol levels were independently predictive of asymptomatic coronary heart disease.
Patients with and without diabetes and without coronary artery disease had the same adjusted risk of myocardial infarction, cardiac death and mortality 4.1 years after undergoing coronary angiography, according to a study in Diabetes Care. Danish researchers used a cohort of 93,866 patients and found that 75.3% and 65.7% of patients with diabetes without CAD were treated with statins and aspirin, respectively, compared with 65.7% and 52.7% of patients without diabetes and CAD.
Type 2 diabetes patients with cardiovascular disease who were given sodium glucose cotransporter-2 inhibitors had a 53% lower risk of all-cause mortality at eight months, compared with patients on another glucose-lowering drug, according to a new analysis of data from the CVD REAL study presented at a meeting of the American Diabetes Association. Among patients without CVD, being on an SGLT2 inhibitor was linked to a 46% lower risk of all-cause mortality, researchers said.
Vitamin K antagonist monotherapy in atrial fibrillation patients was associated with a lower risk of a first myocardial infarction and stroke compared with treatment with acetylsalicylic acid monotherapy, a study in the Journal of the American College of Cardiology found. Combining the treatments was not linked to a reduced risk of myocardial infarction but did increase the risk of bleeding, the study found.
An American Heart Association scientific statement called for heart patients to get personalized education they can understand to help them manage their disease and recommended using a collaborative approach that encompasses nurses, patients and families, and other clinicians. Susan Barnason, lead author of the statement and a professor of nursing practice at the University of Nebraska Medical Center, said clinicians should assess patient health literacy and cognitive skills and include family members and other caregivers as necessary.
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