Research links aortic stiffness to A1C in patients without diabetes | Survey: 68% of adults are concerned about heart disease | Study: Strict BP control may not worsen elderly mobility
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February 13, 2017
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Research links aortic stiffness to A1C in patients without diabetes
A1C and homeostatic model assessment of insulin resistance were associated with the progression of aortic stiffness, measured by carotid femoral pulse wave velocity, among individuals without diabetes after adjusting for cardiovascular risk factors and physiological confounders, according to a study in Diabetes Care. UK researchers used a cohort of 4,386 individuals without diabetes and found a weakened correlation between aortic stiffness and HOMA-IR, but not with A1C, after additional adjustment for body mass index.
Physician's Briefing/HealthDay News (2/7) 
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Survey: 68% of adults are concerned about heart disease
A Cleveland Clinic survey found 68% of adults were concerned about heart disease, but only 38% knew their blood pressure and 18% knew their body mass index. The survey showed 73% of people did not know heart disease is the top cause of death among diabetes patients.
HealthDay News (2/7) 
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Medical Focus
Study: Strict BP control may not worsen elderly mobility
Mean gait-speed declines were the same for elderly patients with hypertension who achieved a systolic blood pressure of less than 120 mm Hg as they were for those who hit a target of less than 140 mm Hg, according to SPRINT study data published in JAMA Internal Medicine. Some physicians expressed optimism about the data, saying the study suggests intense BP control is not harmful to mobility in older patients, but others were concerned about higher risks of kidney problems, syncope and other issues in the intensive-treatment group.
Medscape (free registration) (2/8) 
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Study compares GLDs, insulin in reducing health risks in patients with diabetes
Patients with type 2 diabetes who used novel oral glucose lowering drugs reduced their risk of all-cause mortality, hypoglycemia and cardiovascular disease, compared with those on insulin, according to a study in Diabetes, Obesity and Metabolism. Swedish researchers used a cohort of 21,758 patients.
Physician's Briefing/HealthDay News (2/8) 
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Other News
Regulatory & Policy
Senate confirms Price as HHS secretary
Senate confirms Price as HHS secretary.
(Alex Wong/Getty Images)
The Senate voted 52-47 to confirm Rep. Tom Price, R-Ga., as HHS secretary. Price, an orthopedic surgeon who has held a House seat since 2005, has backed repeal of the Affordable Care Act and conversion of Medicaid to a block-grant program.
The New York Times (free-article access for SmartBrief readers) (2/10) 
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Cures Act may fix readmission issues for safety-net hospitals
Language in the 21st Century Cures Act may mitigate effects of the Hospital Readmissions Reduction Program on safety-net hospitals by requiring HHS to set different penalty thresholds based on the numbers of Medicare-Medicaid dual-eligible patients served by a hospital, experts wrote in a Health Affairs blog. "Recognizing that safety-net providers may have low financial margins and may need to make significant investments to improve readmission rates, the law allows for penalties to be set among peer hospitals, while maintaining a national standard for quality," the authors wrote.
Health Affairs Blog (2/7) 
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ASNC News
Join ASNC as we make American Heart Month fun & inspirational!
ASNC president Raymond Russell
ASNC will celebrate Heart Month by showcasing the many ways that our members, staff and partners practice heart health themselves -- how we walk the walk, practice what we preach and do our best to model heart-healthy lives. Post your photos on Facebook and/or Twitter using #AmericanHeartMonth and @myASNC, and we'll share them through ASNC's social media channels. Be sure to follow ASNC on Facebook and Twitter to see how your colleagues, like ASNC president, Raymond Russell, III, MD, PhD, FASNC, practice heart health. https://twitter.com/myasnc
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ASNC International Emerging Market Membership
ASNC offers a discounted membership to physicians and scientists residing in developing countries, as defined by the World Bank Developing Countries List, who have earned an advanced academic degree (MD, DO, PhD, or equivalent), are in good standing in their respective communities, and are actively engaged in nuclear cardiology practice and/or research. See the benefits and become a member today.
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