Test combo helps predict heart disease risk, study says | Study: Electronic reminders fail to increase CVD testing | Study: Renal disease a major factor in heart-related deaths
April 20, 2017
PCNA SmartBrief
News about cardiovascular disease prevention and management
Heart Health News
Test combo helps predict heart disease risk, study says
A study in Circulation found the combination of an electrocardiogram, limited computerized tomography scan and three blood tests was better at predicting heart disease risk than traditional methods that look at blood pressure, cholesterol, diabetes and smoking status. Researcher James de Lemos said the tests can help identify unexpected cardiovascular risk.
American Journal of Pharmacy Benefits (4/14) 
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Study: Electronic reminders fail to increase CVD testing
Use of an electronic medical record reminder and decision support tool did not increase cardiovascular screening rates among rheumatoid arthritis patients, according to a study in Arthritis Care & Research. Data showed a lipid screening rate of 46% after the initiative, compared with 50% before it began, and the program did not achieve significant improvements in blood pressure or obesity rates.
Healio (free registration)/Rheumatology (4/17) 
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Study: Renal disease a major factor in heart-related deaths
One of the major causes of heart-related mortality worldwide is kidney disease, according to a report published in the Journal of the American Society of Nephrology. Researchers estimated that 2.2 million deaths worldwide in 2013 were linked to reduced kidney function, with 1.2 million being heart-related.
HealthDay News (4/13) 
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Other News
Unexplained stroke, explained.
Until an underlying cause is determined—and addressed—cryptogenic stroke patients may be at risk for recurrence. We can help you find the answers. Visit our resource page for the latest information on diagnosis, care management, patient education and more.
Emerging Trends
Conflicting guidelines may leave 9.3M without statin treatment
The US Preventive Services Task Force has a higher cardiovascular risk threshold for using statin medications than the American College of Cardiology and the American Heart Association, whose criteria would encompass 9.3 million more patients, according to a study in the Journal of the American Medical Association. The recommendations need clarification, said Dr. Steve Nissen of the Cleveland Clinic.
Reuters (4/18) 
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Researchers investigate mortality trends among diabetes patients
All-cause mortality risk and risk of death from cardiovascular disease dropped by 21% and 46%, respectively, over 10 years among type 2 diabetes patients, compared with 31% and 50% in those without the disease, according to a study in The New England Journal of Medicine. Researchers evaluated data from the Swedish National Diabetes Register involving 494,342 type 1 and type 2 diabetes patients and found a 29% drop in all-cause mortality and a 42% decline in risk of CVD death among type 1 diabetes patients, compared with 23% and 38% among controls.
MedPage Today (free registration) (4/12) 
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Other News
Nursing in the News
List of diabetes-related vascular issues may aid patient education
Nurses can use a list of six vascular complications linked to diabetes to educate patients and determine risk factors. The Society for Vascular Surgery's list comprises diabetic eye disease, peripheral artery disease, foot ulcers and peripheral neuropathy, smoking complications, heart attack and renovascular conditions associated with diabetes.
Nurse.com (4/18) 
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PCNA Update
Cardiovascular Consequences of Childhood Secondhand Tobacco Smoke Exposure
A recent scientific statement from the American Heart Association concludes that the epidemiological, observational and experimental evidence accumulated to date demonstrates the detrimental cardiovascular consequences of secondhand smoke exposure in children. We recently took a look at the evidence, the impact and what you as a provider can do about it. Read the summary article.
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