San Diego heart initiative linked to fewer heart attacks | Exposure to environmental toxic metals tied to cardiovascular risks | Maternal mortality higher for women with cardiovascular disease
September 6, 2018
PCNA SmartBrief
News about cardiovascular disease prevention and management
Heart Health News
San Diego heart initiative linked to fewer heart attacks
A study in Health Affairs found a 22% decrease in heart attack hospitalizations over five years in the San Diego area, compared with an 8% decrease statewide. The Be There San Diego initiative brought local physicians together to share data and best practices for identifying and treating at-risk patients, and health coaches worked with 4,000 people thanks to a federal grant.
The San Diego Union-Tribune (tiered subscription model) (9/5) 
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Exposure to environmental toxic metals tied to cardiovascular risks
A review in The BMJ found exposure to arsenic, cadmium and copper was linked with greater risk cardiovascular disease and coronary heart disease, while exposure to lead and cadmium was associated with increased risk of stroke. The findings were based on data from 37 studies of nearly 350,000 people.
Deccan Chronicle (India)/Asian News International (8/30) 
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Maternal mortality higher for women with cardiovascular disease
Researchers reported at the European Society of Cardiology Congress that the maternal mortality rate among women with cardiovascular disease was 0.6%, which was 100 times higher than expected, and advised prepregnancy counseling for this patient group. The study, which included data from 5,739 pregnancies in 53 countries from 2007 to 2018, showed the highest mortality rate for women with pulmonary arterial hypertension.
Healio (free registration)/Cardiology Today (8/30) 
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Emerging Trends
Study: Combination therapy may be best for preventing CVD
A study in The Lancet assessed preventive therapies for patients with hypertension at risk of heart disease. Researchers suggested that taking both hypertension and statin medications may be the best option.
Medical News Today (9/1) 
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WHO: 1.4B people don't achieve recommended physical activity levels
A study conducted by the World Health Organization and published in The Lancet Global Health revealed that 1.4 billion people, or more than 25% of the world's adults, do not meet the recommended levels of physical activity of at least 150 minutes of moderate exercise per week, or 75 minutes of vigorous exercise per week, putting them at an increased risk for type 2 diabetes, cardiovascular disease, cancers and dementia. Researchers found the highest rates of insufficient physical activity in 2016 among adults in American Samoa, Iraq, Kuwait and Saudi Arabia, while around 40% of adults in the US, 36% in the UK and 14% in China did not exercise frequently enough to stay healthy.
Reuters (9/4) 
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Nursing in the News
Study: Nurses can help patients understand the risks of prolonged sitting
Study: Nurses can help patients understand the risks of prolonged sitting
Prolonged sedentary time is associated with increased health risks such as diabetes, cardiovascular disease and mortality, but nurses can help people understand the risks and encourage them to get moving, according to a report in the American Journal of Nursing. "Nurses have a pivotal role to play in increasing public awareness about the potential adverse effects of high-volume and prolonged uninterrupted sitting," said study author Linda Eanes.
The Economic Times (India)/Press Trust of India (9/3) 
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PCNA Update
Stroke prevention guide
A new digital resource for busy clinicians in search of national guideline recommendations for stroke prevention is now available. For use on phone, tablet or computer, the National Guidelines and Tools for Stroke Prevention: A Guide for Nurses includes all the stroke-related guidelines in one easy-to-use guide. Learn more.
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Fall Learning Series -- Find an event near you
Our fall learning events are a great way to earn CE contact hours and network with colleagues in your area. Over the next few weeks, watch for programs in the following cities:
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