Quality and performance measures for cardiac rehabilitation, developed by the American College of Cardiology and American Heart Association, in conjunction with the Preventive Cardiovascular Nurses Association and other groups, were published in the Journal of the American College of Cardiology. The last update was done in 2010 and the new recommendations include two revised and four new performance measures and three additional quality measures.
A report in the Journal of the American Medical Association said ischemic heart disease was the leading cause of death in the US from 1990 to 2016, while the overall mortality rate decreased. There were wide disparities in disease burden, with increases in opioid use disorders and decreases in breast cancer mortality, while high blood pressure, blood glucose and body mass index, along with poor diet and alcohol and drug use, each accounted for more than 5% of risk-attributable disability-adjusted life years in 2016.
Individuals with asymptomatic diabetes who underwent noninvasive coronary artery disease screening had a significant 27% reduction in cardiac events, such as heart failure hospitalizations and nonfatal myocardial infarctions, but no reduction in cardiac death, compared with the control group, according to a study in the European Heart Journal of Cardiovascular Imaging. Researchers evaluated data from five randomized controlled trials involving 3,299 individuals and found an increase in statin use among those in the noninvasive CAD screening group, compared with the control group.
An American Heart Association policy statement published in the journal Circulation estimated the cost of informal caregiving for patients with cardiovascular disease will increase from $61 billion in 2015 to $128 billion in 2035. The AHA called for the development of a national caregiving strategy, expanded access to palliative care, the incorporation of outcomes and caregiver engagement to payment reforms, and prioritizing caregiving research.
Regular use of proton pump inhibitors does not significantly increase the risk of a first stroke, according to a study in the journal Gastroenterology. The study counters earlier evidence suggesting a higher risk of stroke with PPI use, which the researchers said may have been due to confounding factors related to chronic conditions that are associated with PPI use.
A Virginia bill allowing most nurse practitioners to practice without physician supervision was signed into law by Gov. Ralph Northam. Munsey Medical Clinic manager Katrina Munsey said the bill will increase access to care and quality of care.
Cheryl Dennison-Himmelfarb RN, ANP, Ph.D., FAAN, a member of the writing panel for the newly released hypertension guidelines, discusses the new definition for high blood pressure and categories for hypertension in this hour-long course. This course emphasizes the importance of lifestyle in preventing and managing high blood pressure along with pharmacologic intervention, as well as teaching you the proper BP measurement techniques for home monitoring and health care settings. Learn more.