Analysis further supports aggressive hypertension control in older adults | Ambulatory blood pressure checks may help uncover masked hypertension | Study: GLP-1RA helps reduce glucose variability in diabetes
May 19, 2016
News about cardiovascular disease prevention and management
A new analysis of data from the Systolic Blood Pressure Intervention Trial, or SPRINT, shows aggressive hypertension treatment may benefit older adults and patients with heart or kidney problems, researchers reported at the American Society of Hypertension's annual meeting. The study found that stricter control of high blood pressure reduced patients' risk of being hospitalized for worsening heart failure by 38%, including those at higher risk, such as adults ages 75 and older, blacks and patients with kidney disease or a history of stroke or heart problems.
Researchers found that ambulatory blood pressure monitoring might help identify people who are likely to develop a clinical diagnosis of hypertension. The study, published in the journal Hypertension, followed 317 black patients at high risk of masked hypertension for a median 8.1 years, and those who had some type of masked hypertension were twice as likely to receive a clinical diagnosis of hypertension during follow-up as those whose blood pressure was normal during clinical visits and at other times.
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Researchers reviewed data on almost 9,500 middle-aged adults and found that although the incidence rates of silent heart attacks were higher in men than in women, the associated increased risk of dying when compared with adults without heart attack was greater in women. In general, silent heart attacks, which accounted for 45% of all heart attacks, were linked to a 34% higher all-cause mortality risk and about threefold greater risk of dying from heart disease, according to the study published in Circulation.
A study in the European Journal of Epidemiology found that postmenopausal women with new-onset type 2 diabetes had a significant increased risk of atherosclerotic cardiovascular disease, regardless of whether they took statins. The findings were based on data for more than 120,000 participants in the Women's Health Initiative.
A study in the American Journal of Cardiology found 82% of patients who had spontaneous coronary artery dissection reported cardiac rehabilitation led to physical benefits and 75% said it resulted in emotional benefits. Researchers said reasons for not participating in cardiac rehab included lack of a recommendation from a health care practitioner, lack of coverage, transportation needs, cost and physical limitations.
Blood draws should be made safer and safe patient-handling technology should be adopted more widely to reduce workplace injury risks for nurses and other health care professionals, writes American Nurses Foundation board member Karen Daley. Separately, Rep. John Conyers, D-Mich., and Public Citizen President Robert Weissman call for passage of the Nurse and Health Care Worker Protection Act to promote national standards requiring an end to manual lifting in health care settings.
A bill is circulating Congress that makes a technical correction that would allow nurse practitioners, physician assistants and clinical nurse specialists to supervise cardiac and pulmonary rehabilitation programs on a day-to-day basis under Medicare. The bill does not change the physician requirement for the overall medical direction and oversight of a cardiac rehab program, but it could increase access to these important programs. As a cardiovascular professional, your experience with cardiac rehabilitation programs is invaluable to a legislator trying to understand this issue. Take action and send a letter to your senators and congressional representative today.