The participation rate for post-hospitalization cardiac rehabilitation was 16.3% among eligible Medicare patients and 10.3% for eligible Department of Veterans Affairs patients, a study published online in Circulation showed. The Million Hearts Cardiac Rehabilitation Collaborative has established a goal of increasing participation in cardiac rehab to 70%.
One-hour blood glucose value predicted cardiovascular death; all-cause mortality; fatal, nonfatal and nonfatal-plus-fatal myocardial infarction; and nonfatal and nonfatal-plus-fatal stroke among healthy, middle-aged men, according to a study in the European Journal of Endocrinology. Danish researchers evaluated data from the Malmo Preventive Project involving 4,934 men without known diabetes or previous CV disease and found that adding one-hour postload glucose value to the clinical prediction model better predicted CV and all-cause mortality than clinical risk factors alone.
Delta-CHA2DS2-VASc, which includes changes in risk predictor scores for atrial fibrillation, accurately predicted the likelihood of patients having an ischemic stroke, researchers reported in the Journal of the American College of Cardiology. Delta-CHA2DS2-VASc includes the baseline CHA2DS2-VASc score and the change in the score over time.
A study in Health Affairs found increased adherence to prescription therapy when Medicare patients with cardiovascular disease were allowed to pick up all of their medications at once. Researcher Alexis Krumme said it has been shown that CVD patients make an average of 20 trips to the pharmacy per year, with 10% going 44 times or more.
Researchers evaluated data from the IMPROVE-IT trial involving 18,144 patients with acute coronary syndrome on statin therapy, both with and without diabetes, and found that those with diabetes on ezetimibe had a 5.5% absolute reduction in the primary endpoint of cardiovascular death, stroke and major coronary events at seven years, compared with 0.7% among those without diabetes. The study was published in the journal Circulation.
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The CMS this week launched the Bundled Payments for Care Improvement Advanced model, a voluntary bundled-payment program that will reward participating health care providers if they can keep costs for a given 90-day episode of care under a target threshold while maintaining quality. The model has 32 different clinical episodes, including cardiac arrhythmia, cardiac defibrillator, cardiac valve and congestive heart failure.
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