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.
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.
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.
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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.
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.
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.