Cardiometabolic risk tied to abdominal visceral fat, expert says | AHA links high blood pressure to cognitive risks | Study: Caffeine not tied to abnormal heartbeats
October 20, 2016
PCNA SmartBrief
News about cardiovascular disease prevention and management
Heart Health News
Cardiometabolic risk tied to abdominal visceral fat, expert says
Visceral adipose tissue is associated with the development of type 2 diabetes, dyslipidemia, almost all components of metabolic syndrome and all types of cancer, independent of body mass index, said University of Toronto professor Subodh Verma during a keynote talk at the Cardiometabolic Health Congress. Verma stressed the importance of adhering to a healthy diet, citing the PREDIMED study that showed that those who ate a Mediterranean diet had a reduction in inflammation and changes in body composition, thereby reducing their cardiometabolic risk.
Healio (free registration)/Cardiology Today (10/14) 
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AHA links high blood pressure to cognitive risks
An American Heart Association statement in the journal Hypertension said blood pressure is a major risk factor for vascular cognitive impairment and a potential risk factor for Alzheimer's disease. Researchers said hypertension can affect cerebral blood vessels, promote atherosclerosis and impair cerebrovascular regulatory mechanisms in ways that may increase the risk of ischemic injury to the brain.
Medscape (free registration) (10/13) 
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Other News
Emerging Trends
Group issues recommendations on minimizing statin-CVD drug interaction risks
A scientific statement from the American Heart Association published in Circulation advises health care professionals to understand the adverse effects, dosage limits and monitoring parameters related to interactions between statins and other drugs for cardiovascular disease to minimize risks of toxicity. The group warns about a risk of muscle injury from using lovastatin, simvastatin or pravastatin with fibrate cholesterol drug gemfibrozil, and gives recommendations on other drug combinations.
MedPage Today (free registration) (10/17),  HealthDay News (10/17) 
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Anticoagulants may not be needed for brief AFib episodes
Patients with brief episodes of atrial tachycardia and/or atrial fibrillation, defined as those starting and ending within one electrogram recording, did not have a higher risk of outcomes such as stroke, arrhythmias, hospitalization for heart failure or death during follow-up of as long as two years, according to a study in Circulation. Researchers said the findings suggest anticoagulation may not be warranted in such cases, but noted that the study had several limitations and did not account for certain risk factors. (10/18) 
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Nursing in the News
Pregnancy complications raise CVD risks for women, NP says
Pregnancy-related conditions such as preeclampsia, gestational hypertension and gestational diabetes can raise a woman's risk of future cardiovascular disease and should be considered in primary CVD prevention, cardiology nurse practitioner Margo Minissian of the Women's Heart Center at Cedars-Sinai Heart Institute told the Cardiometabolic Risk Summit. "If we are able to target screening, lifestyle modification and implement early treatment strategies that we already know about, we can ultimately reduce overall risk and threshold for potential cardiovascular and metabolic dysfunction," Minissian said.
Healio (free registration) (10/15) 
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Hospitals hold cardiac rehab in the kitchen
Cardiac rehabilitation at WellStar Kennestone Hospital in Marietta, Ga., and the Arkansas Heart Hospital in Little Rock is partly held in the kitchen, where patients learn about nutrition and lifestyle changes that can help reduce the risk of a future cardiac event. Nurse practitioner Patrick Stage of the Strong Hearts Rehabilitation Center at Arkansas Heart Hospital said the new program has helped patients but needs to be covered by more insurance providers.
KARK-TV (Little Rock, Ark.) (10/18),  The Marietta Daily Journal (Ga.) (tiered subscription model) (10/15) 
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Nursing Programs from Penn State—Online
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PCNA Update
Share your experience prescribing PCSK9 inhibitors
Tell us about the experience you, or any prescribers in your setting, have had with prescribing PCSK9 inhibitors. Look for the results of this poll in the Oct. 27 edition of PCNA SmartBrief.
VoteWe have been unable to fill due to lack of insurance coverage/cost.
VoteWe have been able to get partially/fully covered after completing prior authorization form(s).
VoteWe have been able to get partially/fully covered after denial/appeal process.
VoteWe have not written a prescription for PCSK9s.
PCNA's fall programs coming up
PCNA's Fall Learning Series is a great way to earn continuing education credit, as well as network with like-minded professionals in your area. These complimentary programs take place annually in multiple cities across the US. Topics vary and may include dyslipidemia, diabetes and CVD, and heart failure. Over the next few weeks, watch for programs in:
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Speed is useful only if you are running in the right direction.
Joel Barker,
writer and lecturer
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