A review of 277 studies involving almost 1 million people found multivitamins and most other supplements don't reduce the risk of heart disease or early mortality, according to research published in the Annals of Internal Medicine. "Instead of nutritional supplements, behavioral modifications -- such as good nutrition from healthy food sources, exercise and smoking cessation -- remain the main factors for improving cardiovascular health," lead researcher Safi Khan said.
People who reside in ZIP codes with higher crime rates or lower socioeconomic status are at greater risk of major adverse cardiac events such as heart failure, heart attack or cardiac death, according to a study in the Journal of the American College of Cardiology. "These results provide further support for considering socioeconomic status when assessing an individual's risk for cardiovascular disease and suggest new approaches to helping reduce cardiovascular risk among those patients," according to researcher Dr. Ahmed Tawakol, director of nuclear cardiology at Massachusetts General Hospital's Division of Cardiology.
Increased systolic blood pressure in patients diagnosed with valvular heart disease was associated with increased risk of aortic stenosis, researchers reported in JAMA Cardiology. Association s between higher systolic blood pressure and aortic and mitral regurgitation also were found.
The CMS will extend Medicare coverage for ambulatory blood pressure monitoring to patients suspected of having masked hypertension, which is not apparent during medical visits. The agency said it is also lowering the hypertension threshold to 130/80 mm Hg from the current 140/90 mm Hg to align with medical society recommendations.
Among patients with atrial fibrillation being treated with warfarin, international normalized ratio measures were associated with risk of future bleeding episodes but not thrombotic events, according to a study in JAMA Cardiology. The findings were based on data for 10,137 patients.
A study in Health Affairs found a greater number of hospital nurses with a bachelor of science in nursing degree was associated with a greater likelihood that patients survive an in-hospital cardiac arrest with good neurologic outcomes. Registered nurse Jordan Harrison, the study's lead author, said better-trained nurses may make it more likely that patient deterioration is recognized before a cardiac arrest and that effective responses are provided when an arrest occurs.
Guideline-writing panel member Dr. Cheryl Dennison-Himmelfarb will provide a timely discussion of the 2019 Guideline for Primary Prevention of CVD in this upcoming webinar. The new guideline integrates recent cholesterol, hypertension, and physical activity guidelines and addresses aspirin in primary prevention. This webinar focuses on the role of nurses in applying the guidelines to clinical practice. Earn 1.0 CE contact hours when you join us July 17, 2019, at noon Central Time. Learn more.
PCNA wants to recognize our members, but we need your help. Nominations for PCNA awards are currently open for PCNA awards, including the Terry Thomas Clinical Practice Award, the Advocacy Award for CVD Prevention, and the Heart Failure Award. You work hard and you deserve to be recognized. Don't be afraid to apply or to ask a colleague to nominate you. It's more common than you think! Submissions are due Dec. 3, 2019. Learn more.