Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

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FDA warns of valsartan shortage, provides risk estimates for carcinogenic impurity

People taking the widely prescribed blood-pressure medication valsartan may have been exposed to a probable human carcinogen for at least four years after a change in the manufacturing process introduced the impurity, according to an update from the FDA’s ongoing investigation into the contaminants that have been found in a series of angiotensin II receptor blockers (ARBs).

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NOACs replace warfarin as recommended treatment for reducing stroke in AFib patients

Non-vitamin K oral anticoagulants (NOACs) including dabigatran, rivaroxaban, apixaban and edoxaban have replaced warfarin as the preferred treatment for reducing stroke risk in patients with atrial fibrillation, according to updated guidelines issued Jan. 28.

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SCAI chimes in on concerns about paclitaxel devices

The Society for Cardiovascular Angiography and Interventions (SCAI) weighed in on the ongoing debate regarding the long-term safety of paclitaxel-coated balloons and stents on Jan. 25, largely agreeing with the FDA’s stance that the benefits of such devices appear to outweigh the risks until more information becomes available.

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Injecting opioids elevates risk for infective endocarditis

The risk of infective endocarditis rises alongside concomitant use of injected opioids, a team of researchers in Ontario, Canada, has found.

Transcatheter treatments catching up to surgical mitral valve repair

The use of transcatheter mitral valve repair (TMVR) systems continues to grow rapidly nearly six years after the FDA approved the U.S.'s first such treatment, according to research published in the American Journal of Cardiology. In contrast, rates of surgical mitral valve repair (SMVR) have remained steady.

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Cachexia common after stroke, linked to lower functional capacity

About 1 in 5 patients experienced cachexia—or a loss of muscle and body weight—within a year of acute ischemic stroke, according to a small, single-center study published Jan. 24 in the Journal of Cachexia, Sarcopenia and Muscle.

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Statin prescriptions remained low after claiming larger role in guidelines

Although the 2013 American College of Cardiology and American Heart Association cholesterol guidelines expanded indications for statin use in heart patients, few primary care providers (PCPs) are prescribing more of the medication, researchers reported Jan. 25 in the Journal of the American Heart Association. 

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How personality plays into a person’s risk for diabetes

Certain personality traits—namely hostility, negativity and low optimism—might elevate people’s risk of developing diabetes, according to research published Jan. 21 in the online journal Menopause.