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.   

TAVR still beneficial for very low LVEF, lack of contractile reserve

The severity of left ventricular dysfunction at baseline didn’t appear to impact survival after transcatheter aortic valve replacement (TAVR) in a substudy of patients with low-flow, low-gradient (LFLG) aortic stenosis, suggesting TAVR is an acceptable treatment in this high-risk population.

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Study suggests upcoding to unstable angina is prevalent in outpatient PCI

Outpatient centers across three states may have upcoded patients from stable angina to unstable angina to mask their use of inappropriate percutaneous coronary intervention (PCI), according to a report published Dec. 17 in JAMA Internal Medicine.

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Metformin shows promise as treatment for HFpEF

Popular anti-diabetes drug metformin could have positive implications for heart failure patients, too, according to a recent study that found the medication reduced left ventricular stiffness in mice with heart failure with preserved ejection fraction (HFpEF).

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Study: Diabetes apps fall short for disease management

A Singapore-based research team is cautioning diabetics to be mindful of what apps, if any, they’re using to manage their condition after an analysis found the majority of such aids lack the ability to effectively monitor a patient’s diet, activity, medications, glucose and insulin.

Gender gap in stroke risk disappears earlier among blacks than whites

White women—but not black women—between the ages of 65 and 74 carried a lower risk of stroke than their male counterparts in a U.S. study, suggesting gender-specific protections against stroke vanish earlier among blacks.

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Study debunks myth that vaginal estrogen therapy raises risk for CVD, cancer

Low-dose vaginal estrogen therapy—a treatment used to relieve genital and urinary discomfort in women during menopause—isn’t associated with an elevated risk of cardiovascular disease or cancer, researchers reported in Menopause Dec. 17.

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Changes to patients’ memory similar after cardiac surgery, catheterization

Patients who receive heart surgery experience minimal changes to their memory up to two years after their operations compared to those who undergo less-invasive cardiac catheterization, according to a new study, offering reassurance that postoperative cognitive decline may be temporary in many cases.

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Fewer seniors receiving inpatient PCIs since 2006

An analysis of more than 3.5 million percutaneous coronary intervention (PCI) patients found the procedure was initially popular with an older demographic starting in 1998, but after 2006 the overall number of PCIs in those aged 70 and up started to decline.