Heart Disease

Sep 1, 2015 Issue
Should Preparticipation Cardiovascular Screening of Athletes Include ECG? No: There Is Not Enough Evidence to Support Including ECG in the Preparticipation Sports Evaluation [Editorials: Controversies in Family Medicine]

Although there are many reasons to conduct preparticipation sports examinations, there is insufficient evidence to support cardiac screening with ECG.

Sep 1, 2015 Issue
Should Preparticipation Cardiovascular Screening of Athletes Include ECG? Yes: Screening ECG Is Cost-Effective [Editorials: Controversies in Family Medicine]

Cardiovascular screening with ECG is a valid, cost-effective, and worthwhile endeavor in the preparticipation sports evaluation.

Aug 1, 2015 Issue
Two-Hour Algorithm to Rule In or Rule Out Acute MI [POEMs]

A simple rule (see synopsis) using high-sensitivity cardiac troponin levels measured on presentation and two hours later is an effective way to identify patients with or without MI. This rule was developed in one group of patients and validated in a second group. At a prevalence of 9%, this rule correctly ruled out MI 99.5% of the time.

Jul 15, 2015 Issue
Management of Non-ST Elevation Acute Coronary Syndrome: A Guideline from the AHA and ACC [Practice Guidelines]

Acute coronary syndrome (ACS), a term that encompasses a range of conditions, is caused when blood flow to the heart is suddenly reduced. The American College of Cardiology (ACC), with the American Heart Association (AHA), has provided recommendations for managing non–ST elevation ACS.

Jul 1, 2015 Issue
NSAID Use Associated with Increased Risk of Serious Bleeding and CV Events After MI [POEMs]

The use of concomitant NSAIDs in adults who receive antithrombotic therapy after MI increases the risk of serious bleeding complications and recurrent adverse CV events. This study found the highest risk among users of celecoxib (Celebrex) and diclofenac, and the lowest risk among users of ibuprofen...

May 1, 2015 Issue
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors: Recommendation Statement [U.S. Preventive Services Task Force]

The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

Mar 15, 2015 Issue
Post-Myocardial Infarction Beta Blockers Do Not Decrease Mortality [POEMs]

Although recommended by guidelines and used as a so-called quality indicator of hospital care, the use of beta blockers following myocardial infarction, when combined with optimal acute and chronic treatment, does not provide a further survival benefit.

Jan 15, 2015 Issue
Increasing HDL Level Ineffective at Decreasing Cardiovascular Events [POEMs]

Being the “good” cholesterol is not the same as being the “useful” cholesterol. Drug therapy aimed at increasing HDL cholesterol levels, when added to statin treatment, does not decrease patients' likelihood of experiencing a cardiovascular event or of dying earlier.

Jan 1, 2015 Issue
Vitamin, Mineral, and Multivitamin Supplements for the Primary Prevention of Cardiovascular Disease and Cancer: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of the use of multivitamins for the prevention of cardiovascular disease or cancer.

Nov 1, 2014 Issue
Omega-3 Fatty Acid Supplementation Does Not Decrease CVD-Related Outcomes [POEMs]

Omega-3 fatty acid supplementation does not decrease the risk of cardiovascular outcomes in this older population. Although the numbers are small, supplementation may prevent heart disease in patients already at low risk; that is, patients without a history of cardiovascular disease (CVD) and who are not hypertensive.

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