Heart Disease

Aug 15, 2014 Issue
2013 ACC/AHA Cholesterol Guideline Greatly Increases Number Eligible for Statin Treatment [POEMs]

The new guideline from the ACC/AHA increases the number of adults between 40 and 75 years of age who are eligible to take statins by 12.8 million. The largest increases were among adults who would take statins for primary prevention and for adults between 60 and 75 years of age. The authors estimate...

Aug 15, 2014 Issue
ACC/AHA Release Updated Guideline on the Treatment of Blood Cholesterol to Reduce ASCVD Risk [Practice Guidelines]

The Blood Cholesterol Expert Panel from the American College of Cardiology (ACC) and the American Heart Association (AHA) issued an updated evidence-based guideline in 2013 that addresses the use of fixed doses of cholesterol-lowering drugs (statins) to reduce the risk of ASCVD in adults 21 years and older.

Jun 1, 2014 Issue
Testosterone Therapy in Men Associated with an Increase in the Risk of Nonfatal MI [POEMs]

Filling a prescription for testosterone therapy is associated with an increased likelihood of experiencing an MI, especially in older men and those with a history of cardiovascular disease.

Feb 1, 2014 Issue
Screening Echocardiography Not Beneficial [POEMs]

Population-based screening for heart disease or valve disease with echocardiography will identify cardiac pathology in patients but does not decrease mortality, myocardial infarction risk, or stroke risk.

Jan 15, 2014 Issue
Screening for Coronary Heart Disease with Electrocardiography [Putting Prevention into Practice]

A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein cholesterol level of 35 mg per...

Jan 15, 2014 Issue
Screening for Coronary Heart Disease with Electrocardiography: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk of CHD events.

Dec 15, 2013 Issue
AHA Releases Recommendation on Ankle-Brachial Index Measurement and Interpretation [Practice Guidelines]

The ankle-brachial index (ABI) is the ratio of the systolic blood pressure at the ankle to the systolic blood pressure at the brachial artery. The American Heart Association (AHA) released a scientific statement on the measurement and interpretation of ABI, including standardization of measurement technique and the threshold for diagnosing PAD.

Nov 15, 2013 Issue
Routine Stress Testing After Negative Biomarker Testing Is Seldom Helpful [POEMs]

Fewer than 1% of patients who undergo routine provocative cardiac testing after having two sets of negative serum troponin results following an episode of acute chest pain are identified as having potential benefit from revascularization (American Heart Association [AHA] class I or IIa). False-positive results are common.

Nov 1, 2013 Issue
n-3 Fatty Acids Do Not Prevent Cardiovascular Events in High-Risk Patients [POEMs]

There is no evidence that n-3 fatty acids prevent cardiovascular events or death in older adults who have cardiovascular disease (or who are at risk of it but have not had a myocardial infarction).

Nov 1, 2013 Issue
Management of Stable Ischemic Heart Disease: Recommendations from the ACP [Practice Guidelines]

The American College of Physicians (ACP) has developed a guideline on the management of stable ischemic heart disease (IHD). This summary presents recommendations related to risk factor modification (including strategies of unproven benefit), medical therapies to prevent myocardial infarction and de...

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