Cardiology

Working more than 3 night shifts per month for years can be hazardous to health, say an international team of researchers

The US Food and Drug Administration (FDA) has approved a polypill for hypertension, a combination of perindopril arginine and amlodipine (Prestalia/ Symplmed Pharma-Servier).

The hospital shooting death of Boston cardiac surgeon Michael Davidson, MD, 44, has shocked the cardiology world-far beyond his colleagues at Brigham and Women's Hospital where he was director of endovascular cardiac surgery. On a remembrance page and in formal statements, tributes are pouring in. Davidson, a respected innovator in heart valve replacement, died late Jan. 20, hours after he was shot by the son of a former patient who then turned his gun on himself.He leaves his wife Teri Davidson, who is 7 months pregnant, and 3 children ages 2 to 9.

The incidence and mortality of pancreatic adenocarcinoma, the fourth leading cause of cancer deaths in the United States, are both on the rise. Globally, the disease is responsible for 227,000 deaths annually. Researchers from the National Taiwan University College of Medicine recently published a meta-analysis that demonstrated a dose-response relationship between fasting blood glucose levels and pancreatic cancer risk. They also examined the link between prediabetes and pancreatic cancer risk.

New research indicates that an over-the-counter supplement doesn't raise testosterone levels but a widely used class of prescription drug may lower them.

A new analysis of several prospective health studies indicates that low testosterone levels at any age are associated with an increased risk ischemic stroke in men.

This 27-year old female medical student with recently diagnosed hypertension is seen following a chest x-ray in work up of a positive PPD. Upon questioning, the patient notes what she described as "gray-out spells" when tired and leg numbness with exercise after periods of sitting.

Just weeks after JAMA published a National Institutes of Health study refuting the idea that there are "good carbs" and "bad carbs' a new study in the journal finds eating whole grains is associated with lower overall mortality and death from heart disease

With a new year comes New Year's resolutions, many of which involve getting healthy in the year ahead. A recent study has shown that by keeping those resolutions people can not only lose the weight they want but also avoid other health issues like diabetes.

A 75 year-old man with a history of paroxysmal atrial fibrillation and a single-chamber pacemaker placed for bradycardia 5 years prior presents with dizziness and nausea to clinic. He notes that he has also been feeling short of breath with normal activities of daily living.

Eating a low carbohydrate diet compared to a low fat diet leads to greater loss of weight as well as a significant reduction in Framingham Risk Score.

Researchers from Vanderbilt University have developed a new tool for deciding when hospitals should admit patients with symptomatic atrial fibrillation and when they should send them home.

In the second part of an interview with Kim Van Naarden Braun, PhD, the screening process used in New Jersey is discussed at the national level.

This limited systematic review found some evidence of benefit of e-cigarettes for smoking cessation and little evidence of significant adverse outcomes.

A 35 year-old man with a history of hypertension, obstructive sleep apnea and obesity presents to clinic with complaints of non-cardiac chest discomfort. He is requesting refills of his blood pressure medications. His insurance changed 6 months ago and he has not had them since. The nurse performs the intake vital signs and reports that the patient has a blood pressure of 280/150 mmHg.

Cardiologists have discussed the pros and cons of drug-eluting stents (DES) for several years. Some evidence seems to indicate that DES reduce risk of restenosis or ischemia-driven target vessel revascularization. They may, however, be more prone than bare metal stents to late (beyond 1 year) and sudden coronary artery occlusion.

The ESC Congress 2014 was one of the largest meetings in the history of the society, with more than 30,300 delegates in attendance at 27 clinical Hot Line presentations; 15 clinical trial updates; 19 registry studies; 4 new guidelines; and 4597 abstracts presented. Cardiology Review profiles 7 presentations.

Also known as alternate day fasting, "zigzag" caloric cycling calls for the dieter to eat the number of calories required to maintain weight one day, and then 25% of his or her energy needs on the fast day. Studies have shown that individuals who are compliant with this pattern can lose 4% to 8% of their body weight over 8 to 12 weeks.

Does this study raise more questions than it answers?

When cocaine users seek medical attention at a hospital regularly used scans may miss some hidden damage done to the patient's heart. A new study looked at other areas that could help maintain their longterm health.

Many people could be more active in their daily lives. The question for physicians is: How do you make that happen, especially for children and adolescents? A recent study provides clues about how to help patients maintain a healthy lifestyle.

For patients suffering a first-time cardiac event there could be warning signs in the form of a condition called vital exhaustion. A recent study looked at the causes and signs of vital exhaustion and potential preventive measures and treatments for these patients.