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An 89-year-old woman with a history of hypertension, type 2 diabetes mellitus, and a transient ischemic attack 7 years earlier ...

This propensity-matched study, in which patients with and without diabetes were well balanced in all measured baseline characteristics, including traditional risk factors and comorbidities, found that diabetes was associated with increased mortality and hospitalization in ambulatory patients who had chronic, mild-to-moderate heart failure and were receiving angiotensin-converting enzyme inhibitors. These findings also highlight the sex- and age-related variations in the effect of diabetes in these patients.

A recent meta-analysis of 31 randomized controlled trials with 4500 participants showed that metformin treatment significantly decreased weight, improved dyslipidemia and insulin resistance, and reduced the incidence of new-onset diabetes by 40%, with beneficial effects maintained over time. Further studies will show whether the metabolic improvements achieved with metformin treatment will ultimately result in a decrease in cardiovascular morbidity and mortality.

According to a study published in the June issue of the American Journal of Epidemiology, toenails can help predict heart disease risk in female smokers.

As boys and girls gain weight during adolescence (the genders are similar in body composition through age 11), changes differ largely by gender.

Don't instruct your patients to eliminate the hot dog altogether - the American classic that serves as the top item at many warm-weather gatherings. Just tell them to avoid the ones that are not good for them. The same is true of most burgers.

When I mention the cardiac diet I follow in upbeat fashion, I am looking to portray the genuine feeling that I really enjoy eating healthy. The game â€" and both my wife and I admit, the triumph â€" is being able to make tasty meals that are, in all seriousness, good for the heart.

Remember to Pre-Medicate

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As I was eating dinner the other night, an unusual sensation came over me. I knew what it was, nothing serious. I also knew that it would mean a trip to the dentist.

What's a Patient to Do?

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One of the toughest things I have had to deal with as a cardiac recovery patient is the studies dealing with medication and implantable devices.

The "Step Down" Program

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Following my heart attack in 2006, I knew I did not heed one of the warnings of one of my cardiologists.

Exercise is Life

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It happened the morning of July 20, 2006. I got up at my usual 7:15 a.m., kissed my wife good-bye, checked my calendar...