HERDOO Gives Anticoagulation Stopping Hints (CME/CE)

(MedPage Today) -- Formula for finding low-risk patients works only for women
via HERDOO Gives Anticoagulation Stopping Hints (CME/CE)
by

ESC: Medical Therapy Adequate for Plaque Erosion

(MedPage Today) -- Pilot study suggests stenting not needed in uncomplicated cases
via ESC: Medical Therapy Adequate for Plaque Erosion
by

ESC: Effient and Brilinta Equal for Post-MI Prevention

(MedPage Today) -- PRAGUE-18 trial underpowered but enough to prove no big difference
via ESC: Effient and Brilinta Equal for Post-MI Prevention
by

Why is Cardiovascular Drug Development Sagging?

(MedPage Today) -- CV disease remains No. 1 killer, yet pharma is pulling back
via Why is Cardiovascular Drug Development Sagging?
by

ESC: Savaysa Safe for Afib Cardioversion

(MedPage Today) -- ENSURE-AF trial finds similarity to standard anticoagulant regimen
via ESC: Savaysa Safe for Afib Cardioversion
by

ESC: Study Touts PCSK9 Tx Add-on to Reach Lower LDL Target (CME/CE)

(MedPage Today) -- Modelling algorithm supports intensification of oral lipid therapy
via ESC: Study Touts PCSK9 Tx Add-on to Reach Lower LDL Target (CME/CE)
by

Multiple Factors Tied to ED Visits for Hypoglycemia (CME/CE)

(MedPage Today) -- Age, insulin use, comorbidities, and hypoglycemia drugs implicated
via Multiple Factors Tied to ED Visits for Hypoglycemia (CME/CE)
by

ESC: Weekly Monitoring of Heart Devices Not Worth it (CME/CE)

(MedPage Today) -- Assumption that 'more data improves outcomes' doesn't seem to be true
via ESC: Weekly Monitoring of Heart Devices Not Worth it (CME/CE)
by

ESC: Coronary CT Prescreen Saves Big $$

(MedPage Today) -- Subsequent patients outcomes on par with invasive coronary angiography
via ESC: Coronary CT Prescreen Saves Big $$
by

ESC: Winners Emerge in CAD Imaging Showdowns

(MedPage Today) -- Promising results for cardiac MRI, MPS, and PET
via ESC: Winners Emerge in CAD Imaging Showdowns
by

ESC: OCT-Based PCI Linked to Small Uptick of FFR

(MedPage Today) -- But no improvement in clinical outcomes over angiography
via ESC: OCT-Based PCI Linked to Small Uptick of FFR
by

ESC: Apheresis Eases Refractory Angina

(MedPage Today) -- Small sham-controlled trial promising for symptoms and perfusion
via ESC: Apheresis Eases Refractory Angina
by

Cancer Patients With Afib Tolerate NOAC (CME/CE)

(MedPage Today) -- Bleeding risk and mortality higher than general population but anticoagulation still works
via Cancer Patients With Afib Tolerate NOAC (CME/CE)
by

ESC: Apixaban the Better Option in AFib Patients Who've Fallen? (CME/CE)

(MedPage Today) -- Anticoagulant reduces stroke, bleeding in high-risk population
via ESC: Apixaban the Better Option in AFib Patients Who've Fallen? (CME/CE)
by

Make the Diagnosis: Puzzling Palpitations

(MedPage Today) -- Case Findings: A 44-year-old male presents with palpitations of 3 months' duration. At first they were occasional and occurred about twice a week. However, they have increased over time with frequency up almost hourly. He has noticed a recent 10-pound weight gain, increased lower extremity swelling, and inability to lie flat. He denies any fevers or chills. His last exercise stress test 5 months ago was normal. His current medications include metoprolol 12.5 mg twice daily, lisinopril 10 mg daily, aspirin 81 mg daily, furosemide 40 mg daily. There have been no recent readjustments in his medical regimen. BP in the clinic on presentation was 110/80 mm Hg, HR 60/min, and the patient was in no acute distress. JVD is elevated, with bilateral basal pulmonary crackles and bilateral lower extremity pitting edema. No heart murmurs are apparent on examination. No baseline is available. Blood work reveals Hemoglobin 14 mg/dl, Creatinine 1.4 mg/dL and BNP 5000. The clinician obtains a Transthoracic Echocardiogram that shows an ejection fraction of 30% with no significant valvular pathology. The patient's ECG is shown below. What is causing the patient's cardiomyopathy?
via Make the Diagnosis: Puzzling Palpitations
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ESC: Longer Cardiac Rehab Not Better? (CME/CE)

(MedPage Today) -- No improvement in risk factors overall, but some help for motivated patients
via ESC: Longer Cardiac Rehab Not Better? (CME/CE)
by

ESC: PCSK9 Tx -- Ready for Prime Time or Still Unproven?

(MedPage Today) -- Debate highlights pros and cons of these cholesterol-lowering drugs
via ESC: PCSK9 Tx -- Ready for Prime Time or Still Unproven?
by

ESC: NOAC Reversal Agent Effective in Study

(MedPage Today) -- But results may not sway FDA
via ESC: NOAC Reversal Agent Effective in Study
by

ESC: DES or BMS? No Mortality Difference

(MedPage Today) -- After 6 years, death was as likely in DES patients as in BMS patients
via ESC: DES or BMS? No Mortality Difference
by

New Heart Failure Drug Struggles to Find Its Footing

(MedPage Today) -- Experts offer insight about Entresto at the ESC
via New Heart Failure Drug Struggles to Find Its Footing
by

In Diabetics With CAD, Bypass Graft Plus Medical Tx Works Best (CME/CE)

(MedPage Today) -- Meta-analysis finds no benefit for PCI plus drug therapy
via In Diabetics With CAD, Bypass Graft Plus Medical Tx Works Best (CME/CE)
by

CABG or PCI: Similar Safety Rates in Left Main Disease (CME/CE)

(MedPage Today) -- Results called "reassuring"
via CABG or PCI: Similar Safety Rates in Left Main Disease (CME/CE)
by

ESC: Focus on Both SBP and LDL to Cut CVD Risk

(MedPage Today) -- It's not just cholesterol
via ESC: Focus on Both SBP and LDL to Cut CVD Risk
by

ESC: PCSK9 Drug Dramatically Cuts Apheresis in FH

(MedPage Today) -- Frequency dropped 75% versus placebo; most able to stop treatment
via ESC: PCSK9 Drug Dramatically Cuts Apheresis in FH
by

T1D Patients Benefit From Cardioprotective Metformin

(MedPage Today) -- Improved levels of cEPcs, CFU-Hill's colonies, cECs, and PACs
via T1D Patients Benefit From Cardioprotective Metformin
by

CardioBrief: Dollars for Heart Docs

(MedPage Today) -- Last year cardiologists received more than $200 million from industry
via CardioBrief: Dollars for Heart Docs
by

ESC: Beta-Blocker Cuts Early Heart Damage from Cancer Tx?

(MedPage Today) -- No clinical difference in small trial, but preclinical measures suggestive
via ESC: Beta-Blocker Cuts Early Heart Damage from Cancer Tx?
by

ESC: Is N-acetylcysteine the Key to Reducing Infarct Size? (CME/CE)

(MedPage Today) -- Pilot study shows benefit as measured by MRI
via ESC: Is N-acetylcysteine the Key to Reducing Infarct Size? (CME/CE)
by

CardioBrief: Cardiologists Give SPRINT Thumbs Down

(MedPage Today) -- Trial should not be used in guidelines to lower blood pressure targets
via CardioBrief: Cardiologists Give SPRINT Thumbs Down
by

ESC: Stent Retriever Therapy OK Without tPA?

(MedPage Today) -- Procedure "may be as similarly effective and safe as bridging thrombolysis"
via ESC: Stent Retriever Therapy OK Without tPA?
by

ESC: Smartphone Makes a Smart Afib Diagnosis

(MedPage Today) -- No special case or add-on device needed
via ESC: Smartphone Makes a Smart Afib Diagnosis
by

ESC: No Mortality Benefit With ICD in Non-Ischemic HF

(MedPage Today) -- Eleven fewer deaths over 5 years
via ESC: No Mortality Benefit With ICD in Non-Ischemic HF
by

ESC: CPAP Flops for Secondary CV Prevention

(MedPage Today) -- No impact on coronary, stroke risks from sleep apnea tx in SAVE trial
via ESC: CPAP Flops for Secondary CV Prevention
by

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This week's topics include breast density and mammography, genetic analysis and chemotherapy in early breast cancer, reducing sugar for kids, and treating essential tremor
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

ESC: Continental Divide on Lipid Guidelines

(MedPage Today) -- ESC comes out in favor of LDL targets, no tx if low LDL despite high risk
via ESC: Continental Divide on Lipid Guidelines
by

ESC: Quake, Terrorism, and Papal Visit Add Color to Congress Opening

(MedPage Today) -- World's largest cardiology meeting opens with heat and hoopla
via ESC: Quake, Terrorism, and Papal Visit Add Color to Congress Opening
by

ESC: Afib Guide Boosts Threshold for Treating Women

(MedPage Today) -- New European recommendations change CHA2DS2-VASc score level
via ESC: Afib Guide Boosts Threshold for Treating Women
by

'We Went Ballistic': What We Heard This Week

(MedPage Today) -- Quotable quotes from MedPage Today's sources
via 'We Went Ballistic': What We Heard This Week
by

Report Ups Fears of Cardiac Device Hacking

(MedPage Today) -- But investment firm's profit motive muddies the water
via Report Ups Fears of Cardiac Device Hacking
by

Cath Lab Recap: ICD Hack Threat; 4D-Printed Stent; Absorb Post-Approval

(MedPage Today) -- Interventional cardiology news to note
via Cath Lab Recap: ICD Hack Threat; 4D-Printed Stent; Absorb Post-Approval
by

PAD May be Predictive of Poorer COPD Outcomes (CME/CE)

(MedPage Today) -- Peripheral artery disease more common than in general population
via PAD May be Predictive of Poorer COPD Outcomes (CME/CE)
by

ESC: ICDs for Non-ischemic HF in the Spotlight

(MedPage Today) -- DANISH trial weighs necessity in era of lower mortality, better meds
via ESC: ICDs for Non-ischemic HF in the Spotlight
by

Is CT Angio Sufficient Without Functional Data? (CME/CE)

(MedPage Today) -- Adding FFR into the mix triggers different clinical decisions
via Is CT Angio Sufficient Without Functional Data? (CME/CE)
by

Late-Onset Asthma Ups Risk for CVD, Stroke (CME/CE)

(MedPage Today) -- Greater risk not seen with early-onset asthma
via Late-Onset Asthma Ups Risk for CVD, Stroke (CME/CE)
by

Biomarkers May Help Predict Ischemic Stroke Risk (CME/CE)

(MedPage Today) -- Improved prediction when added to Framingham model
via Biomarkers May Help Predict Ischemic Stroke Risk (CME/CE)
by

Heart Disease Still Tops Causes of Death

(MedPage Today) -- Cancer continuing to close gap
via Heart Disease Still Tops Causes of Death
by

Wild West of Healthcare: Lab Companies Reeling in the $$$

(MedPage Today) -- In this second part of the 'Billion Dollar Lab Scandal,' Larry Husten offers variations on the theme
via Wild West of Healthcare: Lab Companies Reeling in the $$$
by

Painful Head, Painful Heart: Psychiatric Times & Neurology Times

(MedPage Today) -- Also, explaining "Alice in Wonderland" syndrome
via Painful Head, Painful Heart: Psychiatric Times & Neurology Times
by

Xience V Useful for Very Long Lesions (CME/CE)

(MedPage Today) -- No increased risks associated with stenting lesions over 35 mm
via Xience V Useful for Very Long Lesions (CME/CE)
by

Results from Anticipated Heart Failure Trial Delayed Again

(MedPage Today) -- TRUE-AHF will be reported at the AHA not the ESC
via Results from Anticipated Heart Failure Trial Delayed Again
by

What Halved PCI Readmits at This Center?

(MedPage Today) -- Possibilities included better patient education, electronic tracking
via What Halved PCI Readmits at This Center?
by

SNAP Won't Become Alzheimer's (CME/CE)

(MedPage Today) -- Two studies suggest those with SNAP not likely to progress to Alzheimer's
via SNAP Won't Become Alzheimer's (CME/CE)
by

AHA: Restrict Kids to 25 Grams or Less of Daily Added Sugar

(MedPage Today) -- Experts reviewed current scientific evidence for heart health effects
via AHA: Restrict Kids to 25 Grams or Less of Daily Added Sugar
by

Make the Diagnosis: Questionable Bleeding

(MedPage Today) -- Case Findings: A 19-year-old man presented at the ED vomiting blood. He mentioned that he had several nosebleeds that week, but didn't think anything of it as he frequently suffered from nosebleeds. "It runs in the family. My dad gets them all the time too, he said. Upon exam, his physician noticed an oral red macule on his tongue and slight conjunctival injection. What is your diagnosis?
via Make the Diagnosis: Questionable Bleeding
by

Afib: Poor Short-Term Outcomes More Common After Stenting (CME/CE)

(MedPage Today) -- But where is that expected link between Afib and stroke?
via Afib: Poor Short-Term Outcomes More Common After Stenting (CME/CE)
by

Omega-6 in Stored Fat Tied to Longer Survival (CME/CE)

(MedPage Today) -- Slightly lower death rate seen with higher levels in cohort study
via Omega-6 in Stored Fat Tied to Longer Survival (CME/CE)
by

Morning Break: Prince and Fentanyl; Hillary's Health; Who Should Live?

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Prince and Fentanyl; Hillary's Health; Who Should Live?
by

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This week's topics include a look at beta blockers, intranasal flu vaccine efficacy, acetaminophen during pregnancy, and a new osteoporosis treatment
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

D.C. Week: NOAC Reversal Drug Stalls at FDA

(MedPage Today) -- If Clinton wins the election, what becomes of the Family Foundation?
via D.C. Week: NOAC Reversal Drug Stalls at FDA
by

Friday Feedback: Are All Thiazides the Same for BP Control?

(MedPage Today) -- Experts discuss hydrochlorothoriazide and outcomes trials
via Friday Feedback: Are All Thiazides the Same for BP Control?
by

Presidential Candidates' Health at Issue in Election

(MedPage Today) -- Disclosure is needed, but diagnosis from afar is wrong, say experts
via Presidential Candidates' Health at Issue in Election
by

Sapien TAVR Devices Win Expanded Indication

(MedPage Today) -- May now be used in intermediate-risk patients
via Sapien TAVR Devices Win Expanded Indication
by

Leg Cramps? Greater Gains in QoL After Revascularization (CME/CE)

(MedPage Today) -- Still, many advocate for conservative approaches first
via Leg Cramps? Greater Gains in QoL After Revascularization (CME/CE)
by

Sedentary Advisory; PCSK9 Cost; AEDs After Hours

(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week
via Sedentary Advisory; PCSK9 Cost; AEDs After Hours
by

EndoBreak: U.K. Tackles Childhood Obesity; DASH Diet Plug

(MedPage Today) -- News and commentary from the endocrinology world
via EndoBreak: U.K. Tackles Childhood Obesity; DASH Diet Plug
by

Worse MI Outcomes for the Poor? (CME/CE)

(MedPage Today) -- More adverse events after discharge in dual Medicare-Medicaid eligibles
via Worse MI Outcomes for the Poor? (CME/CE)
by

Cath Lab Recap: AndexXa Rejected, Gene Therapy for MI?

(MedPage Today) -- Interventional cardiology news to note
via Cath Lab Recap: AndexXa Rejected, Gene Therapy for MI?
by

Atorvastatin Improves Arterial Stiffness in SLE (CME/CE)

(MedPage Today) -- Potential to reduce subclinical atherosclerosis
via Atorvastatin Improves Arterial Stiffness in SLE (CME/CE)
by

Gender No Predictor of Prolonged DAPT Benefit

(MedPage Today) -- No clear survival benefit for either sex, as well
via Gender No Predictor of Prolonged DAPT Benefit
by

FDA Delays Approval of Portola's NOAC Reversal Drug

(MedPage Today) -- Agency wants more information
via FDA Delays Approval of Portola's NOAC Reversal Drug
by

TAVR Bests Surgery for Survival in Lower-Risk Patients

(MedPage Today) -- Surgery, CoreValve otherwise on par for those with STS PROM below 7%
via TAVR Bests Surgery for Survival in Lower-Risk Patients
by

CardioBrief: Imprecise Medicine? Genetic Tests Lead to Misdiagnosis

(MedPage Today) -- Some black Americans wrongly told of high risk for hypertrophic cardiomyopathy
via CardioBrief: Imprecise Medicine? Genetic Tests Lead to Misdiagnosis
by

CAD Outcomes, Costs Better Off With Better Med Adherence (CME/CE)

(MedPage Today) -- Rx fill rates important in MI and atherosclerosis, study affirms
via CAD Outcomes, Costs Better Off With Better Med Adherence (CME/CE)
by

Opinion Makers: The Current State of Disappearing Stents

(MedPage Today) -- Ajay Kirtane, MD, separates hype from reality of Absorb
via Opinion Makers: The Current State of Disappearing Stents
by

Improving Medication Adherence: ConsultantLive & Rheumatology Network

(MedPage Today) -- Also, how important are hypertension goals?
via Improving Medication Adherence: ConsultantLive & Rheumatology Network
by

PDUFA Again: Still Trying to Get It Right

(MedPage Today) -- FDA juggles staffing problems with public concerns
via PDUFA Again: Still Trying to Get It Right
by

Plavix Smoker's Paradox Debunked? (CME/CE)

(MedPage Today) -- Hemoglobin confounds platelet level readings, study suggests
via Plavix Smoker's Paradox Debunked? (CME/CE)
by

Angina Often Under-Recognized in Stable CAD

(MedPage Today) -- Clinicians' lower ratings of frequency could spell undertreatment
via Angina Often Under-Recognized in Stable CAD
by

Study: Absorb Stent Works Below the Knee

(MedPage Today) -- "Excellent" results but only in unusually focal lesions
via Study: Absorb Stent Works Below the Knee
by

Better Heart Health in Adult Children of Long-Lived Parents (CME/CE)

(MedPage Today) -- 20% lower risk of cardiovascular death when a parent lived to 80
via Better Heart Health in Adult Children of Long-Lived Parents (CME/CE)
by

'Sickest' Patients May Do Better After Gastric Bypass Surgery (CME/CE)

(MedPage Today) -- Preop insulin use, taking multiple meds tied to long-term weight loss
via 'Sickest' Patients May Do Better After Gastric Bypass Surgery (CME/CE)
by

Morning Break: Diagnosing Trump; AHA's Stand on Sitting; No Sugar High for Kids

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Diagnosing Trump; AHA's Stand on Sitting; No Sugar High for Kids
by

CardioBrief: Can 50 Million Prescriptions Be Wrong?

(MedPage Today) -- Innovative trial to determine actual benefit of hydrochlorothiazide
via CardioBrief: Can 50 Million Prescriptions Be Wrong?
by

Beta-Blockers No Help After PCI for Stable Angina (CME/CE)

(MedPage Today) -- Medicare-linked registry data fly in the face of current guidelines
via Beta-Blockers No Help After PCI for Stable Angina (CME/CE)
by

Review: Renal Stenting No Better Than Meds for Key Outcomes

(MedPage Today) -- But studies haven't been well powered, systemic review found
via Review: Renal Stenting No Better Than Meds for Key Outcomes
by

Double, Triple Antithrombotics No Better in Afib After TAVR (CME/CE)

(MedPage Today) -- More bleeding, no fewer CV events in observational study
via Double, Triple Antithrombotics No Better in Afib After TAVR (CME/CE)
by

CardioBrief: CV Disease No Longer Top Killer in Western Europe

(MedPage Today) -- Cancer is now the bigger cause of death in 12 high-income countries
via CardioBrief: CV Disease No Longer Top Killer in Western Europe
by

CardioBreak: Fitbit Data Caution; Hospital Ratings vs Organ Use; New sICD

(MedPage Today) -- Recent developments of interest in cardiovascular medicine
via CardioBreak: Fitbit Data Caution; Hospital Ratings vs Organ Use; New sICD
by

DASH Diet: A Role in Gout? (CME/CE)

(MedPage Today) -- Large effect size for lowering uric acid
via DASH Diet: A Role in Gout? (CME/CE)
by

Mono/Combo Therapy Improves HDL in Early RA (CME/CE)

(MedPage Today) -- Study hints at new ways to reduce CV risk in arthritis patients
via Mono/Combo Therapy Improves HDL in Early RA (CME/CE)
by

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This week's topics include the impact of exercise on chronic medical conditions, more ICU care and outcomes, m-health and diabetes, and insurance status and cancer outcomes
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

D.C. Week: More $$ Still Needed for Zika, Says NIAID Director

(MedPage Today) -- Also, new way of allocating livers proposed
via D.C. Week: More $$ Still Needed for Zika, Says NIAID Director
by

Friday Feedback: Do Inconclusive USPSTF Statements Help?

(MedPage Today) -- Experts debate merits of latest nonrecommendation
via Friday Feedback: Do Inconclusive USPSTF Statements Help?
by

CardioBrief: Twitter Debate Flares Over Lipid Screening in Kids

(MedPage Today) -- Cardiologists offer pros and cons in 140 characters or less
via CardioBrief: Twitter Debate Flares Over Lipid Screening in Kids
by

Heart Health Not Ideal in Most Children (CME/CE)

(MedPage Today) -- Poor diet, low physical activity prevalent
via Heart Health Not Ideal in Most Children (CME/CE)
by

EndoBreak: Texting for Diabetes Prevention; GI Outlook 2016

(MedPage Today) -- News and commentary from the endocrinology world
via EndoBreak: Texting for Diabetes Prevention; GI Outlook 2016
by

USPSTF on Kids' Lipids; ICU Overuse; BP Variability

(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week
via USPSTF on Kids' Lipids; ICU Overuse; BP Variability
by

Role for Fatty Acid Metabolism in Preclinical AD? (CME/CE)

(MedPage Today) -- Serum DHA tied to amyloid load, brain volume, cognition
via Role for Fatty Acid Metabolism in Preclinical AD? (CME/CE)
by

Cath Lab Recap: Stellarex Balloon; Rapid LV Pacing for TAVR; Gene-Eluting Stent

(MedPage Today) -- Interventional cardiology news to note
via Cath Lab Recap: Stellarex Balloon; Rapid LV Pacing for TAVR; Gene-Eluting Stent
by

HS-Troponin Testing: Little Effect on Clinical Practice? (CME/CE)

(MedPage Today) -- Results without a protocol for using them may be worthless
via HS-Troponin Testing: Little Effect on Clinical Practice? (CME/CE)
by

Morning Break: Dying to Make a Sale; Neuros vs NYT; Hookup Apps

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Dying to Make a Sale; Neuros vs NYT; Hookup Apps
by

Feedback on TEE Ordering Cuts Inappropriate Use (CME/CE)

(MedPage Today) -- Education and monthly check-ins worked in randomized trial
via Feedback on TEE Ordering Cuts Inappropriate Use (CME/CE)
by

DAPT Score: Not the End-All in Decision-Making

(MedPage Today) -- "Do not lose sight of the forest from the trees"
via DAPT Score: Not the End-All in Decision-Making
by

Survival Advantage With Extended DAPT After MI?

(MedPage Today) -- Updated meta-analysis enters the fray over antiplatelet duration
via Survival Advantage With Extended DAPT After MI?
by

CardioBrief: Experts Disagree on Lipid Screening in Kids

(MedPage Today) -- Paucity of evidence fuels controversy
via CardioBrief: Experts Disagree on Lipid Screening in Kids
by

Long-Term Warfarin Stability Elusive

(MedPage Today) -- Registry challenges common reason for not switching to NOACS
via Long-Term Warfarin Stability Elusive
by

Make the Diagnosis: Dizziness Dilemma

(MedPage Today) -- Case Findings: A 42-year-old African American male presents with a report of dizziness and lightheadedness 3 days ago when he was standing up to go to the rest room. He denies any syncopal episodes. He has medically managed hypertension, hypercholesterolemia, and cardiomyopathy, and a last ejection fraction of 35% with defibrillator placement 4 months ago. His AICD did not fire during the dizziness episode. His last cardiac catheterization prior to AICD implantation revealed normal coronaries. The patient has been compliant with metoprolol 25 mg twice daily, lisinopril 10 mg daily, atorvastatin 40 mg daily. He denies any new medical regimen. His vital signs are BP 100/80 mm Hg and HR 66/min. His physical examination is normal without any clinical evidence of decompensation. What is best course of action based on what the ECG suggests?
via Make the Diagnosis: Dizziness Dilemma
by

ATS Report: Tighten Air Quality Standards to Save Lives

(MedPage Today) -- More than 9,000 deaths, 21,000 nonfatal events preventable annually
via ATS Report: Tighten Air Quality Standards to Save Lives
by

TAVR Embolic Protection Device Cuts Brain Injury Risk (CME/CE)

(MedPage Today) -- But no improvement in clinical outcomes found in CLEAN-TAVI trial
via TAVR Embolic Protection Device Cuts Brain Injury Risk (CME/CE)
by

USPSTF Punts on Universal Screening for Lipid Disorders in Kids (CME/CE)

(MedPage Today) -- Panel wanted proof that childhood screening cuts adult CV events
via USPSTF Punts on Universal Screening for Lipid Disorders in Kids (CME/CE)
by

MondoA May Be T2D Drug Target

(MedPage Today) -- Mouse studies show promise for inhibitors
via MondoA May Be T2D Drug Target
by

USPSTF: No Data on Lipid Screening of Young Adults

(MedPage Today) -- Extrapolation necessary on screening, treatment before age 40
via USPSTF: No Data on Lipid Screening of Young Adults
by

CVS Health Formularies to Favor Biosimilars, Follow-ons

(MedPage Today) -- Competition begins to weigh on pioneer biologics
via CVS Health Formularies to Favor Biosimilars, Follow-ons
by

FDA Commissioner: Cardiology Can Do Better

(MedPage Today) -- Califf calls on field to modernize evidence development
via FDA Commissioner: Cardiology Can Do Better
by

CKD, New-Onset Afib Predictors of Early Post-TAVR Stroke (CME/CE)

(MedPage Today) -- No impact found for valve type and approach
via CKD, New-Onset Afib Predictors of Early Post-TAVR Stroke (CME/CE)
by

Intracoronary Abciximab Better for Diabetics? (CME/CE)

(MedPage Today) -- Meta-analysis suggests big advantage, but some call it implausible
via Intracoronary Abciximab Better for Diabetics? (CME/CE)
by

CardioBreak: Quits on Oral PCSK9 Drug; BP and Politics; Low Targets in Diabetes

(MedPage Today) -- Recent developments of interest in cardiovascular medicine
via CardioBreak: Quits on Oral PCSK9 Drug; BP and Politics; Low Targets in Diabetes
by

CardioBrief: Trialists Dig In

(MedPage Today) -- Shrinking from the sunlight of data-sharing
via CardioBrief: Trialists Dig In
by

Morning Break: Your Brain on Drugs; Mosquito Engineers; Floss Follies

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Your Brain on Drugs; Mosquito Engineers; Floss Follies
by

D.C. Week: Arymo, Long-Acting Morphine, Wins FDA Advisors' Support

(MedPage Today) -- HCV advocates press to ease coverage restrictions on curative therapies
via D.C. Week: Arymo, Long-Acting Morphine, Wins FDA Advisors' Support
by

'The Lesser of Two Evils'; Breast Cancer Surgeons Push Back: What We Heard This Week

(MedPage Today) -- Quotable quotes from MedPage Today's news coverage
via 'The Lesser of Two Evils'; Breast Cancer Surgeons Push Back: What We Heard This Week
by

Cardiac Tamponade on Rise After Pacemaker Implantation

(MedPage Today) -- Still, questions about how clinically relevant the increase is
via Cardiac Tamponade on Rise After Pacemaker Implantation
by

ACA Transplant Boost; Menopause Heart Risk; Trouble Sharing (Data) Nicely

(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week
via ACA Transplant Boost; Menopause Heart Risk; Trouble Sharing (Data) Nicely
by

Morning Break: 'Striking' Zika Vaccine Results; NIH Eases Stem Cell Rules

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: 'Striking' Zika Vaccine Results; NIH Eases Stem Cell Rules
by

Cath Lab Recap: Steerable RF Catheter; Lotus Valve Recall; Anti-Gravity Stress Testing

(MedPage Today) -- Interventional cardiology news to note
via Cath Lab Recap: Steerable RF Catheter; Lotus Valve Recall; Anti-Gravity Stress Testing
by

Aspiration Thrombectomy No Help for Large-Clot Strokes (CME/CE)

(MedPage Today) -- Functional outcomes similar to lytics alone in THERAPY trial
via Aspiration Thrombectomy No Help for Large-Clot Strokes (CME/CE)
by

Liraglutide No Help in Advanced HF Patients (CME/CE)

(MedPage Today) -- Trend toward worse outcomes reported in diabetes subgroup
via Liraglutide No Help in Advanced HF Patients (CME/CE)
by

Atrial Fibrillation: Sepsis Boosts Anticoagulation Bleeds

(MedPage Today) -- No significantly lower stroke risk
via Atrial Fibrillation: Sepsis Boosts Anticoagulation Bleeds
by

Heart Risk Factors Climb Before Menopause (CME/CE)

(MedPage Today) -- African-American women were at highest risk, study shows
via Heart Risk Factors Climb Before Menopause (CME/CE)
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CardioBrief: Mixed Support For Data Sharing

(MedPage Today) -- Many top investigators seek to weaken existing proposals
via CardioBrief: Mixed Support For Data Sharing
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High BMI Tied to T2D, but Not to Heart Troubles (CME/CE)

(MedPage Today) -- Twin study suggests causal link between obesity and diabetes risk, independent of genetics
via High BMI Tied to T2D, but Not to Heart Troubles (CME/CE)
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Brugada Syndrome: Subcutanous ICDs Linked to Misfires

(MedPage Today) -- Sensing particularly difficult with dynamic ECG morphology
via Brugada Syndrome: Subcutanous ICDs Linked to Misfires
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Medicare $$ Up for Cardiology in 2017

(MedPage Today) -- Mitral repair, LAA closure get big bump in finalized fee schedule
via Medicare $$ Up for Cardiology in 2017
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Insomnia, Snoring Linked to Stroke (CME/CE)

(MedPage Today) -- Review shows independent predictors beforehand, high prevalence afterward
via Insomnia, Snoring Linked to Stroke (CME/CE)
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Fish Oil May Improve Post-MI Recovery (CME/CE)

(MedPage Today) -- Inflammation, fibrosis, remodeling reduced in clinical trial
via Fish Oil May Improve Post-MI Recovery (CME/CE)
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Brugada Syndrome: 'New Era' of Milder Disease at Diagnosis (CME/CE)

(MedPage Today) -- Better patient identification seen in European registries
via Brugada Syndrome: 'New Era' of Milder Disease at Diagnosis (CME/CE)
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CoreValve Cleared For Lower-Risk TAVR In Europe

(MedPage Today) -- Clinicians eye a similar expansion for TAVR in the U.S.
via CoreValve Cleared For Lower-Risk TAVR In Europe
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The Big Dirty Secret Every Doctor Knows

(MedPage Today) -- Eminence-based medicine is not the exception. It's the rule.
via The Big Dirty Secret Every Doctor Knows
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Off-Site Cardiac Monitor Boosts Non-ICU Telemetry

(MedPage Today) -- Program improved accuracy of notification, patient selection
via Off-Site Cardiac Monitor Boosts Non-ICU Telemetry
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Make the Diagnosis: Athletic or At Risk?

(MedPage Today) -- Case Findings: A 32-year-old athletic female presents for a general medical examination. She does not have any known medical diagnoses. She runs 5 miles a day. Recently, while she was exercising at the gym, she had an episode of lightheadedness. She reports no similar prior episodes. She does mention that it was a hot, sunny day and she had worked out much more than usual. She denies any chest pain, palpitations, or syncopal episodes. One of her cousins is studying in medical school and did quick vitals on her. He was concerned that her heart rate was consistently in low 50s, and he suggested that she be checked at a medical clinic for further workup. Her EKG is shown. Which of the following is true?
via Make the Diagnosis: Athletic or At Risk?
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Study: For Long Life, Chose Beans Over Burgers (CME/CE)

(MedPage Today) -- Plant protein-heavy diets linked to lower mortality in observational data
via Study: For Long Life, Chose Beans Over Burgers (CME/CE)
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Benign Adrenal Tumors Linked to Diabetes Risk (CME/CE)

(MedPage Today) -- "Non-functional tumors may secrete small but problematic levels of glucocorticoids
via Benign Adrenal Tumors Linked to Diabetes Risk (CME/CE)
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Pearls From: John Laird

(MedPage Today) -- An interventional cardiologist discusses peripheral artery disease
via Pearls From: John Laird
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Aortic Leaks Seen With Cardiac MRI Linked to Outcomes (CME/CE)

(MedPage Today) -- Regurgitant fraction, not volume, linked to longer-term mortality
via Aortic Leaks Seen With Cardiac MRI Linked to Outcomes (CME/CE)
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CardioBrief: Pioneering Interventionalist Defends Unorthodox Practices

(MedPage Today) -- Bernhard Meier explains sealing plaques and PFO closure enthusiasm
via CardioBrief: Pioneering Interventionalist Defends Unorthodox Practices
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New ACTION Risk Model Accurately Predicts In-Hospital MI Death (CME/CE)

(MedPage Today) -- Tweaked tool said to be more effective
via New ACTION Risk Model Accurately Predicts In-Hospital MI Death (CME/CE)
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CardioBreak: CMS Proposal on MI/CABG, EU Clears Intermediate-Risk TAVR

(MedPage Today) -- Recent developments of interest in cardiovascular medicine
via CardioBreak: CMS Proposal on MI/CABG, EU Clears Intermediate-Risk TAVR
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CardioBrief: Changes in Eskimo Diet Linked to Increase in CHD

(MedPage Today) -- Shift could explain apparently contradictory evidence on fats, carbs
via CardioBrief: Changes in Eskimo Diet Linked to Increase in CHD
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