Friday, December 30, 2016

Pearls From: Gordon Tomaselli, MD

(MedPage Today) -- Networked leadless defibrillators and pacemakers are on the horizon
via Pearls From: Gordon Tomaselli, MD
by

EuroPCR: Degenerated TAVR Not Uncommon by 10 Years

(MedPage Today) -- 'Significant signal ... sooner than what we see in surgical valves'
via EuroPCR: Degenerated TAVR Not Uncommon by 10 Years
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TAVR Durability Drama Likely to Persist

(MedPage Today) -- Centers, studies boosted long-term scrutiny of valves in 2016
via TAVR Durability Drama Likely to Persist
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Media Tracker: From Data Mining to Immunotherapy and Back

(MedPage Today) -- Paul Raeburn looks at how the media handled 2016's big healthcare stories
via Media Tracker: From Data Mining to Immunotherapy and Back
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2016's Top 5 Advances in Cardiology

(MedPage Today) -- PCSK9 inhibitors named as story of the year by leading cardiologists
via 2016's Top 5 Advances in Cardiology
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Wednesday, December 28, 2016

Docs Warn Against TAVR Expansion To Younger Patients

(MedPage Today) -- With a higher risk of valve degeneration, 'jury still out on its role'
via Docs Warn Against TAVR Expansion To Younger Patients
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FDA Advisory Panel Splits on Second DMD Drug

(MedPage Today) -- Seven of 13 members call evidence of benefit inadequate
via FDA Advisory Panel Splits on Second DMD Drug
by

Miracle on Figueroa Street

(MedPage Today) -- Emergency docs are never off-duty
via Miracle on Figueroa Street
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Friday, December 23, 2016

Top Medical News of 2016

(MedPage Today) -- Leaders in research and clinical practice make their picks
via Top Medical News of 2016
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Wednesday, December 21, 2016

Groups Back Stenting Nonculprit Vessels in STEMI

(MedPage Today) -- Appropriate use criteria updated to match current guidelines
via Groups Back Stenting Nonculprit Vessels in STEMI
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HF Risk Outweighs Stroke in Chronic Kidney Disease

(MedPage Today) -- Observed risk particularly high in African Americans and Hispanics
via HF Risk Outweighs Stroke in Chronic Kidney Disease
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2016's Top 5 Advances in Endocrinology

(MedPage Today) -- Improvements in CV mortality for T2D patients hit the top
via 2016's Top 5 Advances in Endocrinology
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2016's Top 5 Advances in Neurology

(MedPage Today) -- A potential treatment for progressive MS tops the list
via 2016's Top 5 Advances in Neurology
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Tuesday, December 20, 2016

Medicare: New Payment Plans for Hearts and Hips

(MedPage Today) -- Plan offers both carrot and stick to improve cardiac and ortho care
via Medicare: New Payment Plans for Hearts and Hips
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Hot Afib Ablation Balloon Off To a Lukewarm Start?

(MedPage Today) -- Safety shown for new mode of Afib ablation, but questions remain
via Hot Afib Ablation Balloon Off To a Lukewarm Start?
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Monday, December 19, 2016

TAVR Survival Advantage Reported in Women (CME/CE)

(MedPage Today) -- Early vascular complications offset by fewer deaths later on
via TAVR Survival Advantage Reported in Women (CME/CE)
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More Shots Fired in 'Sugar War'

(MedPage Today) -- Industry-sponsored study questions current guidelines on dietary sugar
via More Shots Fired in 'Sugar War'
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2016: A Year Worth Reflection in Heart Failure

(MedPage Today) -- Clyde Yancy, MD: 'But all of the clinical steps forward must yield to the exigencies of governance'
via 2016: A Year Worth Reflection in Heart Failure
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Sunday, December 18, 2016

Saturday, December 17, 2016

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

(MedPage Today) -- This week's topics include statins and Alzheimer's, teen substance use, national mortality data, and psychiatric drug use in American adults.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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Friday, December 16, 2016

Year in Review: Neurology

(MedPage Today) -- Will 2016 end with success in PPMS or failure of AD drug?
via Year in Review: Neurology
by

Year in Review: Psychiatry

(MedPage Today) -- Opioid addiction dominates headlines
via Year in Review: Psychiatry
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Thursday, December 15, 2016

Entresto 'Contest' Stirs Controversy

(MedPage Today) -- Heart failure leaders resign from the peer review panel
via Entresto 'Contest' Stirs Controversy
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Teen E-Cigarette Use Declined in 2016

(MedPage Today) -- Dramatic rise in use may have peaked, survey suggests
via Teen E-Cigarette Use Declined in 2016
by

Septal Defect, HF Share Genetic Mutation

(MedPage Today) -- Family's trouble with 'master regulator' gene may point to new tx
via Septal Defect, HF Share Genetic Mutation
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Most States Still Aren't Funding Tobacco Prevention

(MedPage Today) -- Billions in revenues from settlement, taxes being spent elsewhere
via Most States Still Aren't Funding Tobacco Prevention
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Wednesday, December 14, 2016

For Trauma, Aortic Balloon Tx May Not Require Imaging

(MedPage Today) -- To halt trunk hemorrhage, fixed distance nearly always hits the mark
via For Trauma, Aortic Balloon Tx May Not Require Imaging
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FDA Punts on Modified Risk Status to 'Snus'

(MedPage Today) -- Feds defer final ruling on whether snus are safer than cigarettes
via FDA Punts on Modified Risk Status to 'Snus'
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Tuesday, December 13, 2016

Extra Oxygen for Chest Pain Can Backfire

(MedPage Today) -- It's 'too much of a good thing' for nonhypoxic patients
via Extra Oxygen for Chest Pain Can Backfire
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Monday, December 12, 2016

FDA Affirms Bladder Cancer Warning for Pioglitazone

(MedPage Today) -- Agency unpersuaded by manufacturer-sponsored study asserting no risk
via FDA Affirms Bladder Cancer Warning for Pioglitazone
by

Patient Volumes Affect Quality of Diabetes Care (CME/CE)

(MedPage Today) -- Highest for PCPs with large diabetic clienteles, lower daily volumes
via Patient Volumes Affect Quality of Diabetes Care (CME/CE)
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Study: Shorter Buffer OK Between Stenting, Surgery

(MedPage Today) -- As little as 1 month delay not associated with excess MI or death
via Study: Shorter Buffer OK Between Stenting, Surgery
by

Make the Diagnosis: A Fishy Situation

(MedPage Today) -- Case Findings: A 60-year-old male fisherman presents with knee pain and significant bruising on his knee, lower leg, and foot after an episode of kneeling and emptying a freezer caused him to experience a sharp pain in his left knee. He is concerned that there is a "little ball behind the knee. He has a history of type 2 diabetes but no other significant medical history. What is your diagnosis?
via Make the Diagnosis: A Fishy Situation
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Saturday, December 10, 2016

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

(MedPage Today) -- This week's topics include a biomarker for Parkinson's disease, therapy for blood clots after casting or knee arthroscopy, avoiding sickle cell crises, and CABG versus stenting.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

D.C. Week: 'Cures' Act Goes to President's Desk

(MedPage Today) -- Also, a push to ditch the ACA's Independent Payment Advisory Board
via D.C. Week: 'Cures' Act Goes to President's Desk
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Friday, December 9, 2016

Make the Diagnosis: Multiple Trending Symptoms

(MedPage Today) -- Case Findings: A 45-year-old male presents to a primary care physician to re-establish care after 10 years. He claims he has been mainly healthy but too busy to engage in preventative care. However, he reports increased fatigue over the past 4 months; despite sleeping longer at night, he wakes up exhausted. He also complains of constipation. He denies any suicidal or homicidal thoughts, but says he has felt sad and worthless most of the day at least six days each week over the past month. Despite decreased appetite, he has gained approximately 10 pounds over the past month. Upon examination, his skin is dry and his jugular notch is not visible. His urine drug screen and alcohol level are negative. His LDL cholesterol is elevated, but his CBC is normal. What is the most likely diagnosis behind the depression?
via Make the Diagnosis: Multiple Trending Symptoms
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Thursday, December 8, 2016

Statin Skepticism Needs to Stop

(MedPage Today) -- Using statins for primary prevention is a good idea for certain groups
via Statin Skepticism Needs to Stop
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Wednesday, December 7, 2016

The 21st Century Giveaway Act?

(MedPage Today) -- Bonanza for industry, but research funding remains a question mark
via The 21st Century Giveaway Act?
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Tuesday, December 6, 2016

Monday, December 5, 2016

Alcohol and Afib: It's Not Just About Binges (CME/CE)

(MedPage Today) -- A few drinks may be linked to 'holiday heart syndrome' too, review suggests
via Alcohol and Afib: It's Not Just About Binges (CME/CE)
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Sunday, December 4, 2016

Saturday, December 3, 2016

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

(MedPage Today) -- This week's topics include frailty and postoperative risk, smoking, age and myocardial infarction, sports and cardiovascular mortality, and artificial intelligence and diabetic retinopathy.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

Friday, December 2, 2016

Jardiance Wins CV Prevention Indication

(MedPage Today) -- FDA approves claim that diabetes drug reduces cardiovascular death risk
via Jardiance Wins CV Prevention Indication
by

Thursday, December 1, 2016

Year in Review: Type 2 Diabetes

(MedPage Today) -- Hard-fought progress comes with dose of skepticism
via Year in Review: Type 2 Diabetes
by

CDC Analysis: National Lipid Profile Improving

(MedPage Today) -- Trends in LDL, triglycerides may cut coronary heart disease deaths
via CDC Analysis: National Lipid Profile Improving
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Wednesday, November 30, 2016

"Sit Less" Regimen Helps Type 2 Diabetics (CME/CE)

(MedPage Today) -- Standing, light walking benefit patients along several metrics
via "Sit Less" Regimen Helps Type 2 Diabetics (CME/CE)
by

Massive STEMI Increase in Younger Adult Smokers (CME/CE)

(MedPage Today) -- Adults <50 appeared to have highest smoking-related heart attack risk
via Massive STEMI Increase in Younger Adult Smokers (CME/CE)
by

Tuesday, November 29, 2016

Afib in the Family Not Riskier for Outcomes

(MedPage Today) -- Death, thromboembolism rates similar to cases with no family history
via Afib in the Family Not Riskier for Outcomes
by

NeuroBreak: Depression in MCI; Plaque Heart

(MedPage Today) -- News and commentary from the world of neurology and neuroscience
via NeuroBreak: Depression in MCI; Plaque Heart
by

Monday, November 28, 2016

Make the Diagnosis: Surprising Seizure Source

(MedPage Today) -- Case Findings: A 28-year-old migrant worker from Mexico was rushed to an ED in California after suffering a seizure. At the hospital, through slurred speech, he described painful headaches that he had been experiencing for a few months and said he had lost consciousness one evening about a week earlier and not told anyone. He wondered if it could have been a seizure. What is your diagnosis?
via Make the Diagnosis: Surprising Seizure Source
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Sunday, November 27, 2016

Pearls From: Kim Williams, MD

(MedPage Today) -- Cardiac rehab needs better -- and earlier -- reimbursement
via Pearls From: Kim Williams, MD
by

Video Round-Up: The Best of AHA 2016

(MedPage Today) -- Leading cardiologists put the meeting's biggest trials in perspective
via Video Round-Up: The Best of AHA 2016
by

Saturday, November 26, 2016

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

(MedPage Today) -- This week's topics include blood pressure lowering meds and fracture, LASIK surgery outcomes, treatment of abdominal aortic aneurysm, and measles and mumps outbreaks.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

ACR 2016: Treatment Advances Continue

(MedPage Today) -- Improvements in rheumatic conditions both common and rare
via ACR 2016: Treatment Advances Continue
by

Friday, November 25, 2016

Highlights from SfN 2016

(MedPage Today) -- Five big stories from this year's meeting of the best minds in neuroscience
via Highlights from SfN 2016
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Wednesday, November 23, 2016

AAA Repair: Two Nations Separated by 5.3 mm

(MedPage Today) -- Saurabh Jha scrutinizes a trans-Atlantic study of aneurysm repair
via AAA Repair: Two Nations Separated by 5.3 mm
by

Tuesday, November 22, 2016

Troponin After PCI Might Not Point to Risk

(MedPage Today) -- Baseline levels predict mortality but levels afterward do not
via Troponin After PCI Might Not Point to Risk
by

Monday, November 21, 2016

More Evidence of Dementia Decline (CME/CE)

(MedPage Today) -- Better treatment, more education may improve brain health despite rising rates of obesity, diabetes, CV risk factors
via More Evidence of Dementia Decline (CME/CE)
by

Make the Diagnosis: Nerve Concern

(MedPage Today) -- Case Findings: A 63-year-old left-handed male patient presents with tingling in both hands, particularly the left hand. He has struggled to sleep for the past week; after laying down to read, his hand begins to tingle. He reports the tingling only while lying down, he has no symptoms when sitting or standing, and the symptoms resolve quickly once he sits up. He reports symptoms across the whole hand (front and back), but more on the palm than the fingers. The tingling involves all fingers, but is less pronounced on the thumb. There is no muscle weakness, coolness, or discoloration. He reports no swelling or muscle atrophy. The patient's history includes rheumatoid arthritis, for which he has been taking methotrexate for a year, and new onset diabetes mellitus. He also reports feeling tingling in his legs when he bicycles for a long time. On exam, the patient reports onset of mild symptoms with his arms raised overhead. There were no neurological findings, and a negative Tinel's sign. What is your diagnosis?
via Make the Diagnosis: Nerve Concern
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Saturday, November 19, 2016

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

(MedPage Today) -- This week's topics include an alternative to statins, which vessel to use for bypass, NSAID risk, and genes versus lifestyle with regard to cardiovascular disease.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

Friday, November 18, 2016

Diabetes Takes Heavy Mortality Toll in Mexico (CME/CE)

(MedPage Today) -- 'Sugar tax' and other recently adopted prevention strategies may help
via Diabetes Takes Heavy Mortality Toll in Mexico (CME/CE)
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Wednesday, November 16, 2016

AHA: Mixed Results For ApoA-1 Therapies

(MedPage Today) -- But it's still not time to write the obituary for all HDL therapies
via AHA: Mixed Results For ApoA-1 Therapies
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AHA: Shunt Promising for HFpEF

(MedPage Today) -- Low event rates and patients "feel" better
via AHA: Shunt Promising for HFpEF
by

AHA: No Pump Thrombosis With Next-Gen LVAD?

(MedPage Today) -- Better outcomes in HeartMate 3 trial hinged on fewer malfunctions
via AHA: No Pump Thrombosis With Next-Gen LVAD?
by

Tuesday, November 15, 2016

More Progress For Novel PCSK9 Drug

(MedPage Today) -- RNAi-based synthesis inhibitor appears headed to phase III trials
via More Progress For Novel PCSK9 Drug
by

Lower Death Risk Seen with Statins in AS, PsA

(MedPage Today) -- Mortality risk declined by 32% among statin initiators
via Lower Death Risk Seen with Statins in AS, PsA
by

Monday, November 14, 2016

Hot Topics: Type 2 Diabetes

(MedPage Today) -- How can bariatric surgery be used as a treatment for type 2 diabetes?
via Hot Topics: Type 2 Diabetes
by

CV Risk in RA: As High as for Diabetes

(MedPage Today) -- Risk was more than double that of the general population over 15 years
via CV Risk in RA: As High as for Diabetes
by

Statin 'Census' Shows Major Disparities

(MedPage Today) -- Women, minorities treated at significantly lower rates
via Statin 'Census' Shows Major Disparities
by

High Iron Levels Linked to GDM (CME/CE)

(MedPage Today) -- High ferritin, hepcidin, and low sTfR:ferritin ratio shown as indicators of GDM diagnosis
via High Iron Levels Linked to GDM (CME/CE)
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Sunday, November 13, 2016

AHA: No Cognitive Benefit from Heart Drugs in HOPE-3

(MedPage Today) -- Substudy finds mental function unimproved by BP, cholesterol treatments
via AHA: No Cognitive Benefit from Heart Drugs in HOPE-3
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Saturday, November 12, 2016

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

(MedPage Today) -- This week's topics include a new tool for predicting cardiovascular event risk, iPads for amblyopia, an antibody for non-small cell lung cancer, and high-dose statins.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

D.C. Week: Obamacare Days Appear Numbered

(MedPage Today) -- Also: FDA holds hearing on off-label promotion policy
via D.C. Week: Obamacare Days Appear Numbered
by

Friday, November 11, 2016

Angiomax Edges Heparin on Real-World Bleeding Complications

(MedPage Today) -- Glycoprotein IIb/IIIa inhibitors a factor, according to registry findings
via Angiomax Edges Heparin on Real-World Bleeding Complications
by

Thursday, November 10, 2016

Wednesday, November 9, 2016

Can TAVR Cost Be Justified in Mid-Risk Patients?

(MedPage Today) -- Value hinges on survival benefit, much shorter admissions
via Can TAVR Cost Be Justified in Mid-Risk Patients?
by

Premenopause, Women Best Men on Memory Tests (CME/CE)

(MedPage Today) -- But loss of ovarian estradiol may lead to changes in memory function
via Premenopause, Women Best Men on Memory Tests (CME/CE)
by

Tuesday, November 8, 2016

CardioBrief: Novel HDL Drug Flop Ends Its Development

(MedPage Today) -- With efficacy fizzle in pilot trial, ApoA-1 Milano appears to be dead
via CardioBrief: Novel HDL Drug Flop Ends Its Development
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Monday, November 7, 2016

Hot Topics: Type 2 Diabetes

(MedPage Today) -- What are the best courses of treatment for diabetic retinopathy?
via Hot Topics: Type 2 Diabetes
by

Sunday, November 6, 2016

Comorbidities Improve With Bariatric Tx Follow-Up

(MedPage Today) -- Patients who stick with schedule see drop in metabolic risk factors
via Comorbidities Improve With Bariatric Tx Follow-Up
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Saturday, November 5, 2016

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

(MedPage Today) -- This week's topics include transfusion outcomes in old versus new blood, use of tranexemic acid during surgery, bystander use of defibrillators, and bypass surgery outcomes on stopped versus beating hearts.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

Friday, November 4, 2016

HFSA: Prevent Gout, Save the Heart? (CME/CE)

(MedPage Today) -- Post-hoc analysis from PARADIGM-HF offers tantalizing clues about uric acid
via HFSA: Prevent Gout, Save the Heart? (CME/CE)
by

TCT: Orsiro No Better Than EES for CTO

(MedPage Today) -- Also, injectable collagenase eases PCI for CTO in trial
via TCT: Orsiro No Better Than EES for CTO
by

CardioBrief: Watchman Experience Reassuring -- So Far

(MedPage Today) -- But manufacturer collects data and long-term outcomes still unknown
via CardioBrief: Watchman Experience Reassuring -- So Far
by

Canola Oil Curbs Metabolic Risk Factors in Trial (CME/CE)

(MedPage Today) -- Fat mass, blood pressures, triglycerides decline with canola-rich diet
via Canola Oil Curbs Metabolic Risk Factors in Trial (CME/CE)
by

Thursday, November 3, 2016

Testing a Futile Lifestyle 'Intervention"

(MedPage Today) -- We'd do better to target small things we know we can help
via Testing a Futile Lifestyle 'Intervention"
by

TCT: Novel Drug-Coated Balloon Promising for Periphery

(MedPage Today) -- Stellarex beat angioplasty alone in fairly complex PAD population trial
via TCT: Novel Drug-Coated Balloon Promising for Periphery
by

CMS Finalizes Chronic Care Management Codes

(MedPage Today) -- Also announces new codes for behavioral healthcare, moderate sedation
via CMS Finalizes Chronic Care Management Codes
by

Wednesday, November 2, 2016

TCT: Do Women, Minorities Do Worse After Stenting?

(MedPage Today) -- Cause of disadvantages remain unknown for underrepresented groups
via TCT: Do Women, Minorities Do Worse After Stenting?
by

Aneurysm Sealing Device Hits Hurdles

(MedPage Today) -- Migration, endoleaks, and aneurysm growth cited for novel Nellix device
via Aneurysm Sealing Device Hits Hurdles
by

TCT: TAVR Holds Up Pretty Well Over Time

(MedPage Today) -- Also, 2-year data confirm lasting improvements in QoL
via TCT: TAVR Holds Up Pretty Well Over Time
by

TCT: Final Amplatzer Data Still Support Narrow Use

(MedPage Today) -- Greater risk reduction in most PFO-likely strokes, younger age group
via TCT: Final Amplatzer Data Still Support Narrow Use
by

Tuesday, November 1, 2016

TCT: Good Safety, Effiacy With Novel Drug-Filled Stent

(MedPage Today) -- Will this be the device that finally brings DAPT down to 1 month?
via TCT: Good Safety, Effiacy With Novel Drug-Filled Stent
by

TCT: Embolic Protection Flops for TAVR

(MedPage Today) -- New brain lesions or clinical strokes unaffected in SENTINEL trial
via TCT: Embolic Protection Flops for TAVR
by

Monday, October 31, 2016

Another Risky 'BP Monitor' App

(MedPage Today) -- Puts patients at risk with claims to measure multiple cardiovascular parameters
via Another Risky 'BP Monitor' App
by

Hot Topics: Type 2 Diabetes

(MedPage Today) -- How can a closed-loop insulin delivery system be used treat type 2 diabetes?
via Hot Topics: Type 2 Diabetes
by

Sunday, October 30, 2016

TCT: Advantage of Novel DES Over BMS Grows With Time

(MedPage Today) -- For high bleeding risk patients, rationale for BMS continues to shrink
via TCT: Advantage of Novel DES Over BMS Grows With Time
by

TCT: Absorb Stumbles in Long-Term Data

(MedPage Today) -- Two studies report late appearance of scaffold thrombosis
via TCT: Absorb Stumbles in Long-Term Data
by

Saturday, October 29, 2016

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

(MedPage Today) -- This week's topics include state reckoning of smoking and cancer, promoting breastfeeding, testing for familial hypercholesterolemia, and supplemental oxygen in moderate COPD.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

Friday, October 28, 2016

Sealing Device May Patch Up Failed EVAR

(MedPage Today) -- Early results promising for Nellix device that relines AAA stent grafts
via Sealing Device May Patch Up Failed EVAR
by

FDA Approves PFO Closure Device

(MedPage Today) -- Amplatzer device indicated for recurrent stroke prevention
via FDA Approves PFO Closure Device
by

'Big Easy' Hosts Obesity Week 2016

(MedPage Today) -- Gastric bypass, insurance coverage, and nutritional policy research are among the highlights
via 'Big Easy' Hosts Obesity Week 2016
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'Big Easy' Hosts Obesity Week 2016

(MedPage Today) -- Gastric bypass, insurance coverage, and nutritional policy research are among the highlights
via 'Big Easy' Hosts Obesity Week 2016
by

Pearls From: Robert Harrington, MD

(MedPage Today) -- Questioning commonsense but unproven treatments
via Pearls From: Robert Harrington, MD
by

ADA: Get Up, Get Moving to Treat Diabetes (CME/CE)

(MedPage Today) -- New exercise recommendations for people with all forms of the disease
via ADA: Get Up, Get Moving to Treat Diabetes (CME/CE)
by

Coming at TCT: Round Two of Stents Vs Surgery

(MedPage Today) -- Will two large RCTs with newer-generation stents overrule SYNTAX?
via Coming at TCT: Round Two of Stents Vs Surgery
by

Wednesday, October 26, 2016

Treadmill Test Scoring Better With Gender as a Factor

(MedPage Today) -- New sex-specific score predicted women's mortality more accurately
via Treadmill Test Scoring Better With Gender as a Factor
by

Morning Break: Measles Worry; Pharmacists for Vets; Toxic Air

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Measles Worry; Pharmacists for Vets; Toxic Air
by

Tuesday, October 25, 2016

FDA Warns of Testosterone Abuse

(MedPage Today) -- Adverse events tied to abuse include heart attack, heart failure, and stroke
via FDA Warns of Testosterone Abuse
by

Pearls From: Clyde Yancy, MD

(MedPage Today) -- Could U.S., Europe combine forces on CV guidelines?
via Pearls From: Clyde Yancy, MD
by

Monday, October 24, 2016

CHEST: Metformin in COPD Patients Improves Outcomes (CME/CE)

(MedPage Today) -- Cuts admissions in patients with comorbid diabetes, compared with insulin
via CHEST: Metformin in COPD Patients Improves Outcomes (CME/CE)
by

Asymptomatic MR: New Markers for Poor Outcomes

(MedPage Today) -- Fine-tuning 'watchful waiting' approach to mitral surgery
via Asymptomatic MR: New Markers for Poor Outcomes
by

Hot Topics: Type 2 Diabetes

(MedPage Today) -- How are practice, guidelines responding to CV benefit shown in T2D trials?
via Hot Topics: Type 2 Diabetes
by

Saturday, October 22, 2016

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

(MedPage Today) -- This week's topics include changing therapy with a genetic assessment of breast cancer, outcomes from hernia repair, a new agent for osteoporosis, and syncope and pulmonary embolism
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

Friday, October 21, 2016

Wednesday, October 19, 2016

Tuesday, October 18, 2016

Fewer PAD Surgeries With Vorapaxar? (CME/CE)

(MedPage Today) -- Trial subanalysis suggests effect, but consistency questioned
via Fewer PAD Surgeries With Vorapaxar? (CME/CE)
by

Monday, October 17, 2016

MACRA Rule: Physicians, Insurers Weigh In

(MedPage Today) -- Encouraged by transition period but unresolved issues cause worry
via MACRA Rule: Physicians, Insurers Weigh In
by

Hot Topics: Diabetes

(MedPage Today) -- Addressing sugar use in the clinic and in dietary guidelines
via Hot Topics: Diabetes
by

Transcarotid TAVR Safer Under Local Anesthesia

(MedPage Today) -- Early events only seen in general anesthesia cases in French series
via Transcarotid TAVR Safer Under Local Anesthesia
by

Prolonged DAPT Better After Complex PCI (CME/CE)

(MedPage Today) -- The more complex the PCI, the greater the benefit over short-term therapy, meta-analysis finds
via Prolonged DAPT Better After Complex PCI (CME/CE)
by

Saturday, October 15, 2016

PodMed: A Medical News Roundup From Johns Hopkins

(MedPage Today) -- This week's topics include use of vitamins and supplements, detecting atrial fibrillation, calcium supplements and heart disease, and use of ventilators in people with advanced dementia.
via PodMed: A Medical News Roundup From Johns Hopkins
by

D.C. Week: Final MACRA Rule Issued

(MedPage Today) -- Also, FDA warns on cardiac surgery heater-cooler device
via D.C. Week: Final MACRA Rule Issued
by

Friday, October 14, 2016

CMS Launches Final MACRA Rule

(MedPage Today) -- Seeks to allay physicians' concerns about new payment systems
via CMS Launches Final MACRA Rule
by

Don't Exercise Angry; Depression Risk With HTN Drugs?

(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week
via Don't Exercise Angry; Depression Risk With HTN Drugs?
by

Pearls From: Roxana Mehran, MD

(MedPage Today) -- Interventional cardiologist discusses acute kidney injury reduction
via Pearls From: Roxana Mehran, MD
by

Thursday, October 13, 2016

TAVR for Low-Risk Patients: Yea Or Nay?

(MedPage Today) -- Surgeons, interventionalists make their arguments
via TAVR for Low-Risk Patients: Yea Or Nay?
by

Second Thoughts About Memory Complaints

(MedPage Today) -- Taken more seriously now as drug trials demand earlier-stage disease
via Second Thoughts About Memory Complaints
by

Risk Factors ID'd for CHD in Infants

(MedPage Today) -- Monitoring before and during pregnancy warranted, say authors of large study
via Risk Factors ID'd for CHD in Infants
by

Wednesday, October 12, 2016

Big Data Unearths New QT-Extending Drug Interaction (CME/CE)

(MedPage Today) -- Health records, lab tests turn up antibiotic/PPI combo that prolongs QT interval
via Big Data Unearths New QT-Extending Drug Interaction (CME/CE)
by

AHA Statement: Hypertension, Dementia Linked (CME/CE)

(MedPage Today) -- "Judicious" antihypertensive tx suggested despite limited evidence
via AHA Statement: Hypertension, Dementia Linked (CME/CE)
by

Tuesday, October 11, 2016

'Molecular Autopsy' Helps Explain Some Mysterious Deaths

(MedPage Today) -- Seldom definitive but may give comfort to bewildered family members
via 'Molecular Autopsy' Helps Explain Some Mysterious Deaths
by

Pearls From: Deepak Bhatt, MD, MPH

(MedPage Today) -- Cardiologist discusses: Is there still a place for bare-metal stents?
via Pearls From: Deepak Bhatt, MD, MPH
by

Sunday, October 9, 2016

Tweet of the Week: A REAL Scary Halloween Costume

(MedPage Today) -- Not a typical costume; prediabetes screenings for everyone?
via Tweet of the Week: A REAL Scary Halloween Costume
by

Saturday, October 8, 2016

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

(MedPage Today) -- This week's topics include Zika complications, hypothermia and in-hospital heart attack, long term heart attack survival and hospital performance, and ADHD medications and bone mineral density.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
by

Friday, October 7, 2016

Slow Medicine: Sayonara to Sulfonylureas?

(MedPage Today) -- Longing for a head-to-head trial of diabetes drugs
via Slow Medicine: Sayonara to Sulfonylureas?
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Thursday, October 6, 2016

Fitness Trackers Flop Once Again (CME/CE)

(MedPage Today) -- But trial results affirmed an old truism: money talks
via Fitness Trackers Flop Once Again (CME/CE)
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TAVR Feasible in Noncalcified Valves?

(MedPage Today) -- Native aortic valves enough to anchor Sapien 3, case study found
via TAVR Feasible in Noncalcified Valves?
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Wednesday, October 5, 2016

Model: Uneven MitraClip Not Behind Recurring MR

(MedPage Today) -- Clipping more posterior than anterior tissue not linked to leaflet stress
via Model: Uneven MitraClip Not Behind Recurring MR
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Tuesday, October 4, 2016

CLI Stenting Matches Surgery for Those on Hemodialysis

(MedPage Today) -- Similar amputation and mortality rates, but more re-dos with bypass
via CLI Stenting Matches Surgery for Those on Hemodialysis
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Thursday, September 29, 2016

CardioBrief: More Blasts of Concern Over ROCKET-AF

(MedPage Today) -- Company investigation of trial concerns was not disclosed to monitoring board or FDA
via CardioBrief: More Blasts of Concern Over ROCKET-AF
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Many NSAIDs Linked to HF

(MedPage Today) -- "A clear risk to some... and tighter regulation is justified"
via Many NSAIDs Linked to HF
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Wednesday, September 28, 2016

IVC Filters Don't Save Lives in Trauma (CME/CE)

(MedPage Today) -- No mortality advantage, low removal rates argue against routine use
via IVC Filters Don't Save Lives in Trauma (CME/CE)
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'Bionic Pancreas' OK'd

(MedPage Today) -- First-ever approval for a closed loop insulin delivery system
via 'Bionic Pancreas' OK'd
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Twitter: A Tool To Mine Heart Data?

(MedPage Today) -- It's not just celebrity deaths sparking CV talk in social media
via Twitter: A Tool To Mine Heart Data?
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Statins in the Water?

(MedPage Today) -- The evidence seems to support a universal statin benefit -- or does it?
via Statins in the Water?
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Tuesday, September 27, 2016

Thrombectomy: The Golden 7.3 Hours (CME/CE)

(MedPage Today) -- Meta-analysis renews calls for standard EMS transport protocols
via Thrombectomy: The Golden 7.3 Hours (CME/CE)
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Afib Common, Undertreated in TIA

(MedPage Today) -- Almost 20% of Swedish TIA patients show atrial fibrillation
via Afib Common, Undertreated in TIA
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Few LVAD Recipients Recover

(MedPage Today) -- But new score IDs patients with best chance for reversal
via Few LVAD Recipients Recover
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CardioBrief: NIH Funding Second Chelation Trial

(MedPage Today) -- TACT2 will test controversial tx in heart attack patients with diabetes
via CardioBrief: NIH Funding Second Chelation Trial
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Monday, September 26, 2016

Pearls From: Alfred Bove, MD, PhD

(MedPage Today) -- Cardiologist discusses the benefits -- and hurdles -- of telemedicine
via Pearls From: Alfred Bove, MD, PhD
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Make the Diagnosis: Bewildering Bone Pain

(MedPage Today) -- Case Findings: A 23-year-old male presents with a presumed diagnosis of vanishing bone disease (Gorham's disease), a rare condition in which bone is lost in conjunction with an overgrowth of lymphatic vessels. However, the patient presents with ongoing severe pain, which is uncommon in Gorham's disease. He was treated with interferon and zoledronic acid, but discontinued these treatments because of severe side effects. What is your diagnosis?
via Make the Diagnosis: Bewildering Bone Pain
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Saturday, September 24, 2016

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

(MedPage Today) -- This week's topics include appropriate use of beta blockers after heart attack, timing of allergenic foods for infants, a wearable device and its impact on weight loss, and vasectomy and prostate cancer.
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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Pearls From: Frank Hu, MD, PhD

(MedPage Today) -- Facts on Americans' love affair with sweetened drinks
via Pearls From: Frank Hu, MD, PhD
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Billion Dollar Lab Scam: The Beat Goes On

(MedPage Today) -- Yet more fallout from the catastrophic bankruptcy of HDL Lab
via Billion Dollar Lab Scam: The Beat Goes On
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Slow Medicine: Is 'Hypertensive Urgency' Outdated?

(MedPage Today) -- No need to over-react to a common dx that's not tied to major CV events
via Slow Medicine: Is 'Hypertensive Urgency' Outdated?
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Wednesday, September 21, 2016

Pro/Con: Entesto or Standard Therapy for HF?

(MedPage Today) -- Milton Packer, MD and Nancy Sweitzer, MD, squared off on the "best" option for HF
via Pro/Con: Entesto or Standard Therapy for HF?
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Tuesday, September 20, 2016

Repatha Regresses Coronary Plaque

(MedPage Today) -- Topline IVUS results from GLAGOV trial announced
via Repatha Regresses Coronary Plaque
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Cigarette Smoking Has Broad Impact on Human Genome (CME/CE)

(MedPage Today) -- Meta-analysis identifies 7,000 genes linked to smoking-associated methylation
via Cigarette Smoking Has Broad Impact on Human Genome (CME/CE)
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AHA, Hypertension Society Mull a Merger

(MedPage Today) -- Heart association would absorb ASH members, activities
via AHA, Hypertension Society Mull a Merger
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HFSA: Treat to NT-proBNP Target Flops in Trial

(MedPage Today) -- Outcomes no better with treatment aimed at 30% reduction
via HFSA: Treat to NT-proBNP Target Flops in Trial
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Monday, September 19, 2016

HFSA: Did LAP Monitoring Cut HF Rehospitalizations?

(MedPage Today) -- LAPTOP-HF investigators tried to make sense of terminated study
via HFSA: Did LAP Monitoring Cut HF Rehospitalizations?
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Point of Contention: Can Dietary Debate Ever End?

(MedPage Today) -- Clinicians weigh in on the latest round of sugar versus fat
via Point of Contention: Can Dietary Debate Ever End?
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Saturday, September 17, 2016

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

(MedPage Today) -- This week's topics include long term results in low-risk prostate cancer, ovarian cancer screening, statin benefits, and sex differences in myocardial infarction (MI).
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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Friday, September 16, 2016

Think More Broadly About APMs, Panel Urges

(MedPage Today) -- Alternative payment models don't have to just be about bundles and episodes
via Think More Broadly About APMs, Panel Urges
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Thursday, September 15, 2016

CardioBrief: SPRINTing to Lower BP Targets? Not So Fast

(MedPage Today) -- Hypertension experts disagree about how to apply SPRINT results in the real world.
via CardioBrief: SPRINTing to Lower BP Targets? Not So Fast
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The Lancet Versus BMJ: A Dispatch From the Statin Wars

(MedPage Today) -- The editors of the two top U.K. medical journals are in a bitter fight
via The Lancet Versus BMJ: A Dispatch From the Statin Wars
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Yosprala Gets FDA Approval for CV Prevention

(MedPage Today) -- Combo drug reduces gastric ulcers in patients taking aspirin
via Yosprala Gets FDA Approval for CV Prevention
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Wednesday, September 14, 2016

EASD: Statins Mitigate Infections in Diabetics (CME/CE)

(MedPage Today) -- Patients treated for cholesterol lowering appear to have extra benefits
via EASD: Statins Mitigate Infections in Diabetics (CME/CE)
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Tuesday, September 13, 2016

Post-TAVR Infection Fairly Common (CME/CE)

(MedPage Today) -- 1.1% endocarditis rate not better than seen with SAVR in large registry
via Post-TAVR Infection Fairly Common (CME/CE)
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Switching GLP-1 For DPP-4 Improves Net T2D Outcomes

(MedPage Today) -- Victoza bests Januvia for combo therapy on A1c, weight, hypoglycemia composite
via Switching GLP-1 For DPP-4 Improves Net T2D Outcomes
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Make the Diagnosis: Syncope Stumper

(MedPage Today) -- Case Findings: An 81-year-old man with past medical history of diabetes, hypertension, and coronary artery disease with inferior MI and coronary artery bypass grafting 4 years ago presents for evaluation of syncope. The patient reports 6 recent episodes of syncope between 9 and 3 months ago. Of these, 3 episodes occurred in the evening between 11:00 p.m. and midnight, and involved a prodrome of lightheadedness and flushing, and a postdrome of confusion and nausea. Blood sugar was checked shortly after these episodes and was found to be low. Two episodes occurred in the morning shortly after rising from bed. Neither of these episodes involved prodrome or postdrome. The patient was shaving prior to one episode, and after syncopizing blood sugar was found to be low. After the other episode, blood sugar was in the normal range. The final episode occurred while standing in a parking lot talking to friends, and occurred without prodrome or postdrome. During this episode, the patient experienced a scalp laceration that required sutures. Nuclear perfusion scan demonstrated an ejection fraction of 67%, fixed inferolateral scar, and no evidence of ischemia with no ventricular dimensions. An echocardiogram supported these findings, and showed no valvular disease. A 30-day event monitor demonstrated rare PVCs and PACs, sinus rhythm, sinus bradycardia, and a maximum pause of 2.5 seconds. The ECG is shown in the image below. Which of the following is the appropriate next step for this patient?
via Make the Diagnosis: Syncope Stumper
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Morning Break: FDA on Chantix; Kids and Medicine; Failure to Improve

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: FDA on Chantix; Kids and Medicine; Failure to Improve
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Monday, September 12, 2016

EASD: Diabetes in Mom Signals Risk for Baby (CME/CE)

Diabetes (MedPage Today) -- gestational or pre-existing -- linked to variety of neo-natal complications
via EASD: Diabetes in Mom Signals Risk for Baby (CME/CE)
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How Sweet: Sugar Industry Made Fat the Villain

(MedPage Today) -- Harvard researchers received sugar industry money to write a NEJMreview
via How Sweet: Sugar Industry Made Fat the Villain
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Traditional Risk Factors Don't Explain MI Gender Gap

(MedPage Today) -- Blood pressure, BMI, and diabetes not to blame, Norwegian study found
via Traditional Risk Factors Don't Explain MI Gender Gap
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Sunday, September 11, 2016

JACC Retracts AF Ablation Trial

(MedPage Today) -- Lead author Andrea Natale claims industry
via JACC Retracts AF Ablation Trial
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Saturday, September 10, 2016

D.C. Week: CMS Eases MACRA Pain for Doctors

(MedPage Today) -- CDC, NIH press Congress to create a public health emergency fund
via D.C. Week: CMS Eases MACRA Pain for Doctors
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Friday, September 9, 2016

Wednesday, September 7, 2016

Low Calcium May Boost Bleeding Risk in ICH (CME/CE)

(MedPage Today) -- Low serum calcium tied to bigger hematomas, more ICH expansion
via Low Calcium May Boost Bleeding Risk in ICH (CME/CE)
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ERS: COPD Plus T2D Not Tied to Worse Outcomes (CME/CE)

(MedPage Today) -- No difference in hospital stay for diabetic versus non-diabetic patients
via ERS: COPD Plus T2D Not Tied to Worse Outcomes (CME/CE)
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Tuesday, September 6, 2016

Electric Fans: Dangerous to the Elderly in Heat Waves?

(MedPage Today) -- Interesting study, but don't trash Grandma's old standby just yet
via Electric Fans: Dangerous to the Elderly in Heat Waves?
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New Antiobesity Drugs Underused (CME/CE)

(MedPage Today) -- Study: docs missing first step in preventing type 2 diabetes
via New Antiobesity Drugs Underused (CME/CE)
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Adulthood Dysglycemia More Common for Preemies (CME/CE)

(MedPage Today) -- Extremely low birth weight resulted in higher rates of T2D, body fat, BP
via Adulthood Dysglycemia More Common for Preemies (CME/CE)
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Saturday, September 3, 2016

D.C. Week: FDA OKs Use of Clot-Picker With tPA

(MedPage Today) -- HHS awards $53 million to fight the opioid abuse epidemic
via D.C. Week: FDA OKs Use of Clot-Picker With tPA
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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This week's topics include ICD impact, a model for Zika drug screening, depression identification and treatment, and whether CPAP helps
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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Friday, September 2, 2016

FDA Approves Clot-Picker Use With tPA

(MedPage Today) -- Previously, device could be used only when tPA failed or was contraindicated
via FDA Approves Clot-Picker Use With tPA
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Intensive Program Extends Lifespan in T2D Patients

(MedPage Today) -- Intervention combined exercise, diet, and drugs, with 21 years of follow-up
via Intensive Program Extends Lifespan in T2D Patients
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Thursday, September 1, 2016

ESC: Arrivederci Roma!

(MedPage Today) -- ESC was not a Roman holiday
via ESC: Arrivederci Roma!
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Wednesday, August 31, 2016

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
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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
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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?
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ESC: Savaysa Safe for Afib Cardioversion

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