Tuesday, January 31, 2017

Monday, January 30, 2017

HIV Patients at Increased Diabetes Risk (CME/CE)

(MedPage Today) -- DM develops at younger age and without overweight
via HIV Patients at Increased Diabetes Risk (CME/CE)
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'Mental Flossing' May Cut Cognitive Risk in Elderly (CME/CE)

(MedPage Today) -- Intellectual stimulation may even diminish risk in APOE4 carriers
via 'Mental Flossing' May Cut Cognitive Risk in Elderly (CME/CE)
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Cataracts a Consequence of Too-Low LDL? (CME/CE)

(MedPage Today) -- Study flags potential harm of extreme PCSK9 inhibition
via Cataracts a Consequence of Too-Low LDL? (CME/CE)
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Multivessel Stenting Not Tied to Higher AKI Risk (CME/CE)

(MedPage Today) -- Meta-analysis also reported higher contrast volumes to these patients
via Multivessel Stenting Not Tied to Higher AKI Risk (CME/CE)
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Micra Medicare Coverage; TAVR Embolic Protection; Kengreal Real-World

(MedPage Today) -- Recent developments of interest in cardiovascular medicine
via Micra Medicare Coverage; TAVR Embolic Protection; Kengreal Real-World
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Make the Diagnosis: Guess the Vessel

(MedPage Today) -- Case Findings: A 50-year old male with family history significant for premature CAD presents with chest pain which started 3 hours ago. Blood pressure 150/90 mm Hg, HR 60/min. EKG in the emergency department is shown (see image below). Successful intervention of the culprit coronary artery is performed with one drug eluting stent. He is started on aspirin, ticagrelor, atorvastatin and metoprolol. Next morning he is found to be hypotensive to SBP 90s. Hemoglobin, creatinine and electrolytes are normal. Right groin access site is without any hematoma. A stat bedside echocardiogram reveals ejection fraction 55%, no significant valvular dysfunction, mild right ventricular dilation. A diagnosis of right ventricular failure is made and intravenous hydration is initiated. What is the culprit vessel segment?
via Make the Diagnosis: Guess the Vessel
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Make the Diagnosis: Armpit Predicament

(MedPage Today) -- Case Findings: A 43-year-old male presents to a dermatology clinic in western Mexico. He has a 3-month history of the slow, steady growth of soft, nonpainful, erythematous lesions in the armpit and chest area. There are no signs of infection. He is otherwise healthy, with an unremarkable family history and physical exam. However, he has slightly elevated levels of triglycerides and total cholesterol. What is your diagnosis?
via Make the Diagnosis: Armpit Predicament
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Paracardial Fat a CV Risk Factor in Older Women (CME/CE)

(MedPage Today) -- Strongest associations found among women with lower estradiol levels
via Paracardial Fat a CV Risk Factor in Older Women (CME/CE)
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Saturday, January 28, 2017

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

(MedPage Today) -- This week's topics include at home sleep studies, an antibody for C. difficile infection, using big data to examine medical devices, and language concordance and type 2 diabetes control
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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Friday, January 27, 2017

Antithrombin Flops for Delaying Birth in Preeclampsia

(MedPage Today) -- No increase in gestational age at delivery vs placebo
via Antithrombin Flops for Delaying Birth in Preeclampsia
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CV Risk Very High in Gout (CME/CE)

(MedPage Today) -- Prediction tools underestimate plaque prevalence
via CV Risk Very High in Gout (CME/CE)
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In-Hospital Arrest; PCI Conversion Ethics

(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week
via In-Hospital Arrest; PCI Conversion Ethics
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EndoBreak: Skittles for Cows; Heart Risks from Fat Shaming?

(MedPage Today) -- News and commentary from the endocrinology world
via EndoBreak: Skittles for Cows; Heart Risks from Fat Shaming?
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Sleep Apnea Device Improves Breathing, But Maybe Not Heart Risk (CME/CE)

(MedPage Today) -- No benefit for endothelial function, blood pressure
via Sleep Apnea Device Improves Breathing, But Maybe Not Heart Risk (CME/CE)
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Thursday, January 26, 2017

Liquid Agent Puts Stopper to Infectious Brain Aneurysms

(MedPage Today) -- Endovascular embolization with n-BCA feasible, safe
via Liquid Agent Puts Stopper to Infectious Brain Aneurysms
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Cath Lab Recap: Blood-Repellent Stents; Stent Inflation Protocol; PAD Devices

(MedPage Today) -- Interventional cardiology news to note
via Cath Lab Recap: Blood-Repellent Stents; Stent Inflation Protocol; PAD Devices
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Cooling No Help after Cardiac Arrest in Kids (CME/CE)

(MedPage Today) -- Randomized trial ended prematurely because of futility
via Cooling No Help after Cardiac Arrest in Kids (CME/CE)
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Meeting Roundup: Congenital Heart Defects

(MedPage Today) -- New findings reported at the Society of Thoracic Surgeons meeting
via Meeting Roundup: Congenital Heart Defects
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By the Numbers: Americans' Soda Habit Hard to Shake

(MedPage Today) -- Half drink a sugar-sweetened beverage every day
via By the Numbers: Americans' Soda Habit Hard to Shake
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Wednesday, January 25, 2017

Mismatch Results in Poorer Outcomes (CME/CE)

(MedPage Today) -- Annular size may determine type of prosthesis that avoids mismatch in aortic valve replacement
via Mismatch Results in Poorer Outcomes (CME/CE)
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Wearable, Water-Resistant ECG Device Debuts

(MedPage Today) -- One of the healthcare highlights of this year's Consumer Electronics Show
via Wearable, Water-Resistant ECG Device Debuts
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Device Registry Tool Allows Early Safety Alerting (CME/CE)

(MedPage Today) -- Latest case in point: the Mynx vascular closure device
via Device Registry Tool Allows Early Safety Alerting (CME/CE)
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AKI Models Predict Risk in Real-Time (CME/CE)

(MedPage Today) -- Application to EHR data can make clinically relevant predictions
via AKI Models Predict Risk in Real-Time (CME/CE)
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Volume Implicated in Multi-Arterial Graft Coronary Outcomes

(MedPage Today) -- National registry finds some risks, particularly where less often used
via Volume Implicated in Multi-Arterial Graft Coronary Outcomes
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Cardiac Resynch Therapy Inconsistently Used in ICD Patients

(MedPage Today) -- Blacks, Medicaid/Medicare patients receive CRT less often
via Cardiac Resynch Therapy Inconsistently Used in ICD Patients
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Morning Break: Hep C Drug Risks? Drug Resistant Fungus; Dutch 'Trump' Trump

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Hep C Drug Risks? Drug Resistant Fungus; Dutch 'Trump' Trump
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Tuesday, January 24, 2017

Subclavian TAVR Safe When Femoral Access Is Risky

(MedPage Today) -- CoreValve trial analysis shows similar morbidity, mortality
via Subclavian TAVR Safe When Femoral Access Is Risky
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SAVR Beats Expectations in Intermediate Risk Trial

(MedPage Today) -- Lower mortality than surgical risk score predicted in PARTNER 2A
via SAVR Beats Expectations in Intermediate Risk Trial
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Arterial Grafting Seen as Better for Moderate Coronary Blockages

(MedPage Today) -- Observational study shows less ischemia, but some experts skeptical
via Arterial Grafting Seen as Better for Moderate Coronary Blockages
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Afib Ablation May Erase Poorer Mitral Valve Tx Outcomes

(MedPage Today) -- Registry data suggest combo treatment might help
via Afib Ablation May Erase Poorer Mitral Valve Tx Outcomes
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Ethics: Risky Surgery After a Cath Lab Failure?

(MedPage Today) -- Consider getting advance directives regarding bailout surgery, operators urge
via Ethics: Risky Surgery After a Cath Lab Failure?
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CGM Benefits T1D Patients Who Use Daily Injections (CME/CE)

(MedPage Today) -- Studies reported lower HbA1c levels, higher rates of satisfaction
via CGM Benefits T1D Patients Who Use Daily Injections (CME/CE)
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Monday, January 23, 2017

Clinicians Face Off Over a Proposed TAVR Risk Score (CME/CE)

(MedPage Today) -- QoL and aortic regurgitation are weak spots in the CoreValve-specific model
via Clinicians Face Off Over a Proposed TAVR Risk Score (CME/CE)
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Price Said to Have Aided Heart Drug Maker After Contribution

(MedPage Today) -- Asked AHRQ to remove negative BiDil study from agency website
via Price Said to Have Aided Heart Drug Maker After Contribution
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Make the Diagnosis: Bipolar with Bone Pain

(MedPage Today) -- Case Findings: A 26-year-old woman with a history of bipolar disorder arrived at the ED with abdominal pain, nausea, and weakness. She also reported bone pain and excessive thirst. Can you diagnose the patient?
via Make the Diagnosis: Bipolar with Bone Pain
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CardioBreak: Heart 'Hugger'; Watchman Without Warfarin; U.K. Rationing for Zetia?

(MedPage Today) -- Recent developments of interest in cardiovascular medicine
via CardioBreak: Heart 'Hugger'; Watchman Without Warfarin; U.K. Rationing for Zetia?
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Latino T2D Patients with Poor English Get Suboptimal Care (CME/CE)

(MedPage Today) -- Lower rates of oral medication, insulin adherence
via Latino T2D Patients with Poor English Get Suboptimal Care (CME/CE)
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Saturday, January 21, 2017

Friday, January 20, 2017

Stock Trades and Ethics: What We Heard This Week

(MedPage Today) -- Quotable quotes from MedPage Today, sources
via Stock Trades and Ethics: What We Heard This Week
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Spotty Management After Afib Ablation

(MedPage Today) -- Post-procedural monitoring, antithrombotic drug use insufficient in Europe
via Spotty Management After Afib Ablation
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Therapeutic CGMs Now Covered Under Medicare Part B

(MedPage Today) -- Experts react to the coverage improvements for patients with diabetes
via Therapeutic CGMs Now Covered Under Medicare Part B
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Neonatal Stroke; BP Disparities; Novel RA Drug Helps Lipids, Too?

(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week
via Neonatal Stroke; BP Disparities; Novel RA Drug Helps Lipids, Too?
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EndoBreak: Thyroid Awareness Month; Debate Over Statins

(MedPage Today) -- News and commentary from the endocrinology world
via EndoBreak: Thyroid Awareness Month; Debate Over Statins
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Morning Break: Collins to Stay at NIH; 'Art of the Deal' for Healthcare?

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Collins to Stay at NIH; 'Art of the Deal' for Healthcare?
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Thursday, January 19, 2017

Hybrid Techniques Improve Accuracy of Cardiac CT (CME/CE)

(MedPage Today) -- CT perfusion, FFR better together but not ready for routine use
via Hybrid Techniques Improve Accuracy of Cardiac CT (CME/CE)
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Cath Lab Recap: Stroke Transport Maps; Fatty Acid-Eluting Stent

(MedPage Today) -- Interventional cardiology news to note
via Cath Lab Recap: Stroke Transport Maps; Fatty Acid-Eluting Stent
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First High-Sensitivity Troponin Test Cleared by FDA

(MedPage Today) -- Results from next-generation test in under 10 minutes
via First High-Sensitivity Troponin Test Cleared by FDA
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Gut Bacteria and Gene Expression Altered in T1D (CME/CE)

(MedPage Today) -- Duodenal mucosa shows 'peculiar signature of inflammation'
via Gut Bacteria and Gene Expression Altered in T1D (CME/CE)
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Red Yeast Rice, Sold as Statin Alternative, Has Similar Risks

(MedPage Today) -- Italian surveillance reveals adverse muscle, liver effects
via Red Yeast Rice, Sold as Statin Alternative, Has Similar Risks
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No Survival Advantage with ACE Inhibitors in Stable CAD (CME/CE)

(MedPage Today) -- Blocking RAS pathway not better than other preventive strategies
via No Survival Advantage with ACE Inhibitors in Stable CAD (CME/CE)
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Tuesday, January 17, 2017

ICD Survival Rates Seem Improved in Older Age

(MedPage Today) -- But registry suggests price in frailty and healthcare burden
via ICD Survival Rates Seem Improved in Older Age
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Make the Diagnosis: Pedaling Puzzle

(MedPage Today) -- Case Findings: A male patient returned from a 4-hour bike ride and presents with a nonblanching purpuric rash on his lower legs. The rash spared the skin covered by his socks. He has no significant medical history and reports no medication use. He has no rheumatologic problems, allergies, or other symptoms. A CBC is normal. What is your diagnosis?
via Make the Diagnosis: Pedaling Puzzle
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Diabetes Tied to Greater Death Risk in China (CME/CE)

(MedPage Today) -- Burden of diabetes-associated mortality likely to grow
via Diabetes Tied to Greater Death Risk in China (CME/CE)
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Monday, January 16, 2017

Primary Care Orgs Favor Looser BP Targets in Older Adults

(MedPage Today) -- Controversial 150 mm Hg threshold advocated for low- to average-risk seniors
via Primary Care Orgs Favor Looser BP Targets in Older Adults
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TAVR: LAA Thrombus Embolization as a Cause of Stroke? (CME/CE)

(MedPage Today) -- Researchers suggest routine thrombus screening on cardiac CT
via TAVR: LAA Thrombus Embolization as a Cause of Stroke? (CME/CE)
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Impella No Better Than Balloon Pump For Shock Survival (CME/CE)

(MedPage Today) -- 'Underpowered' randomized trial and meta-analysis agree
via Impella No Better Than Balloon Pump For Shock Survival (CME/CE)
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CardioBreak: AED Shutdown; Prehospital Stroke Scale; Another Certification

(MedPage Today) -- Recent developments of interest in cardiovascular medicine
via CardioBreak: AED Shutdown; Prehospital Stroke Scale; Another Certification
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High-Dose Omega-3 May Lower AD Risk in APOE4 Carriers (CME/CE)

(MedPage Today) -- Supplementation before onset of dementia warrants more study
via High-Dose Omega-3 May Lower AD Risk in APOE4 Carriers (CME/CE)
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Sunday, January 15, 2017

Saturday, January 14, 2017

Friday, January 13, 2017

'Thousands of Strokes Each Year': What We Heard This Week

(MedPage Today) -- Quotable quotes from MedPage Today's sources
via 'Thousands of Strokes Each Year': What We Heard This Week
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Sodium Strategy's Low Cost; Clot Grabbers Minus tPA; LVAD Value

(MedPage Today) -- Cardiovascular Daily wraps up the top cardiology news of the week
via Sodium Strategy's Low Cost; Clot Grabbers Minus tPA; LVAD Value
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EndoBreak: Blood Glucose and Schizophrenia; New Top Doc at ADA

(MedPage Today) -- News and commentary from the endocrinology world
via EndoBreak: Blood Glucose and Schizophrenia; New Top Doc at ADA
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Another Record Year for Organ Transplants

(MedPage Today) -- Advances in science, attitude changes play roles
via Another Record Year for Organ Transplants
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Morning Break: Cheap EpiPen; Hot Lips? Rush to Goat Yoga

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Cheap EpiPen; Hot Lips? Rush to Goat Yoga
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Thursday, January 12, 2017

Cath Lab Recap: Stent Retriever for Babies; Absorb for CTOs

(MedPage Today) -- Interventional cardiology news to note
via Cath Lab Recap: Stent Retriever for Babies; Absorb for CTOs
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Brain Activity May Explain How Stress Leads to CVD (CME/CE)

(MedPage Today) -- Study is first to suggest mechanism driving the link
via Brain Activity May Explain How Stress Leads to CVD (CME/CE)
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Favorable Lipid Changes Seen with Baricitinib (CME/CE)

(MedPage Today) -- Increase in HDL-C tracks with improved disease activity
via Favorable Lipid Changes Seen with Baricitinib (CME/CE)
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New AHA Guidance on Managing Pregnancy in CHD Patients

(MedPage Today) -- Risk varies by patient, but all should be closely monitored
via New AHA Guidance on Managing Pregnancy in CHD Patients
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Anti-TNFs Cut MI Risk in RA (CME/CE)

(MedPage Today) -- A decrease of 39% in risk seen with TNF inhibition
via Anti-TNFs Cut MI Risk in RA (CME/CE)
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Medicare Restricts Coverage for Nonstatins

(MedPage Today) -- But restrictions inconsistent after cholesterol guideline update
via Medicare Restricts Coverage for Nonstatins
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Wednesday, January 11, 2017

Skin Cancer Common After Organ Transplant (CME/CE)

(MedPage Today) -- Squamous cell carcinomas seen most often
via Skin Cancer Common After Organ Transplant (CME/CE)
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FDA Warns on MRI in Patients with Implantable Pumps

(MedPage Today) -- Medication, mechanical issues may follow exposure
via FDA Warns on MRI in Patients with Implantable Pumps
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Children's Shots, Tobacco Counseling Get High Marks for Preventive Care (CME/CE)

(MedPage Today) -- New report ranks 28 evidence-based prevention strategies
via Children's Shots, Tobacco Counseling Get High Marks for Preventive Care (CME/CE)
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LVADs 'Relatively Low Value' in Cost Analysis (CME/CE)

(MedPage Today) -- The devices typically rack up $209k per QALY vs medical tx alone
via LVADs 'Relatively Low Value' in Cost Analysis (CME/CE)
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CDC: U.S. 40% of the Way Toward Healthy People 2020 Goals

(MedPage Today) -- Health disparities, inequities may influence results
via CDC: U.S. 40% of the Way Toward Healthy People 2020 Goals
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Tuesday, January 10, 2017

Migraine Tied to Perioperative Stroke Risk (CME/CE)

(MedPage Today) -- 30-day ischemic stroke risk higher for those with migraine with aura
via Migraine Tied to Perioperative Stroke Risk (CME/CE)
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Placebo Effect Works for Heart Procedures, Too

(MedPage Today) -- Keeping 'eyes on the prize' appears to improve outcomes
via Placebo Effect Works for Heart Procedures, Too
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Hypertension, Related Mortality Rising Globally

(MedPage Today) -- Elevated SBP: the 'leading global contributor to preventable death'
via Hypertension, Related Mortality Rising Globally
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Plaque Risk High in Psoriatic Arthritis (CME/CE)

(MedPage Today) -- High-risk types more commonly detected
via Plaque Risk High in Psoriatic Arthritis (CME/CE)
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Morning Break: Abuse-Deterrent Opioid; St. Jude's Anti-Hack Fix; NFL Under Fire

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Abuse-Deterrent Opioid; St. Jude's Anti-Hack Fix; NFL Under Fire
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Monday, January 9, 2017

Could Viral Infection Predispose to Type 1 Diabetes? (CME/CE)

(MedPage Today) -- Kids with islet autoantibodies were more likely to have had previous enterovirus infection
via Could Viral Infection Predispose to Type 1 Diabetes? (CME/CE)
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Drug-Coated Stent Safe Even for Those with High Bleeding Risk? (CME/CE)

(MedPage Today) -- Modest reductions in some events on longer follow-up vs bare metal stent
via Drug-Coated Stent Safe Even for Those with High Bleeding Risk? (CME/CE)
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Praluent Could Be in Legal Limbo into 2018

(MedPage Today) -- Cardiologists worried about alirocumab availability, but long appeal is likely
via Praluent Could Be in Legal Limbo into 2018
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ACC Releases Afib Treatment Interruption Guidelines (CME/CE)

(MedPage Today) -- Anticoagulant stoppage decisions often involve multiple specialists
via ACC Releases Afib Treatment Interruption Guidelines (CME/CE)
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High Deductibles Tied to More ED Visits for Low-Income Diabetics (CME/CE)

(MedPage Today) -- Similar trends reported among HSA-eligible patients with diabetes
via High Deductibles Tied to More ED Visits for Low-Income Diabetics (CME/CE)
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CardioBreak: Lariat LAA Questions; Synthetic Stem Cells; Alcohol Risk

(MedPage Today) -- Recent developments of interest in cardiovascular medicine
via CardioBreak: Lariat LAA Questions; Synthetic Stem Cells; Alcohol Risk
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Stroke: No Benefit from Adding tPA to Thrombectomy (CME/CE)

(MedPage Today) -- Comparable safety, efficacy outcomes with or without
via Stroke: No Benefit from Adding tPA to Thrombectomy (CME/CE)
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'Weekend Warriors' Get Boost from Study (CME/CE)

(MedPage Today) -- For lower death risk, a little physical activity goes a long way
via 'Weekend Warriors' Get Boost from Study (CME/CE)
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Wednesday, January 4, 2017

CardioBrief: Screen-And-Treat to Prevent Diabetes Doomed to Fail

(MedPage Today) -- Screening must be supplemented by broader public health approaches
via CardioBrief: Screen-And-Treat to Prevent Diabetes Doomed to Fail
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Does Living by a Busy Road Boost Dementia Risk? (CME/CE)

(MedPage Today) -- Exposure to heavy traffic tied to cognitive decline
via Does Living by a Busy Road Boost Dementia Risk? (CME/CE)
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Fish Oil, Aspirin Don't Preserve Dialysis Access Sites (CME/CE)

(MedPage Today) -- Additional strategies needed to halt arteriovenous fistula failure
via Fish Oil, Aspirin Don't Preserve Dialysis Access Sites (CME/CE)
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Best Commercial Weight Loss Programs Pair Diet with Exercise (CME/CE)

(MedPage Today) -- Trial confirms benefit of integrated program
via Best Commercial Weight Loss Programs Pair Diet with Exercise (CME/CE)
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The Pregnant Cardiologist: Common but Challenging

(MedPage Today) -- Shorter maternity leave, less breastfeeding, radiation worries reported
via The Pregnant Cardiologist: Common but Challenging
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Morning Break: Obamacare Out? No $$ for Gun Violence Studies; FDA and E-Cigs

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Obamacare Out? No $$ for Gun Violence Studies; FDA and E-Cigs
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Tuesday, January 3, 2017

Meta-analysis: More Very Late Thrombosis With Absorbing Stent? (CME/CE)

(MedPage Today) -- No excess in target lesion failure but signal for late thrombosis
via Meta-analysis: More Very Late Thrombosis With Absorbing Stent? (CME/CE)
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NeuroBreak: Spinraza's $750K Price Tag; Bial Skipped PD Data

(MedPage Today) -- News and commentary from the world of neurology and neuroscience
via NeuroBreak: Spinraza's $750K Price Tag; Bial Skipped PD Data
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Pearls From: Michael Mack, MD

(MedPage Today) -- Five reasons for caution on TAVR for intermediate-risk patients
via Pearls From: Michael Mack, MD
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ACP: Metformin as First Oral Tx for T2D (CME/CE)

(MedPage Today) -- New guideline also endorsed by the American Academy of Family Physicians
via ACP: Metformin as First Oral Tx for T2D (CME/CE)
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CardioBrief: A Great Year or Greatest Year Ever?

(MedPage Today) -- Eternal optimist steps in for annual review
via CardioBrief: A Great Year or Greatest Year Ever?
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Liraglutide Reduces Risk of Heart Events

(MedPage Today) -- Widely-anticipated cardiovascular outcomes trial delivers positive result
via Liraglutide Reduces Risk of Heart Events
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Diabetes Drugs Gain Footing in Cardiology

(MedPage Today) -- 2016 brought CV prevention indication, acceptance
via Diabetes Drugs Gain Footing in Cardiology
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