Improving Outcomes in Patients With Atrial Fibrillation and Hypertension

Atrial fibrillation and hypertension represent 2 of the most important national public health priorities. Atrial fibrillation is the most common sustained cardiac arrhythmia among adults, affecting up to 2% of the US population. The prevalence of atrial fibrillation is expected to increase 3-fold in the next 3 decades. Robust data have identified hypertension as an independent modifiable risk factor for atrial fibrillation and as the most common cardiovascular condition associated with it. Hypertension is present in up to 80% of individuals with atrial fibrillation. Fulfilling a fundamental principle of evidence-based medicine, current therapeutic strategies to maintain sinus rhythm have a firm foundation in appropriately designed clinical trials. Lifestyle modification, treatment with antiarrhythmic and antihypertensive drugs, and pulmonary vein isolation have been established as approaches to relieve the burden of atrial fibrillation and improve outcomes. Despite considerable progress in prevention and treatment, atrial fibrillation continues to impose a significant economic and disability burden in the United States and worldwide. Robust data from clinical trials for the treatment of atrial fibrillation clarifying the risks and benefits of pulmonary vein isolation have resulted in recent expansion of catheter ablation as a guideline-directed approach for select patient populations.
Source: JAMA - Category: General Medicine Source Type: research

Related Links:

Publication date: 1 June 2020Source: Chemical Engineering Journal, Volume 389Author(s): Xiaojing Wang, Peng Wang, Xiaomeng Liu, Limin Hu, Qiao Wang, Peng Xu, Guangshan ZhangAbstractPerfluorooctanoic acid (PFOA) has been used as a dispersant in the fabrication of fluoropolymers and is classified as a “likely carcinogen” by the United States Environmental Protection Agency. In this work, the enhanced degradation of PFOA in water by dielectric barrier discharge (DBD) plasma in a coaxial cylindrical structure with the assistance of peroxymonosulfate (PMS) was explored. The effects of PMS dosage, input voltage and s...
Source: Chemical Engineering Journal - Category: Chemistry Source Type: research
Whiplash injuries account for approximately 70% of all injuries leading to disability, induced by modern vehicle crashes. Females are at greater risk for sustaining whiplash injuries than males, which may be attributable to differences in the physiology of...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Engineering, Physics, Structural Soundness and Failure Source Type: news
Approximately 28% of roadway crash fatalities in the United States occur at or near horizontal curves, and three times as many crashes occur on horizontal curves than on tangential sections. Roadway conditions, and particularly pavement surface friction, p...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Engineering, Physics, Structural Soundness and Failure Source Type: news
Publication date: Available online 17 February 2020Source: The Egyptian RheumatologistAuthor(s): Rehab A. Sallam, Amany S. ElbahnasawyAbstractAim of the workTo assess health-related quality of life (HRQoL) and associated variables in Egyptian ankylosing spondylitis (AS) patients.Patients and methods50 male patients with AS and 50 age-matched controls were enrolled. Clinical and laboratory data were examined including history for peripheral arthritis. Visual analog scale (VAS), Bath AS disease activity index (BASDAI), AS disease activity score (ASDAS)-C-reactive protein (CRP) and ASDAS-erythrocyte sedimentation rate (ESR), ...
Source: The Egyptian Rheumatologist - Category: Rheumatology Source Type: research
For decades, NASA has been the kid politely asking for a raise in its allowance. Time was NASA’s pocket money was huge. Go back 54 years, to 1966, and the space agency was getting $5.9 billion a year—which would be a tidy $47 billion in 2020 dollars. That represented 4.1% of America’s annual household budget. But in 1966 there was also a bully on the block, whose mailbox at the time read “the Union of Soviet Socialist Republics.” They were racing the U.S. to be the first to leave the block altogether and fly to the moon, so the States were willing to spend whatever amount of money it took to b...
Source: TIME: Science - Category: Science Authors: Tags: Uncategorized newsletter Space Source Type: news
What are the recommended vaccinations for older adults? This review offers practical guidance on appropriate vaccines and their timing, as well as vaccination in older populations with special needs.Journal of the American Geriatrics Society
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Internal Medicine Journal Article Source Type: news
Condition:   Pulmonary Arterial Hypertension Interventions:   Drug: Macitentan;   Drug: Placebo Sponsor:   Actelion Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pre-Eclampsia;   Gestational Hypertension Intervention:   Device: OMRON Evolv® blood pressure monitor (Blue-tooth® enabled)&Proprietary Smartphone POP-HT app ® Sponsors:   University of Oxford;   British Heart Foundation Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Fight Aging! publishes news and commentary relevant to the goal of ending all age-related disease, to be achieved by bringing the mechanisms of aging under the control of modern medicine. This weekly newsletter is sent to thousands of interested subscribers. To subscribe or unsubscribe from the newsletter, please visit: https://www.fightaging.org/newsletter/ Longevity Industry Consulting Services Reason, the founder of Fight Aging! and Repair Biotechnologies, offers strategic consulting services to investors, entrepreneurs, and others interested in the longevity industry and its complexities. To find out m...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
By ANISH KOKA The weekend started with a tweet about an elderly man with atrial fibrillation.  Atrial fibrillation is an arrhythmia of the heart that predisposes those who suffer with it to strokes.  The strokes are a  result of clots being thrown from the heart into the brain.  The typical treatment for this condition in those deemed high enough risk is to thin the blood to help prevent these clots from forming, and thus reducing the risk of stroke. 101 year old with a history of a stroke stops his Pradaxa. Only other history hypertension. https://t.co/Ai5z519rcX — Anish Koka (@anish_koka) June ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: blogs
More News: Arrhythmia | Atrial Fibrillation | Cardiac Arrhythmia | Cardiology | Cardiovascular | Clinical Trials | Disability | General Medicine | Heart | Hypertension | International Medicine & Public Health | USA Health