Overall Hospital Mortality Rates May Be Linked To Performance On Publicly Reported Medical Conditions
Hospital performance on publicly reported conditions (acute myocardial infarction [heart attack], congestive heart failure, and pneumonia), may potentially be used as a signal of overall hospital mortality rates, according to a study by Marta L. McCrum, M.D., of Harvard School of Public Health, Boston, and colleagues. (Online First) Using national Medicare data from 2,322 acute care hospitals, the authors examined whether mortality rates for publicly reported medical conditions are correlated with hospitals' overall performance... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - June 26, 2013 Category: Consumer Health News Tags: Cardiovascular / Cardiology Source Type: news

The Caregiving Wife's Handbook
More than 40 million U.S. women are the primary caregivers for an ill person, often their husband or long-term significant other. Diana Denholm, Ph.D., was one of these women, whose late husband suffered from colon cancer, congestive heart failure and Parkinson's, among other medical conditions. From her experiences, Denholm authored "The Caregiving Wife's Handbook," which is packed with tips and .... (Source: Sound Medicine)
Source: Sound Medicine - May 26, 2013 Category: Global & Universal Authors: Sound Medicine Source Type: news

Hypothyroidism Hikes Death Risk in Blacks (CME/CE)
(MedPage Today) -- African Americans with hypothyroidism face an increased risk of death, and in patients with congestive heart failure, even mild underactive thyroid disease raises mortality risk, a retrospective cohort study found. (Source: MedPage Today Endocrinology)
Source: MedPage Today Endocrinology - May 23, 2013 Category: Endocrinology Source Type: news

No-treatment approach may be best choice for older prostate cancer patients
Older prostate cancer patients with other underlying health conditions should think twice before committing to surgery or radiation therapy for their cancer, according to a multi-center study led by researchers from the UCLA Department of Urology.   The study reports 14-year survival outcomes for 3,000 men diagnosed with prostate cancer between 1994 and 1995. The results suggest that older patients with low- or intermediate-risk prostate cancer who have at least three underlying health problems, or comorbidities, are much more likely to die of something other than their cancer.   "For men with low-to-interme...
Source: UCLA Newsroom: Health Sciences - May 21, 2013 Category: Universities & Medical Training Source Type: news

Healthcare spending on heart disease and hip fractures soared
BOSTON, May 12 (UPI) -- U.S. healthcare spending from 1994-2009 for those on Medicare who suffered heart attacks, congestive heart failure and hip fractures soared, researchers say. (Source: Health News - UPI.com)
Source: Health News - UPI.com - May 12, 2013 Category: Consumer Health News Source Type: news

Helping Patients Cope With End-Stage Heart Failure, Predicting The Path To Death
Congestive heart failure affects more than 5.3 million Americans, is increasing in prevalence, and is ultimately fatal, but the duration and quality of life leading up to death can be unpredictable and vary greatly. Patients and caregivers could better plan for this difficult time if they knew what to expect... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - May 7, 2013 Category: Consumer Health News Tags: Heart Disease Source Type: news

Predicting the path to death and helping patients cope with end-stage heart failure
(Mary Ann Liebert, Inc./Genetic Engineering News) Congestive heart failure affects more than 5.3 million Americans, is increasing in prevalence, and is ultimately fatal, but the duration and quality of life leading up to death can be unpredictable and vary greatly. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - May 3, 2013 Category: Global & Universal Source Type: news

In Memoriam: Paul S. Lietman, M.D., Ph.D. - 4/24/13
Paul S. Lietman, M.D., Ph.D., a specialist in bacterial and viral infections who was the longtime chief of the Division of Clinical Pharmacology at the Johns Hopkins School of Medicine and an influential teacher and mentor to generations of Hopkins medical students and scientists, died at his Baltimore home on April 20 of congestive heart failure. (Source: Johns Hopkins Medicine News)
Source: Johns Hopkins Medicine News - April 24, 2013 Category: Research Source Type: news

LAFB associated with long-term cardiovascular and mortality risk
Left anterior fascicular block, an electrocardiographic abnormality previously considered benign, is associated with a significantly increased risk of atrial fibrillation, congestive heart failure, and death in long-term follow-up. (Source: theHeart.org)
Source: theHeart.org - April 17, 2013 Category: Cardiology Source Type: news

Electrocardiographic Abnormality Associated With Increased Risk Of Atrial Fibrillation, Congestive Heart Failure
"Left anterior fascicular block (LAFB) is considered a benign electrocardiographic (ECG) finding, but its long-term consequences have not been comprehensively studied," writes Mala C. Mandyam, B.S., of the University of California, San Francisco and colleagues. As reported in a Research Letter, the authors investigated the long-term outcomes of participants with LAFB in the absence of manifest cardiovascular disease in the Cardiovascular Health Study (CHS)... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - April 17, 2013 Category: Consumer Health News Tags: Cardiovascular / Cardiology Source Type: news

We can help the dying to feel held.
Hospice care offers hope, reduces fears, and supports people to live right up to their last breath. We can be prepared and design our "best death" based on our values and wishes. With the hospice philosophy and team, no one has to die alone, and no one has to grieve alone.read more (Source: Psychology Today Relationships Center)
Source: Psychology Today Relationships Center - April 12, 2013 Category: Psychiatry & Psychology Authors: Lani Leary, Ph.D. Tags: Education Ethics and Morality Health Integrative Medicine Relationships Resilience Self-Help Spirituality adult daughter ambulance appetite Caregivers congestive heart failure counselor dying elements families favorite th Source Type: news

Rural critical access hospitals falling behind in performance
Medicare beneficiaries who receive inpatient care at critical access hospitals in rural communities have higher 30-day mortality rates for acute myocardial infarction, congestive heart failure, and pneumonia than patients who visit other acute care hospitals, a study finds. (Source: MedWire News - Cardiology)
Source: MedWire News - Cardiology - April 10, 2013 Category: Cardiology Source Type: news

Mortality Rates At Rural Hospitals Unusually High
Death rates for medicare beneficiaries being treated at critical access hospitals in rural areas increased from 2002 to 2010, while rates in other hospitals fell, according to new research published in JAMA. The analysis, led by Karen E. Joynt, M.D., M.P.H., of the Harvard School of Public Health, Boston, examined data from over 10 million Medicare patients who experienced a heart attack, pneumonia, or congestive heart failure between 2002 and 2010... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - April 3, 2013 Category: Consumer Health News Tags: Medical Practice Management Source Type: news

Diastolic Dysfunction Common in RA (CME/CE)
(MedPage Today) -- Patients with rheumatoid arthritis (RA) have an increased incidence of diastolic dysfunction, which may further raise their already high risk for congestive heart failure, a meta-analysis determined. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - March 30, 2013 Category: Cardiology Source Type: news

Tolvaptan effective option in CKD with heart failure
Tolvaptan is an effective add-on diuretic for patients with chronic kidney disease complicated by congestive heart failure, report researchers. (Source: MedWire News - Cardiology)
Source: MedWire News - Cardiology - March 15, 2013 Category: Cardiology Source Type: news

Missed and Erroneous Diagnoses Common in Primary Care Visits Missed and Erroneous Diagnoses Common in Primary Care Visits
Diagnostic errors are common and include missed diagnosis of pneumonia, decompensated congestive heart failure, and acute renal failure. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - February 26, 2013 Category: Consumer Health News Tags: Internal Medicine News Source Type: news

Maxiloss Weight Advanced Softgels: Recall - Undeclared Drug Ingredient
Product marketed as dietary supplement contains drug ingredient Sibutramine, and may present a significant risk to patients with a history of coronary artery disease, congestive heart failure, arrhythmias, or stroke. (Source: FDA MedWatch)
Source: FDA MedWatch - February 25, 2013 Category: American Health Source Type: news

Predominately Black-Serving Hospitals Provide Poorer Care
07/19/2012, Health Services Research, Hospitals that mostly serve Black patients have worse mortality outcomes for both Black and White patients with three common conditions: heart attack, congestive heart failure or pneumonia. The new study in Health Services Research suggests that there is an urgent need to improve care at predominately black-serving institutions. (Source: Health Behavior News Service)
Source: Health Behavior News Service - February 6, 2013 Category: Consumer Health News Source Type: news

Doctors Who Share Patients May Provide Lower Cost Care
07/31/2012, Journal of General Internal Medicine, Patients with diabetes or congestive heart failure who receive care from doctors with high levels of patient overlap have lower total health care costs and lower rates of hospitalization, according to a new study in the Journal of General Internal Medicine. (Source: Health Behavior News Service)
Source: Health Behavior News Service - February 6, 2013 Category: Consumer Health News Source Type: news

Give your heart a valentine: Pretty, red Hawthorn berries boost cardiac health
There is a health craze that is good for the heart and it's called the red Hawthorn berries. Hawthorn berries (Crateagus oxycanthus) boosts cardiac health aside from preventing cardiac arrhythmia, congestive heart failure, high blood pressure and angina. Having been... (Source: NaturalNews.com)
Source: NaturalNews.com - February 6, 2013 Category: Consumer Health News Source Type: news

Boston Doctors Use ‘Medical GPS’ To Help In Heart Surgeries
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Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - February 6, 2013 Category: Consumer Health News Authors: deanreddington Tags: Health Local News Seen On WBZ-TV Syndicated Local Watch Listen Atrial Fibrillation GPS Heart Surgery Kerry Connolly Mediguide Source Type: news

National utilization patterns of warfarin use in older patients with atrial fibrillation: a population-based study of Medicare Part D beneficiaries
Source: Annals of Pharmacotherapy Area: Evidence> Medicines Management> References Background: Although warfarin therapy reduces stroke incidence in patients with atrial fibrillation (AF), the rate of warfarin use in this population remains low.  In 2008, the US Medicare Part D programme was expanded to pay for medications for Medicare enrollees. Objective: To examine rates and predictors of warfarin use in Medicare Part D beneficiaries with AF. Methods: This population-based retrospective cohort study used claims data from 41,447 Medicare beneficiaries aged 66 and older with at least 2 AF diagnoses in 2007...
Source: NeLM - Cardiovascular Medicine - January 24, 2013 Category: Cardiology Source Type: news

RCTs: Peginesatide in patients with anaemia and chronic kidney disease
Source: N Engl J Med Area: News In the New England Journal of Medicine, researchers report the results of four event-driven, randomised, controlled, open-label trials that compared the efficacy and safety of standard erythropoiesis-stimulating agent (ESA) therapy with peginesatide (Omontys), a peptide based ESA approved in the US in March 2012 for the treatment of anaemia caused by chronic kidney disease in adults who are undergoing dialysis.   The EMERALD 1 and EMERALD 2 studies involved patients undergoing haemodialysis. Cardiovascular safety was evaluated by analysis of an adjudicated composite safety end poin...
Source: NeLM - News - January 24, 2013 Category: Drugs & Pharmacology Source Type: news

Report: About 300K patients were remotely monitored in 2012
Last year healthcare providers remotely monitored about 308,000 patients worldwide for congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, hypertension and mental health conditions, according to a recent report from InMedica. By 2017 that number should spike to 1.8 million patients, the research firm predicts. InMedica found that the majority of patients are being [...] (Source: mobihealthnews)
Source: mobihealthnews - January 22, 2013 Category: Information Technology Authors: Brian Dolan Tags: Uncategorized Berg Insight chronic condition management congestive heart failure COPD Diabetes digital health metrics hypertension IHS IMS Research InMedica mental health mobile health metrics remote patient monitoring Source Type: news

Differences and time trends in drug treatment of atrial fibrillation in men and women and doctors' adherence to warfarin therapy recommendations
Source: European Journal of Clinical Pharmacology Area: Evidence> Medicines Management> References Background: Little is known about prescription trends in atrial fibrillation (AF) in primary health care in Sweden. Objective: The aim was to study time trends in pharmacotherapy, in men and women with AF.  We also aimed at studying doctors' adherence to CHADS2 for prescribing warfarin.  CHADS2 assesses stroke risk by presence of known risk factors, i.e. congestive heart failure, hypertension, age over 75 years, diabetes, previous stroke and transient ischaemic attack. Methods: Data were obtained from pri...
Source: NeLM - Cardiovascular Medicine - January 18, 2013 Category: Cardiology Source Type: news

Phase III trial of darbepoetin alfa (Aranesp) in heart failure fails to meet primary efficacy endpoint
Source: PharmaLive Area: News Amgen has announced that its phase III Aranesp® (darbepoetin alfa) RED-HF® (Reduction of Events With Darbepoetin Alfa in Heart Failure) trial has failed to meet its primary efficacy endpoint.   The trial was initiated in 2006, and recruited 2278 patients with symptomatic systolic heart failure and anaemia (haemoglobin 9.0 to 12.0 g/dL) who were randomised to receive either treatment with darbepoetin to achieve a target haemoglobin of at least 13.0 g/dL (not to exceed 14.5 g/dL), or placebo. The study primary endpoint was a reduction in the composite endpoint of time to death ...
Source: NeLM - Cardiovascular Medicine - January 17, 2013 Category: Cardiology Source Type: news

REVIVE-IT study to examine earlier device use for patients with heart failure
(University of Michigan Health System) Left ventricular assist devices are usually only available as a last resort for patients with congestive heart failure, but a new study will examine the benefits of using heart devices before patients reach late-stage heart failure. Researchers at the University of Michigan Cardiovascular Center and University of Pittsburgh will evaluate whether technology now reserved for very sick patients is ready for use for a broader group of patients in need. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - January 14, 2013 Category: Global & Universal Source Type: news

Summaries: International Kidney Cancer Symposium
Conclusion: there is no increased risk of doing the lymph node dissection early on.   Dr. Eggener-CON   Basics Lymph node dissections rarely done, even for large tumors, because there is no proven therapeutic or staging benefit for low risk patients.  A Mayo study revealed no data showing therapeutic benefit in high risk patients.  For clinically node negative high risk patients, there is staging value but no proven therapeutic benefit. Rate of positive nodes is associated with stage and grade; the higher the stage and grade, the more likely there will be positive nod...
Source: Kidney Cancer Association - November 29, 2011 Category: Urology & Nephrology Source Type: news

Summaries: International Kidney Cancer Symposium
Conclusion: there is no increased risk of doing the lymph node dissection early on. Dr. Eggener-CON  Basics Lymph node dissections rarely done, even for large tumors, because there is no proven therapeutic or staging benefit for low risk patients.  A Mayo study revealed no data showing therapeutic benefit in high risk patients.  For clinically node negative high risk patients, there is staging value but no proven therapeutic benefit. Rate of positive nodes is associated with stage and grade; the higher the stage and grade, the more likely there will be positive nodes.  A tumor> 10 cm w...
Source: Kidney Cancer Association - November 29, 2011 Category: Urology & Nephrology Source Type: news

Elderly female with CHF complains of abdominal pain, nausea and vomiting, dizziness, and confusion for 5 days. What is the cause?
Author: V. Dimov, M.D.Reviewer: S. Randhawa, M.D.A 96-year-old African American female (AAF) was admitted from a nursing home with complaints of abdominal pain, nausea and vomiting (N/V), dizziness, confusion and double vision for 5 days. She was discharged from the hospital just 4 days ago. Digoxin was started during that previous hospitalization for control of tachycardia in atrial fibrillation. One day prior to discharge, digoxin level was 1.8 mg/mL and digoxin dose was decreased to 125 mcg PO Q 48 hr.Past medical history (PMH)Hypertension, atrial fibrillation, coronary artery disease, stroke, congestive heart failure.M...
Source: Clinical Cases and Images - August 2, 2009 Category: General Medicine Tags: Cardiology Intensive Care Toxicology Source Type: news