The Role of Resting Electrocardiogram in Screening for Primary Prevention of Cardiovascular Diseases in High-Risk Groups
AbstractPurpose of ReviewWe sought to determine whether a role existed for the screening of certain populations with electrocardiogram (ECG) to improve risk stratification and facilitate risk reduction for primary prevention.Recent FindingsCurrent screening guidelines do not recommend ECG screening for the general population.SummaryWhile current guidelines, based on the available evidence, do not recommend ECG screening for the general population, in this report, we show that certain groups such as the elderly, those with hypertension, diabetes, or chronic kidney disease, may benefit from screening as a cost-effective mean...
Source: Current Cardiovascular Risk Reports - March 6, 2018 Category: Cardiology Source Type: research

Parity, Job Strain, and Cardiovascular Risk in the Women ’s Health Study
AbstractPurpose of ReviewPregnancy and employment are critical life events that can affect chronic disease risk in women. Hence, we examined the relationship between parity and cardiovascular risk, and whether job stress affected this association.Recent FindingsCox proportional hazard models examined the association of parity with cardiovascular disease (CVD) risk [myocardial infarction (MI), coronary artery revascularization, ischemic stroke, and CVD death] in 23,905 participants in the Women ’s Health Study. Parity was defined at baseline as pregnancy lasting>  6 months gestation, categorized as none (referent), ...
Source: Current Cardiovascular Risk Reports - March 3, 2018 Category: Cardiology Source Type: research

Novel and Emerging Biomarkers with Risk Predictive Utility for Atherosclerotic Cardiovascular Disease
AbstractPurpose of ReviewSince the release of the American Heart Association and American College of Cardiology ’s 2013 pooled cohort equations and the European Cardiology Society’s 2016 SCORE, numerous studies have better characterized the predictive ability of emerging and novel biomarkers for atherosclerotic cardiovascular disease (ASCVD). Here, we review these emerging ASCVD biomarkers, with a focus o n those that have been assessed using risk discrimination and reclassification performance indices in large population studies.Recent FindingsThese biomarkers include genetic risk scores (GRS) based on a growing numbe...
Source: Current Cardiovascular Risk Reports - March 2, 2018 Category: Cardiology Source Type: research

The Top Five Women ’s Health Issues in Preventive Cardiology
AbstractPurpose of ReviewThis review elucidates gender-based determinants of cardiovascular disease in an effort to answer common questions that arise for practitioners as they provide preventive care to women.Recent FindingsFive key topics are at the forefront of recent and ongoing research: (1) coronary microvascular dysfunction, (2) hormone replacement therapy, (3) breast arterial calcification, (4) calcium and vitamin D supplementation, and (5) metabolic considerations during pregnancy.SummaryMicrovascular dysfunction is a common cause of angina in women, and should be treated with the same rigor as macrovascular coron...
Source: Current Cardiovascular Risk Reports - February 28, 2018 Category: Cardiology Source Type: research

Cardiac Rehabilitation in Older Persons with Cardiovascular Disease
AbstractPurpose of ReviewDespite widespread recommendations, cardiac rehabilitation (CR) is not well utilized in older adults. This review explores the valuable benefits of CR in geriatric patients as well as strategies to improve utilization.Recent FindingsEligibility for CR has long included coronary heart disease and has recently expanded to include heart failure, valvular disease, and peripheral artery disease, all which particularly impact older adults. New research has demonstrated unique functional and geriatric-specific benefits in older adults who participate in CR.SummaryThough few studies have specifically focus...
Source: Current Cardiovascular Risk Reports - January 31, 2018 Category: Cardiology Source Type: research

Methodological Issues in Nutritional Epidemiology Research —Sorting Through the Confusion
AbstractPurpose of ReviewOur purpose was to discuss the methodological limitations of observational nutritional epidemiology research, using observational studies on coffee intake and health as a case example.Recent FindingsA number of recent observational studies on the potential health effects of daily coffee intake have reported protective associations between higher coffee intake and a variety of health outcomes, including death. This is inconsistent with the findings from classic studies showing an increased risk of coronary heart disease events, performed in young adults with a homogeneous education level, and adjust...
Source: Current Cardiovascular Risk Reports - January 29, 2018 Category: Cardiology Source Type: research

Advances in Catheter Ablation of Atrial Fibrillation: Near-Zero Fluoroscopy
AbstractPurpose of ReviewThe effects associated with ionizing radiation exposure have been well established and have provided the motivation to develop a minimal fluoroscopic approach (MFA) to reduce radiation exposure without compromising efficacy and safety. This review summarizes the current literature on the outcomes and safety of MFA for catheter ablation treatment of atrial fibrillation (AF) and outlines our workflow for catheter ablation of AF with MFA.Recent FindingsOur review of the current literature shows that with the use of advanced electroanatomic mapping systems and intracardiac echocardiography, catheter ab...
Source: Current Cardiovascular Risk Reports - January 24, 2018 Category: Cardiology Source Type: research

The Pros and Cons of Mendelian Randomization Studies to Evaluate Emerging Cardiovascular Risk Factors
AbstractPurpose of ReviewMendelian randomization (MR) is a technique that uses natural genetic variation to assess the potential causal role of a modifiable risk factor on cardiovascular disease. Advances have led to the identification of single nucleotide polymorphisms linked with risk factors that act as naturally randomized instruments to investigate the risk factor-disease relationship.Recent FindingsThere are several pros and cons when using MR. It can address many limitations of observational study design including confounding, reverse causation, and demonstration of causality when a randomized controlled trial is no...
Source: Current Cardiovascular Risk Reports - January 22, 2018 Category: Cardiology Source Type: research

Statin Safety: What Every Health Care Provider Needs to Know
AbstractPurpose of ReviewA key target for quality improvement in preventive cardiology is statin therapy, which is underutilized in appropriate high-risk patients for LDL-lowering to prevent atherosclerotic cardiovascular disease events. Translation of statin evidence to practice may be impeded by exaggerated concerns about adverse effects. We aim to cut through an immense amount of controversy in the scientific and mainstream discourse of statin safety by clearly demarcating the reported adverse events based on the reliability of the supporting evidence.Recent FindingsIn large-scale randomized controlled trials, statin th...
Source: Current Cardiovascular Risk Reports - January 22, 2018 Category: Cardiology Source Type: research

Frontiers in Transradial Catheterization and Intervention: Challenges and Advances in the “New Gold Standard” for Vascular Access
AbstractPurpose of ReviewIn this review, we discuss contemporary safety and efficacy data relevant to both interventional cardiology and interventional radiology. We also touch upon technical considerations and advances in transradial techniques. We detail the available randomized clinical trial data as well as insights gained from recent meta-analyses. The strengths and limitations as well as the potential for expanding the use of transradial approach (TRA) across catheter-based interventions are also discussed.Recent FindingsThe TRA for coronary and vascular intervention has slowly gained global acceptance over the past ...
Source: Current Cardiovascular Risk Reports - November 23, 2017 Category: Cardiology Source Type: research

Post Hospital Discharge Care for Complex Chronic Conditions: the Unique Challenges Facing Stroke Patients in their Homes
AbstractPurpose of ReviewStroke is a complex medical condition which can be overwhelming for patients, caregivers, and providers to manage in the outpatient setting. In this article, we review issues that providers may encounter in the management of chronic stroke such as stroke preventative medications, risk factor modification, medication adherence, dysphagia management, fall prevention, cognitive impairment, and rehabilitation.Recent FindingsThere is emerging evidence that stroke management should be comprehensive and therefore include post-stroke depression, diet, and physical activity for secondary prevention. Telemed...
Source: Current Cardiovascular Risk Reports - November 22, 2017 Category: Cardiology Source Type: research

How to Evaluate for and Manage Inflammatory and Infiltrative Cardiomyopathies that Require Ventricular Tachycardia Ablation
AbstractPurpose of ReviewVentricular arrhythmias (VAs) are a significant cause of morbidity and mortality in patients with cardiomyopathy (CM). This review focuses on ventricular tachycardia (VT) management in uncommon causes of heart disease, such as inflammatory and infiltrative CMs.Recent FindingsIntegration of advanced cardiac imaging modalities, such as cardiac magnetic resonance imaging (MRI) and positron emission tomography (PET), into diagnostic evaluation of patients with CM may unmask abnormal myocardial substrate in almost half of patients presenting with VAs. Stepwise approach to management of VAs in cardiac sa...
Source: Current Cardiovascular Risk Reports - November 8, 2017 Category: Cardiology Source Type: research

Yogurt, Its Relationship to Cardiometabolic Outcomes, and Patterns of Consumption
AbstractPurpose of the ReviewRegular yogurt consumption has been associated with significant health benefits, including reducing weight gain and preventing obesity, prevention of diabetes, and improved overall diet quality. While yogurt has been aggressively marketed in recent years and consumption has increased, little is known about consumers of yogurt, including their health characteristics and nutrition attitudes and related behaviors. Our purpose was to summarize clinical studies on the health benefits of yogurt and also to report the results of an analysis of market research data on patterns and trends in consumption...
Source: Current Cardiovascular Risk Reports - November 6, 2017 Category: Cardiology Source Type: research