Predictors of Outcomes in Patients with Atrial Fibrillation: What Can Be Used Now and What Hope Is in the Future
We describe the various pharmacological and non-pharmacological strategies for AF management with a peek at some futuristic approaches. While each one of these variables could lend themselves for a separate review, we attempted to provide an overview of the most critical predictors of AF outcomes to equip the readers with the latest know-how of the management of AF. (Source: Current Cardiovascular Risk Reports)
Source: Current Cardiovascular Risk Reports - July 8, 2020 Category: Cardiology Source Type: research

Digital Cardiology: Opportunities for Disease Prevention
AbstractPurpose of ReviewCardiovascular diseases (CVD) are the world ’s leading cause of mortality, responsible for 18 million deaths each year. Disease prevention is a critical component to curb the morbidity and mortality due to CVD worldwide, and advances in digital health technologies may facilitate adherence to and effectiveness of preventive measures. In this review, we seek to identify and describe recent developments in the use of digital health for CVD prevention between 2015 and 2019.Recent FindingsPromising digital health technologies have emerged in the field of cardiology. In the diagnostics arena, AliveCor ...
Source: Current Cardiovascular Risk Reports - June 30, 2020 Category: Cardiology Source Type: research

Digital Technologies in Heart Failure Management
AbstractPurpose of ReviewHeart failure (HF) is the leading cause of hospital readmission for patients over 65  years old in the United States. HF is a unique clinical condition requiring frequent monitoring of objective patient variables that cannot be accomplished by office visits alone. With the advent of smartphones, Bluetooth, and Wi-Fi technologies, an opportunity arose for the digital management of H F patients. This paper reviews the current digital technologies available in HF management and future directions that have the potential to change clinical practice.Recent FindingsImplantable, wireless pulmonary artery ...
Source: Current Cardiovascular Risk Reports - June 14, 2020 Category: Cardiology Source Type: research

Understanding Health Disparities in Cardiovascular Diseases in Pregnancy Among Black Women: Prevalence, Preventive Care, and Peripartum Support Networks
AbstractPurpose of ReviewBlack women have higher morbidity and mortality in pregnancy and postpartum, as compared with women of other races/ethnicities, including white and Hispanic women. Pregnancy-associated deaths are rising in the USA and are higher than in other developed nations. Pregnancy-associated mortality rates are disproportionately higher among non-Hispanic black women. The purpose of this paper is to (1) review the current literature regarding pregnancy-associated cardiovascular disease prevalence in black women compared with women of other races/ethnicities, (2) review proposed factors contributing to these ...
Source: Current Cardiovascular Risk Reports - May 25, 2020 Category: Cardiology Source Type: research

Obesity and Cardiovascular Risk in the Arab Gulf States
AbstractPurpose of ReviewRapid economic growth in the Gulf Cooperation Council (GCC) states over the last half-century has been associated with a rise in obesity and cardiovascular morbidity and mortality. In this review, we shed some light on the factors driving the obesity epidemic, promising interventions to overcome this public health crisis, and challenges precluding a successful public health impact.Recent FindingsOverweight and obesity rates have nearly tripled in the GCC countries over the past four decades. Cardiovascular morbidity and mortality have been rising in parallel. Several sociodemographic, environmental...
Source: Current Cardiovascular Risk Reports - May 19, 2020 Category: Cardiology Source Type: research

Characteristics that Predict Response After Cardiac Resynchronization Therapy
AbstractPurpose of ReviewCardiac resynchronization therapy (CRT) is an established modality for treating heart failure. However, one-third of patients do not respond and it is increasingly recognized that response is not binary and we should be aiming for “best response”. This review looks at factors predicting response and remodelling and highlights areas where we may improve both the proportion of responders but also maximize response in an individual.Recent FindingsWe review the clinical characteristics predicting response including structural and electrical remodelling and discuss areas of debate. We examine the ev...
Source: Current Cardiovascular Risk Reports - May 12, 2020 Category: Cardiology Source Type: research

Multimodality Imaging for Risk Assessment of Inherited Cardiomyopathies
AbstractPurpose of ReviewThis review summarizes the evidence concerning the imaging techniques and features to (a) diagnose and (b) risk stratify patients with, or at risk of, inherited cardiomyopathies. The inherited cardiomyopathies we have focused on are dilated cardiomyopathy (DCM), hypertrophic cardiomyopathy (HCM) and arrhythmogenic cardiomyopathies (arrhythmogenic right ventricular cardiomyopathy (AVRC), arrhythmogenic left ventricular cardiomyopathy (ALVC) and noncompaction cardiomyopathy (NCCM)).Recent FindingsEchocardiogram and cardiac magnetic resonance imaging (CMR) still form the foundations of the diagnosis a...
Source: Current Cardiovascular Risk Reports - April 21, 2020 Category: Cardiology Source Type: research

Sex Difference in Catheter Ablation of Idiopathic Ventricular Arrhythmias and Ventricular Arrhythmias Associated with Structural Heart Disease
AbstractPurpose of ReviewSex differences in clinical manifestations, electrophysiological properties and treatment of ventricular arrhythmias (VA) have been an area of research in the last years. In this review, we focus on sex differences in the catheter ablation of VA in patients with and without structural heart disease.Recent FindingsWomen have more frequently RVOT than LVOT PVC/VTs but intrafascicular re-entry occurs more frequently in men than in women. Sex-dependent differences in the autonomic nervous system, hormonal status and/or arrhythmogenic characteristics of the substrate may explain these differences. Women...
Source: Current Cardiovascular Risk Reports - April 14, 2020 Category: Cardiology Source Type: research

Predictors of Success in Bariatric Surgery
AbstractPurpose of ReviewThe goal of this review is to summarize the current literature on predictors of success in bariatric surgery. These predictors include clinical, psychological, behavioral, and socioeconomic factors. Successful bariatric surgery is defined by excess weight loss, as well as improvement in medical comorbidities and the patient ’s quality of life.Recent FindingsSuccessful bariatric surgery is dependent on clinical, psychological, behavioral, and socioeconomic factors. The choice of operation, as well as the starting body mass index (BMI), has the largest clinical effect on weight loss. The presence o...
Source: Current Cardiovascular Risk Reports - February 20, 2020 Category: Cardiology Source Type: research

Medical Management Before Bariatric Surgery
AbstractPurpose of ReviewThe evaluation of patients before bariatric surgery requires identification and optimization of the known comorbidities associated with obesity. Evaluation begins with cardiac and pulmonary assessment for elective noncardiac surgery for patients with severe obesity published inCirculation in 2009 by the AHA.1 The algorithm uses a 5-step approach and evaluation after a comprehensive history and physical exam and lab testing completed.Recent FindingsA standardized preoperative checklist and Clinical Practice Guidelines were updated in 2013 by the American Associations of Clinical Endocrinologists (AC...
Source: Current Cardiovascular Risk Reports - January 26, 2020 Category: Cardiology Source Type: research

Ablation Approaches and Imaging Modalities to Lower Risk of Atrioesophageal Injury During Catheter Ablation for Atrial Fibrillation
AbstractPurpose of ReviewAtrioesophageal fistula (AEF) is a rare yet catastrophic complication of atrial fibrillation (AF) ablation. Limited data exists on measures to prevent AEF. This review focuses on AF ablation approaches, esophageal protective strategies, and imaging modalities that can be utilized to reduce the risk of AEF.Recent FindingsAEF has been reported to occur in less than 0.1% of AF ablation cases. Left untreated, it is associated with 100% mortality. Diagnosing AEF requires a high index of suspicion as symptoms are usually nonspecific. Several AF ablation techniques might reduce the risk of esophageal ther...
Source: Current Cardiovascular Risk Reports - January 6, 2020 Category: Cardiology Source Type: research

Pediatric Obesity: Endocrinologic and Genetic Etiologies and Management
We describe these rare conditions and the dysregulation of neuropathways in obesity and review successes and failures in treatments in both syndromic and nonsyndromic obesity.Recent FindingsThe best-described form of syndromic obesity is Prader –Willi Syndrome (PWS). While recent pharmacotherapies (specifically beloranib) demonstrated improvements in weight in PWS, the unfortunate adverse effect of deep vein thrombosis and pulmonary embolism necessitated the halting of its further development. Additional treatments are in development whi ch target the signaling of ghrelin and other hypothalamic targets known to be dysreg...
Source: Current Cardiovascular Risk Reports - November 26, 2019 Category: Cardiology Source Type: research

Aortic Stenosis
AbstractPurpose of ReviewAortic stenosis is the most prevalent valvular heart disease. The purpose of this paper is to review the epidemiology, pathophysiology, and diagnosis of aortic valve stenosis.Recent FindingsThe diagnosis of aortic stenosis has evolved over time. Originally diagnosed with cardiac catheterization and echocardiography, more advance imaging techniques including computed tomography, magnetic resonance imaging, and 3D printing have improved our understanding of the physiology and hemodynamic effects of aortic stenosis.SummaryValvular heart disease affects a broad patient population, and the most common f...
Source: Current Cardiovascular Risk Reports - November 21, 2019 Category: Cardiology Source Type: research

A Review of the Emergence and Expansion of Cardiovascular Genetic Counseling
AbstractPurpose of ReviewThe genetic counseling profession is growing rapidly, as is its presence in cardiology. In this review, we will survey recent innovations and research in cardiovascular genetic counseling, as well as findings from the broader genetic counseling field that are relevant to cardiovascular genetic counseling.Recent FindingsResearch into the structure of services finds that genetic counselors are increasingly being embedded within cardiology departments and that cardiologists value their expertise and contributions. Findings from other genetic counseling subspecialties and from clinical psychology sugge...
Source: Current Cardiovascular Risk Reports - November 18, 2019 Category: Cardiology Source Type: research

Vaping and Cardiovascular Health: the Case for Health Policy Action
AbstractPurpose of ReviewE-cigarette smoking is rapidly increasing, especially in adolescents and adults, although data on their safety or harm is still scarce. There have been few systematic studies of the health effects of e-cigarette use and most studies report on the use of e-cigarettes in past or current cigarette smokers. In this paper, we want to summarize cardiovascular effects of e-cigarettes.Recent FindingsE-cigarettes could cause cardiovascular harm especially by the toxic effects and of the e-liquid and induction of oxidative stress. Nicotine has known effects on cardiovascular function that are not different i...
Source: Current Cardiovascular Risk Reports - November 18, 2019 Category: Cardiology Source Type: research