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Source: Current Cardiovascular Risk Reports
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Total 32 results found since Jan 2013.
Patient Education Strategies to Improve Risk of Stroke in Patients with Atrial Fibrillation
We describe the most recent evidence-based treatments to reduce stroke risk and outline challenges that exist in empowering patients to be active participants in decision-making. The shared decision-making (SDM) panorama is highlighted due to its benefits, including increased patient participation in decision-making, patient and clinician satisfaction, and improved outcomes.Recent FindingsOral anticoagulation remains the preferred therapy for stroke prevention in AF. Several barriers to stroke risk reduction persist, including both upstream and downstream barriers on the provider and patient front. Appropriate patient educ...
Source: Current Cardiovascular Risk Reports - December 2, 2022 Category: Cardiology Source Type: research
Atrial Fibrillation in Women: from Epidemiology to Treatment
AbstractPurpose of ReviewWomen with atrial fibrillation (AF) have higher risk of strokes and treatment complications. We explored the sex differences in the epidemiology, presentation, and outcomes of AF treatments.Recent FindingsAlthough AF is less prevalent in women, because of their longer life expectancy, more women than men live with AF. The risk of AF is higher with increasing pregnancies. Women are more symptomatic. Increased atrial fibrosis and a higher incidence of non-pulmonary vein triggers are seen in women. Women also have worse left atrial appendage function, which may contribute to the higher risk of stroke....
Source: Current Cardiovascular Risk Reports - October 6, 2022 Category: Cardiology Source Type: research
Arrhythmia-Induced Cardiomyopathy: Mechanisms and Risk Assessment to Guide Management and Follow-Up
AbstractPurpose of ReviewArrhythmia-induced cardiomyopathy (AIC) is a condition where left ventricular (LV) systolic dysfunction is caused by or worsened by atrial or ventricular arrhythmias. While recognition of AIC has grown over time, the identification of patients at risk for AIC remains an ongoing challenge. The purpose of this review is to explore mechanisms and types of AIC, discuss risk factors for the development of AIC, and features that predict clinical improvement.Recent FindingsPrompt recognition and treatment of the culprit arrhythmia can result in partial or complete recovery of LV function. In atrial fibril...
Source: Current Cardiovascular Risk Reports - July 18, 2022 Category: Cardiology Source Type: research
Risk Assessment and Management of Patients Undergoing Left Atrial Appendage Isolation
AbstractPurpose of ReviewHerein, we will describe our approach in the management of patients following LAA isolation.SummaryWith the increasing number of patients who undergo left atrial appendage isolation as part of their invasive treatment of atrial fibrillation, it is important to know that this patient population needs special care during follow-up. More specifically, owing to absent left atrial appendage contraction, these patients have an increased stroke risk despite persistent sinus rhythm and irrespective of their CHA2DS2-VASc score. Thus, the mainstay of management of patients following left atrial appendage iso...
Source: Current Cardiovascular Risk Reports - June 10, 2022 Category: Cardiology Source Type: research
Biomarkers and Risk Prediction Tools for Stroke and Dementia in Patients with Atrial Fibrillation
AbstractPurpose of ReviewWith the aging population, atrial fibrillation (AF) associations with both stroke and dementia have become a priority for the healthcare system. The purpose of this paper is to review the emerging role of clinical scores and biomarkers in the risk stratification of AF patients for risk of stroke and risk of dementia.Recent FindingsAF is the most common arrhythmia in the aging population and a common comorbidity in atherosclerotic disease and heart failure. In this review, we identified 34 most relevant papers that specifically address the role of biomarkers in risk-stratifying patients with AF with...
Source: Current Cardiovascular Risk Reports - October 1, 2020 Category: Cardiology Source Type: research
Cardiovascular Risk Associated with Medical Use of Opioids and Cannabinoids: A Systematic Review
AbstractPurpose of ReviewThe long-term use of opioid and cannabinoid medications to control chronic pain and treat opioid use disorders now involves a large proportion of the population in the United States. Yet, the cardiovascular risks of opioids are not well understood. This systematic review summarizes the current literature to assess the potential cardiovascular disease risks associated with opioid and cannabinoid medications.Recent FindingsThe role of long-term methadone use in increasing QT interval among people receiving methadone treatment for substance use disorders is well established. Routine electrocardiogram ...
Source: Current Cardiovascular Risk Reports - August 29, 2019 Category: Cardiology Source Type: research
Uterine Fibroids, Race, Ethnicity, and Cardiovascular Outcomes
AbstractPurpose of ReviewUterine fibroids are the cause of significant morbidity for women particularly women of racial and ethnic minorities. This review seeks to draw connections between fibroids and another cause of morbidity and mortality, cardiovascular disease. Fibroids are the most common neoplasm affecting women as well as the most common reason for undergoing hysterectomy. Heart disease is the leading cause of death for women in the USA, and heart disease and stroke disproportionately impact women of racial and ethnic minorities.Recent FindingsProspective studies in the last several years have revealed a higher pr...
Source: Current Cardiovascular Risk Reports - July 26, 2019 Category: Cardiology Source Type: research
Review on Future Targets and Current Trends in Transcatheter Left Atrial Appendage Closure
AbstractPurpose of ReviewAtrial fibrillation is cause for a growing burden of thromboembolic stroke. Transcatheter left atrial appendage closure is an alternative to lifelong oral anticoagulation for many patients with nonvalvular atrial fibrillation. Reviewed here are three commonly used devices (Watchman, Amplatzer Cardiac Plug/Amulet, and Lariat) and their key clinical trials, special candidate patient populations, and recent investigations of the impact of post-procedure antithrombotic strategies.Recent FindingsTranscatheter left atrial appendage closure devices provide noninferior thromboembolic stroke risk reduction ...
Source: Current Cardiovascular Risk Reports - April 29, 2019 Category: Cardiology Source Type: research
Optimizing Anticoagulation in Older Patients with Nonvalvular Atrial Fibrillation
AbstractPurpose of ReviewWe sought to review the current issues on optimization of anticoagulation in elderly patients with nonvalvular atrial fibrillation (NVAF).Recent FindingsAdvanced age is a risk factor for stroke and as one advances in age, the risk of stroke also increases. One of the many challenges of oral anticoagulation for stroke prevention in the elderly patients with NVAF is the underutilization of anticoagulants. Commonly cited reasons for hesitation by physician in prescribing oral anticoagulants are advanced age, increase risk of bleeding, and the difficulty in maintaining an adequate time in therapeutic r...
Source: Current Cardiovascular Risk Reports - January 25, 2019 Category: Cardiology Source Type: research
Social Networks and Health Outcomes: Importance for Racial and Socioeconomic Disparities in Cardiovascular Outcomes
AbstractPurpose of ReviewA large body of research has indicated social network characteristics are associated with health and mortality. Additional literature suggests the structure and function of social networks differ by race and socioeconomic status. The current paper seeks to synthesize and further contextualize these two separate bodies of work, as well as illustrate potential mechanisms by which social networks may contribute to current disparities in cardiovascular disease outcomes.Recent FindingsAn increasing number of studies have examined the link between social networks and cardiovascular outcomes. Social isola...
Source: Current Cardiovascular Risk Reports - October 25, 2018 Category: Cardiology Source Type: research
Lipoprotein(a) —It Is Risky, but What Do We Do About It?
AbstractPurpose of ReviewLipoprotein(a) [Lp(a)] is a pro-inflammatory, pro-thrombotic, and pro-atherogenic lipoprotein particle. Lp(a) binds and transports oxidized phospholipids in the bloodstream. It is one of the strongest genetic risk factors for coronary artery disease, stroke, and calcific aortic valve stenosis.Recent FindingsElevated Lp(a) levels, or hyperlipoproteinemia(a), is associated with cardiovascular outcomes even in high-risk individuals who achieve their low-density lipoprotein cholesterol target with statins. Lifestyle modification therapy and dietary supplements have little impact on plasma Lp(a) levels....
Source: Current Cardiovascular Risk Reports - September 29, 2018 Category: Cardiology Source Type: research
The Role of the Left Atrial Appendage in Stroke and Arrhythmia Provocation
AbstractPurpose of the reviewThe review will provide an overview of the potential use of left atrial appendage (LAA) exclusion in patients with atrial fibrillation (AF), highlighting the benefits and risks involved with LAA exclusion.Recent findingsLAA ligation leads to electrical isolation of the LAA and a decrease in LA mass which is associated with a decrease in AF burden and occasional termination of AF in patients with persistent AF. This potential new indication will further expand the use of LAA exclusion and necessitate planning of combining LAA exclusion with catheter ablation for both stroke prevention and antiar...
Source: Current Cardiovascular Risk Reports - March 19, 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
