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Update on the SPRINT trial: Preliminary results pan out
In a previous blog, I reported on the preliminary results from SPRINT, a clinical trial that examined whether a systolic blood pressure target of 120 mm Hg or less would be better than a target of 140 mm Hg in patients with hypertension (high blood pressure). The National Heart, Lung, and Blood Institute of the National Institutes of Health issued a press release with the exciting results. Now, the full paper has been published in The New England Journal of Medicine, and the results appear to be as practice-changing at it initially seemed, demonstrating a stricter blood pressure goal can reduce the likelihood of dying. In ...
Source: New Harvard Health Information - November 9, 2015 Category: Consumer Health News Authors: Deepak Bhatt, MD, MPH Tags: Health Heart Health Hypertension and Stroke Source Type: news
Healing through music
The last time I had a mammogram, I got a big surprise — and it was a good one. A string quartet was playing just outside the doors of the breast imaging center, and my thoughts immediately shifted from “What are they going to find on the mammogram?” to “Is that Schubert, or Beethoven?” By the time my name was called, I had almost forgotten why I was there.
The unexpected concert was the work of Holly Chartrand and Lorrie Kubicek, music therapists and co-coordinators of the Environmental Music Program at Massachusetts General Hospital. But bringing music to hospital corridors is just a sideline for music therapist...
Source: New Harvard Health Information - November 5, 2015 Category: Consumer Health News Authors: Beverly Merz Tags: Behavioral Health Mental Health Pain Management Surgery Source Type: news
Kids and flu shots: Two common myths
As a pediatrician, I am really passionate about the flu shot. Influenza can be a nasty illness; every year, thousands of people are hospitalized with influenza and its complications, and some of those people die. The flu shot can protect my patients and their families, and I enthusiastically recommend it to all of them.
And yet many of them refuse, despite my best efforts. What is particularly frustrating is that many of them refuse because of misunderstandings about the flu shot. There is all sorts of misinformation out there, but here are the two most common myths:
1. The flu shot can make you sick. This is the one I hea...
Source: New Harvard Health Information - October 9, 2015 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Cold and Flu Vaccines flu vaccine Source Type: news
How well does calcium intake really protect your bones?
This study was a randomized controlled trial conducted among 3,800 elderly French women (average age 84) in assisted living. The women initially had a low calcium intake (around 500 mg a day), low vitamin D levels, and low bone density. Those who received 1,200 mg of calcium and 800 international units (IU) of vitamin D supplements daily for three years had a 23% lower risk of hip fracture, and a 17% lower risk of fractures over all, than those taking placebos. The women who took calcium also built bone, while those on placebos continued to lose it. Those results — reported in 1992 and 1994 — are often cited by experts...
Source: New Harvard Health Information - September 30, 2015 Category: Consumer Health News Authors: Beverly Merz Tags: Drugs and Supplements Osteoporosis calcium Source Type: news
The type of fat you eat matters!
By: JoAnn E. Manson, MD, DrPH, and Shari S. Bassuk, ScD
Contributing Editors, Brigham and Women’s Hospital, Harvard Medical School
If you saw last month’s news headlines declaring that saturated fat is no longer deemed harmful to your heart, you may be (understandably!) confused. After all, for years, clinicians and scientists have recommended reducing saturated fat for heart health. Is it time to rethink this advice? Hardly. Here’s the deal.
The research that sparked the recent news splash was an analysis by Canadian researchers of up to a dozen long-term observational studies of diet that included a total of 90,000...
Source: New Harvard Health Information - September 22, 2015 Category: Consumer Health News Authors: Contributing Editors Tags: Health Healthy Eating Fats saturated fats unsaturated fats Source Type: news
The SPRINT trial: A major advance in treating high blood pressure
This study was sponsored primarily by the National Heart, Lung, and Blood Institute of the National Institutes of Health. This trial is a wonderful example of the kind of long-term, large-scale clinical trials that are necessary to advance patient care meaningfully. The study results also illustrate the importance of randomized clinical trials — that is, studies in which patients are randomly assigned to one of two treatment arms. Lastly, credit must be given to the participants who consented to be enrolled in the study. They have generously and selflessly contributed to advancing medical science and improving the care o...
Source: New Harvard Health Information - September 16, 2015 Category: Consumer Health News Authors: Deepak Bhatt, MD, MPH Tags: Hypertension and Stroke high blood pressure Source Type: news
Get the flu vaccine, reduce your risk of death
Last year was a lousy year for the flu vaccine. Hospitalizations for flu hit a nine-year high, and the vaccine prevented flu in only 23% of all recipients, compared with 50% to 60% of recipients in prior years.
Why does the flu vaccine work well in some winters and not others? The flu vaccine primes the immune system to attack two proteins on the surface of the influenza A virus, hemagglutinin (H) and neuraminidase (N). Different flu strains have different combinations of these proteins — for example, the strains targeted by recent flu vaccines are H3N2 and H1N1.
Unfortunately, the influenza virus is microbiology’s ans...
Source: New Harvard Health Information - September 15, 2015 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Cold and Flu Vaccines Flu Shot flu vaccine Source Type: news
CPR during cardiac arrest: someone’s life is in your hands
Cardiac arrest is the ultimate 911 emergency. The heart stops sending blood to the body and brain, either because it is beating too fast and too erratically, or because it has stopped beating altogether. Oxygen-starved brain cells start to die. Death occurs in minutes — unless a bystander takes matters into his or her hands and starts cardiopulmonary resuscitation (CPR).
Doing CPR keeps blood circulating until trained and better-equipped first responders arrive on the scene to jump-start the heart back into a normal rhythm.
“The brain is the most sensitive of the body’s organs to oxygen deprivation,” sa...
Source: New Harvard Health Information - July 23, 2015 Category: Consumer Health News Authors: Daniel Pendick Tags: Heart Health cardiac arrest CPR Source Type: news
Bypass surgery an “uncommon” cause of memory loss, cognitive decline
Coronary artery bypass surgery (CABG) offers a new lease on life for thousands of people each year whose hearts aren’t getting the blood they need to work properly. But it has also been blamed for “brain fog,” a loss of memory and thinking skills that follows the procedure in some people. Such brain problems are often called cognitive impairment.
The operation itself may not be to blame, according to a review in today’s Annals of Internal Medicine. For the review, a team of researchers—mostly from the U. S. Department of Veteran’s Affairs—synthesized data from 17 clinical trials and four w...
Source: New Harvard Health Information - July 22, 2015 Category: Consumer Health News Authors: Howard LeWine, M.D. Tags: Heart Health bypass surgery Coronary artery bypass surgery memory loss Source Type: news
Studies support broader use of cholesterol-lowering statins
The latest guidelines used to determine who should take a cholesterol-lowering statin to prevent heart disease appear to be more accurate and cost-efficient than the previous guidelines. That’s according to two studies led by Harvard researchers, both published in this week’s Journal of the American Medical Association.
For many years, the main deciding factor in who needed to take a statin was the level of an individual’s harmful low-density lipoprotein cholesterol (LDL). Updated guidelines published in 2013 by the American College of Cardiology and the American Heart Association moved away from LDL and ...
Source: New Harvard Health Information - July 16, 2015 Category: Consumer Health News Authors: Julie Corliss Tags: Drugs and Supplements cholesterol high cholesterol statins Source Type: news
FDA strengthens warning that NSAIDs increase heart attack and stroke risk
Back in 2005, the FDA warned that taking nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen increased the risk of having a heart attack or stroke. Last week it took the unusual step of further strengthening this warning. This was done on the advice of an expert panel that reviewed new information about NSAIDs and their risks. Because NSAIDs are widely used, it’s important to be aware of downsides of taking an NSAID and to take steps to limit the risk.
Many people take NSAIDs to relieve mild to moderate pain. These medications may be particularly effective in conditions in which pain results pri...
Source: New Harvard Health Information - July 13, 2015 Category: Consumer Health News Authors: Gregory Curfman, MD Tags: Heart Health heart attack heart disease NSAIDS Stroke Source Type: news
Half of heart disease deaths could be prevented
Heart attack, stroke, and other cardiovascular diseases kill nearly three-quarters of a million Americans each year. They are the leading cause of death, accounting for nearly 30% of all deaths in the United States. But according to a new study published online yesterday in the Annals of Internal Medicine, many of these deaths can be prevented.
For the study, researchers from the Rollins School of Public Health at Emory University in Atlanta looked at cardiovascular death rates in each of the 50 states and the District of Columbia. They also tallied the rates of five so-called modifiable risk factors, or factors under a pe...
Source: New Harvard Health Information - June 30, 2015 Category: Consumer Health News Authors: Patrick J. Skerrett Tags: Heart Health cardiovascular disease heart disease Source Type: news
Hidden cancer rarely causes out-of-the-blue clots in the bloodstream
Blood clots can be lifesavers when they form outside the bloodstream to stop bleeding from an injury. But they can wreak havoc when they form inside the bloodstream. A blood clot in a coronary artery can cause a heart attack. One in the brain can cause a stroke.
Blood clots that form in a leg vein cause a problem known as venous thromboembolism, or VTE. If the clot stays in the leg, it can cause swelling or pain. If it breaks away and travels to the lungs, it can cause a potentially deadly pulmonary embolism.
In about half of people who develop a VTE, doctors can identify what caused it. Common causes include an injury; su...
Source: New Harvard Health Information - June 29, 2015 Category: Consumer Health News Authors: Howard LeWine, M.D. Tags: Cancer blood clot venous thromboembolism VTE Source Type: news
Mild high blood pressure in young adults linked to heart problems later in life
Editor’s note: Since 2000, Dr. Howard LeWine and other other experts from Harvard Health Publications and Harvard Medical School have been writing daily News Reviews for InteliHealth.com. Sadly, InteliHealth shuts down tomorrow. This is the final (4,255th) news review written by the Harvard Health team.
Young adults with even slightly above-normal blood pressure may be more likely to have heart problems later in life, according to a new study in the Journal of the American College of Cardiology. The study focused on nearly 2,500 men and women who were 18 to 30 years old when the study began. Researchers kept track o...
Source: New Harvard Health Information - June 23, 2015 Category: Consumer Health News Authors: Howard LeWine, M.D. Tags: Heart Health Hypertension and Stroke prehypertension Source Type: news
Tight blood sugar control in type 2 diabetes linked to fewer heart attacks and strokes
Diabetes damages every part of the body, from the brain to the feet. High blood sugar, the hallmark of diabetes, wreaks havoc on blood vessels. It makes sense that keeping blood sugar under control should prevent diabetes-related damage — but how low to push blood sugar is an open question.
A study published in today’s issue of The New England Journal of Medicine (NEJM) provides reassuring evidence that so-called tight blood sugar control is good for the heart and circulatory system.
“Tight blood sugar control represents a new age of diabetes care,” says Dr. David Nathan, professor of medicine at Harvar...
Source: New Harvard Health Information - June 4, 2015 Category: Consumer Health News Authors: Urmila Parlikar Tags: Diabetes blood sugar blood sugar control Source Type: news
