Selected Articles

Best Time to Take HTN Meds? Now There’s Evidence

Antihypertensive medications are better taken before bed than are upon awakening in the morning, according to a Spanish multicenter trial.

MEDPAGE TODAY

Struggles, Opportunities to Address HTN in Primary Care

The hypertension guidelines are there. Now the questions are how to convince clinicians in primary care to trust those new blood pressure (BP) targets and how to help patients achieve them.

MEDPAGE TODAY

More Plant-Based Protein in Diet May Add Years

Choice of dietary protein source matters for overall longevity, a population-based study in Japan suggested.

MEDPAGE TODAY

Docs Brace for Medicare ‘Appropriate’ Imaging Rule

As the medical community braces for implementation of the Protecting Access to Medicare Act (PAMA) by the Jan. 1, 2020 deadline...

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Sham-Controlled Trial: ‘True’ Acupuncture Cuts Angina Pain

"True" acupuncture reduced the frequency of chest pain among patients with chronic stable angina in a sham-controlled trial.

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Docs No Less Likely Than Others to Get Aggressive End-of-Life Care

Despite their high health literacy, Canadian physicians were just as likely as others in the general population to receive aggressive care as they neared death, researchers found.

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One Diet Has the Best Heart-Health Evidence

If any nutritional intervention has health benefits backed by the scientific literature, it may be the low-salt diet -- but even then, the evidence is only of moderate certainty, a review found.

MEDPAGE TODAY

FDA Still Finding Paclitaxel PAD Device Death Risk

The FDA continues to find a signal of excess long-term mortality with paclitaxel-coated balloons and stents in peripheral artery disease, agency staff said Wednesday morning, kicking off a 2-day advisory committee meeting on the matter.

MEDPAGE TODAY

Pricey Brain Protection Devices of Questionable Value in TAVR

The question of who should get embolic filter-protected transcatheter aortic valve replacement (TAVR) cannot be resolved unless device prices go down or a definitive trial shows efficacy, a panel argued here.

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Jardiance May Help Heart by Shifting Its Fuel

The SGLT2 inhibitor empagliflozin (Jardiance) shifted myocardial metabolism from glucose to other more energy-efficient metabolites in a pig model, researchers said, suggesting a mechanism for its cardiac benefits beyond glucose lowering.

MEDPAGE TODAY

Low-Risk TAVR at Least as Good as Surgery in Pivotal Trials

Transcatheter aortic valve replacement (TAVR) safely treated severe aortic stenosis even in low-risk patients and, depending on the device used, may yield results that are on par with or better than what is achieved with surgical aortic valve replacement (SAVR), two trials showed.

MEDPAGE TODAY

Docs Benefit From More Camaraderie, Less Competition

The need to boost productivity numbers and take care of administrative matters leaves physicians no strangers to a lonesome, ever-digitizing work environment. Yet several clinicians are taking action to reclaim their connections with patients, and each other, in a time of increasing burnout and dissatisfaction with their work-life balance.

MEDPAGE TODAY

Access to VA Health Services Now Better Than Private Hospitals?

Efforts to stir up access to Veterans Affairs (VA) hospitals have cut down on wait times for new patient appointments, according to a report.

MEDPAGE TODAY

Radiologists Reconsider Their Divided Specialty

Interventional radiologists grappled with the prospect of striking out on their own as they imagined whether they would continue to practice alongside diagnostic radiology in 10 years here at the Society of Interventional Radiology (SIR) annual meeting.

MEDPAGE TODAY

Clinicians Brace for AI to Transform Medicine

The doctor enters and pulls up the electronic medical record. The patient's history is already there. So is the CT scan. The doctor drags and drops the image, presses the "analyze" button. An actionable diagnosis appears a moment later.

MEDPAGE TODAY

Free Clinics: Is this ‘Pure Medicine?’

There is still one place where medicine is not a business, where healthcare providers can be grateful that they can cut out (most of) the administrative work. This is the free clinic.

MEDPAGE TODAY

Can Dogs Predict Seizures?

When Angel the yellow Labrador starts barking in Sarah Specht’s house, the countdown begins. She must find her 7-year-old son Hunter and then run a small magnet over the vagal nerve stimulator implanted in his chest. Time is of the essence—she has mere minutes to block one of Hunter’s incoming seizures.

NOVA Next

Charges Skyrocket When Patient Is Uninsured

Physicians generally billed uninsured or out-of-network patients several times what Medicare would have deemed appropriate, researchers found, with anesthesiologists topping the list of specialists racking up the most in excess charges.

MEDPAGE TODAY

AHA: Unnecessary Stress Testing Still Alive And Kicking?

Analysis of Clinformatics Data Mart information on some 33 million commercially insured patients revealed that stress testing grew in popularity from 2005 to 2009 -- rising to 3,933 from 3,486 per 100,000 person-years -- and then falling back to 3,589 tests per 100,000 person-years by 2012.

MEDPAGE TODAY

AHA: Healthy Lifestyle Eases Heart Impact of High Genetic Risk

Genes by themselves do not destine patients to coronary artery disease (CAD), a study reported, showing that a high genetic risk may be controlled with healthy lifestyle choices.

MEDPAGE TODAY

Time to Say Goodbye to Renal Denervation?

Intuitively, it made sense: a renal denervation system that could safely reduce blood pressure in treatment-resistant hypertension patients. There was a boom of positive observational data -- but then came the bust of failed randomized trials. Several years later, however, some are not ready to give up on the treatment just yet.

MEDPAGE TODAY

EuroPCR: Degenerated TAVR Not Uncommon by 10 Years

Over longterm follow-up of at least 5 years, there was a 9.0% rate of degenerated heart valves. Two-thirds of these were associated with regurgitation, the rest related to stenosis.

MEDPAGE TODAY

Criteria Reduce Inappropriate PCI

The proportion of inappropriate percutaneous intervention (PCI) procedures has dropped nationally since the 2009 release of the Appropriate Use Criteria (AUC) for Coronary Revascularization, but some institutions remain outliers.

MEDPAGE TODAY

A Major Study Calls For Even Lower Blood Pressure In Older Adults

Cardiologists have long questioned what the acceptable range of healthy blood pressure is for adults who are 50 years and older, and in a paper published today, researchers argue for an even lower target than what is recommended by current guidelines.

Popular Science

Cath Lab Economics: Pursuit of a Light at the End of the Tunnel

At the SCAI Cath Lab Boot Camp at TCT 2015, experts gathered to discuss improving the economics of running a cath lab in light of recent declines in profitability.

TCTMD

With Newer-Generation DES, Ultralong Stenting Tied to Adverse Events

Patients receiving newer-generation DES at lengths exceeding 50 mm are at higher risk of TLR and MACE, according to an observational study published online May 23, 2015, ahead of print in Catheterization and Cardiovascular Interventions.

TCTMD

Innocent Until Proven Gluten

On trial these days for crimes against humanity is gluten, a protein in wheat. Trendy restaurants are printing new menus with gluten-free options, and supermarket customers are flocking to the safe haven of the gluten-free section.

Scienceline