Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

ACE inhibitors may slow cognitive decline in dementia patients

Centrally acting ACE inhibitors may slow cognitive decline in patients with dementia, a team of researchers from Ireland and Canada found. The standardized test scores of patients who took CACE-Is decreased more slowly than patients who did not, and they improved in patients who just started treatment within the past six months.

A big but reversible problem

Obesity does not discriminate by age. Today’s youth and elders—and all ages between—have seen the problem expand. What will reverse the trend?

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A Heavy Heart: The Staggering Cost of Obesity

As a risk factor for a host of diseases, obesity contributes to upticks in hypertension, diabetes, heart failure and other conditions. Specialists and hospitals treating these patients face challenges that range from adapting interventional and imaging procedures to acquiring supersized equipment. Is there a way to turn the tide? Bariatric surgery offers one strategy.

Case Managers: On the Frontline for Readmissions

Case managers are proving to be allies in efforts to curb potentially costly withholding of reimbursement for heart failure readmissions.

Anticoagulants: The Brave New World

Novel anticoagulants offer physicians a welcome option to warfarin for treating patients with atrial fibrillation who are at risk of stroke. But proceed with caution until more data accumulate.

Warfarin: Fewer risks in younger patients?

A subgroup analysis of a clinical trial found that younger patients taking warfarin were less likely to experience a composite endpoint of ischemic stroke, intracerebral hemorrhage or death. They were also less likely to experience stroke and death separately, with or without hemorrhage.

Sodium Reduction Remains AHA Priority

The IOM report affirms that the available evidence on associations between sodium intake and direct health outcomes is consistent with population-based efforts to lower excessive sodium intakes.

The Accreditation for Cardiovascular Excellence (ACE) publishes new standards for the cardiac cath lab

The Accreditation for Cardiovascular Excellence (ACE) announced this week that updated standards for cardiac intervention procedures have been published and are now available for download on the ACE website. ACE updated its Cath/PCI standards to align with the recently published clinical competency document for PCI which includes information on physician training, clinical competency criteria and the updated expert consensus document published in 2012.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.