Cardiovascular-disorders

JAMA Internal MedicineTAKE-HOME MESSAGEThis retrospective study evaluated the association between statin initiation and diabetes progression. Progression of diabetes occurred in significantly more statin users. There was a dose–response relationship with higher-intensity statin use.The study examined 12 years of data on patients covered by the...
American Diabetes Association (ADA) Professional Practice Committee: Recommendations Treatment Strategies Lifestyle Intervention: Recommendation For patients with blood pressure >120/80 mmHg, lifestyle intervention consists of weight loss when indicated, a Dietary Approaches to Stop Hypertension (DASH)-style eating pattern inclu...
The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Atherosclerotic cardiovascular disease (ASCVD)—defined as...
European Heart Journal: Management of cardiometabolic risk factors should become a priority for physicians. The long-term impact of COVID-19 on cardiovascular (CV) health and mortality is also emerging as a major global concern. Non-pharmacological supportive approaches: The management of long COVID tends to be largely supportive....
Annals of Internal Medicine: TAKE-HOME MESSAGE In this UK Biobank study, the authors sought to evaluate the correlation between serum testosterone levels and cardiac events, finding no association between total testosterone and risk for major adverse cardiovascular events (MACE). Men with lower total testosterone concentrations wer...
Nature Medicine Post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)—can involve the pulmonary and several extrapulmonary organs, including the cardiovascular system. A few studies have investigated cardiovascular outcomes in the post-acute phase of the COVID-19; however, most were limited to hospitalized...
The Lancet: TAKE-HOME MESSAGE It is well-established that blood pressure control is an important strategy in reducing cardiovascular events among people with diabetes. This data analysis that included studies comprised of over 145,000 participants finds that a reduction of 5 mm Hg in systolic blood pressure was associated with an...
In accordance with most major guidelines it is recommended that hypertension be diagnosed when a person’s systolic blood pressure (SBP) in the office or clinic is ≥140 mm Hg and/or their diastolic blood pressure (DBP) is ≥90 mm Hg following repeated examination.Hypertension is the leading risk factor for morbidity and mortality throughout the...
High blood pressure is the leading cause of mortality and cardiovascular disease globally, and most of the disease burden occurs in low- and middle-income countries. Recent guidelines recommend lower blood pressure targets among high-risk patients, increasing the need for more effective treatment strategies.Treatment with a pill combining low...
This clinical practice guideline for the evaluation and diagnosis of chest pain provides recommendations and algorithms for clinicians to assess and diagnose chest pain in adult patients.The “2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain” provides recommendations based on contemporary evidence on...
Physical Examination Causes of chest pain are numerous; the initial evaluation should focus on those that are life-threatening, such as ACS, PE, aortic dissection, and esophageal rupture, to facilitate rapid implementation of appropriate treatment. Specific clues can be helpful. Chest tenderness on palpation or pain with inspiration markedly...
A study published Oct. 12 in the Annals of Internal Medicine that compared three types of direct oral anticoagulants (DOACs) found that rivaroxaban was associated with a much higher risk of overall and major gastrointestinal bleeding than apixaban or dabigatran, according to a study. Other studies yield similar results.The researchers found th...