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June 2020 Briefing - Cardiology

Here are what the editors at HealthDay consider to be the most important developments in Cardiology for June 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Heart Rhythm Disorders Seen in Critically Ill COVID-19 Patients

TUESDAY, June 30, 2020 (HealthDay News) -- Critically ill patients with COVID-19 are more likely to develop heart rhythm disorders than other hospitalized patients, according to a study published online June 22 in Heart Rhythm.

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Comparative Effectiveness of Treatments Explored in T2DM

TUESDAY, June 30, 2020 (HealthDay News) -- For patients with type 2 diabetes at low cardiovascular risk, there are no differences in vascular outcomes between treatments, according to research published online June 30 in the Annals of Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Preterm Delivery May Up Maternal Risk for Ischemic Heart Disease

TUESDAY, June 30, 2020 (HealthDay News) -- Preterm delivery is associated with increased maternal risk for ischemic heart disease (IHD), with increased risk seen through more than 40 years of follow-up, according to a study published in the July 7 issue of the Journal of the American College of Cardiology.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Updated Guidance Provided for Safe Solid Organ Transplantation

TUESDAY, June 30, 2020 (HealthDay News) -- Updated recommendations for reducing transmission of HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) through transplantation include universal solid organ donor nucleic acid testing, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Government E-Cigarette Restrictions on Marketing Lower Use

MONDAY, June 29, 2020 (HealthDay News) -- Comprehensive provincial restrictions on electronic cigarette marketing are associated with lower levels of exposure to marketing and lower prevalence of e-cigarette use, according to a Canadian study published online June 29 in Pediatrics.

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Blood Pressure, Retinal Vessel Diameters Connected in Children

MONDAY, June 29, 2020 (HealthDay News) -- Higher blood pressure is connected to narrowing of retinal arterioles in young children, according to a study published online June 29 in Hypertension.

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Trump Administration Asks Supreme Court to Overturn Affordable Care Act

FRIDAY, June 26, 2020 (HealthDay News) -- The Trump administration has asked the Supreme Court to overturn the Affordable Care Act (ACA).

Washington Post Article

CDC Updates List of Who Is at Highest Risk for COVID-19

FRIDAY, June 26, 2020 (HealthDay News) -- The list of conditions that put people at risk for severe COVID-19 illness has been expanded by the U.S. Centers for Disease Control and Prevention.

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Heart Failure Ups Risk of Death in Patients With New T2DM

FRIDAY, June 26, 2020 (HealthDay News) -- For patients with newly diagnosed type 2 diabetes (T2D), heart failure development is associated with increased five-year absolute and relative risks of death, according to a study published online June 23 in Circulation: Cardiovascular Quality and Outcomes.

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Metabolic Syndrome Up in Young Adults in the United States

THURSDAY, June 25, 2020 (HealthDay News) -- The prevalence of metabolic syndrome among young adults in the United States is rising, according to a research letter published in the June 23/30 issue of the Journal of the American Medical Association.

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Inhibition of Sclerostin May Increase Cardiovascular Risk

THURSDAY, June 25, 2020 (HealthDay News) -- Inhibition of sclerostin with romosozumab may increase cardiovascular risk, according to research published in the June 24 issue of Science Translational Medicine.

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Sex, Ethnic Differential Patterns of COVID-19 Unexplained

THURSDAY, June 25, 2020 (HealthDay News) -- Sex and ethnicity differential patterns of COVID-19 positivity are not explained by cardiometabolic, socioeconomic, or behavioral factors, according to a study published online June 19 in the Journal of Public Health.

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ED Use Down for MI, Stroke, Hyperglycemic Crisis in COVID-19

WEDNESDAY, June 24, 2020 (HealthDay News) -- Following declaration of the COVID-19 pandemic as a national emergency, there was a decrease in visits to the emergency department for myocardial infarction (MI), stroke, and hyperglycemic crisis, according to research published in the June 22 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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USPSTF Advises Hypertension Screening for All Adults

TUESDAY, June 23, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends screening all adults for hypertension with office-based blood pressure measurement (OBPM). This recommendation is included in a draft recommendation statement, published online June 23 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement

Safety Climate Perceptions Linked to Health Provider Stress

MONDAY, June 22, 2020 (HealthDay News) -- Safety climate perceptions are associated with care practitioner-reported stress and job satisfaction, according to a study published in the May-June issue of the Journal of Healthcare Management.

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Sugar-Sweetened Beverage Tax Will Generate Health Gains

MONDAY, June 22, 2020 (HealthDay News) -- Sugar-sweetened beverage tax designs are expected to generate substantial health gains and cost savings, according to a study published online June 22 in Circulation.

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Heart Transplant Patients May Have Higher COVID-19 Mortality

FRIDAY, June 19, 2020 (HealthDay News) -- Heart transplant patients admitted to the hospital with COVID-19 symptoms may be sicker than nontransplant patients, but they present with the same symptoms as the general population, according to a study recently published in the Journal of Cardiac Failure.

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Cardioprotective Therapy Use Lower With Cancer History

THURSDAY, June 18, 2020 (HealthDay News) -- Cardioprotective therapies, especially statins and antiplatelets, are underutilized in patients with a history of cancer (CaHx), according to a research letter published in the June 1 issue of JACC: CardioOncology.

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Court Rules Against Drug Price Disclosures in TV Ads

THURSDAY, June 18, 2020 (HealthDay News) -- The U.S. government does not have the legal authority to force drug companies to disclose prices in their TV ads, a federal appeals court says.

AP News Article

CDC: Deaths From Exposure to Heat-Related Conditions Identified

THURSDAY, June 18, 2020 (HealthDay News) -- A total of 10,527 deaths resulting from exposure to heat-related conditions were identified during 2004 to 2018, according to research published in the June 19 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Mortality Up for Rural Versus Urban Stroke Patients

THURSDAY, June 18, 2020 (HealthDay News) -- Compared with urban patients, rural patients with stroke are less likely to receive intravenous thrombolysis or endovascular therapy and are more likely to have higher in-hospital mortality, according to a study published online June 17 in Stroke.

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Changes Proposed for Newborn Congenital Heart Disease Screen

WEDNESDAY, June 17, 2020 (HealthDay News) -- Changes have been suggested for the newborn critical congenital heart disease (CCHD) screening algorithm, according to a study published online June 4 in Pediatrics.

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Midlife Blood Pressure During Exercise Predicts Later Heart Disease

TUESDAY, June 16, 2020 (HealthDay News) -- Higher blood pressure (BP) during exercise and impaired BP recovery after exercise in midlife may be markers of subclinical and clinical cardiovascular disease and mortality in later life, according to a study published online May 20 in the Journal of the American Heart Association.

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Hormone Therapies Tied to Brain Changes in Menopausal Women

WEDNESDAY, June 17, 2020 (HealthDay News) -- In recently menopausal women using hormone treatment (HT), circulating levels of pituitary-ovarian hormones are associated with changes in white matter hyperintensities (WMH), according to a study published online June 8 in Menopause.

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CVD, Non-CVD Mortality Increased With Azithromycin Use

WEDNESDAY, June 17, 2020 (HealthDay News) -- Outpatient azithromycin use is associated with an increased risk for cardiovascular and noncardiovascular mortality, according to a study published online June 17 in JAMA Network Open.

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Stressful Life Events May Up CHD Risk in Type 2 Diabetes

TUESDAY, June 16, 2020 (HealthDay News) -- Higher levels of stressful life events are associated with a higher risk for coronary heart disease (CHD) among postmenopausal women with type 2 diabetes, according to a study published online June 4 in Diabetes Care.

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FDA Pulls Emergency Approval of Hydroxychloroquine for COVID-19

MONDAY, June 15, 2020 (HealthDay News) -- The U.S. Food and Drug Administration has withdrawn its emergency authorization for the use of chloroquine phosphate and hydroxychloroquine sulfate in the fight against COVID-19.

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Stay-at-Home Orders Challenging Obese Patients

FRIDAY, June 11, 2020 (HealthDay News) -- Obese patients are reporting physical and mental health challenges during the COVID-19 stay-at-home orders, according to a study published online June 9 in Clinical Obesity.

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Signs, Symptoms Vary Widely for Children Presenting With PIMS-TS

FRIDAY, June 12, 2020 (HealthDay News) -- Children presenting with pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; PIMS-TS) have a wide range of presenting symptoms, according to a study published online June 8 in the Journal of the American Medical Association.

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Editorial

Risk or Fear of COVID-19 Should Not Delay Bystander CPR

FRIDAY, June 12, 2020 (HealthDay News) -- Bystander cardiopulmonary resuscitation (CPR) remains a vital, lifesaving endeavor for out-of-hospital cardiac arrest (OHCA), even during the COVID-19 pandemic, according to a study published online June 4 in Circulation.

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Sleep Apnea in Patients With T2DM Ups Risk for Comorbidities

FRIDAY, June 12, 2020 (HealthDay News) -- Patients with type 2 diabetes who develop obstructive sleep apnea (OSA) are at higher risk for cardiovascular disease (CVD) and other diabetes-related complications, according to a study recently published in Diabetes Care.

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Stroke Risk Increased in African Americans Who Smoke Cigarettes

THURSDAY, June 11, 2020 (HealthDay News) -- Current cigarette smoking is associated with stroke risk in blacks, with a dose-dependent pattern observed, according to a study published online June 10 in the Journal of the American Heart Association.

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Depressive Symptoms Linked to CVD Risk, Mortality

THURSDAY, June 11, 2020 (HealthDay News) -- Depressive symptoms are associated with an increased risk for incident cardiovascular disease (CVD) and mortality in economically diverse settings, according to a study published online June 10 in JAMA Psychiatry.

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Risk Factors for Suicide ID'd in Health Care Professionals

THURSDAY, June 11, 2020 (HealthDay News) -- Modifiable and nonmodifiable risk factors for suicide have been identified among health care professionals, according to a study published online June 10 in JAMA Surgery.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Treatment Gap Remains in Stroke Care Between Men and Women

WEDNESDAY, June 10, 2020 (HealthDay News) -- Pooled data from recent studies show that women with acute stroke are less likely to be treated with intravenous (IV) thrombolysis compared with men, according to a review published online June 10 in Neurology.

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Low-Dose Aspirin Lowers CVD Risk but Raises Bleeding Risk

WEDNESDAY, June 10, 2020 (HealthDay News) -- Low-dose aspirin significantly lowers cardiovascular disease (CVD) risk but increases the risk for bleeding, according to a review published online June 2 in the British Journal of Clinical Pharmacology.

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Recent Cannabis Use Not Linked to Acute Ischemic Stroke

WEDNESDAY, June 10, 2020 (HealthDay News) -- Recent cannabis use is not associated with acute ischemic stroke, according to a study published online June 3 in Neurology: Clinical Practice.

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Troponin I Elevation Linked to Death in COVID-19 Patients

WEDNESDAY, June 10, 2020 (HealthDay News) -- Among patients hospitalized with COVID-19, troponin I elevation is associated with an increased risk for death, according to a study published online June 8 in the Journal of the American College of Cardiology.

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Adverse Childhood Environment Tied to Later Health Problems

MONDAY, June 8, 2020 (HealthDay News) -- An adverse childhood family environment is associated with cardiovascular disease (CVD) incidence and all-cause mortality later in life, according to a study published in the May 5 issue of the Journal of the American Heart Association.

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Intracerebral Hemorrhage Incidence Rate Stabilizing

MONDAY, June 8, 2020 (HealthDay News) -- In the past 30 years, rates of intracerebral hemorrhage (ICH) incidence have stabilized, according to a study published online June 8 in JAMA Neurology.

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Blood Pressure Treatment Even Effective in Frail Older Adults

MONDAY, June 8, 2020 (HealthDay News) -- Even in very frail people, antihypertensive treatment reduces the risk for death, according to a study published online June 8 in Hypertension.

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Kawasaki-Like Disease More Common in Children of African Ancestry

MONDAY, June 8, 2020 (HealthDay News) -- A Kawasaki-like multisystem inflammatory syndrome, which is temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among children in Paris, seems more common among children of African ancestry, according to a study published online June 3 in The BMJ.

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Editorial

CAC Score, Physical Activity May Help Predict Mortality in Seniors

MONDAY, June 8, 2020 (HealthDay News) -- Combining coronary artery calcium (CAC) score with self-reported physical activity may help predict mortality risk for older adults, according to a study published in the June issue of the Mayo Clinic Proceedings: Innovations, Quality & Outcomes.

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Newborn Respiratory Distress Up With Maternal Antidepressant Use

MONDAY, June 8, 2020 (HealthDay News) -- Risk for newborn respiratory distress increases in a dose-response manner in association with maternal use of prenatal antidepressants, according to a study published online June 8 in Pediatrics.

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Editorial

COVID-19 Mortality Higher for Those Not Taking Meds for Their HTN

FRIDAY, June 5, 2020 (HealthDay News) -- COVID-19 patients with hypertension have increased mortality risk, with significantly higher risk among those without antihypertensive treatment, according to a study published online June 4 in the European Heart Journal.

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Editorial

Certain Tumor Markers Also Tied to Heart Failure Outcomes

FRIDAY, June 5, 2020 (HealthDay News) -- Tumor biomarkers are independently associated with measures of heart failure severity and outcomes, according to a study published online May 5 in the Journal of Internal Medicine.

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COVID-19 Studies Retracted

THURSDAY, June 4, 2020 (HealthDay News) -- The Lancet and the New England Journal of Medicine each issued a retraction today on studies that evaluated COVID-19 data provided from the same private company.

The Lancet Retraction
New England Journal of Medicine Retraction

Workplace Wellness Programs Do Not Impact Clinical Outcomes

WEDNESDAY, June 3, 2020 (HealthDay News) -- A comprehensive workplace wellness program may change employee health beliefs and increase self-reporting of having a primary care physician but does not significantly affect clinical outcomes, according to a study published online May 26 in JAMA Internal Medicine.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Delay in Treatment Seen for Acute Ischemic Stroke During COVID-19

WEDNESDAY, June 3, 2020 (HealthDay News) -- A significant delay in treatment has been observed for patients with acute ischemic stroke during the COVID-19 pandemic, according to a study published online May 28 in the Journal of NeuroInterventional Surgery.

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Doxycycline Does Not Cut Growth of Abdominal Aortic Aneurysms

WEDNESDAY, June 3, 2020 (HealthDay News) -- Doxycycline does not significantly reduce aneurysm growth compared with placebo among patients with small infrarenal abdominal aortic aneurysms, according to a study published in the May 26 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)

COVID-19 Drug Studies Questioned

WEDNESDAY, June 3, 2020 (HealthDay News) -- Two premiere medical journals are questioning the validity of the data in two studies: one that showed the use of blood pressure drugs was safe in COVID-19 patients and another that showed the antimalarial drug hydroxychloroquine was dangerous, the Associated Press reported Wednesday.

AP News Article
Expression of Concern: The Lancet
Expression of Concern: NEJM

Women's Acute Coronary Symptoms No Longer 'Atypical'

WEDNESDAY, June 3, 2020 (HealthDay News) -- Women with acute coronary syndromes (ACS) do have some different symptoms than men at presentation, but there is also considerable overlap, according to a review published online May 4 in the Journal of the American Heart Association.

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Reducing Number of BP Meds May Be Safe in Some Older Adults

WEDNESDAY, June 3, 2020 (HealthDay News) -- A medication reduction strategy is safe among some older adults treated with antihypertensives, according to a study published in the May 26 issue of the Journal of the American Medical Association.

Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Weight, Blood Pressure Higher in Younger Patients With T2DM

WEDNESDAY, June 3, 2020 (HealthDay News) -- Younger people who are diagnosed with type 2 diabetes have higher weight and blood pressure (BP) than similarly aged people without diabetes, according to a study published online May 21 in Diabetologia.

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Significant Drop Seen in Type A Aortic Dissection After COVID-19

MONDAY, June 1, 2020 (HealthDay News) -- A significant decline was seen in the monthly surgical case volume of acute type A aortic dissection in New York City after COVID-19, according to a research letter published online May 14 in the Journal of the American College of Cardiology.

Abstract/Full Text (subscription or payment may be required)

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