If you don't use it, you're going to lose it—the old chestnut is supported by a new VA Medical Center study showing that fit elderly patients with hypertension had a lower risk of death than those with low levels of cardiorespiratory fitness.
By plugging values for nine common variables into an online calculator, physicians can determine whether a patient with type 2 diabetes is at high risk of all-cause 2-year mortality, researchers report.
N-3 fatty-acid supplementation had no effect on the study's primary end point in this group of patients with multiple cardiovascular risk factors or atherosclerotic disease, but no previous MI. Researchers also saw no effects on the rate of death from coronary causes or sudden death from cardiac causes or major ventricular arrhythmias.
One of the Lancet papers reviews the successes, failures, and ongoing challenges in beating back the "global tobacco epidemic," including a report from FDA scientists touting the impact of the 2009 Tobacco Control Act in the US.
Current eligibility criteria for gastric bypass and other bariatric surgeries mean it isn't offered to many patients for whom it might provide remission from diabetes, say researchers presenting at the PDMS sessions.
Experts who commented on the study, conducted by Canadian naturopathic physicians, said cardiologists should keep their minds open to whatever strategies might help patients do better at reducing their risk of future events.
It's never been clear whether the telltale metabolic signs at hospitalization tell the same prognostic story as in the outpatient setting. Certainly it wasn't known whether they had their own story to tell.
Experience at a single busy center over a recent four-year period suggested one-fourth of patients are cured of diabetes. But there are limitations on the definition of "cure," and that's only one way diabetes-management-response terminology isn't straightforward.
More than half of patients reported not filling their statin prescriptions because of concerns about side effects, while two out of every three patients expressed general concerns about taking the lipid-lowering medication. A majority of patients also decided to try making changes to their lifestyle before filling the prescription at the pharmacy.
In an analysis that builds on a 2007 paper, investigators with the Heinz Nixdorf Recall study looked at thoracic aortic calcification in relation to traffic proximity, traffic noise, and particulate air pollution.
The randomized, partial-crossover study was quite small but provided echo evidence that a low-carbohydrate, high protein diet—but not a standard low-fat diet—can attenuate a common cardiac effect of insulin resistance.
Not lipids, not HbA1c, CRP, not even insulin levels: metabolic markers that had mostly normalized during the first year after weight-loss surgery didn't slip back among teens who regained pounds during year 2 in the small prospective AMOS study.
It's no small irony that the countries that gave the world the Mediterranean diet are, at least within Europe, those seeming least able to afford them. New PREDIMED data hint at what previous studies have warned about: a switch to a Mediterranean style diet may drive up food costs.
Overall ischemic stroke rates have declined sharply in Sweden over the past 25 years, as have overall mortality rates after a first stroke. But some troubling trends among young Swedes are cause for alarm.