A new meta-analysis including some of the more contemporary statin trials has found that the agents significantly improve survival and reduce coronary and cardiovascular end points in primary-prevention populations, a benefit that extends to all subgroups. But the exact cost/benefit equation for each group remains to be determined.
Rotterdam, the Netherlands- Use of statins is associated with significantly improved survival and large reductions in the risk of major cardiovascular events in patients who have risk factors but who do not have established cardiovascular disease, according to a new meta-analysis of major statin trials published online June 30 in BMJ [1].
It shows that the relative risk reduction from long-term statin use in a primary-care setting is comparable to that observed in secondary prevention and confirms the results of the JUPITER study regarding the beneficial effects of statins across a range of patient groups, say the researchers.Read full article »
Inside: Prevention
Accredited educational programs, supported by industry, developed by theheart.org
Variations on chromosome 4q25 are associated with atrial fibrillation (AF). If you had a family history of AF, would you be tested? Dr. Christopher Granger who has such a personal history underwent testing. He discusses the role of genetics in the management of patients with or at risk for AF.
The 2008 AHA meeting included a special session on "Personalized Genomics: Ready for Prime Time?" Read Dr Wang's article on recent genetic findings in CAD, AF and HF while Drs Ballantyne, Granger, Herrington, Mega and Topol address related AHA presentations and the clinical utility of genetic data in CVD management.
Join Drs Topol, Califf, Hollenberg and Levy has they list the latest cardiovascular clinical trials demonstrating a genetically targeted response to treatment.
Antiplatelet therapy plays an important role in the management of patients undergoing coronary interventions. Join Drs Huckell, Tanguay, and Bhatt as they discuss the new data on optimal timing, initiation of therapy, as well as duration of treatment following PCI.
Underdiagnosed and undertreated, PAD is a growing health and economic burden in an increasingly aging population. Routine screening and effective management strategies can reduce long-term adverse outcomes. Join Drs Bhatt, Steg, Hirsch, and Hiatt as they discuss treatment guidelines for prevention and treatment of PAD.
Can we prevent the microvascular complications from developing and worsening in people with type 1 and type 2 diabetes? Join Drs Sheldon Tobe, David Lau, and Bernard Zinman as they discuss new data from EASD 2008.
Smoking-cessation drugs varenicline and bupropion must carry a boxed warning in their labeling stating that use of the drugs has been associated with serious mental-health events, the US FDA has announced.
New research shows that ischemic heart disease patients who suffer significant anxiety have close to a fivefold increased risk of experiencing frequent angina and those with depression have more than a threefold increased risk for these episodes.
Study participants will be randomized to one of four groups: daily vitamin D (2000 IU) and fish oil (1 g); daily vitamin D and fish-oil placebo; daily vitamin-D placebo and fish oil; or daily vitamin-D placebo and fish-oil placebo and followed for five years.
White-coat hypertension and masked hypertension should not be regarded as benign, say the authors of a new 10-year study. The risk of developing sustained hypertension is higher in people with the above two conditions than in those who have normal blood pressure, they found.
A population-based cohort study of individuals in Greece has teased out items in the Mediterranean diet that appear to contribute to the increased longevity associated with this diet.
UPDATED // After a rocky ride in and out of the Texas legislature (twice) and most recently a perplexing pairing with bariatric surgery, the bill is now poised to become law September 1.
People taking the nonprescription dietary supplement marketed under the name Stamina-Rx "should stop using it immediately," the FDA is warning consumers.
As well as being an independent risk factor for cardiovascular disease, psoriasis is also associated with an increased risk of cerebrovascular disease and peripheral arterial disease, a new case-control study has shown.
It remains unknown whether genetic testing for two prothrombotic mutations improves outcomes for patients with venous thromboembolism or for family members of those with mutations, a new review concludes.
In our first program Drs Gibbons, Holmes, and Simari discuss cell therapy and the latest trials in intervention. Our second program features Drs Gibbons, Ackerman, and Redfield discuss personalized genomics and heart failure.
ABC, it's as simple as 123. Join Drs Blumenthal and Blaha as they provide their feedback from a preventive cardiology point of view as to what happened at the AHA Annual Meeting 2008.
The role of lipids in women for primary prevention of cardiovascular disease is a challenging issue for all providers. Join Drs. Foody, Mora, and Welty as they discuss limitations to current risk stratification models, recent clinical trial data, and the changing paradigm in the management of lipids in women.
We know there are sex and biological differences in the manifestation of CVD. How do these pathophysiological differences affect the diagnosis and treatment of our female patients? Drs. Hayes, Johnson, Manson, and Piña provide their insight.
Despite increased awareness of CVD in women, contemporary studies demonstrate gender differences in outcomes. Differences in age and comorbidities account for some, but not all of these disparities. Join Dr. Foody as she discusses these issues with Drs. Mieres and Redberg.
Is it possible and desirable to envisage a nationwide system to screen athletes for hypertrophic cardiomyopathy? Drs Ommen, Maron, and Thompson examine the Italian screening data and review the implications of this model for the US.
Join Dr Robert Califf for a probing and personal interview with Dr Steven Nissen, about his activist days at the University of Michigan and the development of IVUS, to how he ended up at the Cleveland Clinic and what he thinks about the future of medicine in America.