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More than 15 million people in the US alone take herbal remedies and/or vitamins at doses that may be interacting with their cardiovascular medications, potentially putting them at risk.
Washington,DC - The rising popularity of herbals and supplements in Western countries has become increasingly worrisome for physicians who have not traditionally thought to ask their patients whether they are taking any nonpharmaceutical products, despite the often potent effects of certain supplements and vitamins, a new review concludes [1].
Writing in a "state-of-the-art" paper published online February 1, 2010 in the Journal of the American College of Cardiology, DrAraTachjian (Mayo Clinic, Rochester, MN) and colleagues note that more than 15 million people in the US alone take herbal remedies and/or vitamins at doses that might be interacting with their cardiovascular medications, potentially putting them at risk. Read full article »
Inside: Thrombosis
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The treatment options for oral anticoagulation therapy are constantly evolving. Join our expert panel, Drs. Graham Turpie, Jessica L. Mega, Jeffrey Weitz, as they discuss the new data and clinical implications of new anticoagulant medications for patients with ACS
Management of long-term anticoagulation therapy in STEMI patients is challenging. Please join our expert panel, Drs. Elaine Hylek, Ander Cohen, Greg Lip, and Jack Ansell, as they discuss current challenges and strategies to optimize the benefit of and provide insights to the future of anticoagulation therapy.
The overall rate of target lesion revascularization after sirolimus-eluting-stent implantation was 11% at four years, with an overall incidence of stent thrombosis of less than 1% annually, report investigators.
African American women have much higher odds of developing peripartum cardiomyopathy than non-African Americans, a new US study shows; the findings illustrate that race is by far the largest risk factor for this disease, say the researchers.
Two doctors from Mozambique are calling for concerted efforts to foster multidisciplinary research into neglected cardiovascular diseases that predominantly occur in Africa. These include newly emerging cardiac manifestations of infectious diseases, say the authors.
Results of a large international study confirm that adherence to doctor's advice on diet, exercise, and smoking after an acute coronary syndrome can substantially lower the risk of recurrent cardiovascular adverse events within six months.
A study comparing cardiovascular outcomes at the "best hospitals," according to two popular hospital ranking systems, shows that the systems do identify high-quality hospitals, but not all of them.
In the largest series of Brugada-syndrome patients studied to date, researchers have discovered that arrhythmic event rates appear to be low for asymptomatic patients. The decision as to whether or not to implant an ICD in such patients therefore requires some consideration, say the authors.
The number of deaths predicted would be half as high, if the US population met goals set out 10 years ago in the Healthy People 2010 report, researchers say. Obesity and diabetes have proved to be the major obstacles.
Low-risk hypertensive patients taking a combination of diuretics and calcium-channel blockers had a higher risk of MI than users of other common two-drug BP-lowering regimens in a new case-control study. The authors say a large clinical trial is needed to examine the best options for second-line therapy; others disagree.
Tapering off clopidogrel treatment after the implantation of a drug-eluting stent does not result in lower platelet-aggregation values than those seen after the antiplatelet medication is abruptly stopped.
Most experts agree that reducing salt intake will cut blood pressure and in turn reduce the number of heart attacks and strokes. But messages to limit the amount of salt added to food have had little impact on sodium intake in the West, as more than 75% of salt in the diet there is contained in readily prepared foods. The UK has recently gotten tough with the food industry and cut salt intake by 10%; is it time the US and others took a similar stance? heartwire examines the issues.
This structure could be a source of thrombi and could explain the occurrence of many ischemic strokes, particularly in younger patients, researchers believe.
Watch Drs Bob Harrington, Sanjay Kaul, and Gregg Stone as they debate the future of ticagrelor in a discussion moderated by heartwire's Lisa Nainggolan.
Join Dr Robert Califf for a thoughtful and timely interview with Dr Ray Gibbons on the core values he learned in his career in science and medicine and why they are imperative for physicians to keep in mind when contemplating the future of healthcare reform.