Cardiovascular System

Mediterranean and Low-Fat Diet for Long-Term Secondary Prevention of Cardiovascular Disease

May 23, 2022 The Lancet TAKE-HOME MESSAGE The authors of this study conducted a single-center, randomised clinical trial to compare the effect of a Mediterranean versus low-fat diet for secondary prevention in 1002 patients with established coronary heart disease. Multivariable hazard ratios for a composite of major cardiovascular events (myocardial infarction, revascularisation, ischaemic stroke, peripheral […]

Non-Validated BP Monitors Are a Global Problem

— Thousands of device models don’t meet international standards by Nicole Lou, Staff Writer, MedPage Today February 15, 2022 Automatic blood pressure (BP) monitors that are clinically validated for accuracy turned out to be few and far between in terms of worldwide distribution, despite guideline recommendations that patients use validated models, researchers found. Devices lacking […]

Regular Acetaminophen Use and Blood Pressure in People With Hypertension

Regular Acetaminophen Use and Blood Pressure in People With Hypertension: The PATH-BP Trial Iain M. MacIntyre, Emma J. Turtle, Tariq E. Farrah, Catriona Graham, James W. Dear and David J. Webb and for the PATH-BP (Paracetamol in Hypertension–Blood Pressure) Investigators* Originally published 7 Feb 2022https://doi.org/10.1161/CIRCULATIONAHA.121.056015Circulation. 2022;145:416–423 Abstract Background: Acetaminophen is widely used as first-line therapy […]

Pecans Appeared to Help Control Lipids in At-Risk Patients

— Fasting and post-meal cholesterol showed improvement, study found by Ed Susman, Contributing Writer, MedPage Today November 10, 2021 Sedentary individuals at risk for cardiovascular disease appeared to benefit from adding pecans to their regular diet, reducing bad cholesterol and triglycerides when compared with study participants who did not have pecans during an 8-week period, […]

Obesity Is a Disease, Recognize It as Such

Failure to recognize this has led to delays in prevention, treatment, and policy change by Michael Rosenbaum, MD and George Bray, MD July 18, 2021 In 1962, the noted physiologist Edwin Astwood, MD, PhD, wrote “Obesity is a disorder which, like venereal disease, is blamed upon the patient. The finding that treatment doesn’t work is ascribed to […]

Association Between Egg Consumption and Risk of CV Outcomes

June 16, 2021 The American Journal of Medicine TAKE-HOME MESSAGE While eggs provide a rich source of nutrients, their considerable cholesterol content has lead to the hypothesis that increased egg consumption could put individuals at risk for poor cardiovascular outcomes. This hypothesis has been controversial, with different guidelines taking diverging approaches to egg intake, and […]

When is exercise bad for your health?

Linda Richmond | June 15, 2021 Physical activity is an essential component to good health. Indeed, government guidelines state that to obtain the most health benefits, adults need at least 150 minutes of moderate-intensity aerobic movement, such as brisk walking, or at least 75 minutes of vigorous-intensity exercise, such as running, each week. Adults also […]

Exercise and Adipose Tissue Immunity: Outrunning Inflammation

Obesity-A Research Journal Nathan C. Winn Matthew A. Cottam David H. Wasserman Alyssa H. Hasty First published: 26 April 2021 https://doi.org/10.1002/oby.23147 Abstract Chronic inflammation is considered a precipitating factor and possibly an underlying cause of many noncommunicable diseases, including cardiovascular disease, metabolic diseases, and some cancers. Obesity, which manifests in more than 650 million people […]

Chiropractic associated vertebral artery dissection: An analysis of 34 patients amongst a cohort of 310

Clinical Neurology and Neurosurgery Available online 24 April 2021, 106665 Akash Mitra Highlights •  Chiropractic manipulations are a risk factor for vertebral artery dissections •  Patients with chiropractor-associated injuries were relatively young and healthy •  Chiropractic-associated injuries were milder compared to other causes of dissection •  Spinal fracture was the only predictor of worse outcome […]

A Novel Gut Bacteria Noted to Help Combat Obesity, Diabetes and Heart Disease

by Ronald Grisanti D.C., D.A.B.C.O., DACBN, MS, CFMP As science continues to emerge in gut research, novel gut bacteria are discovered. Akkermansia muciniphila has emerged as the “sentinel of the gut” and has been shown to promote gut barrier integrity, modulate immune response and inhibit inflammation. Adequate levels of Akkermansia muciniphila provides that extra mucus layer […]

Metabolic changes in fat tissue in obesity associated with adverse health effects

Date: April 9, 2021 Source: University of Helsinki Summary: A twin study indicates that the machinery responsible for energy handling in fat tissue is working poorly in obesity. In the study, a clear reduction was seen in the activity of mitochondrial genes in obesity in fat tissue, while similar genome-level change in muscle mitochondria was […]

Effect of Low-Intensity vs High-Intensity Home-Based Walking Exercise on Walk Distance in Patients With Peripheral Artery Disease

April 6, 2021 The LITE Randomized Clinical Trial Mary M. McDermott, MD JAMA. 2021;325(13):1266-1276. doi:10.1001/jama.2021.2536 Key Points Question Does a low-intensity (does not induce ischemic leg symptoms) home-based walking exercise intervention improve 6-minute walk distance more than a high-intensity (induces ischemic leg symptoms) home-based walking exercise intervention and does the low-intensity intervention improve 6-minute walk […]

Cardiovascular and All-Cause Mortality Risk by Coronary Artery Calcium Scores and Percentiles Among Older Adults

March 28, 2021 The American Journal of Medicine TAKE-HOME MESSAGE Coronary calcium scores are an independent risk factor for cardiovascular and all-cause mortality, but prior studies have not adequately looked the prognostic value of the scores for older patients or whether the prognostic value differs by gender. Utilizing data from the multicenter Coronary Artery Calcium […]

Excess blood sugar promotes clogging of arteries: Study

Cornell University Health News | March 23, 2021 Excess sugar in the blood, the central feature of diabetes, can react with immune proteins to cause myriad changes in the immune system, including inflammatory changes that promote atherosclerosis, according to a new study from scientists at Weill Cornell Medicine and University of Massachusetts Medical School. The […]

What Sugar Does to the Brain

Alistair Gardiner | February 12, 2021 Sugar is a slippery slope. On the one hand, the brain and body need it for fuel; on the other, it can act like a drug—the more we eat, the more we seem to crave. Sugar has been considered a dietary enemy for a long time—and with good reason. […]

Cardiovascular Impact of Nutritional Supplementation With Omega-3 Fatty Acids

February 10, 2021 JACC: Journal of the American College of Cardiology TAKE-HOME MESSAGE This paper summarizes information regarding omega-3 polyunsaturated fatty acids (PUFAs). At least two servings of fatty fish per week are recommended for patients without clinical atherosclerotic disease. If this cannot be achieved, dietary supplementation with fish oil may be reasonable. PUFA capsules have […]

iPhone 12 and Implantable Cardiac Defibrillators (ICD)

2/7/2021 The Skeptical Cardiologist Beware The Magnets in Your Wearable Wristbands and in Apple iPhone 12: They Can Suspend Life-Saving Defibrillator (ICD) Therapy and Alter Pacemaker Function In October of 2020 Apple announced its iPhone 12, “the best iPhone ever” with “a powerful 5G experience and advanced technologies that push the boundaries of innovation for users who […]

High intake of refined grains linked to higher risk of heart disease and death

MedicalXpress Breaking News-and-Events | February 4, 2021 High intake of highly processed (refined) grains is associated with higher risk of heart disease and death than whole (unrefined) grains, finds a study published by The BMJ today. Cereal grains, such as oats, rice, barley and wheat make up around 50% of daily caloric intake across the world and […]

Aspirin use and misuse for the primary prevention of cardiovascular diseases

Luepker RV, Oldenburg NC, Misialek JR, et al American Journal of Preventive Medicine | February 4, 2021 This study was sought to present the prevalence of appropriate aspirin use and physician advice in a population sample using the Task Force recommendations. Between 2017 and 2018, a random sample of men and women (aged 50–69 years) […]

Vertebral Artery Variation in Patients With Congenital Cervical Scoliosis

An Anatomical Study Based on Radiological Findings Xia, Tian MD; Sun, Yu MD SPINE: February 15, 2021 – Volume 46 – Issue 4 – p E216-E221 doi: 10.1097/BRS.0000000000003834 Abstract Study Design. Observational, anatomical, radiological study. Objective. The aim of this study was to explore the incidence and type of vertebral artery (VA) variation in patients […]