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News, opinions and meeting coverage in cardiology.

ACC: After a Decade, CABG Pulls Ahead of Meds for HF

Life-saving benefit of CABG now clear in long-term trial follow-up

ACC: Evolocumab May Be Best Option for Statin Intolerance

Far greater LDL reduction but still some muscle complaints in GAUSS-3 trial

ACC: HOPE Results Boost Statin Prevention Role

Mortality and nonfatal events reduced

CardioBrief: New Thinking on Primary Prevention, Death, and Statins

Could lifetime benefit replace 10-year cardiovascular risk in shared decision-making?

When "Unremarkable" Is Not Clear Enough

Radiology reports need to be held to higher standards, argues Saurabh Jha, MD

Stroke Rounds: Nonstenosing Carotid Plaque Linked to Stroke

Implications for secondary prevention, study authors say

Thrombectomy Can Be Safe in Kids

But catheter size and smaller burst time are important, case-series suggests

Immune Globulin: First for Severe Statin Reaction?

Small case study supports not waiting in statin-triggered autoimmune myopathy

Guidelines Issued for Managing Temperature During CBP

Clinicians now have officially sanctioned procedures to follow

FDA Approves First PCSK9 Inhibitor

Indication given for heterozygous HF and secondary prevention

Statins Before 40 in Type 1 Diabetes?

Observational study says heart risk might be high enough in 30s.

Smoking After Stenting Ups Chest Pain

Post-PCI angina more common among smokers.

CardioBreak: Modern Bloodletting, a New Statin Strategy

Recent developments of interest in cardiovascular medicine.

Mild Stenosis Linked to Death in Diabetes

Long-term registry shows impact similar to single-vessel obstruction.

Atherosclerosis a Signal for Brain Drain?

Plaque burden was linked to cognitive impairment in a population-based study.

Patients Should Share Accountability for Own Health

A new report recommends doctors not be penalized for poor outcomes if patients fail to follow recommended protocols

How To Get Medicare To Cover A Spa Trip

Good news for doctors who think their patients need a trip to the spa: Medicare will reimburse, with only two catches.

Fatty Liver Tied to Diabetes, Atherosclerosis

LONDON -- Non-alcoholic fatty liver disease (NAFLD) is an independent predictor of both type 2 diabetes and carotid atherosclerosis, according to two studies presented here at the annual meeting of the European Association for the Study of the Liver.

ACC: Statins Tied to Boost in Men's Sexual Function

WASHINGTON -- Statins appeared to improve erectile function to a clinically meaningful degree, according to a meta-analysis.

Is There a Flaw in This Large Vitamin D Trial?

A co-principal investigator of the VITAL trial addresses the possibility that out-of-study testing of vitamin D levels and initiation of high-dose supplementation could be a limitation, but not a serious one.

CardioBuzz: More Money Needed for Heart Research?

The NIH dedicates a lot of money for research into heart disease and stroke, but it still might not be enough, a new study suggested.

Diabetes: TAVI Trumps Heart Surgery

Patients with diabetes who had aortic stenosis fared better in terms of mortality and kidney function during the first year if they underwent transcatheter aortic valve implantation (TAVI) rather than surgery, a post-hoc analysis found.

FDA Flags Risk of Nuclear Stress Test Drugs

SILVER SPRING, Md. -- Two agents used in cardiac nuclear stress tests may carry a greater risk of heart attack and death than previously believed, the FDA said Wednesday.

New Nerve Tracer Not Ready for Routine Use?

CHICAGO -- The radiotracer iodine-123-metaiodobenzylguanidine may be a new tool for cardiac imaging, but whether it's ready for routine use in most practices was debated by nuclear cardiologists here.

Lab Notes: Meth May Worsen Fungal Infection

Mice injected with methamphetamine and exposed to Cryptococcus fungi showed more extensive and hard-to-eradicate infections. Also this week: an organic pesticide fights parasitic worms.

Zilver Stent Recalled, System May Break

Cook Medical's Zilver PTX drug-eluting stent for peripheral artery disease has been recalled because of a defect in its associated delivery system, the company and the FDA said.

Anatomy of an Epidemic: The Opioid Movie

The national clamor over abuse of prescription opioids is now at a fever pitch, but little has been said about what drove the boon in opioid prescriptions. This latest report from 麻豆传媒/ Milwaukee Journal Sentinel analyzes a pivotal Oxycontin marketing video, it's impact and its aftermath.

Engineers Turn Fat into Blood Vessels

Liposuction can provide the raw materials for growing new small-diameter blood vessels in the lab, researchers found.

Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

Whitney Houston Autopsy Reveals Heart Disease

The death of Whitney Houston in some ways represents a medical "perfect storm" -- heart disease and a plethora of drugs that can accelerate or aggravate that condition, cardiovascular specialists told 麻豆传媒.

FDA Adds More Warnings for Lipitor, Crestor, and Zocor

WASHINGTON -- Statins may cause drug-drug interactions for patients taking drugs to treat HIV/AIDS or hepatitis C, according to a new statin warning from the FDA.

FDA Adds Diabetes Warning to Statin Label

WASHINGTON -- The FDA is changing the labeling on statins to include a warning about increased risks of hyperglycemia and transient memory problems, but the agency is no longer recommending routine liver function testing.

Big BP Variation Between Arms Raises Red Flag

A substantial difference in blood pressure from one arm to the other could be a warning sign for overall cardiovascular and mortality risk, a meta-analysis determined.

Higher LDL Level Linked to Lower Incidence of Afib

Although physicians usually aim to lower patients' total and, in particular, LDL cholesterol, lower LDL levels are associated with developing atrial fibrillation, a study has found.

Researcher Charged With Fabricating Red-Wine Data

A veteran researcher, known for his work on the heart benefits of the red-grape component resveratrol, allegedly fabricated data in 23 papers published over five years, an investigation showed.

Diet, Exercise Sufficient to Reduce Triglycerides

While cholesterol control is often balanced between statins and lifestyle changes, reducing triglycerides can usually be accomplished with diet and lifestyle changes alone, according to a new scientific statement from the American Heart Association.

Cardiologist Who Revealed Echo Errors Out of a Job

MILWAUKEE -- A cardiologist whose research at a national medical meeting revealed that other doctors at her hospital were misreading a substantial number of diagnostic echocardiograms has been fired by that hospital, the Journal Sentinel and 麻豆传媒 have learned.

AHA: One or Two Drinks May Not Hurt Bypass Patients

CHICAGO -- Having an alcoholic drink does not appear to cause problems for patients following coronary artery bypass graft surgery -- but doctors warn that these patients cannot have more than one or two drinks a day.

ASE: Routine 3D Echo Use Debated

SAN DIEGO -- Three-dimensional echocardiography has won many supporters but not everyone is convinced that it's ready for widespread clinical use.

Heart, Not Ear, Main Source of Dizziness in Elderly

Heart disease, not inner ear problems, appears to be the most common cause of dizziness in elderly patients seen in primary care offices, researchers say.

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