Practice Management
Children with elevated blood pressure in childhood can experience a greater risk of early death from cardiovascular disease (CVD) in adulthood, a new long-term study in JAMA finds. At baseline, 21% of the 37,081 children studied were classified as having hypertension, while about 19% were classified as having elevated blood pressure. Participants (born from 1959 to 1966) were followed to a median age of 54 years. At follow-up, a 1-SD higher systolic blood pressure measure …
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Sophistication of ECG for Detection of Acute Coronary Syndromes Take Home Point: Cardiac electrical biomarker (CEB), a finding detectable on ECG, may hold potential for identifying patients with acute myocardial ischemia; this may have significant implications for urgent care (UC) based chest pain risk stratification. Citation: Chattopadhyay S, Adjei F, Kardos A. Changes in Cardiac Electrical Biomarker in Response to Coronary Arterial Occlusion: An Experimental Observation. J Cardiovasc Transl Res. 2024 Aug;17(4):870-878. doi: 10.1007/s12265-024-10487-w. Relevance: …
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Vaccination may protect people from serious cardiovascular disease associated with COVID-19. As published in the European Heart Journal, researchers in Sweden studied risk windows in the time immediately after each of 3 doses of the COVID vaccine and assessed several outcomes. The risk of cardiovascular events for patients vaccinated with 3 doses was generally 20–30% lower than for those with no vaccinations. Additionally, stroke risk was lower after vaccination than without, while the risk of …
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Urgent message: Evaluation of chest pain in the low-risk patient can be daunting. This case, in which the patient had no known history of cardiovascular disease, exemplifies the challenge. MARREN J. WEBER, DO The standard treadmill exercise tolerance test (ETT) and echocardiography are widely used as the initial tests of choice for prediction of cardiovascular disease. Historically stress echocardiography has been recognized to perform well in predicting mortality in conjunction with clinical data and other …
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