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Tight Control of Hypertension During Pregnancy Tested (28 Jan 2015)

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High blood pressure during pregnancy is increasingly common, largely due to older age and obesity. Although there is widespread agreement that hypertension in these women should be treated when it is high enough to raise the risk of stroke, there is little agreement about whether or how to treat mild hypertension. In a study reported…

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New Device to Lower Resistant Hypertension Shows Early Promise (22 Jan 2015)

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A novel implantable device appears to show early promise in the treatment of resistant hypertension. The “Coupler” device from ROX Medical is about the size of a paper clip and is delivered via a catheter to the upper thigh, where it creates an anastomosis between the distal external iliac vein and artery, thereby mechanically lowering…

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Intense Exercise Doesn’t Eliminate the Hazard of Intense Sitting (19 Jan 2015)

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A large new analysis published in Annals of Internal Medicine supports earlier observations that the health hazards of sedentary behavior aren’t completely neutralized by exercise. Researchers in Toronto scoured the literature to find studies that assessed the health effects of sedentary behavior adjusted for physical activity. They found 47 studies, including 13 that assessed all-cause mortality, 14…

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Optimum Salt Intake in Elderly Remains Elusive (19 Jan 2015)

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A new study offers fresh evidence that current salt recommendations should be taken with, well, a grain of salt. Current guidelines now recommend that everyone should have sodium intake levels below 2300 mg per day. For many people at higher risk, including everyone over 50 years of age, sodium intake should be below 1500 mg/d….

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“I’m Just Not a Pill Person”: Emotional Underpinnings of Nonadherence (18 Jan 2015)

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Lisa Rosenbaum, MD

The CardioExchange Editors interview Lisa Rosenbaum about her recent commentary on patients’ emotional responses to taking medications as a factor in nonadherence to therapy for heart disease. The article is published in the New England Journal of Medicine. CardioExchange Editors: In the current model of healthcare delivery, care is fragmented into 15–20 minute clinic visits….

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40-Year Effort in One Rural County to Prevent Cardiovascular Disease Found Successful (13 Jan 2015)

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A 40-year program in one poor rural county to combat cardiovascular disease appears to have been successful, resulting in reduced rates of hospitalization and death compared with other counties in the same state over the same period. The new findings are described in a paper published in the Journal of the American Medical Association. Beginning in 1970, Franklin…

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High Rate of Inappropriate Use of Aspirin for Primary Prevention (12 Jan 2015)

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More than a third of U.S. adults — more than 50 million people — now take aspirin for the primary and secondary prevention of cardiovascular disease. Although it was once broadly recommended, aspirin for the primary prevention of cardiovascular disease is now only indicated in people who have a moderate-to-high 10-year risk. Now a new report published in…

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Healthy Habits of Young Women Lead to Long-Term Health Benefits (5 Jan 2015)

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It may seem obvious, but a new study shows that young women with healthy habits are less likely as they age to get coronary heart disease or go on to develop cardiovascular risk factors like high blood pressure, high cholesterol, or diabetes. Andrea Chomistek and colleagues analyzed data from more than 88,000 women participating in…

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No Advantage for Low-Glycemic-Index Diet (16 Dec 2014)

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In recent years the glycemic index (GI), a measure of a carbohydrate’s impact on blood sugar, has assumed a major role in discussions about diets and nutrition. Now a study suggests that by itself, within the context of an otherwise healthy diet, GI may not be an important factor in improving cardiovascular risk. In a…

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Focus on Getting Rid of Sugar, Not Salt, Say Authors (10 Dec 2014)

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Too much negative attention has been focused on salt and not enough on sugar, write two authors in Open Heart. Reviewing the extensive literature on salt and sugar, they write that the adverse effects of salt are less than the adverse effects of sugar. The evidence supporting efforts to reduce salt in the diet is…

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