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Science

Focus on Heart Health

Updated 1 day ago

Health & Fitness
Medicine
Science
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In this special series, ReachMD examines the reasons behind the dropping rates of death from heart disease: more effective medications, smarter technologies, more efficient treatment guidelines and much more.

Read more

In this special series, ReachMD examines the reasons behind the dropping rates of death from heart disease: more effective medications, smarter technologies, more efficient treatment guidelines and much more.

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Cover image of Focus on Heart Health

Focus on Heart Health

Updated 1 day ago

Read more

In this special series, ReachMD examines the reasons behind the dropping rates of death from heart disease: more effective medications, smarter technologies, more efficient treatment guidelines and much more.

Rank #1: Caring for the Heart: Mayo Clinic and the Rise of Specialization

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Host: John J. Russell, MD

Dr. Bruce Fye's unique book, Caring for the Heart: Mayo Clinic and the Rise of Specialization, weaves together three important themes. It describes major developments in the diagnosis and treatment of heart disease in the twentieth century, explains how the Mayo Clinic evolved from a family practice in Minnesota into one of the world's leading medical centers, and reveals how the invention of new technologies and procedures promoted specialization among physicians and surgeons. Join Dr. John Russell in overviewing with Dr. Fye this pivotal epoch in American medical history.

Jun 22 2015

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Rank #2: Unclog the Arteries: Treatment Options for Arterial Disease

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Host: Barnett Mennen, MD
Guest: Grace Wang, MD, FACS

Unclogging patient arteries is a key step to preventing stroke in patients with arterial disease. Whether it be preventing the operative stage, or surgery itself, advances in treatment at Penn Medicine are seeking to lessen the effects of arterial disease.

Host Dr. Barry Mennen welcomes Dr. Grace Wang, vascular surgeon and Director of the Vascular Laboratory at the Hospital of the University of Pennsylvania. Dr. Wang highlights the importance of early detection in arterial disease, as well as the symptoms and risk factors of the disease. She will also discuss the current and upcoming surgical intervention options at Penn Medicine.

Jun 07 2017

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Rank #3: What to Know About the Latest Recommended Guidelines for High Blood Pressure in Adults

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Host: Jennifer Caudle, DO
Guest: Robert Carey, MD, FAHA

Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates.

Host Dr. Jennifer Caudle talks with Dr. Robert Carey, vice chair of the 2017 hypertension guidelines about the new recommendations and their impact on clinical practice.

The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS

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Jan 29 2018

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Rank #4: Triglyceride-Lowering Therapies: Addressing Gaps in the Guidelines

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Host: Alan S. Brown, MD, FNLA

Live from the Clinical Lipid Update of the National Lipid Association in Amelia Island, FL, host Dr. Alan Brown welcomes Dave Dixon, PharmD, Clinical Pharmacist and Associate Professor of Pharmacology at Virginia Commonwealth University School of Pharmacy. Dr. Dixon is also a Board Certified Pharmacotherapy Specialist, Clinical Lipid Specialist, and Fellow of the National Lipid Association. He serves as a Regional Representative for the Southeast Chapter of NLA and on the Journal of Clinical Lipidology Editorial Board.

Dr. Dixon discusses guidelines for treating hypertriglyceridemia, effective therapies for reducing triglyceride levels, and emerging lipid-lowering therapies in development.

Sep 26 2016

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Rank #5: How Statins May Protect Men's Urologic Health

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Guest: R. Jeffrey Karnes, MD
Host: Lee Freedman, MD
Guest: Jennifer St. Sauver, PhD

Three recent observational studies from the Olmsted County Study of Urinary Health Status among Men, which is a cohort study of male residents of Olmsted County, Minnesota, have shown that statins may have a protective effect on prostate health. How might statins reduce the risk of prostate cancer, prostate enlargement and erectile dysfunction? Tune in to hear two of the study authors discuss this exciting new research: Dr. Jeffrey Karnes, assistant professor in urologic oncology, and Dr. Jennifer St. Sauver, assistant professor of epidemiology, both from the Mayo Clinic in Rochester, Minnesota. Dr. Lee Freedman hosts.

May 26 2009

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Rank #6: PVC Ablation Procedures for Ventricular Tachycardia

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Host: Jennifer Caudle, DO
Guest: Francis Marchlinski, MD

Host Dr. Jennifer Caudle welcomes Dr. Francis E. Marchlinski, Richard T. and Angela Clark President's Distinguished Professor and Director of the Electrophysiology Laboratory at the University of Pennsylvania. Dr. Marchlinski will review the epidemiology of PVCs, the kinds of problems that PVCs can cause, and how these problems manifest as symptoms in patients. He will also review the effectiveness of catheter ablation as a current treatment option for ventricular tachycardia (VT), a potenially serious complication of PVC's.

Jun 13 2016

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Rank #7: Erectile Dysfunction: A Window Into Cardiovascular Health

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Guest: Martin Miner, MD
Host: Larry Kaskel, MD

Are younger men with erectile dysfunction (ED) at considerably higher risk of heart disease, and if so, why? It is known that the condition can be an important predictor of coronary events, but with men under age fifty, it appears there is an interval between the onset of ED and the onset of heart trouble. Could this change our approach to treating younger men with ED, and perhaps delaying or preventing cardiovascular disease? Dr. Martin Miner, co-director of the Men's Health Center at Miriam Hospital in Providence, Rhode Island, explains how he would evaluate the younger patient who presents with erectile dysfunction in this conversation with host Dr. Larry Kaskel.

May 07 2009

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Rank #8: Treating Erectile Dysfunction: Key Cardiovascular Considerations

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Host: Alan S. Brown, MD, FNLA

Live from the Clinical Lipid Update of the National Lipid Association in Amelia Island, FL, host Dr. Alan Brown welcomes Dr. Robert Kloner, Vice President of Translation at Huntington Medical Research Institutes and Professor of Medicine in the Cardiovascular Division of Keck School of Medicine at the University of Southern California.

Dr. Kloner discusses the cardiovascular risk factors associated with erectile dysfunction, safety and efficacy of erectile disfunction drugs, and benefits vs risks of supplementing with testosterone.

Oct 10 2016

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Rank #9: Cardiac Screening for Children Prescribed ADHD Meds?

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Guest: Patrick Frias, MD
Host: Jennifer Shu, MD

Although sudden death in the pediatric population is rare, there has been a great deal of discussion recently over the possibility of an increase in risk of sudden cardiac death among individuals taking stimulant medication for attention-deficit hyperactivity disorder (ADHD). Dr. Patrick Frias, a pediatric cardiologist and electrophysiologist at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics at Emory University School of Medicine, explores this discussion with host Dr. Jennifer Shu. How can we best evaluate our patients' risk for sudden death before initiating medical treatment for ADHD, and how often should we monitor their cardiovascular status?

Feb 09 2009

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Rank #10: Mortality After Myocardial Infarction in Men vs Women

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Guest: Laura Wexler, MD
Host: Lauren Streicher, MD

A recent study looks at mortality after myocardial infarction across gender lines. The results showed that women have a higher rate of dying than men. Dr. Laura Wexler, co-author of the study and professor of medicine and cardiology at the University of Cincinnati, talks with host Dr. Lauren Streicher about differences in biology and approaches to treatment. The two also review the atypical symptoms of a heart attack in women compared to men's symptoms.

Feb 06 2009

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Rank #11: The Clinically Broken Heart: Stress-Induced Cardiomyopathy

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Host: Janet Wright, MD
Guest: Scott Sharkey, MD

Takotsubo, or stress-induced cardiomyopathy (also known as 'broken heart syndrome'), was first recognized in Japan in the 1990s. Acute emotional or physical stress trigger the condition, which mimics the symptoms of a myocardial infarction (or MI). How can physicians differentiate between stress-induced cardiomyopathy and a more conventional MI, and how is stress-induced cardiomyopathy treated? What characteristics might make a patient more susceptible to developing this condition? Our guest is Dr. Scott Sharkey, senior consulting cardiologist at Minneapolis Heart Institute and director of the Takotsubo cardiomyopathy research program at the Minneapolis Heart Institute Foundation in Minnesota, shares some of the key diagnostic tests for differentiating between stress-induced cardiomyopathy and conventional MI. How common is this condition, and how can we limit the effects of stress-induced cardiomyopathy? Dr. Janet Wright hosts.

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Jul 15 2010

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Rank #12: PCSK9 Antibodies for Dyslipidemia: Efficacy, Safety, and Non-Lipid Effects

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Host: Alan S. Brown, MD, FNLA

Live from the Clinical Lipid Update of the National Lipid Association in Amelia Island, FL, host Dr. Alan Brown welcomes Dr. Eugenia Gianos. Dr. Gianos is an assistant professor in the Department of Medicine and co-clinical director of the Center for the Prevention of Cardiovascular Disease at the NYU School of Medicine.

Dr. Gianos discusses the effectiveness, potential side effects, and patient outcomes with PCSK9 antibodies for management of dyslipidemia.

Sep 19 2016

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Rank #13: New Medication for High Cholesterol Not Cost-Effective

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[Read the Article]

The FDA recently approved a new class of cholesterol-lowering drugs called PCSK9 inhibitors. These new medications could substantially reduce heart attacks, strokes and cardiovascular deaths, however they are very expensive. A new study evaluated the cost-effectiveness of this therapy and how increased use might affect the U.S. healthcare system.

Researchers from the University of California San Francisco used a simulation model that included all U.S. adults 35 and older and evaluated outcomes such as expected numbers of deaths due to cardiovascular disease, heart attacks and strokes, and balanced this with the cost and potential benefits of these drugs.

With an estimated 9 million people eligible for this therapy and a price of $14,000 per patient per year, researchers estimated that total prescription drugs expenditures could increase by 40 percent. In order to be cost-effective, the PCSK9 inhibitor costs would have to come down to about $4,000 a year.

[Watch more videos of The JAMA Report]

Aug 16 2016

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Rank #14: Toward Instantaneous Care: Real-Time Monitoring of Vital Signs

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Host: Matt Birnholz, MD
Guest: Denise Devine

What if there was a way to monitor vital signs in real time? Denise Devine, Co-Founder of RTM Vital Signs, LLC, is working on just that. She is joined by Dr. Matt Birnholz at the Villanova Health Summit to discuss this innovative technology in development, which opens up the possibility of collecting continuous health data from patients to enhance point-of-care treatments.

Jul 07 2017

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Rank #15: 3D Imaging for Stroke-Inducing Carotid Artery Disease

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Guest: Alan Moody, MBBS
Host: Larry Kaskel, MD

Can three-dimensional MRI help us measure potential risks for stroke associated with an intraplaque hemorrhage? We are rapidly learning more about the significance of intraplaque hemorrhage, and its role in cardiac and cerebrovascular disease. A better look at potential trouble spots could allow for earlier detection of an impending event, even in relatively asymptomatic individuals. Dr. Alan Moody, professor in the department of medical imaging at the University of Toronto Faculty of Medicine, shares his perspective on 3D MRI as an important tool to lead us in this direction. On a related note, Dr. Moody also provides some insight on what we can do patients with an intraplaque hemorrhage who is already on a statin, aspirin or another therapy to reduce their risk of having this happen again. Dr. Larry Kaskel hosts.

Mar 25 2009

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Rank #16: Device Reduces Risk of Brain Injury After Heart Valve Replacement

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[Read the Article]

Patients who might benefit from a heart valve replacement but are too ill for open heart surgery can sometimes undergo a less invasive procedure known as transcatheter aortic valve implantation or "TAVI". About 10% of patients undergoing TAVI can experience small strokes and related brain injury as a complication. A new study found that the use of a cerebral protection device, which captures debris dislodged from blood vessels during the TAVI procedure, reduced the number and volume of brain lesions seen on MRI.

Researchers from the University of Leipzig Heart Center, Germany studied 100 patients with an average age of 80 who underwent TAVI. Half of the patients received the cerebral protection device and the other half did not. Patients underwent brain MRIs before the implantation and again at 2 and at 7 days after the procedure. The results found that using the filter device helped to decrease the number of brain lesions seen in the brain by about half.

[Watch more videos of The JAMA Report]

Aug 09 2016

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Rank #17: Bridging The Cardiology Gap: Care Priorities for Adults With Congenital Heart Disease

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Host: Jennifer Caudle, DO
Guest: Yuli Kim, MD

Advancements in cardiac surgery and medical care for pediatric patients over the past decades have produced a sizeable population of adults living with congenital heart disease. These adults and their unique health care needs expose an emerging gap in expertise for the cardiology community, where training in congenital heart disease management has traditionally been the provence of pediatric subspecialists. How can these adult patients find cardiologists familiar with their particular anatomy and problems, and what special care strategies must cardiologists be familiar with to provide optimal care?

Dr. Jennifer Caudle will discuss the selective health care needs and personalized management strategies for adults with congenital heart disease with Dr. Yuli Kim, Medical Director of the Philadelphia Adult Congenital Heart Disease Center and Assistant Professor of Medicine & Pediatrics at the University of Pennsylvania and the Children's Hospital of Philadelphia.

Apr 25 2016

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Rank #18: How Hypertension Guidelines Changes Are Impacting Our Patients

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Host: Jennifer Caudle, DO
Guest: Karol Watson, MD, PhD

Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates.

Host Dr. Jennifer Caudle is joined by Dr. Karol Watson, an attending cardiologist and a Professor of Medicine/Cardiology at the David Geffen School of Medicine at UCLA. Dr. Watson is a principal investigator for several large National Institutes of Health research studies, including the Diabetes Prevention Program Outcomes Study and the Multi-Ethnic Study of Atherosclerosis. She reacts to the new guidelines and reflects on what these changes could mean to patients.

The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of ...

Jan 29 2018

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Rank #19: Combination of Diet and Exercise Offers Benefits in Patients with a Common Type of Heart Failure

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[Read the Article]

Among obese older patients with an increasingly common type of heart failure, calorie restriction and/or exercise training improved their ability to participate in physical activity without experiencing shortness of breath, according to a new study.

Heart failure with preserved ejection fraction (HFPEF) is the most rapidly increasing form of heart failure in the United States. Although the heart pumps normally, it does not fill with enough blood because the lower chamber of the heart is too stiff. More than eighty percent of patients with HFPEF are overweight or obese. Despite multiple studies, so far, no currently available medications have improved symptoms in patients with HFPEF.

Researchers from the Wake Forest School of Medicine randomly assigned 100 older obese participants with HFPEF to 20 weeks of diet, exercise, or both. They found that the exercise participants lost three percent of body weight, the diet group lost seven percent and the combined group lost ten percent of body weight. Patients in both the diet and exercise groups showed improvement in their ability to participate in exercise without significant symptoms.

[Watch more videos of The JAMA Report]

Jan 26 2016

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Rank #20: How the Latest Hypertension Guidelines Will Change Your Practice

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Host: Jennifer Caudle, DO
Guest: Paul Whelton, MB, MD, MSc, FAHA

Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure, which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates.

Host Dr. Jennifer Caudle chats with Dr. Paul Whelton, chair of the 2017 blood pressure guidelines writing committee, about how the new guidelines will affect patients.

The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS

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Jan 29 2018

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