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Progress in Cardiovascular Diseases

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https://www.readbyqxmd.com/read/28442330/symptomatic-carotid-artery-disease-revascularization
#1
REVIEW
Piero Montorsi, Stefano Galli, Paolo M Ravagnani, Marco Roffi
Patients with symptomatic carotid artery disease should be managed by a multidisciplinary team including neurologists, vascular surgeons and interventionalists. Duplex ultrasound is the most widely used diagnostic modality to assess carotid disease, followed by additional imaging tests (CT- or MR-angiography) to confirm the severity of the stenosis, detect brain lesions, and assess intracranial circulation as well as the supra-aortic anatomy. Although overall randomized trial results favored (CEA) over carotid artery stenting (CAS) in symptomatic patients, this was likely related to the insufficient expertise of the endovascular specialists in several of the trials...
April 22, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28442329/association-of-telomere-length-with-myocardial-infarction-a-prospective-cohort-from-the-population-based-hunt-2-study
#2
REVIEW
Ida Beate Øyen Østhus, Stian Lydersen, Håvard Dalen, Javaid Nauman, Ulrik Wisløff
As possible markers of biological age, telomere length (TL) has been associated with age-related diseases such as myocardial infarction (MI) with conflicting findings. We sought to assess the relationship between TL and risk of future MI in 915 healthy participants (51.7% women) 65 years or older from a population-based prospective cohort (the HUNT 2 study, Norway). Mean TL was measured by quantitative PCR expressed as relative T (telomere repeat copy number) to S (single copy gene number) ratio, and log-transformed...
April 22, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28385556/high-intensity-interval-training-for-maximizing-health-outcomes
#3
REVIEW
Trine Karlsen, Inger-Lise Aamot, Mark Haykowsky, Øivind Rognmo
Regular physical activity and exercise training are important actions to improve cardiorespiratory fitness and maintain health throughout life. There is solid evidence that exercise is an effective preventative strategy against at least 25 medical conditions, including cardiovascular disease, stroke, hypertension, colon and breast cancer, and type 2 diabetes. Traditionally, endurance exercise training (ET) to improve health related outcomes has consisted of low- to moderate ET intensity. However, a growing body of evidence suggests that higher exercise intensities may be superior to moderate intensity for maximizing health outcomes...
April 3, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28377168/a-reference-equation-for-normal-standards-for-vo2-max-analysis-from-the-fitness-registry-and-the-importance-of-exercise-national-database-friend-registry
#4
REVIEW
Jonathan Myers, Leonard A Kaminsky, Ricardo Lima, Jeffrey Chistle, Euan Ashley, Ross Arena
Existing normal standards for maximal oxygen uptake (VO2 max) are problematic because they tend to be population specific, lack normal distribution and portability, and are poorly represented by women. The objective of the current study was to apply the Fitness Registry and the Importance of Exercise: A National Data Base (FRIEND) Registry to improve upon previous regression formulas for normal standards for VO2 max using treadmill testing. Maximal treadmill tests were performed in 7783 healthy men and women (20-79years; maximal RER >1...
April 1, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28372946/the-role-of-embolic-protection-in-carotid-stenting-progress-in-cardiovascular-diseases-pcvd
#5
REVIEW
Taisei Kobayashi, Jay Giri
Embolic protection device (EPD) use has become ubiquitous and is currently mandated by the Centers for Medicare and Medicaid (CMS) for reimbursement in conjunction with carotid artery stenting (CAS). There are two classes of EPD devices: distal filter EPD (f-EPD) and proximal EPD (p-EPD). Measuring the incremental benefit of one strategy over the other remains problematic for several reasons. The first lies in the difficulty of defining an embolic event as transcranial Doppler and diffusion-weighted magnetic resonance imaging abnormalities may not correlate with clinical events...
March 31, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28365297/endovascular-therapy-for-acute-stroke
#6
REVIEW
Maria Politi, Andreas Kastrup, Konstantinos Marmagkiolis, Iris Q Grunwald, Panagiotis Papanagiotou
Stroke is the most common cause of permanent disability, the second most common cause of dementia, and the fourth most common cause of death in the Western world. Recently, based on positive multicenter randomized clinical trials, endovascular therapy for acute stroke has undergone a revolution. Routine mechanical thrombectomy in addition to intravenous thrombolysis has been shown to provide excellent outcomes for patients with proximal anterior circulation occlusions. This procedure reduces disability and benefits are seen across a wide range of age and initial stroke severity...
March 30, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28365296/running-as-a-key-lifestyle-medicine-for-longevity
#7
REVIEW
Duck-Chul Lee, Angelique G Brellenthin, Paul D Thompson, Xuemei Sui, I-Min Lee, Carl J Lavie
Running is a popular and convenient leisure-time physical activity (PA) with a significant impact on longevity. In general, runners have a 25%-40% reduced risk of premature mortality and live approximately 3 years longer than non-runners. Recently, specific questions have emerged regarding the extent of the health benefits of running versus other types of PA, and perhaps more critically, whether there are diminishing returns on health and mortality outcomes with higher amounts of running. This review details the findings surrounding the impact of running on various health outcomes and premature mortality, highlights plausible underlying mechanisms linking running with chronic disease prevention and longevity, identifies the estimated additional life expectancy among runners and other active individuals, and discusses whether there is adequate evidence to suggest that longevity benefits are attenuated with higher doses of running...
March 30, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28286137/impact-of-cardiorespiratory-fitness-on-all-cause-and-disease-specific-mortality-advances-since-2009
#8
REVIEW
Matthew P Harber, Leonard A Kaminsky, Ross Arena, Steven N Blair, Barry A Franklin, Jonathan Myers, Robert Ross
Cardiorespiratory fitness (CRF) has been one of the most widely examined physiological variables, particularly as it relates to functional capacity and human performance. Over the past three decades, CRF has emerged as a strong, independent predictor of all-cause and disease-specific mortality. The evidence supporting the prognostic use of CRF is so powerful that the American Heart Association recently advocated for the routine assessment of CRF as a clinical vital sign. Interestingly, the continuity of evidence of the inverse relationship between CRF and mortality over the past decade exists despite a wide variation of methods used to assess CRF in these studies, ranging from the gold-standard method of directly measured maximal oxygen uptake (VO2max) during cardiopulmonary exercise testing to estimation from exercise tests and non-exercise prediction equations...
March 9, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28284683/endovascular-treatment-of-vertebral-artery-stenosis
#9
REVIEW
J Stephen Jenkins, Merrill Stewart
Endovascular treatment of vertebral artery stenosis (VAS) is a safe and effective technique for treating symptoms caused by posterior circulation ischemia with high technical and clinical success rates, low complication rates and durable long-term results. Variable restenosis rates have been reported in the literature with small improvements demonstrated using drug eluting stents. Although there is insufficient evidence from randomized trials to demonstrate superiority of endovascular compared to optimal medical therapy for the treatment of this disease, patients who fail medical therapy should be considered for endovascular stenting for symptomatic VAS...
March 8, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28274819/impact-of-changes-in-cardiorespiratory-fitness-on-hypertension-dyslipidemia-and-survival-an-overview-of-the-epidemiological-evidence
#10
REVIEW
Xuemei Sui, Mark A Sarzynski, Duck-Chul Lee, Peter F Kokkinos
Over the last fifty years, cardiorespiratory fitness (CRF) has been firmly established as an important risk factor for cardiovascular disease (CVD) and all-cause mortality. Mounting evidence supports a strong and inverse association between baseline CRF and the risk of developing hypertension (HTN) and dyslipidemia. Accumulating evidence also suggests that improving or maintaining a certain level of CRF over time leads to lower incidence of HTN and dyslipidemia and improves survival. These findings are promising, with significant public health importance, and warrant further evaluation to elucidate the role of longitudinal changes in CRF during the lifespan on CVD morbidity and mortality, as well as all-cause survival...
March 6, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28274818/personal-activity-intelligence-pai-sedentary-behavior-and-cardiovascular-risk-factor-clustering-the-hunt-study
#11
REVIEW
Nina Zisko, Kjerstin Næss Skjerve, Atefe R Tari, Silvana Bucher Sandbakk, Ulrik Wisløff, Bjarne M Nes, Javaid Nauman
Prolonged sedentary behavior (SB) positively associates with clustering of risk factors for cardiovascular disease (CVD). The recently developed metric for physical activity (PA) tracking called Personal Activity Intelligence (PAI) takes into account age, sex, resting and maximum heart rate, and a score of ≥100 weekly PAI has been shown to reduce the risk of premature CVD death in healthy as well as individuals with known CVD risk factors, regardless of whether or not the current PA recommendations were met...
March 6, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28216110/the-current-global-state-of-key-lifestyle-characteristics-health-and-economic-implications
#12
REVIEW
Ross Arena, Amy McNeil, Michael Sagner, Andrew P Hills
The chronic disease crisis we currently face must be addressed in rapid fashion. Cardiovascular (CV) and pulmonary diseases, diabetes as well as several forms of cancer are leading causes of morbidity and mortality globally. Collectively, these conditions have a significant impact on the quality of life of individuals, families and communities, placing an unsustainable burden on health systems. There is hope for the chronic disease crisis in that these conditions are largely preventable or can be delayed to much later in life through a timeless medicine, healthy living...
February 16, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28216109/the-evolution-of-health-literacy-and-communication-introducing-health-harmonics
#13
REVIEW
Amy McNeil, Ross Arena
In the last fifteen years, research on the link between health literacy (HL) and poor health outcomes has resulted in mixed results. Since 2004, concerted effort has been made to improve not only practitioner training, but also the HL of the United States population. And yet, to this day, only 12% of adults are considered health literate. Along with increased awareness of HL, creation of strategies and initiatives, such as shared decision, plain language, and decision aides, have improved patient-centered approaches to facilitating a person's ability to obtain and understand health information to the extent that they are able to affect a level of health autonomy; efforts have clearly fallen short given that during the same amount of time, the unhealthy living phenotype and chronic disease burden persists globally...
February 16, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28214568/training-health-professionals-to-deliver-healthy-living-medicine
#14
REVIEW
Marie-France Hivert, Amy McNeil, Carl J Lavie, Ross Arena
The growing incidence and prevalence of unhealthy living behaviors leading to compromised health, along with unhealthy supportive environments, are the primary reasons for the current chronic disease crisis in almost all countries. Over the course of health professions training across disciplines, a large amount about information regarding various aspects of chronic disease is introduced, from pathophysiology to a broad array of approaches to examinations (focused on diagnosis and prognosis) and interventions...
February 16, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28189614/the-role-of-technology-in-healthy-living-medicine
#15
REVIEW
Richard V Milani, Nina C Franklin
Health care consumers are taking control of their health information and desire a greater role in managing their health. Approximately 77% of Americans now own a smartphone and the use of health apps have doubled over the past two years. These effects are particularly notable in patients with chronic disease, now representing half the adult population and responsible for 86% of United States health care (HC) costs and 70% of deaths. New opportunities exist as a result of recent advances in home-based wireless devices, apps, wearables, and interactive systems enabling health delivery systems to monitor, advise and treat disease near real time and engage patients in healthy living medicine...
February 11, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28192133/global-fitness-levels-findings-from-a-web-based-surveillance-report
#16
REVIEW
Javaid Nauman, Lucas C Tauschek, Leonard A Kaminsky, Bjarne M Nes, Ulrik Wisløff
IMPORTANCE: Cardiorespiratory fitness (CRF) has shown to improve the classification beyond traditional risk factors and cumulative lifetime risk of death, however, there is no formal multicenter database that provides representative sample on a global scale to accurately interpret CRF measures. OBJECTIVE: The objective of the study was to describe worldwide web-surveillance data of CRF. DESIGN: Cross-sectional population based study. SETTING: Data was collected through a web-based questionnaire, including questions on country and city of residence, ethnicity, level of education, age, gender and anthropometric data such as height, weight, waistline, and maximal and resting pulse rate, on a freely available webpage (www...
February 9, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28163014/healthy-lifestyle-medicine-in-the-traditional-healthcare-environment-primary-care-and-cardiac-rehabilitation
#17
REVIEW
Mark A Williams, Leonard A Kaminsky
There is unquestioned value of the need to incorporate Healthy Lifestyle Medicine (HLM) within the traditional models of healthcare. Primary care providers are well positioned to implement HLM as a routine aspect of their healthcare practice. Unfortunately, barriers for this to occur, including poor professional training in the components of HLM and limitations in the time they have available to spend with patients, result in inadequate delivery of HLM from primary care providers. Thus, new approaches for the delivery of HLM need to be developed that would allow primary care providers better, and more, opportunities to make patient referrals...
February 2, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/27640186/role-of-counseling-to-promote-adherence-in-healthy-lifestyle-medicine-strategies-to-improve-exercise-adherence-and-enhance-physical-activity
#18
REVIEW
Gregory L Stonerock, James A Blumenthal
Although healthy lifestyles (HL) offer a number of health benefits, nonadherence to recommended lifestyle changes remains a frequent and difficult obstacle to realizing these benefits. Behavioral counseling can improve adherence to an HL. However, individuals' motivation for change and resistance to altering unhealthy habits must be considered when developing an effective approach to counseling. In the present article, we review psychological, behavioral, and environmental factors that may promote adherence and contribute to nonadherence...
March 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28132853/research-opportunities-and-challenges-in-the-era-of-healthy-living-medicine-unlocking-the-potential
#19
REVIEW
Shane A Phillips, Sharon Martino, Ross Arena
Non-communicable diseases, such as cardiovascular disease (CVD), obesity, cancer, pulmonary disease, and diabetes are a very high global health concern. The health costs of risk factors for CVD, such as hypertension (HTN), is mounting and are unrelenting. As an example, it is estimated that direct and indirect costs due to HTN amounted to $46.4 billion in 2011 and projections of six-fold increases by 2030; the importance of low-cost nonpharmacological interventions involving collaborative teams of health care professionals is at a critical junction...
January 26, 2017: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/28126607/healthy-living-the-universal-and-timeless-medicine-for-healthspan
#20
EDITORIAL
Ross Arena, Amy McNeil, Michael Sagner, Carl J Lavie
No abstract text is available yet for this article.
January 23, 2017: Progress in Cardiovascular Diseases
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