keyword
https://read.qxmd.com/read/38533994/mobile-phone-text-messaging-for-medication-adherence-in-secondary-prevention-of-cardiovascular-disease
#1
REVIEW
Julie Redfern, Qiang Tu, Karice Hyun, Matthew A Hollings, Nashid Hafiz, Clara Zwack, Caroline Free, Pablo Perel, Clara K Chow
BACKGROUND: Cardiovascular diseases (CVDs) are the leading cause of death globally, accounting for almost 18 million deaths annually. People with CVDs have a five times greater chance of suffering a recurrent cardiovascular event than people without known CVDs. Although drug interventions have been shown to be cost-effective in reducing the risk of recurrent cardiovascular events, adherence to medication remains suboptimal. As a scalable and cost-effective approach, mobile phone text messaging presents an opportunity to convey health information, deliver electronic reminders, and encourage behaviour change...
March 27, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38533952/cost-effectiveness-of-increased-use-of-dual-antiplatelet-therapy-after-high-risk-transient-ischemic-attack-or-minor-stroke
#2
JOURNAL ARTICLE
Paul M Wechsler, Ankur Pandya, Neal S Parikh, Junaid A Razzak, Halina White, Babak B Navi, Hooman Kamel, Ava L Liberman
BACKGROUND: Rates of dual antiplatelet therapy (DAPT) after high-risk transient ischemic attack or minor ischemic stroke (TIAMIS) are suboptimal. We performed a cost-effectiveness analysis to characterize the parameters of a quality improvement (QI) intervention designed to increase DAPT use after TIAMIS. METHODS AND RESULTS: We constructed a decision tree model that compared current national rates of DAPT use after TIAMIS with rates after implementing a theoretical QI intervention designed to increase appropriate DAPT use...
March 27, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38531561/effectiveness-and-cost-effectiveness-of-a-web-based-cardiac-rehabilitation-programme-for-people-with-chronic-stable-angina-protocol-for-the-activate-angina-controlled-trial-investigating-the-value-of-the-activate-your-heart-therapeutic-e-intervention-randomised
#3
JOURNAL ARTICLE
Nefyn H Williams, Brendan Collins, Terence J Comerford, Susanna Dodd, Michael Fisher, Ben Hardwick, Sophie Hennessy, Kate Jolly, Ian Jones, Deirdre Lane, Gregory Y H Lip, Erica Morgan, Penelope Ralph, Dick Thijssen, Sally J Singh
INTRODUCTION: Chronic stable angina is common and disabling. Cardiac rehabilitation is routinely offered to people following myocardial infarction or revascularisation procedures and has the potential to help people with chronic stable angina. However, there is insufficient evidence of effectiveness and cost-effectiveness for its routine use in this patient group. The objectives of this study are to compare the effectiveness and cost-effectiveness of the 'Activate Your Heart' cardiac rehabilitation programme for people with chronic stable angina compared with usual care...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38527629/machine-learning-to-identify-a-composite-indicator-to-predict-cardiac-death-in-ischemic-heart-disease
#4
JOURNAL ARTICLE
Alessandro Pingitore, Chenxiang Zhang, Cristina Vassalle, Paolo Ferragina, Patrizia Landi, Francesca Mastorci, Rosa Sicari, Alessandro Tommasi, Cesare Zavattari, Giuseppe Prencipe, Alina Sîrbu
BACKGROUND: Machine learning (ML) employs algorithms that learn from data, building models with the potential to predict events by aggregating a large number of variables and assessing their complex interactions. The aim of this study is to assess ML potential in identifying patients with ischemic heart disease (IHD) at high risk of cardiac death (CD). METHODS: 3987 (mean age 68 ± 11) hospitalized IHD patients were enrolled. We implemented and compared various ML models and their combination into ensembles...
March 23, 2024: International Journal of Cardiology
https://read.qxmd.com/read/38527578/off-pump-coronary-artery-bypass-grafting-does-not-confer-superior-outcomes-among-frail-patients
#5
JOURNAL ARTICLE
Sara Sakowitz, Syed Shahyan Bakhtiyar, Joanna Curry, Saad Mallick, Amulya Vadlakonda, Konmal Ali, Yas Sanaiha, Peyman Benharash
BACKGROUND: Off-pump coronary revascularization (OPCAB) has been proposed to benefit patients at greater surgical risk as it avoids the use of extracorporeal circulation. While historically older patients were considered high risk candidates, recent studies implicate frailty as a more comprehensive measure of perioperative fitness. Yet, outcomes of OPCAB among frail patients have not been elucidated. Thus, using a national cohort of frail patients, we assessed the impact of OPCAB, relative to on-pump (ONCAB)...
March 23, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38517436/enrollment-in-high-deductible-health-plans-and-incident-diabetes-complications
#6
JOURNAL ARTICLE
Rozalina G McCoy, Kavya S Swarna, David H Jiang, Holly K Van Houten, Jie Chen, Esa M Davis, Jeph Herrin
IMPORTANCE: Preventing diabetes complications requires monitoring and control of hyperglycemia and cardiovascular risk factors. Switching to high-deductible health plans (HDHPs) has been shown to hinder aspects of diabetes care; however, the association of HDHP enrollment with microvascular and macrovascular diabetes complications is unknown. OBJECTIVE: To examine the association between an employer-required switch to an HDHP and incident complications of diabetes...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38502888/early-vs-delayed-mechanical-circulatory-support-in-patients-with-acute-myocardial-infarction-and-cardiogenic-shock
#7
JOURNAL ARTICLE
Kevin G Buda, Katarzyna Hryniewicz, Peter M Eckman, Mir B Basir, Jennifer A Cowger, Khaldoon Alaswad, Srini Mukundan, Yader Sandoval, Andrea Elliott, Emmanouil S Brilakis, Michael S Megaly
BACKGROUND: Despite increased temporary mechanical circulatory support (tMCS) utilization for acute myocardial infarction complicated by cardiogenic shock (AMI-CS), data regarding efficacy and optimal timing for tMCS support are limited. This study aimed to describe outcomes based on tMCS timing in AMI-CS and to identify predictors of 30-day mortality and readmission. METHODS: Patients with AMI-CS identified in the National Readmissions Database were grouped according to the use of tMCS and early (<24 hours) vs...
March 19, 2024: European Heart Journal. Acute Cardiovascular Care
https://read.qxmd.com/read/38492623/a-review-regarding-the-article-supervised-exercise-training-in-heart-failure-with-preserved-ejection-fraction-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#8
REVIEW
Ping Zhang, Yunfei Ling
Heart failure is a clinical syndrome with different etiologies and phenotypes. For all forms, supervised exercise training and individual physical activity are class IA recommendations in current guidelines. Over the past two decades it has become recognized that physical deconditioning may play a key role in the progression of symptoms and poor outcomes. A number of prior studies have assessed the ability of exercise training to improve functional capacity in patients with HF. Most of these previous studies showed positive effects of exercise training on exercise capacity, quality of life, and biomarkers and observed relatively few complications during training...
March 14, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38490071/show-me-the-money-associations-between-tree-canopy-and-hospital-costs-in-cities-for-cardiovascular-disease-events-in-a-longitudinal-cohort-study-of-110-134-participants
#9
JOURNAL ARTICLE
Xiaoqi Feng, Michael Navakatikyan, Simon Eckermann, Thomas Astell-Burt
Health benefits from urban greening are assumed to translate into reduced healthcare expenditure, yet few studies have tested this. A total of 110,134 participants in the Sax Institute's 45 and Up Study in the Australian cities of Sydney, Newcastle, or Wollongong were linked with hospital cost data for cardiovascular disease (CVD) events (e.g., acute myocardial infarctions) up to 30 June 2018. Associations between percentages of total green space, tree canopy, and open grass within 1.6 km of participants homes and annual per person measured CVD-related hospital costs were analysed using generalised linear model (GLM) with gamma density as a component of a two-part mixture model, adjusting for confounders...
March 5, 2024: Environment International
https://read.qxmd.com/read/38486357/cost-effectiveness-of-low-dose-colchicine-in-patients-with-chronic-coronary-disease-in-the-netherlands
#10
JOURNAL ARTICLE
Aernoud T L Fiolet, Willem Keusters, Johan Blokzijl, S Mark Nidorf, John E Eikelboom, Charley A Budgeon, Jan G P Tijssen, Tjeerd Römer, Iris Westendorp, Jan Hein Cornel, Peter L Thompson, Geert W J Frederix, Arend Mosterd, G Ardine de Wit
AIMS: Recent trials have shown that low-dose colchicine (0.5 mg once daily) reduces major cardiovascular events in patients with acute and chronic coronary syndromes. We aimed to estimate the cost-effectiveness of low-dose colchicine therapy in patients with chronic coronary disease when added to standard background therapy. METHODS AND RESULTS: This Markov cohort cost-effectiveness model used estimates of therapy effectiveness, transition probabilities, costs and quality of life obtained from the Low-dose Colchicine 2 (LoDoCo2) trial, as well as meta-analyses and public sources...
March 14, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38481954/post-event-follow-up-costs-in-patients-with-atherosclerotic-cardiovascular-disease-in-spain
#11
JOURNAL ARTICLE
Icíar Martínez López, Jorge Francisco Gómez Cerezo, José M Gámez, Isabel Egocheaga Cabello, Mar Castellanos, Raquel Campuzano Ruiz, Vivencio Barrios, Vicente Pallarés-Carratalá, José Manuel Rodríguez, Nuria Morant Talamante, Javier Parrondo, José María Mostaza
INTRODUCTION: Atherosclerotic cardiovascular disease (ASCVD) is one of the main causes of morbidity and mortality in developed countries and entails high resources use and costs for health systems. The risk of suffering future cardiovascular (CV) events and the consequent resources use is higher in those patients who have already had a previous cardiovascular event. The objective of the study was to determine the average annual cost of patients with a new or recurrent atherosclerotic CV event during the 2 years after the event...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38480465/why-selective-screening-for-asymptomatic-carotid-stenosis-is-currently-appropriate-a-special-report
#12
JOURNAL ARTICLE
Kosmas I Paraskevas, Alan Dardik, Marc L Schermerhorn, Christos D Liapis, Armando Mansilha, Brajesh K Lal, William A Gray, Martin M Brown, Piotr Myrcha, Carl J Lavie, Clark J Zeebregts, Eric A Secemsky, Luca Saba, Matthew Blecha, Victor Gurevich, Mauro Silvestrini, Ales Blinc, Alexei Svetlikov, Jose Fernandes E Fernandes, Peter A Schneider, Peter Gloviczki, Christopher J White, Ali F AbuRahma
INTRODUCTION: Two of the main reasons recent guidelines do not recommend routine population-wide screening programs for asymptomatic carotid artery stenosis (AsxCS) is that screening could lead to an increase of carotid revascularization procedures and that such mass screening programs may not be cost-effective. Nevertheless, selective screening for AsxCS could have several benefits. This article presents the rationale for such a program. AREAS COVERED: The benefits of selective screening for AsxCS include early recognition of AsxCS allowing timely initiation of preventive measures to reduce future myocardial infarction (MI), stroke, cardiac death and cardiovascular (CV) event rates...
March 13, 2024: Expert Review of Cardiovascular Therapy
https://read.qxmd.com/read/38477162/cost-effectiveness-of-intravascular-imaging-guided-complex-pci-prespecified-analysis-of-renovate-complex-pci-trial
#13
JOURNAL ARTICLE
David Hong, Jin Lee, Hankil Lee, Juhee Cho, Eliseo Guallar, Ki Hong Choi, Seung Hun Lee, Doosup Shin, Jong-Young Lee, Seung-Jae Lee, Sang Yeub Lee, Sang Min Kim, Kyeong Ho Yun, Jae Young Cho, Chan Joon Kim, Hyo-Suk Ahn, Chang-Wook Nam, Hyuck-Jun Yoon, Yong Hwan Park, Wang Soo Lee, Taek Kyu Park, Jeong Hoon Yang, Seung-Hyuk Choi, Hyeon-Cheol Gwon, Young Bin Song, Joo-Yong Hahn, Danbee Kang, Joo Myung Lee
BACKGROUND: Although clinical benefits of intravascular imaging-guided percutaneous coronary intervention (PCI) in patients with complex coronary artery lesions have been observed in previous trials, the cost-effectiveness of this strategy is uncertain. METHODS: RENOVATE-COMPLEX-PCI (Randomized Controlled Trial of Intravascular Imaging Guidance vs Angiography-Guidance on Clinical Outcomes After Complex Percutaneous Coronary Intervention) was conducted in Korea between May 2018 and May 2021...
March 13, 2024: Circulation. Cardiovascular Quality and Outcomes
https://read.qxmd.com/read/38472975/clinical-interpretation-of-serum-troponin-in-the-era-of-high-sensitivity-testing
#14
REVIEW
Marah Maayah, Scott Grubman, Stephanie Allen, Zachary Ye, Dae Yong Park, Evangelia Vemmou, Ilhan Gokhan, Wendy W Sun, Stephen Possick, Jennifer M Kwan, Parul U Gandhi, Jiun-Ruey Hu
Cardiac troponin (Tn) plays a central role in the evaluation of patients with angina presenting with acute coronary syndrome. The advent of high-sensitivity assays has improved the analytic sensitivity and precision of serum Tn measurement, but this advancement has come at the cost of poorer specificity. The role of clinical judgment is of heightened importance because, more so than ever, the interpretation of serum Tn elevation hinges on the careful integration of findings from electrocardiographic, echocardiographic, physical exam, interview, and other imaging and laboratory data to formulate a weighted differential diagnosis...
February 26, 2024: Diagnostics
https://read.qxmd.com/read/38470419/mortality-for-time-sensitive-conditions-at-urban-vs-rural-hospitals-during-the-covid-19-pandemic
#15
JOURNAL ARTICLE
H Joanna Jiang, Rachel M Henke, Kathryn R Fingar, Lan Liang, Denis Agniel
IMPORTANCE: COVID-19 pandemic-related disruptions to the health care system may have resulted in increased mortality for patients with time-sensitive conditions. OBJECTIVE: To examine whether in-hospital mortality in hospitalizations not related to COVID-19 (non-COVID-19 stays) for time-sensitive conditions changed during the pandemic and how it varied by hospital urban vs rural location. DESIGN, SETTING, AND PARTICIPANTS: This cohort study was an interrupted time-series analysis to assess in-hospital mortality during the COVID-19 pandemic (March 8, 2020, to December 31, 2021) compared with the prepandemic period (January 1, 2017, to March 7, 2020) overall, by month, and by community COVID-19 transmission level for adult discharges from 3813 US hospitals in the State Inpatient Databases for the Healthcare Cost and Utilization Project...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38451175/quantitative-fluorescent-lateral-flow-strip-sensor-for-myocardial-infarction-using-purity-color-upconversion-nanoparticles
#16
JOURNAL ARTICLE
Yuemei Li, Yongmei Li
Acute myocardial infarction is a serious cardiovascular disease and poses significant risks to human health. Its early diagnosis and real-time detection are of great importance. Herein, we design a low-cost device that has a high sensitivity of cTnT and cTnI detection. Dual-color upconversion nanoparticles (UCNPs) are prepared as probes, which not only have high-purity red upconversion luminescence (UCL) under 980 or 808 nm excitation but also achieve good temperature sensing. Temperature-dependent multicolor emission excitation is obtained, and the color turns from white to orange and red with increasing temperature...
March 7, 2024: Inorganic Chemistry
https://read.qxmd.com/read/38449953/the-significance-of-equipment-availability-and-anesthesia-educational-conferences-to-decision-making-for-ekg-lead-v5-abnormalities
#17
JOURNAL ARTICLE
Kimberly L Skidmore, Joseph Drinkard, Henson M Randall, Giustino Varrassi, Sahar Shekoohi, Alan D Kaye
Introduction To predict postoperative myocardial infarction rates in patients who undergo noncardiac surgery, the Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management recommends assessment of brain natriuretic peptide (BNP) in certain patients. Serial troponins are measured if the BNP level is elevated. In certain cases, Revised Cardiac Risk Index (RCRI) alone does not perform well, for example, during vascular surgery. Cardiac events occur in 20% of all vascular surgery patients...
February 2024: Curēus
https://read.qxmd.com/read/38447435/predicting-the-response-to-acetylcholine-in-ischemia-or-infarction-with-non-obstructive-coronary-arteries-the-abcd-score
#18
JOURNAL ARTICLE
Riccardo Rinaldi, Michele Colucci, Ilaria Torre, Davide Ausiello, Alice Bonanni, Mattia Basile, Carmine Salzillo, Tommaso Sanna, Giovanna Liuzzo, Antonio M Leone, Francesco Burzotta, Carlo Trani, Gaetano A Lanza, Giampaolo Niccoli, Filippo Crea, Rocco A Montone
BACKGROUND AND AIMS: Acetylcholine (ACh) provocation testing can detect vasomotor disorders in patients with ischemia and non-obstructed coronary arteries (INOCA) or myocardial infarction and non-obstructed coronary arteries (MINOCA). We aimed to derive and validate a simple risk score to predict a positive ACh test response. METHODS: We prospectively enrolled consecutive INOCA and MINOCA patients undergoing ACh provocation testing. Patients were split in two cohorts (derivation and validation) according to time of enrolment...
February 28, 2024: Atherosclerosis
https://read.qxmd.com/read/38436491/real-world-impact-of-blood-pressure-control-in-patients-with-apparent-treatment-resistant-or-difficult-to-control-hypertension-and-stages-3-and-4-chronic-kidney-disease
#19
JOURNAL ARTICLE
George Bakris, Cindy Chen, Alicia K Campbell, Veronica Ashton, Lloyd Haskell, Mukul Singhal
BACKGROUND: Chronic kidney disease (CKD) is a common comorbidity in patients with apparent treatment-resistant hypertension (aTRH). We assessed clinical outcomes, healthcare resource utilization events, and costs in patients with aTRH or difficult-to-control hypertension and stage 3-4 CKD with uncontrolled versus controlled blood pressure (BP). METHODS: This retrospective cohort study used linked IQVIA Ambulatory EMR-US and IQVIA PharMetrics® Plus claims databases...
March 4, 2024: American Journal of Hypertension
https://read.qxmd.com/read/38436403/examining-the-role-of-cerebral-embolic-protection-devices-in-preventing-postoperative-stroke-in-patients-with-a-history-of-stroke-or-transient-ischemic-insights-from-the-national-inpatient-sample
#20
JOURNAL ARTICLE
Rupak Desai, Avilash Mondal, Nishanth Katukuri, Adhvithi Pingili, Vamsikalyan Borra, Parth R Nayak, Akhil Jain, Harshil Patel, Omar Qaqish, Ankit Vyas, Ashok Kondur
Cerebral embolic protection devices (CEPD) during transcatheter aortic valve replacement (TAVR) have been shown to lower the risk of stroke during the procedure. However, their long-term and clinical effects on neuro-cognition are unknown. Therefore, we hypothesized the benefit of CEPD in TAVR patients with a prior history of stroke or transient ischemic attack (TIA). National Inpatient Sample (2019) and International Classification of Diseases, 10th Revision codes were used to identify patients undergoing TAVR with prior stroke or TIA...
March 4, 2024: Cardiology in Review
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