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https://www.readbyqxmd.com/read/27914506/use-of-high-intensity-statins-for-patients-with-atherosclerotic-cardiovascular-disease-in-the-veterans-affairs-health-system-practice-impact-of-the-new-cholesterol-guidelines
#1
Fatima Rodriguez, Shoutzu Lin, David J Maron, Joshua W Knowles, Salim S Virani, Paul A Heidenreich
BACKGROUND: The November 2013 American College of Cardiology/American Heart Association cholesterol guidelines recommend the use of high-intensity statins for patients with atherosclerotic cardiovascular disease (ASCVD). We sought to determine how these guidelines are being adopted at the Veterans Affairs (VA) Health System and identify treatment gaps. METHODS: We examined administrative data from the VA 12 months prior to the index dates of April 1, 2013, and after April 1, 2014, to identify patients ≤75 years of age with ≥2 codes for ASCVD...
December 2016: American Heart Journal
https://www.readbyqxmd.com/read/27908540/the-role-of-race-and-ethnicity-in-sleep-circadian-rhythms-and-cardiovascular-health
#2
REVIEW
Kieren J Egan, Kristen L Knutson, Alexandre C Pereira, Malcolm von Schantz
In recent years, strong evidence has emerged suggesting that insufficient duration, quality, and/or timing of sleep are associated with cardiovascular disease (CVD), and various mechanisms for this association have been proposed. Such associations may be related to endophenotypic features of the sleep homeostat and the circadian oscillator, or may be state-like effects of the environment. Here, we review recent literature on sleep, circadian rhythms and CVD with a specific emphasis on differences between racial/ethnic groups...
June 3, 2016: Sleep Medicine Reviews
https://www.readbyqxmd.com/read/27903216/treatment-and-response-to-statins-gender-related-differences
#3
Raparelli Valeria, Pannitteri Gaetano, Todisco Tommaso, Toriello Filippo, Napoleone Laura, Manfredini Roberto, Basili Stefania
Response to drug administration is a primary determinant for treatment success. Sex and gender disparities play a role in determining the efficacy and safety of the most common used medications suggesting the need for a sex-tailored approach in prescription. Statins are a cost-effective strategy for cardiovascular disease (CVD) prevention. While statins are similarly effective in secondary CVD prevention, some concerns raised by conflicting data reported in primary CVD prevention clinical trials. The small representation of women in clinical trials and the fewer rates of events due to the lower female baseline CVD risk may have conditioned contradictory meta-analysis findings...
November 17, 2016: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/27895508/multi-ethnic-differences-in-hba1c-blood-pressure-and-low-density-lipid-cholesterol-control-among-south-africans-living-with-type-2-diabetes-after-a-4-year-follow-up
#4
Yacob Pinchevsky, Varada J Shukla, Neil Butkow, Tobias Chirwa, Frederick Raal
PURPOSE: Our study set out to examine if disparities in control of glycated hemoglobin (HbA1c), blood pressure (BP), and low-density-lipoprotein cholesterol (LDL-C) existed among an urban multi-ethnic cohort of South Africans, living with type 2 diabetes mellitus (T2DM). PATIENTS AND METHODS: This longitudinal, retrospective study consisted of 261 men and women with previously diagnosed T2DM who attended Charlotte Maxeke Johannesburg Academic Hospital, South Africa across two time periods 2009 and 2013...
2016: International Journal of General Medicine
https://www.readbyqxmd.com/read/27894670/does-cost-related-medication-nonadherence-among-cardiovascular-disease-patients-vary-by-gender-evidence-from%C3%A2-a%C3%A2-nationally-representative-sample
#5
Soumitra S Bhuyan, Olayinka Shiyanbola, Satish Kedia, Aastha Chandak, Yang Wang, Oluwaseyi O Isehunwa, Nnamdi Anunobi, Ikenna Ebuenyi, Pallav Deka, SangNam Ahn, Cyril F Chang
INTRODUCTION: Cardiovascular disease (CVD) is a leading cause of death and disability as well as a major burden on the U.S. healthcare system. Cost-related medication nonadherence (CRN) to prescribed medications is common among patients with CVD. This study examines the gender differences in CRN among CVD patients. METHODS: We used 2011 to 2014 data from the National Health Interview Survey, an annual, cross-sectional, nationally representative household survey of the noninstitutionalized U...
November 25, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/27871283/improving-the-quality-of-primary-care-by-allocating-performance-based-targets-in-a-diverse-insured-population
#6
Ronit Peled, Avi Porath, Rachel Wilf-Miron
BACKGROUND: Primary Care Health organizations, operating under universal coverage and a regulated package of benefits, compete mainly over quality of care. Monitoring, primary care clinical performance, has been repeatedly proven effective in improving the quality of care. In 2004, Maccabi Healthcare Services (MHS), the second largest Israeli HMO, launched its Performance Measurement System (PMS) based on clinical quality indicators. A unique module was built in the PMS to adjust for case mix while tailoring targets to the local units...
November 21, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27864807/assessing-the-associations-between-awareness-of-myocardial-infarction-symptoms-socioeconomic-factors-and-cardiovascular-disease-risk-factors-through-regression-models
#7
Phoebe Tran, Murray A Mittleman
There are few studies that consider the association between awareness of symptoms of acute myocardial infarction (MI), socioeconomic factors (household income, sex, race/ethnicity, and educational attainment), and cardiovascular (CVD) risk factors. It is important to understand these associations because there is evidence that suggests that disparities in the awareness of MI symptoms lead to disparities in delays in receiving treatment and outcomes of patients with MI. The study was to determine if there are disparities in the awareness of different MI symptoms among different groups with respect to self-reported race, ethnicity, education, age, and income (i...
November 18, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27864183/county-level-variation-in-cardiovascular-disease-mortality-in-the-united-states-in-2009-2013-comparative-assessment-of-contributing-factors
#8
Shivani A Patel, Mohammed K Ali, K M Venkat Narayan, Neil K Mehta
We examined factors responsible for variation in cardiovascular disease (CVD) mortality across US counties in 2009-2013. We linked county-level census, survey, administrative, and vital statistics data to examine 4 sets of features: demographic factors, social and economic factors, health-care utilization and features of the environment, and population health indicators. County-level associations of these features (standardized to a mean of 0 with a standard deviation of 1) with cardiovascular deaths per 100,000 person-years among adults aged 45-74 years was modeled using 2-level hierarchical linear regression with random intercept for state...
November 17, 2016: American Journal of Epidemiology
https://www.readbyqxmd.com/read/27856464/longitudinal-association-among-sickle-cell-trait-fitness-and-cardiovascular-disease-risk-factors-in-african-americans-in-cardia
#9
Robert I Liem, Cheeling Chan, Thanh-Huyen T Vu, Myriam Fornage, Alexis A Thompson, Kiang Liu, Mercedes R Carnethon
The contribution of sickle cell trait (SCT) to racial disparities in cardiopulmonary fitness is not known despite concerns that SCT is associated with exertion-related sudden death. We evaluated the association of SCT status with cross-sectional and longitudinal changes in fitness and risk of hypertension, diabetes and metabolic syndrome over 25 years among 1,995 African Americans (56% women, 18 to 30 years old) in the Coronary Artery Risk Development in Young Adults (CARDIA) study. Overall, the prevalence of SCT was 6...
November 16, 2016: Blood
https://www.readbyqxmd.com/read/27855628/treatment-and-response-to-statins-gender-related-differences
#10
Raparelli Valeria, Pannitteri Gaetano, Todisco Tommaso, Toriello Filippo, Napoleone Laura, Manfredini Roberto, Basili Stefania
Response to drug administration is a primary determinant for treatment success. Sex and gender disparities play a role in determining the efficacy and safety of the most common used medications suggesting the need for a sex-tailored approach in prescription. Statins are a cost-effective strategy for cardiovascular disease (CVD) prevention. While statins are similarly effective in secondary CVD prevention, some concerns raised by conflicting data reported in primary CVD prevention clinical trials. The small representation of women in clinical trials and the fewer rates of events due to the lower female baseline CVD risk may have conditioned contradictory meta-analysis findings...
November 17, 2016: Current Medicinal Chemistry
https://www.readbyqxmd.com/read/27846618/risk-factors-for-incident-carotid-artery-revascularization-among-older-adults-the-cardiovascular-health-study
#11
Parveen K Garg, Willam J H Koh, Joseph A Delaney, Ethan A Halm, Calvin H Hirsch, William T Longstreth, Kenneth J Mukamal, Anna Kucharska-Newton, Joseph F Polak, Lesley Curtis
BACKGROUND: Population-based risk factors for carotid artery revascularization are not known. We investigated the association between demographic and clinical characteristics and incident carotid artery revascularization in a cohort of older adults. METHODS: Among Cardiovascular Health Study participants, a population-based cohort of 5,888 adults aged 65 years or older enrolled in two waves (1989-1990 and 1992-1993), 5,107 participants without a prior history of carotid endarterectomy (CEA) or cerebrovascular disease had a carotid ultrasound at baseline and were included in these analyses...
November 16, 2016: Cerebrovascular Diseases Extra
https://www.readbyqxmd.com/read/27834240/preventable-death-rates-fell-where-communities-expanded-population-health-activities-through-multisector-networks
#12
Glen P Mays, Cezar B Mamaril, Lava R Timsina
The US health system faces mounting pressure to improve population health. Research suggests a need for greater coordination and alignment across the sectors that deliver medical, public health, and social services. This study uses sixteen years of data from a large cohort of US communities to measure the extent and nature of multisector contributions to population health activities and how these contributions affect community mortality rates. The results show that deaths due to cardiovascular disease, diabetes, and influenza decline significantly over time among communities that expand multisector networks supporting population health activities...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27826901/use-of-mobile-health-technology-in-the-prevention-and-management-of-diabetes-mellitus
#13
REVIEW
Jacob Hartz, Leah Yingling, Tiffany M Powell-Wiley
Cardiovascular disease is the leading cause of morbidity and mortality globally, with diabetes being an independent risk factor. Adequate diabetes management has proven to be resource-intensive, requiring frequent lab work, primary care and specialist visits, and time-consuming record-keeping by the patient and care team. New mobile health (mHealth) technologies have enhanced how diabetes is managed and care is delivered. While more recent work has investigated mHealth devices as complementary tools in behavioral interventions for diabetes prevention and management, little is still known about the effectiveness of mHealth technology as stand-alone intervention tools for reducing diabetes risk...
December 2016: Current Cardiology Reports
https://www.readbyqxmd.com/read/27807732/acute-coronary-syndromes-differences-in-men-and-women
#14
REVIEW
Kris R Kawamoto, Melinda B Davis, Claire S Duvernoy
PURPOSE OF REVIEW: Increased awareness of cardiovascular disease in women has prompted studies to investigate gender-related disparities in acute coronary syndromes (ACSs). In this review, we discuss findings from current literature on the clinical presentation, pathophysiology, diagnosis, and management of ACS in women as compared to men. RECENT FINDINGS: Emerging data show that cardiovascular disease (CVD) continues to be the leading cause of death in women and the annual mortality rate from CVD remains higher in women compared to men...
December 2016: Current Atherosclerosis Reports
https://www.readbyqxmd.com/read/27798778/hospitalizations-for-chronic-conditions-among-indigenous-australians-after-medication-copayment-reductions-the-closing-the-gap-copayment-incentive
#15
Amal N Trivedi, Ross Bailie, Jodie Bailie, Alex Brown, Margaret Kelaher
BACKGROUND: To close health disparities between Indigenous and non-Indigenous Australians, the Australian government in 2010 reduced medication copayments for Indigenous Australians living with, or at risk of, a chronic disease. Patients were registered for this incentive by their general practitioner. OBJECTIVE: To assess rates of hospitalizations for chronic conditions among Indigenous Australians before and after copayment reductions. DESIGN: Observational time-trend study of hospitalizations for chronic conditions sensitive to medication adherence...
October 31, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27792475/participation-of-african-americans-in-e-health-and-m-health-studies-a-systematic-review
#16
Delores C James, Cedric Harville, Cynthia Sears, Orisatalabi Efunbumi, Irina Bondoc
BACKGROUND: African Americans (AA) experience high levels of health disparities for several diseases, yet remain underrepresented in clinical trials and other types of research. The high ownership of smartphones among AA puts them in a unique position to be recruited into e-Health/m-Health interventions. OBJECTIVE: This article is a systematic review of the participation of AA in e-Health/m-Health interventions, the diseases/health conditions targeted, and the recruitment and retention strategies used...
October 28, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27780894/differences-in-cardiovascular-disease-risk-factors-and-health-behaviors-between-black-and-non-black-students-participating-in-a-school-based-health-promotion-program
#17
Taylor Jamerson, Rachel Sylvester, Qingmei Jiang, Nicole Corriveau, Jean DuRussel-Weston, Eva Kline-Rogers, Elizabeth A Jackson, Kim A Eagle
PURPOSE: To compare cardiovascular disease (CVD) risk factors of black and non-black children participating in Project Healthy Schools (PHS), a school-based wellness program. DESIGN: Participants were surveyed and participated in physiological screenings pre- and post-PHS intervention. SETTING: Middle schools in 4 Michigan communities of varying socioeconomic status. PARTICIPANTS: A total of 3813 sixth-grade students comprised the survey sample, and 2297 sixth-grade students comprised the screening sample...
October 25, 2016: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/27779346/cardiovascular-health-among-black-and-white-breast-cancer-patients-initiating-aromatase-inhibitor-therapy
#18
Lisa Gallicchio, Carla Calhoun, David Riseberg, Kathy Helzlsouer
The purpose of this study was to compare the cardiovascular health of Black and White breast cancer patients undergoing adjuvant treatment. Baseline data from a cohort study of Black (n = 45) and White (n = 101) breast cancer patients initiating aromatase inhibitor treatment were analyzed. Participants had a cardiovascular health assessment, including carotid intimal medial thickness measurement, donated a blood sample, and completed a questionnaire. Atherosclerotic cardiovascular disease (ASCVD) event risk scores were calculated...
October 25, 2016: Breast Journal
https://www.readbyqxmd.com/read/27779208/racial-differences-in-microrna-and-gene-expression-in-hypertensive-women
#19
Douglas F Dluzen, Nicole Noren Hooten, Yongqing Zhang, Yoonseo Kim, Frank E Glover, Salman M Tajuddin, Kimberly D Jacob, Alan B Zonderman, Michele K Evans
Systemic arterial hypertension is an important cause of cardiovascular disease morbidity and mortality. African Americans are disproportionately affected by hypertension, in fact the incidence, prevalence, and severity of hypertension is highest among African American (AA) women. Previous data suggests that differential gene expression influences individual susceptibility to selected diseases and we hypothesized that this phenomena may affect health disparities in hypertension. Transcriptional profiling of peripheral blood mononuclear cells from AA or white, normotensive or hypertensive females identified thousands of mRNAs differentially-expressed by race and/or hypertension...
October 25, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27760717/anxiety-sensitivity-and-racial-differences-in-sleep-duration-results-from-a-national-survey-of-adults-with-cardiovascular-disease
#20
Carmela Alcántara, Luciana Andrea Giorgio Cosenzo, Weijia Fan, David Matthew Doyle, Jonathan A Shaffer
Although Blacks sleep between 37 and 75min less per night than non-Hispanic Whites, research into what drives racial differences in sleep duration is limited. We examined the association of anxiety sensitivity, a cognitive vulnerability, and race (Blacks vs. White) with short sleep duration (<7h of sleep/night), and whether anxiety sensitivity mediated race differences in sleep duration in a nationally representative sample of adults with cardiovascular disease. Overall, 1289 adults (115 Black, 1174 White) with a self-reported physician/health professional diagnosis of ≥1 myocardial infarction completed an online survey...
October 5, 2016: Journal of Anxiety Disorders
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