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AHA Science News

  • The rates of both type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) are increasing in youth.
  • Two- to 10-fold increases in rates of coronary heart disease and death resulting from coronary heart disease in T1DM were reported in multiple studies involving adults.
  • One approach to cardiovascular disease risk reduction in diabetes mellitus uses the A, B, C approach. In addition to glucose control (HbA1c, or A), blood pressure (BP or B), and cholesterol (C) management are emphasized.
  • Modifiable CVD risk factors for people with diabetes mellitus include obesity, IR, inflammation, oxidative stress, kidney disease, and lifestyle factors such as smoking, diet, exercise, psychosocial stress, depression, and sleep.
  • Non-modifiable CVD risk factors include genetics, family history, diabetes mellitus duration, and racial/ethnic disparities.
  • More clinical trial information is needed to better understand pharmacological treatment and prevention of risk factors.


    Read the full article in Circulation

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Posted by Stacy AHA Science on Aug 28, 2014 4:49 PM CDT
AHA Science News

  • AHA Position: The American Heart Association supports effective regulation that addresses marketing, labeling, quality control of manufacturing, and standards for contaminants. The association also supports including e-cigarettes in smoke-free air laws and prohibiting the sales of e-cigarettes to youth.
  • Latest science related to electronic cigarettes, also called electronic nicotine delivery systems (ENDS), is reviewed.
  • Policy recommendations are provided based on current evidence in key tobacco control areas.


    Read the full article in Circulation

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Posted by Stacy AHA Science on Aug 25, 2014 4:00 PM CDT

Supervision of Exercise Testing by Non-Physicians:
A Scientific Statement from the American Heart Association

Journal Cover
  • Recognizes changes in exercise testing patterns and roles in clinical practice
  • Discusses the role of the non-physician as well as the physician in exercise testing
  • Provides categories of physician supervision


    Read the full article in Circulation
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Posted by Stacy AHA Science on Aug 18, 2014 3:00 PM CDT
AHA Science News

Type 1 Diabetes Mellitus and Cardiovascular Disease: A Scientific Statement From the American Heart Association and American Diabetes Association

Read the full article in Circulation
[published online ahead of print August 11, 2014]. Circulation. doi: 10.1161/CIR.0000000000000034.

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Posted by Stacy AHA Science on Aug 11, 2014 5:11 PM CDT

The Evolution and Future of ACC/AHA Clinical
Practice Guidelines: A 30-Year Journey

Journal Cover

Read the full article in Circulation
[published ahead of print August 4, 2014]. Circulation. doi: 10.1161/CIR.0000000000000090.


A Video Discussion from Key Leaders
The Evolution and Future of ACC/AHA Clinical Practice Guidelines: A 30-Year Journey

AHA President, Elliott Antman, MD, outlines the need for change to ensure that guidelines remain timely and relevant.  Alice Jacobs, MD, offers an overview of the major changes, and Jeffrey L. Anderson, MD, focuses on 2 specific areas of improvement. 
 
20140804_jacobs-video_214x161 20140804_anderson-video 20140804_antman-video
New and Continuous Improvement in the Practice Guidelines Process - Alice K. Jacobs, MD, Immediate Past Chair of the ACC/AHA Task Force on Practice Guidelines New Evidence Review Committees and Greater Accessibility - Jeffrey L. Anderson, MD, Chair of the ACC/AHA Task Force on Practice Guidelines The Importance of Clinical Practice Guidelines and the Need for Modernization - Elliott Antman, MD, AHA President
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Posted by Stacy AHA Science on Aug 4, 2014 4:30 PM CDT
AHA Science News

2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery

  • Incorporates a systematic review for new science
  • Addresses beta blocker use and incidence of perioperative surgical event in the pre-operative setting
  • Discusses reasons for perioperative evaluation


    Read the full article in Circulation
    [published online ahead of print August 1, 2014]. Circulation. doi: 10.1161/CIR.0000000000000106.

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Posted by Stacy AHA Science on Aug 1, 2014 3:59 PM CDT
AHA Science News

2014 ACC/AHA/AATS/PCNA/SCAI/STS Focused Update of the Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease

  • SIHD focused update for diagnosis, treatment, and revascularization
  • New section addressing invasive testing and the role of coronary angiography for diagnosis
  • Consensus from multiple specialties


    Read the full article in Circulation
    [published online ahead of print July 28, 2014. Circulation. doi: 10.1161/CIR.0000000000000095.

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Posted by Stacy AHA Science on Jul 28, 2014 3:00 PM CDT

Evidence for Stroke Family Caregiver and Dyad Interventions

Journal Cover
  • Stroke is a leading cause of severe, long-term disability, and most stroke survivors are cared for by family members within the home.
  • Stress of the caregiver becomes a leading cause of institutionalization of the stroke survivor; institutionalization results in increased healthcare system costs.
  • This paper is a systematic review of evidence targeting stroke caregivers and their dyads.  The goal is to unders.


    Read the full article in Stroke
    [published online ahead of print July 17, 2014] Stroke. doi: 10.1161/STR.0000000000000033.
 
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Posted by Stacy AHA Science on Jul 17, 2014 4:36 PM CDT
AHA Science News

Status of Cardiovascular Disease and Stroke in Hispanics/Latinos in the United States


  • Hispanics are the largest minority ethnic group in the United States, and their health is vital to the public health of the nation and to achieving the AHA’s 2020 goals.
  • This statement describes the cardiovascular disease epidemiology, related personal beliefs, the social and health issues of US Hispanics, and identifies potential prevention and treatment opportunities.
  • Recommendations specific to 9 domains are presented to support the development of these culturally tailored and targeted approaches.


    Read the full article in Circulation
    Circulation. doi: 10.1161/CIR.0000000000000071.
more...
Posted by Stacy AHA Science on Jul 14, 2014 5:06 PM CDT
AHA Science News

Emergence of the Primary Pediatric Stroke Center: Impact of the Thrombolysis in Pediatric Stroke Trial
Timothy J. Bernard, Michael J. Rivkin, Kelley Scholz, Gabrielle deVeber, Adam Kirton, Joan Cox Gill, Anthony K. Chan, Collin A. Hovinga, Rebecca N. Ichord, James C. Grotta, Lori C. Jordan, Susan Benedict, Neil R. Friedman, Michael M. Dowling, Jorina Elbers, Marcela Torres, Sally Sultan, Dana D. Cummings, Eric F. Grabowski, Hugh J. McMillan, Lauren A. Beslow, Catherine Amlie-Lefond, on behalf of the Thrombolysis in Pediatric Stroke Study
Stroke. 2014; STROKEAHA.114.004919 Published online before print June 10, 2014, doi: 10.1161/?STROKEAHA.114.004919

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Posted by Stacy AHA Science on Jun 27, 2014 11:17 AM CDT
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