Effect of Diabetes on Progression of Coronary Atherosclerosis and Arterial Remodeling
Background: The mechanisms that underlie adverse cardiovascular outcomes in diabetic patients have not been well characterized. Methods: A systematic analysis was performed in 2,237 subjects in randomized controlled studies of atherosclerosis progression. The pattern of arterial remodeling, extent of coronary atherosclerosis, and disease progression was…
Circumferential Pulmonary Vein Isolation With the Cryoballoon Technique
Background: Antral pulmonary vein (PV) ablation with radiofrequency energy is widely used as a strategy for catheter ablation of paroxysmal atrial fibrillation (PAF). A novel double lumen cryoballoon catheter was designed for circumferential pulmonary vein isolation (PVI) with the cryoablation technique. Methods: We consecutively enrolled…
Exaggerated Blood Pressure Response to Exercise
The aim of this study was to investigate the association between an exaggerated blood pressure (BP) response to exercise and augmented angiotensin (Ang) II rise during exercise. Although a central pressor effect of Ang II has been implicated in the pathogenesis of hypertension, the relationship…
Nitrate-Induced Toxicity and Preconditioning
Organic nitrates are among the oldest and yet most commonly used drugs in the chronic therapy of patients with angina and heart failure. Their use is based on 2 assumptions that remain, after decades of research, unproven. The first is an assumption of overall clinical…
Alpha-linolenic acid reduces risk of nonfatal MI
Boston, MA – The consumption of a diet containing vegetable oils rich in alpha-linolenic acid (ALA) is associated with significant reductions in the risk of nonfatal MI, a new study has shown [1]. Investigators say the protective effect of ALA is evident among individuals with…
Perindopril/indapamide reduces renal disease in diabetics
Berlin, Germany – A new analysis from the blood-pressure-lowering part of the ADVANCE trial in patients with type 2 diabetes shows that the fixed-dose combination antihypertensive perindopril/indapamide (Servier) slowed the development or progression of renal disease compared with placebo, even in patients whose initial blood…
Antihypertensive treatment in the very elderly may reduce dementia risk
London, UK – Results from a substudy of the Hypertension in the Very Elderly Trial (HYVET), the HYVET-cognitive function assessment (HYVET-COG), suggest that lowering blood pressure in individuals aged 80 and older might reduce dementia risk [1]. When combined with results from other placebo-controlled trials,…
Novartis to acquire Speedel
Basel, Switzerland – Novartis has announced that it intends to acquire Speedel, the company that holds the rights to the renin inhibitor aliskiren (Tekturna/Rasilez), which Novartis already markets as an antihypertensive under a license agreement [1]. With the acquisition, Novartis would gain greater flexibility and…
CHD patients have poor quality of life
Atlanta, GA – Coronary heart disease has a significant impact on health-related quality of life, a new study shows [1]. Furthermore, there are big variations in quality of life across different subgroups of people with CHD—for example, by age and by race, say Dr Jipan…
Ankle-brachial index improves CV risk prediction
Edinburgh, Scotland – Measurement of the ankle-brachial index (ABI) may improve the accuracy of cardiovascular risk prediction beyond the Framingham risk score, a new meta-analysis suggests [1]. The analysis, published in the July 9, 2008 issue of the Journal of the American Medical Association, was…
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