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1. A health coaching intervention combined with self-measured blood pressure (SMBP) monitoring for postpartum women was associated with significantly greater engagement with primary care and significantly greater reductions in systolic and diastolic blood pressure (BP). Evidence Rating Level: 1 (Excellent) Hypertensive disorders of pregnancy (HDP) affect up to 16% of pregnancies in the United…
1. Following hospitalization for acute decompensated heart failure (HF), there was no difference in all-cause readmissions and mortality between patients treated with an advanced medical care at home (AMCAH) program compared with brick-and-mortar (BAM) hospitalization. Evidence Rating Level: 2 (Good) Acute hospital care at home programs have seen a dramatic increase in implementation since the […]…
1. Patients with atrial fibrillation (AF) treated with catheter ablation 1 to 4 years after AF diagnosis had a 48% higher chance of AF recurrence compared to those treated within 1 year. 2. Patients with atrial fibrillation (AF) treated with catheter ablation 5 years or greater after AF diagnosis had a 110% higher chance of […] The post Catheter ablation within 1 year of atrial fibrillation…
1. The Canadian Syncope Risk Score (CSRS) and FAINT score are effective at identifying which adult patients presenting to the emergency department (ED) are at low risk for short-term adverse outcomes. Evidence Rating Level: 2 (Good) Syncope and presyncope account for 2-3% of all ED visits, with approximately 10% of these patients having serious underlying […] The post Two scores for risk…
1. Exposure to adverse pregnancy outcomes, particularly hypertensive disorders of pregnancy, was associated with worse cardiovascular health and early arterial injury among offspring in early adulthood. Evidence Rating Level: 2 (Good) Study Rundown: Adverse pregnancy outcomes (APOs) have been associated with long-term maternal cardiovascular health (CVH). However, research on the role of APOs in…
1. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct to advanced life support (ALS) does not improve rates of return of spontaneous circulation (ROSC) in adult patients with non-traumatic out-of-hospital cardiac arrest (OHCA). Evidence Rating Level: 1 (Excellent) OHCA remains associated with extremely high mortality, with most patients not achieving ROSC, and […] The…
1. In clinically stable patients with prior intracerebral hemorrhage, a fixed-dose combination pill containing three low-dose antihypertensive agents reduced recurrent stroke compared with placebo when added to standard care. 2. The triple pill also improved blood-pressure control and reduced major cardiovascular events, though treatment discontinuation due to adverse events was more common.…
1. In frail, elderly patients with non-ST-segment elevation myocardial infarction (NSTEMI), invasive management with coronary angiography did not improve mortality and cardiovascular outcomes compared to conservative management. Evidence Rating Level: 1 (Excellent) Study Rundown: Frailty is becoming an increasingly important consideration in patient management as the global population continues to…
1. COVID-19 vaccination was associated with a reduced 24-month risk of new-onset atrial fibrillation/flutter after COVID-19 infection. Evidence Rating Level: 2 (Good) COVID-19 infection has been linked with cardiovascular complications such as new-onset atrial fibrillation/flutter (NOAF). While there is evidence of the COVID-19 vaccine being protective against the development of long COVID, its…
1. Polycythemia was not associated with increased in-hospital, short-term, or long-term mortality. Evidence Rating Level: 2 (Good) Anemia has been consistently associated with worse outcomes in both chronic heart failure and acute decompensated HF (ADHF). Polycythemia has been linked to adverse outcomes in acute coronary syndrome (ACS), but whether a similar association exists for ADHF. […] The…
