Chest pain often absent in young women with myocardial infarction

Women with myocardial infarction (MI) are more likely to present without chest pain than men. Younger women without chest pain as a presenting feature of MI are also more likely to die in the hospital compared with their male counterparts, although this effect diminishes with age. Key Point: Women with… 

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Posted in Cardiology, Cardiovascular Disease, Primary Care, Women's Health | Tagged , , , , , , , , | Volume: | Leave a comment

Not all oral type 2 diabetes medications are created equally; advice for starting monotherapy

While all of the oral medications approved to treat type 2 diabetes mellitus (T2DM) effectively lower blood glucose, each medication’s effects on other clinical events vary. The costs of these drugs also vary. A recent study of 254,973 T2DM patients who were newly initiated on oral hypoglycemic monotherapy examined prescribing… 

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Posted in Diabetes, Endocrinology, Non-Communicable Disease, Pharmacology, Primary Care | Tagged , , , , , , , , , , , , | Volume: | Leave a comment

Lifetime risk for cardiovascular disease is tied to blood pressure changes at age 55

Blood pressure changes in middle age correlate with the remaining lifetime risk of cardiovascular disease (CVD), according to the results from a pooled analysis of 7 studies. In the analysis of the U.S.-based studies, people with an increase in blood pressure in middle age had an increase in the remaining… 

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Posted in Cardiology, Cardiovascular Disease, Geriatrics, Hypertension, Primary Care | Tagged , , , , , , , , , , , | Volume: | Leave a comment

Study results make the case for quick titration of antihypertensive drugs to lower blood pressure

Patients who take their blood pressure (BP) medication as prescribed can reach maximum BP efficacy within a few weeks of starting therapy, according to a recent meta-analysis. Knowing this early can help you determine whether a new BP medication is working or not, so that you can try another agent… 

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Posted in Hypertension, Pharmacology, Primary Care | Tagged , , , , , , , , , | Volume: | Leave a comment

Childhood obesity leads to adverse cardiovascular and metabolic consequences as adults

Childhood obesity, a growing problem in India, compromises future cardiovascular health, according to a Canadian researcher in population health, who authored a review on the link between childhood obesity and adverse health outcomes in the Indian Journal of Endocrinology and Metabolism. According to data published in the late 2000s, the… 

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Posted in Cardiovascular Disease, Non-Communicable Disease, Obesity, Pediatrics | Tagged , , , , , , , , | Volume: | Leave a comment

Higher BMI, maternal age increase risk of gestational diabetes in South Asian women

A retrospective analysis has found that advanced maternal age and increased body mass index (BMI) each increase the risk of developing gestational diabetes mellitus (GDM); notably, these effects are more pronounced in women of South Asian descent. This study is the first in the current literature to examine the interaction… 

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Posted in Diabetes, Ob/Gyn | Tagged , , , , , , , , | Volume: | Leave a comment

Recommendations focus on preventing cot death in infants

A safe sleep environment to prevent sleep-related deaths—including sudden infant death syndrome (SIDS), which is often called cot death or crib death in India—is the focus of a recent policy statement from the American Academy of Pediatrics (AAP). The new statement is intended to reduce the risk of sleep-related suffocation,… 

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Posted in Pediatrics | Tagged , , , , , , , | Volume: | Leave a comment