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Arrhythmia/EP
Coffee associated with lower risk of arrhythmias
11 COMMENTS - Mar 9, 2010 15:00 EST
Drinking four or more cups of java per day is associated with an 18% lower risk of hospitalization for arrhythmias, new research shows. While the data are observational and researchers don't advocate for greater consumption, they say it is good news that coffee doesn't appear to be harmful to the heart's electrical system.

San Francisco, CA - Good news for coffee drinkers—new observational data presented last week at EPI|PNAM 2010, the Cardiovascular Disease Epidemiology and Prevention and Nutrition, Physical Activity, and Metabolism 2010 Conference, suggests that multiple cups of Joe are associated with a lower risk of arrhythmias. [1]

"A lot of people think they have palpitations from coffee, and doctors commonly tell people not to drink it, but there are very few actual data, and the data that are available suggest no relationship," said lead investigator Dr Arthur Klatsky (Kaiser Permanente Division of Research, Oakland, CA). "We went into this study thinking there would be no association, but to our surprise, there was actually an inverse relationship. It could be protective, although one observational study doesn't prove anything yet."Read full article »

Inside: Clinical cardiology
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Clinical cardiology
Safety of Implantable Defibrillators: Lead Fractures
Apr 17, 2009 11:41 EDT
Recent data among heart patients have suggested that approximately 2.3% of patients with a defected implant lead attached to their defibrillator will experience lead fracture within 30 months of having the device implanted. What are your thoughts and is this happening in your clinical practice?
Clinical cardiology
Sudden Cardiac Death in Young Adults
13 COMMENTS - Mar 19, 2009 10:33 EDT
Sudden cardiac death (SCD) affects all age groups and can occur in any setting. While rare, sudden death among young adults is a devastating occurrence, diagnostic evaluation using echocardiography and ECGs as screening instruments in addition to a thorough history and physical examination may help identify young individuals at risk for SCD. Click to take the survey and compare answers. The results will help us create future CME programming.
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Interventional/Surgery
Women more likely to be referred for cath
Mar 13, 2010 17:00 EST
There appears to have been a paradigm shift in the way cardiologists refer to the cath lab, a new registry study suggests.
Clinical cardiology
Fitness more important than fatness for thrombotic risk in firefighters
Mar 13, 2010 16:45 EST
Despite looking fit and healthy, a third of firefighters examined in a new study were at high risk of a thrombotic event, and improving their fitness is more likely to reduce this risk than tackling excess body weight, say the researchers.
Medscape Medical News
Clopidogrel receives boxed warning for reduced benefit in poor metabolizers
8 COMMENTS - Mar 12, 2010 17:42 EST
The warning will inform clinicians that tests are available to predict whether a patient will convert the drug to its active form based on the genetic profile of a key liver enzyme.
Clinical cardiology
Living near a major roadway linked with coronary atherosclerosis
Mar 11, 2010 14:45 EST
Individuals living within 100 m of major roadway were more than three times as likely to have coronary atherosclerosis detected by angiography as those who lived farther away.
Arrhythmia/EP
Fingertip stress test promising in proof-of-concept study
Mar 10, 2010 11:00 EST
A simple, noninvasive, fingertip stress test has shown promise distinguishing between patients who have significant coronary artery disease and those who do not in a small proof-of-concept study. A phase 3 trial of the test is currently under way.
Lipid/Metabolic
Components of metabolic syndrome linked to plaque progression
Mar 9, 2010 14:00 EST
A new IVUS study has found that although the metabolic syndrome is associated with accelerated plaque progression, this can be attributed to its individual component risk factors rather than the syndrome itself.
Arrhythmia/EP
ECG screening found cost-effective in kids with ADHD considered for stimulant drugs
Mar 8, 2010 16:00 EST
Adding electrocardiography to the clinical evaluation in kids with attention-deficit/hyperactivity disorder considered for stimulant drug therapy—so it can be avoided in those with heart abnormalities—is "borderline" cost-effective, as it's commonly defined, according to an analysis.
Hypertension
Overweight, obese gain greater benefit from BP lowering
Mar 8, 2010 16:00 EST
The overweight and obese should be more aggressively treated with antihypertensive therapy than normal-weight individuals, because they will derive greater benefit, a new analysis of the PROGRESS study suggests.
News
What's going to be hot at ACC 2010?
Mar 5, 2010 16:45 EST
Pack this up for your patients: program chairs say a patient-care focus means results of this year's line-up of late-breaking clinical trials will have immediate relevance to clinical practice. Highlights include two ACCORD analyses looking at blood pressure and lipids, the EVEREST II results with the MitraClip, the MM-WES study of warfarin genotyping, plus a range of DES, HF, and atrial-fibrillation studies that may help answer the question of what therapies work best and at the best price.
Clinical cardiology
Thomas Medical recalls transseptal sheaths
Mar 5, 2010 15:00 EST
Five adverse events reports of tip fragmentation and separation prompted the company action.
Interventional/Surgery
Weekend admission delays major cardiac procedures
Mar 5, 2010 12:30 EST
New figures from the Agency for Healthcare Research and Quality show that patients admitted to US hospitals on weekends tend to experience significant delays in receiving major cardiac procedures.
The Heart of a Woman
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Editorial Programs
Editorial series
Informed consent, clinical research, and patient care
Mar 11, 2010 14:20 EST
Does informed consent protect patients or shield researchers? Join the debate with Dr Bob Harrington and his guests Drs Deepak Bhatt and Harvey White.
Editorial series
Women in cardiology: Is gender an issue?
3 COMMENTS - Mar 4, 2010 10:15 EST
Do gender perceptions affect the way female physicians are treated in cardiology? Drs Melissa Walton-Shirley, Judith Hochman, Suzanne Oparil, and Lynne Warner Stevenson tackle this important question.
Editorial series
Public smoking bans and cardiovascular health
15 COMMENTS - Feb 25, 2010 15:25 EST
Studies suggest public smoking bans reduce the incidence of acute MI. So why is America not smoke-free? Dr Melissa Walton-Shirley discusses this important issue with the AHA's Nancy Brown and Dr Clyde Yancy.
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