December 03, 2019
2 min read

Top news of November: AHA highlights, electrophysiology training ‘crisis’ and more

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Healio and Cardiology Today have compiled a list of the most-viewed cardiology articles in November. This month, our readers were most interested in highlights from the American Heart Association Scientific Sessions including COLCOT and ISCHEMIA, the impact of vitamin D and fish oil on HF hospitalization risk, a commentary on the decline of cardiology fellows pursuing electrophysiology training and more.


Vitamin D, fish oil fail to reduce first HF hospitalization risk

Interventions with vitamin D or omega-3 failed to reduce rates of first heart failure hospitalization in a large cohort of healthy adults, although researchers observed a benefit for recurrent HF hospitalization with fish oil supplementation, according to findings from an ancillary study of the VITAL trial presented at the AHA Scientific Sessions. Read more


COLCOT: Low-dose colchicine reduces CV risk after MI

Adults with a recent MI were less likely to experience an ischemic CV event over 2 years when assigned the anti-inflammatory gout medication colchicine compared with assignment to placebo, according to new results of the COLCOT trial presented at the AHA Scientific Sessions. Read more


Commentary: Electrophysiology training in crisis

In a new Commentary published in Cardiology Today, Peter R. Kowey, MD, FACC, FAHA, FHRS, Victoria M. Robinson, MBChB, MRCP, Douglas Esberg, MD, FACC, FHRS, describe a sharp decline in the number of cardiology fellows who have chosen to pursue advanced training in cardiac electrophysiology over the past 5 years. Read more


ISCHEMIA: Invasive strategy, medical therapy yield similar CV outcomes in stable ischemia

In stable patients with moderate or severe ischemia, an invasive strategy and a conservative strategy of optimal medical therapy yielded similar long-term CV outcomes, according to long-anticipated results of the ISCHEMIA and ISCHEMIA-CKD trials presented at the AHA Scientific Sessions. Read more


Dapagliflozin confers consistent benefit in HF without diabetes: DAPA-HF

New analyses of the DAPA-HF trial suggest that the benefits of the SGLT2 inhibitor dapagliflozin extend beyond its effects as a type 2 diabetes therapy. Read more


FDA: Risk for biotin interference with lab tests, troponin remains a concern

The FDA has updated its safety communication to remind the public, health care providers, lab personnel and lab test developers that biotin, or vitamin B7, can significantly interfere with certain diagnostic tests and cause incorrect results that may go undetected. The FDA remains concerned, in particular, with the potential for false results for troponin, which could result in missed diagnoses for MI. Read more



HF pharmacotherapy in midst of paradigm shift

Dramatic results of the recent DAPA-HF and PARAGON-HF trials have prompted the cardiology community to rethink pharmacotherapy for patients with HF with reduced or preserved ejection fraction. Changes to clinical practice and to guidelines could be forthcoming, but there is a lot to sort out before that happens. Read more


ED visits spike, prescribing patterns change in wake of valsartan recall

When multiple generic valsartan products were recalled worldwide in July 2018 due to the presence of a carcinogenic contaminant, valsartan dispensing immediately decreased. However, there was an immediate spike in ED visits for hypertension and incomplete replacement with alternative products in some patients, according to new data presented at the AHA Scientific Sessions. Read more


Insomnia increases CVD risk

Symptoms of insomnia, specifically difficulties in falling and staying asleep, early morning awakening and daytime dysfunction, were independent risk factors for the incidence of CVD, especially in young adults or those without hypertension, according to a study published in Neurology. Read more


Evening eating may worsen heart health in women

Women who consumed a higher proportion of their daily calories after 6 p.m. had poorer overall CV health and higher BP, BMI and HbA1c levels, researchers reported at the AHA Scientific Sessions. Read more