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Direct patient contracting practices

ACP Issues Guidance on ‘Concierge’ Practices

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Growth of DPCPs fueled by physicians' frustration; may exacerbate disparities in health care
Patients with normal or near-normal coronary angiogram results at age 65 years or older have significantly longer survival than the general population

Normal Coronary Angiogram at 65 Predicts Survival

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Death rate is lower than that of general population; rate of ischemic events also low
Macrolides are associated with a small but measurable increased risk of sudden cardiac death

Macrolides May Raise Cardiovascular Risks

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Macrolides were linked to small, but significant, chances of sudden cardiac death
Women are less likely than men to get the recommended treatments for myocardial infarction survivors

AHA: Women More Often Receive Suboptimal Post-MI Care

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This could explain gender gap in survival, researchers say
At least 16.8 million Americans could potentially benefit from the type of aggressive blood pressure treatment pursued under the Systolic Blood Pressure Intervention Trial (SPRINT). The findings were published online Nov. 9 in the New England Journal of Medicine to coincide with presentation at the annual meeting of the American Heart Association

AHA: Reducing Blood Pressure Target Could Increase Benefits

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Risk of CVD was lowered by 25 percent, while all-cause mortality risk was reduced 27 percent
Combination therapy of endovascular revascularization and supervised exercise is associated with greater improvements than supervised exercise alone for patients with intermittent claudication. The findings were published in the Nov. 10 issue of the Journal of the American Medical Association

AHA: Combo Tx Ups Benefits in Intermittent Claudication

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Greater improvements in waking distances, quality of life with revascularization plus exercise
Short sessions of high-intensity exercise may provide more health benefits for people with type 2 diabetes than longer bouts of less intense activity

AHA: Short, Intense Bouts of Exercise More Beneficial in T2DM

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Research suggests brief but harder workouts may provide better blood glucose control
Patients with mechanical heart valves may benefit from managing their own oral anticoagulant therapy

Self-Managing Anticoagulation May Benefit Heart Valve Patients

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Study found self-monitoring was linked to a lower risk of death after five years
More home-cooked meals may equal lower risk of type 2 diabetes

AHA: Home Cooking Linked to Lower Risk of Type 2 Diabetes

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Researchers also found association with fewer sugar-sweetened beverages, lower weight
Just one energy drink can cause potentially harmful spikes in both stress hormone levels and blood pressure in young

AHA: One Energy Drink Ups Blood Pressure, Norepinephrine Levels

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Physicians may need to ask young adults about energy drink intake in emergency settings