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Showing posts with label Cardiology. Show all posts
Showing posts with label Cardiology. Show all posts

Heart Medications: The More You Skip, The More You Risk

Although it might take some effort to find out why some patients skip taking their medicine, a new study finds that heart patients who most frequently miss a dose are more than twice as likely to suffer heart attack, stroke and death.

The findings are important because they pinpoint the size of the problem, said study co-author Mary Whooley, M.D., associate professor of medicine at the University of California at San Francisco. Just over 8 percent of the 1,015 patients surveyed said they fail to take their medicine at least 25 percent of the time.

"The next step is to figure out how we can change people's behavior," Whooley said. "It is so hard to convince people to lose weight, exercise and take their medicines as they're supposed to. If we could figure out ways to motivate people to change, that would have tremendous public health consequences."

Whooley and colleagues asked coronary heart patients taking part in a national study whether they took their medications over the past month as prescribed. Then they followed the patients for almost four years to see who died and who had survived a heart attack or stroke. The study results appear in the Sept. 10 issue of the Archives of Internal Medicine.

Click here to see the rest of this article in Medical News Today


Reprinted with kind permission from http://www.medicalnewstoday.com/



ECG does not rule out LV hypertrophy

By Caroline Price
07 September 2007
Br Med J 2007; Advance online publication

MedWire News: Electrocardiographic criteria should not be used to rule out left ventricular (LV) hypertrophy in patients with hypertension, say clinicians in an advance online publication by the British Medical Journal.

Matthias Egger (Universities of Bern, Switzerland, and Bristol, UK) and colleagues conclude this after conducting a systematic review of studies testing the accuracy of six different electrocardiographic indexes.

Accurate and early diagnosis of LV hypertrophy is an important component of the care of hypertension patients, in whom it leads to a five- to 10-fold increase in cardiovascular risk, explain the researchers, but the appropriate diagnostic work-up of suspected LV hypertrophy remains unclear.

Egger and co-workers set out to clarify the accuracy of commonly used electrocardiographic indexes, focusing on their ability to rule out LV hypertrophy in patients with arterial hypertension.

"As the electrocardiogram (ECG) will mainly be used to rule out the diagnosis of LV hypertrophy, we were particularly interested in the sensitivity and the likelihood ratio of a negative ECG result," they note.



SOURCE: MedWire News



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