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   [1/26/2005]   Steroids Linked to Higher Heart Disease Risk
[1/26/2005]   Ultrasound may help dissolve deadly blood clots
[1/26/2005]   Weight gain that starts in childhood leads to enlarged hearts for young adults
[1/26/2005]   A racing "holiday heart" can spook you out
[10/15/2004]   Stress test may miss early heart disease
[10/15/2004]   Stroke research under funded in Europe, perhaps the world
[10/15/2004]   Air therapy helps heartbeat in breathing disorder
[10/15/2004]   Eating broiled, baked fish may lower incidence of irregular heart rhythm in the elderly
[10/15/2004]   Diet, reduced salt pack pressure-lowering punch
[2/15/2004]   Aspirin required for patients with cardiovascular risk on COX-2-selective inhibitor treatment.
[2/15/2004]   Indigestion or burning type pain may predict acute coronary syndrome
[11/30/2002]   Fish and the heart.
[11/30/2002]   Stress and heart problems.


Source: WebMD Medical News By Miranda Hitti -Reviewed By Brunilda Nazario, MD


Nov. 15, 2004 -- Taking high doses of steroids (glucocorticoids) seems
to increase the risk of heart disease including heart attack, heart failure,
and stroke, according to new research.
Steroids fight inflammation and are often prescribed for conditions including
asthma, inflammatory bowel disease, and inflammatory arthritis.
To read more click here:

http://my.webmd.com/content/article/97/104011.htm




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Source: Reuters Health - heartcenteronline.com


Nov 19 (Reuters) - Just like a spoon is used to stir sugar into a cup of tea,
high-frequency sound waves may help doctors get rid of deadly blood clots
in the brain, according to a study released on Wednesday. Researchers
reported they were able to increase the efficiency of Genentech Inc.'s
clot dissolver t-PA by 63 percent by bathing the area in front of the clot
with ultrasound while the drug went to work.
To read more click here:

http://www.heartcenteronline.com/myheartdr/home/research-detail.cfm?reutersid=4883




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Source: Journal Report - americanheart.org


DALLAS, Nov. 23 – Weight gain beginning in childhood can lead to an enlarged heart by early adulthood, researchers reported today in Circulation: Journal of the American Heart Association.
Researchers with the Bogalusa Heart Study followed 467 children for an average of 21.5 years.
They found that adiposity (fatness) beginning in childhood is a consistent predictor of heart size in early adulthood.
To read more click here:

http://www.americanheart.org/presenter.jhtml?identifier=3026821




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Source: Reuters Health - heartcenteronline.com


Nov 26 (Reuters Health) - There are many holiday traditions that are
not so good for the heart, but here's one that may cause a real scare:
festive binge drinking can temporarily speed up your heart rate, causing
a condition known as 'holiday heart,' according to an expert
To read more click here:

http://www.heartcenteronline.com/myheartdr/home/research-detail.cfm?reutersid=4893




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Stress test may miss early heart disease


SOURCE: Reuters
August 19, 2004

Aug 19 (Reuters) - Stress tests to detect blocked arteries in patients may miss more than half the cases of early heart disease, U.S. researchers reported on Tuesday.
http://www.heartcenteronline.com/myheartdr/home/research-detail.cfm?reutersid=4626



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Stroke research under funded in Europe, perhaps the world


SOURCE:Stroke Journal Report
August 12, 2004

DALLAS, August 13 - Despite being the second leading cause
of death worldwide, funding for stroke research lags far behind funding for other major causes of death in Europe, according to a study in Stroke: Journal of the American Heart Association.
http://www.americanheart.org/presenter.jhtml?identifier=3023981



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Air therapy helps heartbeat in breathing disorder


SOURCE: European Heart Journal, June 2004
July 22, 2004

Jul 22 (Reuters Health) - A regular puff of air in the nose, a treatment called continuous positive airway pressure (CPAP), can help prevent the abnormally slow heartbeat that may occur with obstructive sleep apnea, Greek researchers report. Reuters Health
http://www.heartcenteronline.com/myheartdr/home/research-detail.cfm?reutersid=4553



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Eating broiled, baked fish may lower incidence of irregular heart rhythm in the elderly


SOURSE: Journal Report - The National Heart, Lung, and Blood Institute funded the research
July 19, 2004

DALLAS, July 20 - Eating broiled or baked fish - but not fried fish or fish sandwiches - appears to lower the incidence of the most common irregular heartbeat among the elderly, according to a study published in today's rapid ccess issue of Circulation: Journal of the American Heart Association.
http://www.americanheart.org/presenter.jhtml?identifier=3023422



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Diet, reduced salt pack pressure-lowering punch


SOURCE: American Journal of Cardiology
July 15, 2004

Aug 19 (Reuters Health) - A new report provides more evidence that a
low-fat diet full of fruits and vegetables, but little salt, can lead to
a significant drop in blood pressure.
http://www.heartcenteronline.com/myheartdr/home/research-detail.cfm?reutersid=4625



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Aspirin required for patients with cardiovascular risk on COX-2-selective inhibitor treatment.


SOURCE : J Pain Palliat Care Pharmacother.
2003;17(2):27-50.
Potential cardiovascular effects of COX-2 selective nonsteroidal antiinflammatory drugs.
Fowles R.E. -Cardiology Division, LDS Hospital and the Salt Lake Clinic, Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, UT, USA.

When it was first clinically described, the efficacy of Cox-2 inhibitors (NSAIDs) appeared to be a revolution in the treatment of pain. These type of drugs, selectively inhibiting cyclooxygenase-2 (COX-2), showed great effectiveness against pain and less gastrointestinal toxicity than conventional anti-inflammatory.
But the COX-2 selectivity is now a concern because of its cardiovascular effects on safety. In fact there is an enzyme active in thrombosis and vasoconstriction, called COX-1, that is not inhibited. Some evidence suggests that certain COX-2 inhibitors cause ischemic vascular events. The safety of the drugs on renal effects and hypertension is similar to conventional NSAIDs drugs.
Good medical practice suggests that aspirin is required for patients with cardiovascular risk on COX-2-selective inhibitor treatment.



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In the USA it is more and more urgent to evaluate patients with acute, undifferentiated chest pain. This kind of acute and stressing syndrome needs to be evaluated through clinical features to identify which patients may have acute coronary syndrome.


SOURCE: QJM
2003 Dec;96(12):893-8.
(Clinical predictors of acute coronary syndromes in patients with undifferentiated chest pain.
Goodacre SW, Angelini K, Arnold J, Revill S, Morris F.

Accident and Emergency Department, Northern General Hospital, Sheffield, UK)

A recent study tried to identify patients with acute, undifferentiated chest pain in order to predict Acute Coronary Syndromes. The patients were evaluated in the emergency room and, after the hospital discharge, through follow-up with postal questionnaire at 1 month, and telephone contact at 6 months. The Acute Coronary Syndrome was diagnosed in 7.9% of the 972 patients recruited and the predictor of Acute Coronary Syndrome were: age ,male gender, indigestion or burning-type pain, pain radiating to the left arm, vomiting and previous or current smoking. Finally, it appears that indigestion or burning type pain predicts acute coronary syndrome in patients with acute, undifferentiated chest pain and one must be careful not to incorrectly diagnosis this as acute ’gastro-oesophageal’ chest pain.



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Fish and the heart.
The benefits of omega 3 fatty acids.



SOURCE: JAMA 2002;287:1815--21. N Engl J Med
2002;346:1113--8.

According to two recently published studies, eating fish regularly can reduce the risk of fatal heart disease in both men and women.
In the one study, 84,000 women between the age of 34 and 59 years were assessed for their dietary habits. Those who ate fish five or more times a week had 45% fewer fatal heart attacks than those who ate fish less than once a month.
In the other study, the levels of fatty acids (present in fish oil) were measured in 22,000 men. Those with lower fatty acid concentrations had a 5-fold higher risk of experiencing sudden death from cardiac causes than those with high levels of fatty acids. Fish, and fish oil in particular, contain many omega 3 fatty acids. These substances appear to be beneficial for the heart for two reasons. They can slow down thickening of the arteries and prevent abnormalities in heart rhythm.
Levels of omega 3 fatty acids are highest in dark meat fish like salmon, mackerel and sword fish, whereas canned tuna, shellfish and white meat fish contain 25% less omega 3 than salmon.



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Stress and heart problems.
Tie loosens between stress and heart disease.



SOURCE: British Medical Journal
May 25

The association between stress and heart disease is not as close as has been thought, a British study claims. It seems, in fact, that stress is not one of the main risk factors for cardiac disorders. Over a 20-year follow-up period, English physicians studying a group of men found that those who led a more stressful life tended to suffer fewer fatal heart attacks and fewer evident symptoms of cardiac disorders. They also smoked and drank more and took less physical exercise than their sedate counterparts. But they also tended to be more wealthy, so that they had access to better healthcare services. This may have contributed to the reduction in risk for heart diseases.
The physicians stated, however, that this does not mean that stress, smoking, alcohol and a sedentary lifestyle are good for the heart. On the contrary, the relation between stress and heart disorders is more complicated than previously thought. Many other factors can play a role. For example, people who live with stress may be able to recognize the symptoms heart disorders produce more readily, and therefore seek early treatment for their problems.



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