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March 09, 2010 Is patient self-report an adequate tool for monitoring cardiovascular conditions in patients with hypercholesterolemia? - Journal of Public Health Englert H et al. – Since the agreement between patient self–report and CRFs/medical records varies with specific cardiovascular diagnoses in patients with hypercholesterolemia, the adequacy of this tool seems to be limited. However, the authors recommend additional data validation for certain patient groups and consideration of individual patient characteristics associated with over– and underreporting.... Patient participation during hospitalization for myocardial infarction: perceptions among patients and personnel - Scandinavian Journal of Caring Sciences Hoglund AT et al. – If patient participation is to be achieved in all phases of MI care, patients need to be made aware of their right to participate. Health care professionals need to develop appropriate communication skills for each phase of the MI patient's hospitalization.... March 08, 2010 Physicians’ Perceptions of Barriers to Cardiovascular Disease Risk Factor Control among Patients with Diabetes: Results from the Translating Research into Action for Diabetes (TRIAD) Study - Journal of the American Board of Family Medicine Crosson JC et al. – Physicians felt that barriers to CVD risk factor control often were beyond their abilities to address. Training physicians or other members of the primary health care team to address patients’ personal barriers and health system barriers to good control could help alleviate high frustration levels, improve relationships with patients, and improve the treatment of diabetes. Supporting such efforts with adequate reimbursement should be a focus of health care reform.... The impact of vitamin D deficiency on diabetes and cardiovascular risk - Current Opinion in Endocrinology, Diabetes and Obesity Baz–Hecht M et al. – The high prevalence of vitamin D deficiency and plausible molecular mechanisms linking this to diabetes and cardiovascular risk suggest treatment of vitamin D deficiency to prevent and/or treat diabetes is a promising field to explore.... Mixing NSAIDs with antiplatelet therapy - The Clinical Advisor Sherman C – With the aging of the population, use of nonsteroidal anti–inflammatory drugs for musculoskeletal discomfort and other indications has risen. The guideline's overarching message is that patients who are at risk of adverse GI effects should have gastroprotection. Gastroprotection is virtually mandatory for patients receiving combined aspirin and anticoagulant therapy. Once bleeding develops and cardioprotection is suspended, the situation can rapidly spiral out of control. ... The management of pain in end-stage heart failure - British Journal of Cardiac Nursing Hughes S et al. – Pain is emerging clinically as an important but overlooked symptom in heart failure. The symptom of pain is poorly described in chronic disease and not a symptom immediately associated with heart failure. Despite this, in studies pain is commonly reported by heart failure patients. Heart failure patients may experience pain from a variety of causes, which may be acute, chronic or in end–stage disease, the concept of 'Total Pain' may apply. Treatment can be a challenge as it must take into account any contraindications the patient's diagnosis or other medications impose. Established pain management may need to be adapted to include a combination of drugs with different modes of action and non pharmacological strategies.... A tailored lifestyle intervention to reduce the cardiovascular disease risk of individuals with Familial Hypercholesterolemia - BMC Public Health Broekhuizen K et al. – Results of the PRO–FIT project will provide information about the effects and implementation of a healthy lifestyle intervention for individuals with FH. This experiences with this intervention will be indicative about the suitability, feasibility and benefits of this approach for future interventions in other high–risk groups, such as Familial Combined Hypercholesterolemia (FCH) and diabetes. ... March 05, 2010 Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: A systematic review - Patient Education and Counselling Ditewig JB et al. – This systematic review found that current available published studies show methodological shortcomings impairing validation of the effectiveness of self–management interventions on mortality, all–cause hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure.... Home telemonitoring for congestive heart failure: a systematic review and meta-analysis - Journal of Telemedicine and Telecare Polisena J et al. – Patient quality of life and satisfaction with home telemonitoring were similar or better than with usual care. More studies of higher methodological quality are required to give more precise information about the potential clinical effectiveness of home telehealth interventions.... Heart rate increment analysis is not effective for sleep-disordered breathing screening in patients with chronic heart failure - Journal of Sleep Research Damy T et al. – Heart rate increment analysis has several limitations in CHF patients and cannot be recommended as an SDB screening tool in the CHF population.... More News...