Cardiology

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Outcomes May Be Better for Warfarin Users Who Stop Aspirin Use

Quality improvement effort tied to decrease in major bleeding without increase in thrombotic events

Early Mortality High for Aortic Dissection Patients Not Planned for Surgery

At 48 hours, mortality was 23.7 percent for those medically treated versus 4.4 percent for those surgically treated

Genetic Predisposition to Smoking Causally Linked to Stroke Outcomes

Link remained significant in multivariable Mendelian randomization analyses adjusting for genetically predicted alcohol consumption

MI Outcomes May Be Worse in Patients With Rheumatic IMID

MI outcomes poorer in Medicare beneficiaries with versus without rheumatic immune-mediated inflammatory disease

Physician Burnout Significantly Increased During 2020 to 2021

Additionally, decreases in satisfaction with work-life integration and increases in depression seen

Medical Debt Tied to Worsening of Food, Housing Insecurity

Risk factors for medical indebtedness include hospitalization, disability, high deductible, Medicare Advantage, and no insurance coverage

CVD Risk Factors Similar for Men, Women

Diet more strongly linked to CVD risk in women; high non-HDL cholesterol, depression symptoms more strongly linked in men

HIV + Hep C Coinfection Not Tied to Increased Type 1 MI Risk

However, with increasing age, risk for type 1 myocardial infarction increased for people with HIV with versus without hepatitis C virus infection

Recommendations Issued for Perioperative Antithrombotic Management

Two strong recommendations developed against use of heparin bridging in a-fib, and for continuation of VKA in patients getting pacemaker/ICD

Traffic-Related Air Pollution May Impact Women More

Effects on plasma proteins known to play a role in inflammation, oxidative stress, cardiovascular disease greater in women than in men