Here are what the editors at HealthDay consider to be the most important developments in Cardiology for June 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
End-of-Life Decision-Making Video Aids Heart Failure Patients
THURSDAY, June 30, 2016 (HealthDay News) — Watching a video about end-of-life care options may help patients with advanced heart failure choose the approach best for them, according to a study published online June 29 in Circulation.
Lisinopril Therapy Cuts Incident Conduction System Disease
THURSDAY, June 30, 2016 (HealthDay News) — Lisinopril therapy is associated with a significant reduction in incident conduction system disease, according to a study published online June 27 in JAMA Internal Medicine.
Butter May Not Be As Unhealthy As Previously Thought
THURSDAY, June 30, 2016 (HealthDay News) — Butter may not be the unhealthy food many Americans believe it to be; however, that doesn’t mean that butter provides any real health benefit, according to research published online June 29 in PLOS ONE.
Cardiovascular Disease Mortality Progress Slowing Down in U.S.
WEDNESDAY, June 29, 2016 (HealthDay News) — The rate of decline in cardiovascular disease mortality has decelerated, according to research published online June 29 in JAMA Cardiology.
Electronic Record Demands Are Overwhelming Many Physicians
WEDNESDAY, June 29, 2016 (HealthDay News) — Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.
Abstract
Full Text (subscription or payment may be required)
Genetic Heart Condition Common Cause of Sudden Death in Sports
WEDNESDAY, June 29, 2016 (HealthDay News) — About one-third of sudden deaths are caused by hypertrophic cardiomyopathy, according to research published recently in The American Journal of Medicine.
Abstract
Full Text (subscription or payment may be required)
Escitalopram Not Beneficial for Heart Failure Patients
WEDNESDAY, June 29, 2016 (HealthDay News) — The antidepressant escitalopram may not help heart failure patients suffering from depression, according to research published in the June 28 issue of the Journal of the American Medical Association.
Abstract
Full Text (subscription or payment may be required)
Too Many Elderly, Terminal Patients Getting Unnecessary Tx
TUESDAY, June 28, 2016 (HealthDay News) — Patients dying in old age often receive unnecessary end-of-life medical treatments in hospitals, according to research published online June 27 in the International Journal for Quality in Health Care.
Omega-3s Tied to Lower Risk of Fatal Coronary Heart Disease
TUESDAY, June 28, 2016 (HealthDay News) — Regularly eating fish and other foods rich in omega-3 fatty acids may lower the risk of fatal coronary heart disease (CHD), according to a review published online June 27 in JAMA Internal Medicine.
Abstract
Full Text (subscription or payment may be required)
End-of-Life Care Received Varies Based on Type of Disease
TUESDAY, June 28, 2016 (HealthDay News) — Family-reported quality of end-of-life care is significantly better for patients with cancer or dementia than for patients with other chronic conditions, according to research published online June 26 in JAMA Internal Medicine to coincide with presentation at AcademyHealth’s Annual Research Meeting, held from June 26 to 28 in Boston.
Abstract
Full Text
Editorial
More Information
Clopidogrel Plus Aspirin Good for Noncarriers of CYP2C19 Variants
TUESDAY, June 28, 2016 (HealthDay News) — For patients with minor ischemic stroke or transient ischemic attack, the risk of new stroke is reduced with use of clopidogrel plus aspirin versus aspirin alone among those who are not carriers of the CYP2C19 loss-of-function alleles, according to a study published online June 23 in the Journal of the American Medical Association. The research was published to coincide with the Second Annual Scientific Session of the Chinese Stroke Association and the Tiantan International Stroke Conference, held from June 24 to 26 in Beijing.
Abstract
Full Text
More Information
Patients Face High Hospital Bills Despite Having Insurance
MONDAY, June 27, 2016 (HealthDay News) — Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.
Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Many Teens Using Unregulated Supplements to Alter Appearance
MONDAY, June 27, 2016 (HealthDay News) — Many teens are turning to risky, unregulated supplements to change their appearance, according to a new report from the American Academy of Pediatrics (AAP) published online June 27 in Pediatrics.
ALT Levels Within Normal Range Linked to Cardiovascular Events
MONDAY, June 27, 2016 (HealthDay News) — Alanine aminotransferase (ALT) levels within normal range are associated with cardiovascular event risk, according to a study published in the July 1 issue of The American Journal of Cardiology.
Abstract
Full Text (subscription or payment may be required)
Mortality Up With No Revascularization in NSTEMI
FRIDAY, June 24, 2016 (HealthDay News) — Mortality is increased for patients with non-ST-segment elevation myocardial infarction (NSTEMI) who do not undergo coronary revascularization, according to a study published in the July 1 issue of The American Journal of Cardiology.
Abstract
Full Text (subscription or payment may be required)
Diabetes Increases Mortality Risk After Acute Myocardial Infarction
FRIDAY, June 24, 2016 (HealthDay News) — Patients with diabetes are much more likely to die after an acute myocardial infarction (AMI) than patients without diabetes, according to a study published online June 15 in the Journal of Epidemiology and Community Health.
Abstract
Full Text (subscription or payment may be required)
2017 Will Bring Premium Rate Increases Under ACA
FRIDAY, June 24, 2016 (HealthDay News) — Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.
Candesartan Doesn’t Prevent Trastuzumab Cardiotoxicity
FRIDAY, June 24, 2016 (HealthDay News) — In patients with early breast cancer, candesartan does not protect against trastuzumab-related cardiotoxic effects, according to a study published online June 23 in JAMA Oncology.
Diabetes Plus Kidney Disease Raises CVD Risk in Blacks
FRIDAY, June 24, 2016 (HealthDay News) — For black Americans with diabetes, chronic kidney disease (CKD) appears to increase the risk of cardiovascular mortality, according to a study published online June 23 in the Clinical Journal of the American Society of Nephrology.
Abstract
Full Text (subscription or payment may be required)
Digital Technology Holds Potential in Emergency CVD Care
THURSDAY, June 23, 2016 (HealthDay News) — Smartphones, apps, and other digital technology could speed emergency care to patients experiencing an acute myocardial infarction (AMI), stroke, or cardiac arrest, according to a new report issued by the American Heart Association (AHA) and published online June 22 in Circulation.
Genetic Testing Helps Identify Causes of Sudden Cardiac Death
THURSDAY, June 23, 2016 (HealthDay News) — Genetic testing can increase the identification of a possible cause of sudden cardiac death in children and young adults, according to a study published in the June 23 issue of the New England Journal of Medicine.
Full Text (subscription or payment may be required)
CDC: Alternative Medicine a Booming Business in U.S.
WEDNESDAY, June 22, 2016 (HealthDay News) — Americans spent more than $30 billion out of pocket in 2012 on chiropractors and other complementary health practitioners, as well as supplements and other forms of alternative medicine, according to research published online June 22 in the U.S. Centers for Disease Control and Prevention’s National Health Statistics Reports.
Daily Steps in Children With T1DM Tied to Early Atherosclerosis
WEDNESDAY, June 22, 2016 (HealthDay News) — For children with type 1 diabetes, the number of daily steps is associated with early signs of atherosclerosis and adverse cardiovascular risk, according to a study published online June 15 in Diabetes Care.
Male PCPs Less Likely to Assess CVD Risk in Female Patients
WEDNESDAY, June 22, 2016 (HealthDay News) — Many male primary care physicians regard cardiovascular disease as a man’s issue and don’t assess risk in female patients, according to research published online June 21 in the European Journal of Preventive Cardiology.
Risk of Cardiovascular Events Up in Black Patients With A-Fib
WEDNESDAY, June 22, 2016 (HealthDay News) — Black Americans with atrial fibrillation are at higher risk than whites for serious cardiovascular complications and death, according to a study published online June 22 in JAMA Cardiology.
Dropping Troponin Test May Up Number of Donor Hearts Available
WEDNESDAY, June 22, 2016 (HealthDay News) — The troponin I blood test that’s used to check the health of a donor heart may not accurately predict if a heart transplant will be successful, according to a study published online June 21 in Circulation: Heart Failure.
Statins Could Reduce Risk of Infection in Stroke Patients
WEDNESDAY, June 22, 2016 (HealthDay News) — Statins could significantly reduce the risk of infection in stroke patients, according to a study published online June 9 in the Journal of Stroke and Cerebrovascular Diseases.
Abstract
Full Text (subscription or payment may be required)
APCs, Doctors Order Low-Value Services With Similar Frequency
WEDNESDAY, June 22, 2016 (HealthDay News) — Advanced practice clinicians (APCs) and physicians order low-value health services with similar frequency, according to a study published online June 20 in the Annals of Internal Medicine.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Vitamin K Antagonists Appear to Be Well Tolerated
WEDNESDAY, June 22, 2016 (HealthDay News) — Vitamin K antagonists (VKA) are well tolerated and have a minimal effect on quality of life, according to a study published online June 21 in Circulation: Cardiovascular Quality and Outcomes.
Abstract
Full Text (subscription or payment may be required)
Nine-Protein Risk Score May Help Predict CV Events in Stable CHD
WEDNESDAY, June 22, 2016 (HealthDay News) — A nine-protein risk score may help predict cardiovascular events among patients with stable coronary heart disease (CHD), according to a study published in the June 21 issue of the Journal of the American Medical Association.
Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Tips Provided for Leveraging Social Media
TUESDAY, June 21, 2016 (HealthDay News) — During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.
Too Many A-Fib Patients Taking Aspirin Instead of Anticoagulant
TUESDAY, June 21, 2016 (HealthDay News) — More than one-third of U.S. patients with atrial fibrillation who need anticoagulation to prevent strokes aren’t receiving it, according to a study published in the June 28 issue of the Journal of the American College of Cardiology.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Moderately Low LDL May Be Enough to Ward Off CVD Risk
TUESDAY, June 21, 2016 (HealthDay News) — Very low target low-density lipoprotein (LDL) cholesterol levels may not benefit all patients with preexisting heart disease, according to a study published online June 20 in JAMA Internal Medicine.
Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Three-Drug Tx Ups Survival in Light-Chain Amyloidosis
TUESDAY, June 21, 2016 (HealthDay News) — For patients with heart failure due to light-chain amyloidosis (AL), three-drug therapy with bortezomib, dexamethasone, and an alkylating agent (BDex+AA) is associated with improved survival, according to a study published in the June 28 issue of the Journal of the American College of Cardiology.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Persistent High Spending Common in Year Before Death
TUESDAY, June 21, 2016 (HealthDay News) — Almost half of older Medicare beneficiaries have high persistent spending throughout the full year before death, according to a study published in the June issue of Health Affairs.
Reset Room Can Help Address Physician Burnout
MONDAY, June 20, 2016 (HealthDay News) — The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.
TAVI Can Be Performed Without ICU Admission
MONDAY, June 20, 2016 (HealthDay News) — Transcatheter aortic valve implantation (TAVI) can be performed in low-risk patients without admission to the intensive care unit (ICU), according to a study published in the July 1 issue of The American Journal of Cardiology.
Abstract
Full Text (subscription or payment may be required)
One Free Meal From Industry Ups Brand-Name Rx Among Doctors
MONDAY, June 20, 2016 (HealthDay News) — Physicians who receive even one free meal, valued at less than $20 on average, are more likely to prescribe a promoted brand-name drug than a cheaper generic alternative, compared with doctors who did not accept a meal, according to a study published online June 20 in JAMA Internal Medicine.
Early Discharge After Primary PCI Deemed Safe in STEMI
MONDAY, June 20, 2016 (HealthDay News) — For patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention (PPCI), an early discharge strategy within 48 to 56 hours is safe, according to a study published in the June 15 issue of The American Journal of Cardiology.
Abstract
Full Text (subscription or payment may be required)
Strategy Needed to Address Impending Physician Shortage
FRIDAY, June 17, 2016 (HealthDay News) — Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.
Recombinant tPA Safe for Patients With Wake-Up Stroke
FRIDAY, June 17, 2016 (HealthDay News) — For patients with wake-up stroke (WUS), treatment with recombinant tissue plasminogen activator (rtPA) seems safe, according to a study published online June 6 in the Annals of Neurology.
Abstract
Full Text (subscription or payment may be required)
Varying Safety of Add-On Second-Line T2DM Treatments
FRIDAY, June 17, 2016 (HealthDay News) — For patients with type 2 diabetes who are taking metformin, the risk of cardiovascular events and mortality varies with the addition of different second-line therapies, according to a study published online June 10 in Diabetes, Obesity and Metabolism.
Abstract
Full Text (subscription or payment may be required)
Pharmacist Involvement Can Improve Cardiovascular Care
THURSDAY, June 16, 2016 (HealthDay News) — Patients with poorly controlled cardiovascular disease (CVD) risk factors could improve their prognosis by having pharmacists help manage their care, according to a study published in the June 21 issue of the Journal of the American College of Cardiology.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Potential Impact of Single-Payer Health Care Discussed
THURSDAY, June 16, 2016 (HealthDay News) — Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.
Prices for Care Rise Significantly As Multi-Hospital Systems Emerge
THURSDAY, June 16, 2016 (HealthDay News) — Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.
Sleep-Disordered Breathing Ups Risk of Complications After PCI
THURSDAY, June 16, 2016 (HealthDay News) — Sleep-disordered breathing (SDB) may increase the risk of serious complications in patients who have undergone percutaneous coronary intervention (PCI), according to research published online June 15 in the Journal of the American Heart Association.
Several Heart Conditions Affected Differently by Alcohol
WEDNESDAY, June 15, 2016 (HealthDay News) — Texans living in “dry” counties are more likely to suffer myocardial infarction and congestive heart failure than those living in nearby “wet” counties, where alcohol sales are legal; however, atrial fibrillation is less likely in dry counties, according to a study published online June 14 in The BMJ.
Preemies’ Hearts Benefit From Breastfeeding in the Long Term
WEDNESDAY, June 15, 2016 (HealthDay News) — Breastfeeding premature infants appears to increase the likelihood that those infants will have healthier hearts in young adulthood, according to research published online June 14 in Pediatrics.
Full Text (subscription or payment may be required)
Very Few Cases of Chest Pain Seen in ER Are Life-Threatening
WEDNESDAY, June 15, 2016 (HealthDay News) — Less than 6 percent of patients presenting to the emergency department with chest pain suffer from life-threatening conditions such as a heart attack, according to a research letter published online June 13 in JAMA Internal Medicine.
Full Text (subscription or payment may be required)
Four-Step Strategy Suggested for Boosting Practice Quality of Care
WEDNESDAY, June 15, 2016 (HealthDay News) — Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).
Long-Acting Opioids May Increase Risk of All-Cause Mortality
TUESDAY, June 14, 2016 (HealthDay News) — Opioid use may significantly increase mortality risk, according to a study published in the June 14 issue of the Journal of the American Medical Association.
Abstract
Full Text (subscription or payment may be required)
Even Short-Term T2DM Remission Reduces Risk of Microvascular Dz
TUESDAY, June 14, 2016 (HealthDay News) — For patients with type 2 diabetes, remission after bariatric surgery is associated with a reduced risk of microvascular disease, even after subsequent relapse, according to a study published online June 6 in Diabetes Care.
Full Text (subscription or payment may be required)
Ultrasound Beats Palpation for Femoral Artery Catheterization
MONDAY, June 13, 2016 (HealthDay News) — For children undergoing heart surgery, real-time ultrasound guidance is superior to a palpation technique for femoral artery catheterization, according to a study published online June 1 in Pediatric Anesthesia.
Abstract
Full Text (subscription or payment may be required)
Persistent Depression Linked to Increased CAC Scores in Women
MONDAY, June 13, 2016 (HealthDay News) — Persistent depressive symptoms are associated with increased coronary artery calcium (CAC) scores among middle-aged women without cardiovascular disease (CVD), according to a study published in the June 15 issue of The American Journal of Cardiology.
Abstract
Full Text (subscription or payment may be required)
Senior Runners Expend Similar Energy As Younger Runners
FRIDAY, June 10, 2016 (HealthDay News) — Runners over age 65 could burn oxygen at nearly the same rate as much younger runners, according to a study published in the April issue of Medicine & Science in Sports & Exercise.
Full Text (subscription or payment may be required)
Anemia Independently Linked to High Platelet Reactivity in PCI
THURSDAY, June 9, 2016 (HealthDay News) — Anemia is independently associated with high platelet reactivity (HPR) and is associated with all-cause mortality and major bleeding after percutaneous coronary intervention with drug-eluting stents, according to a study published in the June 15 issue of The American Journal of Cardiology.
Abstract
Full Text (subscription or payment may be required)
Temporal hs-cTnT Increase Linked to Risk of CHD, CHF
THURSDAY, June 9, 2016 (HealthDay News) — Temporal increases in high-sensitivity cardiac troponin T (hs-cTnT) are associated with increased risk of coronary heart disease (CHD), heart failure, and all-cause mortality, according to a study published online June 8 in JAMA Cardiology.
Renal Function Tests Stratify Risk in Pregnant Women With HTN
THURSDAY, June 9, 2016 (HealthDay News) — Baseline renal function tests can stratify the risk of severe preeclampsia in pregnant women with chronic hypertension, according to a study published in the July issue of Obstetrics & Gynecology.
Full Text (subscription or payment may be required)
Women With A-Fib Less Likely to Receive Oral Anticoagulants
THURSDAY, June 9, 2016 (HealthDay News) — Among patients with atrial fibrillation, women are less likely than men to receive oral anticoagulant therapy, according to a study published in the May issue of the Journal of the American Geriatrics Society.
Abstract
Full Text (subscription or payment may be required)
FDA Warns of Overdoses of Anti-Diarrhea Drug
WEDNESDAY, June 8, 2016 (HealthDay News) — Overdoses from common anti-diarrhea drugs are being investigated by the U.S. Food and Drug Administration, which warned the drugs can cause potentially fatal heart problems when taken in higher-than-recommended amounts.
Review: Similar/Improved Outcomes for TAVI Versus SAVR
TUESDAY, June 7, 2016 (HealthDay News) — Transcatheter aortic valve implantation (TAVI) may be associated with improved clinical outcomes versus surgical aortic valve replacement (SAVR) in adults with severe aortic stenosis, according to a review and meta-analysis published online June 7 in the Annals of Internal Medicine.
Full Text (subscription or payment may be required)
Intraprocedural CCTA Feasible for Identifying Guidewires
TUESDAY, June 7, 2016 (HealthDay News) — Coronary computed tomographic angiography (CCTA) is feasible for identifying the location of guidewires during chronic total occlusion (CTO) intervention, according to a study published in the June 15 issue of The American Journal of Cardiology.
Abstract
Full Text (subscription or payment may be required)
Exercise Cuts Cardiac Events in Non-Metastatic Breast Cancer
TUESDAY, June 7, 2016 (HealthDay News) — For patients with non-metastatic breast cancer, exercise is associated with reductions in the incidence of cardiovascular events, according to a study published online May 23 in the Journal of Clinical Oncology.
Abstract
Full Text (subscription or payment may be required)
Ventricular Ectopic QRS Interval May Be Useful Post-MI Marker
MONDAY, June 6, 2016 (HealthDay News) — The ventricular ectopic QRS interval (VEQSI) can identify post-myocardial infarction (MI) patients with prior serious ventricular arrhythmia, according to a study published online June 1 in JACC: Clinical Electrophysiology.
Full Text (subscription or payment may be required)
Few Engage in Five Behaviors for Preventing Chronic Disease
MONDAY, June 6, 2016 (HealthDay News) — Few U.S. adults engage in all five health-related behaviors recommended for chronic disease prevention, according to a study published online May 26 in the U.S. Centers for Disease Control and Prevention’s Preventing Chronic Disease.
Post-CABG Infection Risk Up Significantly for Severely Obese
FRIDAY, June 3, 2016 (HealthDay News) — Severely obese patients may have a higher risk of certain complications after coronary artery bypass grafting (CABG) surgery than normal-weight patients, according to a study published online June 1 in the Journal of the American Heart Association.
High-Sensitivity Cardiac Troponin I Assay Shows Efficiency in ER
FRIDAY, June 3, 2016 (HealthDay News) — A high-sensitivity cardiac troponin I assay can help identify or exclude the diagnosis of myocardial infarction (MI) in the emergency department, according to two studies published online June 1 in JAMA Cardiology.
Abstract – Carlton
Full Text
Abstract – Neumann
Full Text
Editorial
Contraindication to Antiplatelet Rx for ~18 Percent With PCI
FRIDAY, June 3, 2016 (HealthDay News) — About 18 percent of patients undergoing percutaneous coronary intervention (PCI) have a contraindication to commonly used antiplatelet medications, according to a study published online May 31 in Circulation: Cardiovascular Quality and Outcomes.
Abstract
Full Text (subscription or payment may be required)
AMA Module Promotes Training of Medical Assistants
THURSDAY, June 2, 2016 (HealthDay News) — A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).
Decline in Complex Congenital Heart Defects in Down Syndrome
THURSDAY, June 2, 2016 (HealthDay News) — For infants diagnosed with Down syndrome there has been a reduction in the risk of complex congenital heart defects, according to a study published online June 1 in Pediatrics.
Genes May Lower Risk of Obesity in Men of West African Descent
THURSDAY, June 2, 2016 (HealthDay News) — A new study has identified genetic factors in black men with a strong West African ancestry that are associated with a lower risk of central obesity. But this apparent benefit doesn’t extend to black women, regardless of their lineage. The study findings were published online June 1 in Frontiers in Genetics.
Short-Term Risk of Arrhythmia Up With New ADHD Rx
THURSDAY, June 2, 2016 (HealthDay News) — Methylphenidate can increase the risk of arrhythmias during the first two months of use, according to a study published online May 31 in The BMJ.
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Patients Like to See Physicians Wearing White Coats
THURSDAY, June 2, 2016 (HealthDay News) — Most patients prefer that physicians wear white coats, according to research published online June 1 in JAMA Dermatology.
Abstract
Full Text (subscription or payment may be required)
CVD Risk Appears to Be Increased in Women With Migraine
WEDNESDAY, June 1, 2016 (HealthDay News) — Women who suffer from migraine headaches may have a slightly increased risk of heart disease or stroke, according to a study published online May 31 in The BMJ.
FDA Urges Food Manufacturers to Reduce Sodium in Their Products
WEDNESDAY, June 1, 2016 (HealthDay News) — The U.S. Food and Drug Administration wants the food industry to voluntarily reduce the amount of sodium in processed and commercially prepared food.
More Evidence That Air Pollution Raises Blood Pressure
WEDNESDAY, June 1, 2016 (HealthDay News) — There is more evidence linking air pollution with increased risk of developing hypertension, according to a review published online May 31 in Hypertension.
Vigilance Urged for Heparin-Induced Thrombocytopenia
WEDNESDAY, June 1, 2016 (HealthDay News) — Diagnosis and management of heparin-induced thrombocytopenia (HIT) are discussed in a review published in the May 31 issue of the Journal of the American College of Cardiology.
Full Text (subscription or payment may be required)
Copyright © 2016 ScoutNews, LLC. All rights reserved.
