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Diagnosis and management of heparin-induced thrombocytopenia are discussed in a review published in the May 31 issue of the Journal of the American College of Cardiology.

Vigilance Urged for Heparin-Induced Thrombocytopenia

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Heparin should be terminated on suspicion of HIT; alternative anticoagulants recommended
A new communication toolkit created by the Agency for Healthcare Research and Quality can help health care organizations and providers communicate with patients and families when harm occurs to patients.

AHRQ Communication Toolkit Can Help After Patient Harm Occurs

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Toolkit helps patients, families, clinicians, and administrators discuss what happened
A decision tool (dual antiplatelet therapy [DAPT] score) improves risk prediction for continued DAPT beyond assessment of myocardial infarction history

DAPT Score Improves Risk Prediction of Continued DAPT

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Score improves prediction of benefit and harm for continued DAPT therapy beyond MI history alone
Recognizing the unique role of patients and their expertise within the physician-patient interaction can help to prevent non-adherence based on disagreement

Recognition of Patient Expertise Can Improve Adherence

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Recognizing patient expertise in treatment decision can prevent nonadherence based on disagreement
High mechanical index impulses from a diagnostic ultrasound transducer during intravenous microbubble infusion can prevent microvascular obstruction in ST-segment elevation myocardial infarction

HMI Impulses From Ultrasound Transducer Beneficial in STEMI

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Prevention of microvascular obstruction with high mechanical index impulses plus PCI
Uninsurance rates have decreased since the introduction of the Affordable Care Act

Remaining Uninsured May Be Difficult to Reach Via ACA

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Reaching the remaining uninsured may be difficult due to lack of Medicaid expansion on the state level
For patients with type 2 diabetes with low-density lipoprotein cholesterol levels <2.0 mmol/L

Higher HDL-C Linked to Cardiac Risk With LDL-C <2.0 mmol/L

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Increased risk for cardiovascular events and all-cause mortality for patients with type 2 diabetes
Women with atrial fibrillation may be at an increased risk of developing cancer

Atrial Fibrillation Linked to Cancer Risk in Women

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Women with new-onset AF show elevated cancer risk beyond one year of AF diagnosis
The risk of major adverse cardiovascular events is increased with renal function decline

Renal Function Decline Linked to Major Adverse CV Events

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Renal function decline is independent factor for cardiovascular risk in patients with type 2 diabetes
Average leucocyte telomere length and the abundance of short telomeres (percent LTL <3 kb) are not significant independent determinants of subclinical atherosclerosis

Telomere Length Not Significantly Associated With Atherosclerosis

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LTL, abundance of short telomeres are not independent determinants of atherosclerosis