U.S. Trends in Cardiovascular Disease and Diabetes, 1999 Through 2006
Cardiology
Summary and Comment
Although racial and socioeconomic disparities in disease control persist, insurance coverage appears to narrow the gaps.
By Joel M. Gore, MD
May 13, 2009
Covering:
McWilliams JM et al., Ann Intern Med 2009 Apr 21; 150:505
Lipid Changes Differ Within HIV Drug Classes
In a pooled analysis of clinical trials, tenofovir-based therapies and those containing efavirenz or ritonavir-boosted atazanavir, darunavir, or saquinavir had the most favorable effects on plasma lipids.
By Paul E. Sax, MD
May 11, 2009
Covering:
Hill A et al., HIV Clin Trials 2009 Jan/Feb; 10:1
Independent Effects of LDL Cholesterol and hsCRP Lowering in the JUPITER Trial
General Medicine
Summary and Comment
Greater hsCRP reductions correlated with improved cardiovascular outcomes.
By Bruce Soloway, MD
April 23, 2009
Covering:
Ridker PM et al., Lancet 2009 Apr 4; 373:1175
Secondary Prevention of Cardiovascular Events in Daily Practice
Cardiology
Summary and Comment
A longitudinal analysis of cross-sectional study results reveals an urgent need for effective lifestyle management.
By Beat J. Meyer, MD
April 22, 2009
Covering:
Kotseva K et al., Lancet 2009 Mar 14; 373:929
Brekke M and Gjelsvik B., Lancet 2009 Mar 14; 373:873
Statins and Venous Thrombosis
Oncology and Hematology
Summary and Comment
Free
Recent studies confirm that statins lower risk for VT and suggest that the agents could aid in managing venous disease.
By David Green, MD, PhD
April 14, 2009
Covering:
Ramcharan AS et al., J Thromb Haemost 2009 Apr; 7:514
Sørensen HT et al., J Thromb Haemost 2009 Apr; 7:521
Cushman M., J Thromb Haemost 2009 Apr; 7:511
Do Statins Prevent Cardiovascular Events in Hemodialysis Patients?
Cardiology
Summary and Comment
Not according to findings from this randomized, controlled trial
By Harlan M. Krumholz, MD, SM
March 30, 2009
Covering:
Fellström BC et al., N Engl J Med 2009 Apr 2; 360:1395
Strippoli GFM and Craig JC., N Engl J Med 2009 Apr 2; 360:1455
TIPS for Reducing Cardiovascular Risk
Cardiology
Summary and Comment
Free
In a large feasibility trial, one small pill had favorable effects on many important risk markers.
By JoAnne M. Foody, MD
March 30, 2009
Covering:
Yusuf S et al for The Indian Polycap Study (TIPS)., Lancet 2009 Mar 30
Cannon CP., Lancet 2009 Mar 30
Statins to Prevent Venous Thromboembolic Disease
Cardiology
Summary and Comment
The beneficial effects of statins on arterial thrombosis and inflammation appear to extend to the venous side as well.
By Joel M. Gore, MD
March 29, 2009
Covering:
Glynn RJ et al., N Engl J Med 2009 Mar 29
Hold the Statins
Even with the AAPs updated guidelines for treating hyperlipidemia, few adolescents will meet criteria for pharmacologic management.
HDL Levels and Coronary Heart Disease: Its Complicated
Cardiology
Summary and Comment
According to a meta-regression analysis, interventions that modify HDL levels do not reduce risk for CHD.
Nothing Captivating About Acyl–Coenzyme A:Cholesterol Acyltransferase Inhibition
Cardiology
Summary and Comment
Findings from an atherosclerosis progression study squelch the clinical prospects of yet another cholesterol-targeting agent.
The Difficulty of Treating HIV-Related Dyslipidemia
HIV/AIDS Clinical Care
Summary and Comment
Free
In a large cohort study, HIV-infected patients did not respond to statins or gemfibrozil as well as uninfected patients did.
By Paul E. Sax, MD
March 23, 2009
Covering:
Silverberg MJ et al., Ann Intern Med 2009 Mar 3; 150:301
Treatment-Mediated Change in HDL Cholesterol Levels and CHD Risks
General Medicine
Summary and Comment
Free
Lowering LDL levels yielded benefit; raising HDL levels did not.
Statins for Everyone?
General Medicine
Summary and Comment
Nearly 80% of older adults would be eligible for statin therapy if JUPITER trial criteria were added to conventional criteria.
By Allan S. Brett, MD
March 3, 2009
Covering:
Spatz ES et al., Circ Cardiovasc Qual Outcomes 2009 Jan; 2:41
Cost-Effectiveness of Statins for Primary Prevention of Coronary Heart Disease
Cardiology
Summary and Comment
Scientists use a new model to quantify the costs of implementing ATP III guidelines and to compare these costs with those of other strategies.
By Joel M. Gore, MD
February 25, 2009
Covering:
Pletcher MJ et al., Ann Intern Med 2009 Feb 17; 150:243
Statin Use in Multiple Sclerosis
Neurology
Summary and Comment
A small study suggests increased MS activity with atorvastatin added to interferon-β, but the implications are unclear.
By Robert J. Fox, MD
February 24, 2009
Covering:
Birnbaum G et al., Neurology 2008 Oct 28; 71:1390
Goldman MD and Cohen JA., Neurology 2008 Oct 28; 71:1386
Metabolic Monitoring: Who Gets It?
Psychiatry
Summary and Comment
Despite clear guidelines, clinicians rarely monitor glucose or lipids in patients receiving second-generation antipsychotics.
By Joel Yager, MD
February 23, 2009
Covering:
Haupt DW et al., Am J Psychiatry 2009 Jan 15
Who Might Be Eligible to Receive Statins for Primary Prevention?
Cardiology
Summary and Comment
Free
Roughly four out of five older Americans might, according to results of the JUPITER trial.
By JoAnne M. Foody, MD
February 11, 2009
Covering:
Spatz ES et al., Circ Cardiovasc Qual Outcomes 2009 Jan; 2:41
Single Nucleotide Polymorphisms Associated with Increased Risk for Statin Myopathy
Neurology
Summary and Comment
Two SNPs in the <$EMPH_O>SLCO1B1<$EMPH_C> gene were associated with myopathy in this genome-wide association study.
By Anthony A. Amato, MD
January 27, 2009
Covering:
Link E et al., N Engl J Med 2008 Aug 21; 359:789
Statins for Primary Prevention of Cardiovascular Disease — The JUPITER Study
Among patients with high CRP levels, rosuvastatin lowered risk for adverse cardiovascular events.
Lipid Screening and Statins for Kids?
The AAP published controversial recommendations in 2008 about treating children with high LDL-cholesterol levels.
FDA Issues Alert on Dangers of Tainted Weight Loss Products
Nearly 30 weight loss products sold over the internet and in retail stores are tainted with undeclared, active pharmaceuticals or chemicals, the FDA warned on...
Abdominal Aortic Aneurysm Events in Women
Emergency Medicine
Summary and Comment
Smoking and age were among the factors linked to risk for AAA events.
By Kristi L. Koenig, MD, FACEP
November 21, 2008
Covering:
Lederle FA et al., BMJ 2008 Oct 14; 337:a1724
Powell JT and Norman PE., BMJ 2008 Oct 14; 337:a1894
Cardioprotection from Moderate Drinking Is Limited to People with Unhealthful Behaviors
General Medicine
Summary and Comment
Free
Nonsmokers who ate healthful diets and exercised didnt benefit from alcohol.
New Weight-Loss Drug Is Safe and Effective in Early Testing
General Medicine
Summary and Comment
Tesofensine produced weight loss without raising blood pressure or lowering mood.
By Bruce Soloway, MD
December 9, 2008
Covering:
Astrup A et al., Lancet 2008 Nov 29; 372:1906