Certainly tobacco products are dangerous to children’s health, but what about the new rage, Vape? Can liquid nicotine be dangerous?
Blood pressure variability and cardiovascular disease: systematic review and meta-analysis – The BMJ
Results – 41 papers representing 19 observational cohort studies and 17 clinical trial cohorts, comprising 46 separate analyses were identified. Long term variability in blood pressure was studied in 24 papers, mid-term in four, and short-term in 15 (two studied both long term and short term variability). Results from 23 analyses were excluded from main analyses owing to high risks of confounding. Increased long term variability in systolic blood pressure was associated with risk of all cause mortality (hazard ratio 1.15, 95% confidence interval 1.09 to 1.22), cardiovascular disease mortality (1.18, 1.09 to 1.28), cardiovascular disease events (1.18, 1.07 to 1.30), coronary heart disease (1.10, 1.04 to 1.16), and stroke (1.15, 1.04 to 1.27). Increased mid-term and short term variability in daytime systolic blood pressure were also associated with all cause mortality (1.15, 1.06 to 1.26 and 1.10, 1.04 to 1.16, respectively).
Conclusions – Long term variability in blood pressure is associated with cardiovascular and mortality outcomes, over and above the effect of mean blood pressure. Associations are similar in magnitude to those of cholesterol measures with cardiovascular disease. Limited data for mid-term and short term variability showed similar associations. Future work should focus on the clinical implications of assessment of variability in blood pressure and avoid the common confounding pitfalls observed to date.
Source: Blood pressure variability and cardiovascular disease: systematic review and meta-analysis | The BMJ
The Letter Project – Stanford Medicine
Source: Letter | Letter Project | Stanford Medicine
It took less than 30 minutes to prepare my advance directives along with a letter to my doctor. I have to get the document signed and witnessed but I’m pretty much done. Don’t delay, do this today.
Lower microstructural integrity of brain white matter is related to higher mortality
Conclusions: Our findings suggest that impairments in cerebral white matter, even at early stages, are not limited to adverse brain outcomes and they are related to mortality, especially from cardiovascular causes.
Source: Lower microstructural integrity of brain white matter is related to higher mortality
Long-Term Outcomes of the Ross Procedure versus Mechanical Aortic Valve Replacement: Propensity-Matched Cohort Study – Circulation
Conclusions -Long-term survival and freedom from re-intervention were comparable between the Ross procedure and mechanical AVR. However, the Ross procedure was associated with improved freedom from cardiac and valve-related mortality as well as a significant reduction in the incidence of stroke and major bleeding. In specialized centers, the Ross procedure represents an excellent option and should be considered for young and middle-aged adults undergoing AVR.
What’s a Ross procedure?
Suicide Rates and Methods in Active Duty Military Personnel, 2005 to 2011: A Cohort Study Rates and Predictors of Violent Suicide Within the Military – Annals of Internal Medicine
Blood Pressure and Complications in DM2 and no Previous CVD – The BMJ
Conclusions: Lower systolic blood pressure than currently recommended is associated with significantly lower risk of cardiovascular events in patients with type 2 diabetes. The association between low blood pressure and increased mortality could be due to concomitant disease rather than anti-hypertensive treatment.
MetLife – Job cuts on the way – Seeking Alpha
There’s a lot of moving parts, but the bottom line for life insurers in this low interest rate environment is they just can’t earn enough money to meet the
Source: MetLife tumbles after results; job cuts on the way – MetLife, Inc. (NYSE:MET) | Seeking Alpha
The Ole’ Bead in the Nose — Brown Emergency Medicine
On my community hospital rotation in Newport, I finally got to see my first Bead-In-The-Hole — and I’d like to share my experiences.
Source: The Ole’ Bead in the Nose — Brown Emergency Medicine
Stronger Muscles, Longer Life – OU Medicine
Over a 15-year period, older adults who regularly strength trained were 45% less likely to die than those who didn’t. In fact, their risk of death from heart disease was 41% lower. From cancer, it was 19% less. This link remained ever after the researchers considered the influence of other factors, such as age, overall health, and smoking status.
Source: Stronger Muscles, Longer Life
I’ve known about the benefits of strength training for some time. I try to build in resistance training 2x a week. Some weeks are better than others but for the most part I’ve been fairly compliant for over ten years. After reading this article I’m more motivated.
See you at the gym later.
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