Sleep apnea affects ∼50% to 75% of patients with heart failure.
Still Too Hot To Blog but I had to share this.
heart failure
Diabetes Independently Linked to Increased Heart Failure
Diabetes Independently Linked to Increased Heart Failure
Diabetes Independently Linked to Increased Heart Failure – Medscape – Jan 09, 2020.
Yikes.
Heart Failure Mortality Taking a Turn for the Worse | Medpage Today
Heart failure death rates rising again after decade of decline
Source: Heart Failure Mortality Taking a Turn for the Worse | Medpage Today
Diastolic Dysfunction Common in RA
Patients with rheumatoid arthritis (RA) have an increased incidence of diastolic dysfunction, which may further raise their already high risk for congestive heart failure, a meta-analysis suggested.
Patients with RA have double the incidence of heart failure compared with the larger population, and this finding has prompted interest in determining the origins of heart failure in these patients.
Cocaine and CHF
Almost one-fourth of patients hospitalized for heart failure had a history of cocaine use as a potential contributing factor, a retrospective chart review showed.
Pay Attention to Vitamin D Levels
Medical News: HFSA: Vitamin D Marker for HF Deaths – in Meeting Coverage, HFSA from MedPage Today
Heart failure death occurred two to three times more often in people with vitamin D insufficiency or deficiency compared with those who had normal levels of the vitamin, according to data from a government survey.
BNP and NT-proBNP Predicts HF in Older Patients
The researchers identified 190 pg/mL as the NT-proBNP threshold for increased risk. Among study participants with baseline levels less than 190 pg/mL, an increase greater than 25% to a level above 190 pg/mL had a twofold increased risk of heart failure (HR 2.13, 95% CI 1.68 to 2.71) and cardiovascular death (HR 1.91, 95% CI 1.43 to 2.53) compared with participants whose NT-proBNP levels remained below 190 pg/mL.
Among study participants with elevated baseline NT-proBNP levels, an increase greater than 25% also doubled the risk of heart failure (HR 2.06, 95% CI 1.56 to 2.72) and cardiovascular disease (HR 1.88, 95% CI 1.37 to 2.57).
Predicting Heart Failure
Rosiglitazone Doubles Risk of Heart Failure
Take Home Lesson:
Consider simply adding the usual recommended debits for CHF to the DM rate.
After all, the HF risk is doubled but not the mortality. And critics of this study question its statistical validity.
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