Wednesday, October 26, 2016

Exercise During Pregnancy

Exercise during pregnancy decreases the risk of chronic diseases for both the mother and the child. Clin Med Insights Womens Health. 2016;9:37-42

Comment: This review could also state that pre-conception exercise is beneficial, as well as exercise after childbirth.

Friday, October 14, 2016

Should I take a baby aspirin prior to coronary artery bypass grafting?

Preoperative aspirin administration prior to coronary artery bypass has a significant benefit in reducing the incidence of perioperative myocardial infarction and 30-day mortality. Interact Cardiovasc Thorac Surg. 2016 Oct 4;:

Comment: Aspirin at 100 mg a day or higher increased the risk of postoperative bleeding, blood transfusion and re-operation. However, important to note is that low-dose aspirin (under 100 mg a day) did not increase complication rate. It appears beneficial to start patients on a baby aspirin prior to bypass surgery.

Thursday, September 22, 2016

Beta blockers and mortality after a heart attack

Beta blockers after an acute myocardial infarction appear to reduce 30 day mortality. Discontinuation of beta blockers at one year in patients without heart failure or left ventricular dysfunction appears safe. BMJ. 2016 Sep 20;354:i4801

Comment: In patients without heart failure or left ventricular dysfunction, the early use of beta blockers appears to decrease mortality, but prolonged use after 1 year appears unlikely to improve long-term survival.

Sunday, September 18, 2016

High-intensity interval training versus moderate-intensity continuous training in persons with elevated cardiovascular risk.

This review highlights advances in our understanding of high-intensity interval training compared to moderate-intensity continuous training. F1000Res. 2016 Sep 7;5. pii: F1000 Faculty Rev-2254.

Comment: More and more evidence is accumulating that high-intensity interval training results in greater benefits than moderate-intensity continuous training for the time spent training.

Sunday, September 11, 2016

Economic Impact of Moderate-Vigorous Physical Activity Among Those With and Without Established Cardiovascular Disease: 2012 Medical Expenditure Panel Survey.

Moderate to vigorous physical activity for at least 30 minutes a day 5 days a week was found to be associated with significantly reduced health care spending. J Am Heart Assoc. 2016 Sep 7;5(9).

Comment: The key here seems to be that the exercise intensity was moderate to vigorous. Any activity is good, however, short bursts of intensity appear to be particularly beneficial.

Friday, August 26, 2016

Tailoring Breast Cancer Screening Intervals by Breast Density and Risk for Women Aged 50 Years or Older: Collaborative Modeling of Screening Outcomes.

This study found that customizing the screening interval for mammography based upon risk and breast density was safe and effective. Average risk women with low breast density safely underwent digital mammography screening every 3 years. Ann Intern Med. 2016 Aug 23.