The Exchange

Commentary and Observations from
the Medical Front Lines

Latest Cardiometabolic Articles on PCE's The Exchange

Brain Natriuretic Peptide in Clinical Trials: Why This Matters for Practitioners

Brain Natriuretic Peptide in Clinical Trials: Why This Matters for Practitioners

As we look to improve the treatment and quality of life of our patients with heart failure, we often use relevant labs to help us determine the extent of the disease. In addition, the use of clinical trials helps us understand how lab values can influence treatment options and therapies for our patients. An example of this is brain natriuretic peptide, or BNP, and N-terminal-proBNP (NT-proBNP). The measurement of this biomarker allows an understanding of the stretch receptors in cardiac tissu... Continue Reading

Filed under: Cardiometabolic

The Cardiovascular Impact of COVID-19

The Cardiovascular Impact of COVID-19

On Wednesday, March 18th, the American College of Cardiology held a we... Continue Reading

Filed under: Cardiometabolic, Infectious Diseases

New Cholesterol Drug Soon to Make It to the United States

New Cholesterol Drug Soon to Make It to the United States

Normally, when a new drug hits the United States market you will see a small market spike of curiosity. As we continually seek ways to improve the health and... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

Better Sleep Linked to Reduced Cardiovascular Disease and Stroke Risk

We all know that sleep is crucial for heart health. Research has shown that regardless of a person's age, weight, smoking habits, and exercise l... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine, Pulmonary Medicine

Intermittent Fasting

Intermittent Fasting

If you think about how humans have been eating for centuries, it has likely included some "natural" intermittent fasting. For examp... Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

circadian rhythm clock

Circadian Rhythms and Metabolic Syndrome

As researchers explore the complex relationship of circadian rhythm and metabolic syndrome, they are searching for root causes and best treatment approaches Continue Reading

Filed under: Cardiometabolic, Miscellaneous, Preventive Medicine, Public Health

The Continued Study of an Old Drug: Aspirin

The Continued Study of an Old Drug: Aspirin

It started out by taking extract from the willow tree and using it as a medicinal agent well over 150 years ago. Today, this extract, now transformed into ac... Continue Reading

Filed under: Cardiometabolic, Miscellaneous

Heart Disease and Cancer Risk

Heart Disease and Cancer Risk

According to data to be presented this month at the American Heart Association's (AHA) 2019 Scientific Sessions, heart attack survivors may hav... Continue Reading

Filed under: Cardiometabolic

November is Diabetes Awareness Month

November is Diabetes Awareness Month

Along with the colder weather and the promise of holiday season, November brings us the opportunity to raise awareness about diabetes. Both type 1 and type 2... Continue Reading

Filed under: Cardiometabolic, NPs & PAs, Practice Management/Career, Preventive Medicine, Public Health

Trans Fatty Acids Now Also Linked to Higher Risk of Dementia

Trans Fatty Acids Now Also Linked to Higher Risk of Dementia

Consumption of trans fats in high levels has been linked to coronary artery disease, diabetes and more. Now, a team of Japanese researchers have specifically... Continue Reading

Filed under: Cardiometabolic, Neurology, Preventive Medicine

Left Main Coronary Artery Occlusion: ST Elevation in aVR

Left Main Coronary Artery Occlusion: ST Elevation in aVR

During my ECG training, we were taught that the findings from lead aVR were only important for supportive evidence of pericarditis. I subsequently learned di... Continue Reading

Filed under: Cardiometabolic

New Statement Related to Hospitalized Heart Failure Patients

New Statement Related to Hospitalized Heart Failure Patients

The American College of Cardiology has issued a new Expert Consensus Decision Pathway for the management of patients with heart failure. This newly released... Continue Reading

Filed under: Cardiometabolic, Health Policy and Trends, NPs & PAs

Thoracic Aortic Aneurysm (Part 2)

Thoracic Aortic Aneurysm (Part 2)

Thoracic aortic aneurysms (TAA) often expand slowly over time and usually without symptoms, making them difficult to detect. Some aneurysms never rupture. Ma... Continue Reading

Filed under: Cardiometabolic

Thoracic Aortic Aneurysm (Part 1)

Thoracic Aortic Aneurysm (Part 1)

Thoracic aortic aneurysms (TAA) are located above the diaphragm, may involve one or more aortic segments (aortic root, ascending aorta, arch, or descending a... Continue Reading

Filed under: Cardiometabolic

Are Chemicals Making Us Fat?

Are Chemicals Making Us Fat?

Holistic health proponents are advocating to get rid of our so-common use of plastics for environmental as well as health reasons. For example, did you ever... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Energy Drinks Tied to QTc Prolongation

Energy Drinks Tied to QTc Prolongation

Consuming caffeinated energy drinks is associated with QTc interval prolongation, which is a risk factor for torsades de pointes, according to a small study... Continue Reading

Filed under: Cardiometabolic

Palliative Care for Heart Failure: An Early Discussion Would Benefit Patients

Palliative Care for Heart Failure: An Early Discussion Would Benefit Patients

As clinicians, we care for patients over the course of a lifetime and often face the reality of patients who are challenged with end-of-life (EOL) decision m... Continue Reading

Filed under: Cardiometabolic

No Difference in Outcomes and Treatment No Matter the Etiology—Analysis from PARADIGM-HF Trial

No Difference in Outcomes and Treatment No Matter the Etiology—Analysis from PARADIGM-HF Trial

Heart failure (HF) is a complicated disease state with multiple, staged therapies. Over the last couple of years, addition of a sacubitril/valsartan combinat... Continue Reading

Filed under: Cardiometabolic

CHAMPS HF - We All Can do Better!

CHAMPS HF - We All Can do Better!

Many of us manage patients with heart failure with a reduced ejection fraction, or HFrEF. The management of this patient population is complex, and most pati... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Hypertension in the Pediatric Population

Hypertension in the Pediatric Population

The prevalence of systemic hypertension (HTN) in the pediatric population is now commonly observed to be increasing, especially in view of the growing popula... Continue Reading

Filed under: Cardiometabolic, Health Policy and Trends, Preventive Medicine

Cardiovascular Health Promotion—A Must Read for PAs and NPs

Cardiovascular Health Promotion—A Must Read for PAs and NPs

PAs and NPs are encouraged to read a recent issue of the Journal of the American College of Cardiology on cardiovascular health and promotion. This... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Was the Apple Heart Study Virtually Useless?

Was the Apple Heart Study Virtually Useless?

My wife absolutely loves her Apple Watch and would admit that it is like her crack cocaine: she feels compelled to close all of her rings daily, even when we... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection

Fluoroquinolone Use and the Potential Risk for Aortic Aneurysm or Dissection

Fluoroquinolones have long been a popular class of antibiotics for use in a myriad of infections. There are even newer fluoroquinolones that have been develo... Continue Reading

Filed under: Cardiometabolic, Infectious Diseases

Aspirin Use for ASCVD Prevention

Aspirin Use for ASCVD Prevention

For decades aspirin has been a staple of primary prevention of atherosclerotic cardiovascular disease (ASCVD) in at-risk populations, based on recommendation... Continue Reading

Filed under: Cardiometabolic, Preventive Medicine

Caution: Population Is Having More Heart Attacks at a Younger Age

Caution: Population Is Having More Heart Attacks at a Younger Age

This March, the American College of Cardiology will meet in New Orleans for their annual scientific assembly, and one major discussion will be the growing pe... Continue Reading

Filed under: Cardiometabolic

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