Your Heart Health e-News - June 2011

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July 01, 2011

In This Issue
Breast Cancer Plus Other Health Issues Linked to Worse Outcomes
Obesity a Major Cause of Early Death in Women: Study
Program Shrinks Time-to-Treatment for Heart Attack: Study
Study Hints at Why Heart Disease Is More Deadly for Blacks
Hospitals in U.S. Territories Have Higher Death Rates: Study
At-Home Blood Pressure Monitoring More Telling Than Doctor's Office Readings
Lab-Grown Blood Vessels Seem to Help Dialysis Patients
New Blood Thinner Beats Plavix When Paired With Low-Dose Aspirin
Today's Feature



Welcome to Dr. Caren and Dr. Urman's Heart Health e-Newsletter

We hope you find this complimentary monthly educational service for our patients and their families helpful. Please click on the header above or here to enter our website and learn more about our practice. Feel free to contact us if you have any questions or wish to make an appointment.  

The column on the right has heart-related stories from the last several weeks which we feel are most important and most likely to be of interest to our patients.  Additional general information and recent news about our office can also be found to the right. The latest news items from the last week about heart health are found below under "Health News."


Introducing Atherosclerosis Screening at our office

Carotid IMT
(intima-media thickness) ultrasound allows your physician to find the earliest signs of plaque buildup in arteries (atherosclerosis).  Atherosclerosis is the process that ultimately
can lead to heart attacks and strokes.  Using an easy, quick and painless ultrasound technique, the earliest signs of hidden plaque buildup (first seen as increased thickness of the artery wall) can be recognized.  Much more sensitive than regular carotid ultrasound vascular imaging, this special technique, Carotid IMT, has been shown to correlate with future risk of stroke and heart attack.

COR Medical Group, the offices of Drs. Jeffrey Caren and Mark Urman, is the first private medical office in not only the Greater Los Angeles area but actually in all of California (and one of the first private offices in the US) offering CardioHealth®, the latest technology to find the earliest signs atherosclerosis.  The CardioHealth® technology is the result of well-validated standardization of the Carotid IMT technique which itself has been around for several years but up until now had not gained widespread use due to difficulty with reliable, reproducible and accurate imaging technique and interpretation (except in a handful of very experienced research centers nationwide).  However, the technology behind CardioHealth® has overcome these obstacles to allow routine reliable and accurate clinical testing which is why Drs. Caren and Urman are among the first to have adopted it in their practice for their patients.

It is important to discuss with your cardiologist if you are an appropriate candidate for Carotid IMT imaging.  Unlike CAT scans of the heart, there is no radiation exposure and testing takes just a matter of minutes.  Results of the carotid IMT ultrasound imaging study and a full CardioHealth® Report including your risk factors for cardiovascular disease are available soon thereafter.

“You are as old as your arteries.”

-Attributed to Physician Sir William Osler (known as the “father of modern medicine”), early 20th century


Health News

Breast Cancer Plus Other Health Issues Linked to Worse Outcomes

To improve survival, doctors should monitor co-occurring conditions, researchers say

THURSDAY, June 30 Women diagnosed with breast cancer who also suffer from other health problems have higher death rates than women who just have breast cancer, according to researchers.

Even compared with women with more advanced breast cancer but no chronic illness,... » Read the full article



Obesity a Major Cause of Early Death in Women: Study

And the risk rises as overweight becomes more severe, researchers say

TUESDAY, June 28 Obesity is a major risk factor for death among obese women who don't smoke, particularly low-income women, a new study finds.

It included more than 3,600 women aged 45 to 64 in Scotland who never smoked and were followed ... » Read the full article



Program Shrinks Time-to-Treatment for Heart Attack: Study

In North Carolina, statewide coordination sped up lifesaving hospital transfers, researchers say

TUESDAY, June 28 The time it takes to transfer heart attack patients to hospitals that provide emergency coronary angioplasty was greatly reduced when a statewide transfer program was launched in North Carolina, a new study finds.

It included 436 patients with ST-ele... » Read the full article



Study Hints at Why Heart Disease Is More Deadly for Blacks

Culprit may be certain type of arterial plaque more common among blacks than whites

TUESDAY, June 28 A new study hints at one reason that black Americans are at a higher risk of death from heart disease than whites: Blacks appear to have higher levels of a certain type of plaque that builds up in arteries and is not detected in standard screening.

» Read the full article



Hospitals in U.S. Territories Have Higher Death Rates: Study

Researcher says these territories have been largely neglected in efforts to reduce disparities

MONDAY, June 27 Certain groups of patients treated at hospitals in U.S. territories have poorer outcomes and higher death rates than those treated at hospitals in U.S. states, according to a new study.

Nearly five million people live in U.S. territories, which includ... » Read the full article



At-Home Blood Pressure Monitoring More Telling Than Doctor's Office Readings

Without the anxiety of a clinic visit, readings from kidney patients may give a more accurate picture

MONDAY, June 27 Blood pressure readings logged over a 24-hour period on a portable home monitoring device appear more effective than blood pressure readings taken in a doctor's office for predicting whether patients with chronic kidney disease will experience kidney failure or... » Read the full article



Lab-Grown Blood Vessels Seem to Help Dialysis Patients

Early trial suggests these engineered grafts have promise, but more study needed

MONDAY, June 27 In early research, blood vessels originating from a donor's skin cells and grown in a laboratory have been successfully implanted in three dialysis patients.

These engineered grafts have functioned well for about 8 months, say researchers reporting M... » Read the full article



New Blood Thinner Beats Plavix When Paired With Low-Dose Aspirin

But dose of aspirin was key to experimental drug Brilinta's success, study found

MONDAY, June 27 Brilinta, an experimental anti-clotting medication currently awaiting U.S. Food and Drug Administration approval, performed better than the industry standard, Plavix, when used in tandem with low-dose aspirin, a new study finds.

Heart patients who too... » Read the full article



Featured:
Should you screen for early plaque?
  Atherosclerosis is the process that leads to heart attack and stroke. Finding 'hidden' plaque in arteries might alert one to hidden risk that can be modified by lifestyle changes and, when appropriate, medications. Find out about the latest technology available at our office to look for hidden plaque.
What is atherosclerosis?
  Find out more about atherosclerosis, the process of plaque buildup in arteries that can lead to heart attack and stroke.
Health Tip: Protect Your Heart
  Help reduce your risk of coronary artery disease
New Blood Thinner Beats Plavix When Paired With Low-Dose Aspirin
  But dose of aspirin was key to experimental drug Brilinta's success, study found
Chips, Fries, Soda Most to Blame for Long-Term Weight Gain
  Study finds more exercise, less fast food could help curb obesity epidemic
Too Much TV Raises Risk of Diabetes, Heart Disease and Death
  Analysis found two hours a day increased chances of health problems by up to 20%
Walking the Dog Benefits You, Too
  Daily outings help control your blood pressure and weight, experts say
To Heal a Heart, Train Harder
  Not Just for Athletes, Intense Exercise Replaces Slow, Steady Regimen
Exercise May Protect the Brain From 'Silent Strokes'
  Moderate to intense physical activity cuts seniors' risk by 40 percent, study finds
More Olive Oil in Diet Could Cut Stroke Risk: Study
  Seniors who preferred the oil had 41% drop in the attacks vs. those who rarely ate it
Men's Waistlines Could Be Key to Health
  40 inches put most men in risk zone for serious illnesses including heart disease
Dr. Urman promoted to Professor at UCLA Med School
  The promotion to Clinical Professor of Medicine (Cardiology) by the Department of Medicine at the David Geffen School of Medicine attests to his commitment to educating tomorrow's physicians
Smoking-Cessation Drug Chantix Linked to Heart Problems
  FDA sees small but increased risk in patients taking the medicine
FDA Unveils Graphic Images for Cigarette Packs
  The warnings must appear on all products, advertising by September 2012
Smoking During Pregnancy May Predispose Kids to Heart Trouble
  Children of mothers who smoked had lower levels of 'good' cholesterol, study says
Millions Don't Get Meds for Serious Artery Disease: Study
  Peripheral artery disease indicative of a 'whole-body problem,' researcher says
High-Dose Statins Benefits Still Outweigh Possible Increase in Diabetes Risk
  Heart benefits still outweigh potential downside, study authors say
Class of Drugs Linked to Higher Heart Risk in Older Diabetics
  Researchers saw a lower risk with metformin, but experts say study's not the final word
Cardiologists More Likely to Appropriately Refer Women for Heart Imaging Tests
  A push to recognize and treat heart attacks in women has unintended consequences when primary-care doctors evaluate them.
Cocaine-Related Heart Damage May Be 'Silent'
  Study of people addicted to drug finds structural harm in 83%
Faster Transition From CPR to Defibrillator May Save Lives
  A CPR pause of 20 seconds or more before electric shock to heart cuts chance of survival, study finds
Dr. Urman interviewed on CBS morning news about New CPR Guidelines
  Dr. Urman comments on new guidelines in an interview from October 2010.
Health Tip: Coping With Low Blood Pressure
  Suggestions for dealing with hypotension or orthostasis.
Medical Groups Update Heart, Blood Pressure Care Guidelines
  Measures tweak standards last changed in 2005
More on Hypertension (High Blood Pressure)
  The higher your blood pressure is, the higher the risk of heart disease. How to treat hypertension with medications and lifestyle changes.
Single Reading Can't Gauge Blood Pressure Control: Study
  Before changing hypertension drugs, doctors should consider multiple readings, researchers say (including considering ambulatory blood pressure monitors)
Ambulatory Blood Pressure Monitor
  Learn more about how your doctor can review your blood pressure (BP) range for 24 (or occasionally 48) hours. Can be useful whenever there is a question of whether your BP might only be elevated at the doctor’s office (“white-coat hypertension”) or if there is a question of response to BP medications
COR Medical Group's echo lab reaccredited through 2014
  Lab has been recognized for demonstrating the pursuit of excellence in the field of echocardiography
Insurance and Billing FAQ's
  Also, learn why we believe our policies allow us to maintain our high level of personalized patient care.
Meet Dr. Caren
  Get to know the man behind the camera.
Meet Dr. Urman
  Learn more about the founder and medical editor of our patient newsletter
Office News
  Recent news about our doctors and office.
Newsletter Archive
  In case you have missed our previous newsletters
The news stories provided in this e-newsletter are a service of the nationally syndicated HealthDay news and information company. Stories refer to national trends and breaking health news, and are not necessarily indicative of or always supported by the physicians in our practice. This information is provided for informational and educational purposes only, and is not intended to be a substitute for medical advice, diagnosis, or treatment. Please see our full Terms of Use for more information.

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