CBT Efficacy for Depression More Durable Than Pharmacotherapies

A comprehensive meta-analysis concluded that cognitive behavior therapy (CBT) is effective for depression across different formats, ages, target groups, and settings, and as effective as pharmacotherapies at the short term, but more effective at the longer term. The analysis included 409 trials (518 comparisons) with 52,702 patients. CBT had moderate […]

Antihypertensives Stimulate Type 2 and 4 Angiotensin II Receptors Linked to Lower Dementia Risk

A US cohort study suggested that initiation of medications for high blood pressure that stimulate vs inhibit type 2 and 4 angiotensin II receptors may result in a lower risk of incident dementia. The study included 57 773 patients aged 65 years or older with incident high blood pressure from January […]

Healthy Eating Patterns Linked to Lower Mortality

A prospective US cohort study with up to 36 years of follow-up concluded that greater adherence to several healthy eating patterns was associated with a lower risk of total and cause-specific mortality. The study included 75 230 women (1984-2020, mean baseline age, 50.2 years) and 44 085 men (1986-2020, mean […]

Polygenic Risk Score’s Predictive Value in CAD

A UK longitudinal cohort study suggested that the predictive ability of a polygenic risk score (PRS) for coronary artery disease (CAD) was greater in younger individuals and could be used to better identify patients with borderline and intermediate clinical risk who should initiate statin therapy. Polygenic risk for CAD was […]

Troponin and Natriuretic Peptide Change with Intensive BP Control

A US study showed that intensive systolic blood pressure (SBP) lowering increased hs-cTnT (high-sensitivity cardiac troponin T), mediated by reduced kidney filtration; and decreased NT-proBNP (N-terminal pro-B-type natriuretic peptide), mediated by the drop in SBP. The observed changes in hs-cTnT and NT-proBNP levels with intensive SBP lowering were associated with […]

Extreme Temperatures Linked to CVD Mortality

A global study concluded that exposure to extreme hot and cold temperatures was associated with a higher mortality from multiple common cardiovascular diseases (CVD). The study used data of daily counts of specific CVD death from 567 cities in 27 countries across 5 continents in overlapping periods ranging from 1979 […]

Micronutrient Supplementation and CVD Risk

A systematic review and meta-analysis of randomized controlled intervention trials of micronutrients on cardiovascular disease (CVD) and clinical events concluded that some but not all micronutrients may be beneficial. The analysis identified a total of 884 randomized controlled intervention trials evaluating 27 types of micronutrients among 883,627 participants (4,895,544 person-years). […]

No Survival Benefit for Invasive Management of Stable CAD

An interim report of a US randomized trial in patients with stable coronary disease and moderate or severe ischemia concluded that there was no difference in all-cause mortality for an initial invasive strategy compared with an initial conservative strategy, with lower risk of cardiovascular mortality but higher risk of non-cardiovascular […]

Intensive BP Control Harmful After Endovascular Thrombectomy for Acute Ischemic Stroke

An open-label, blinded-endpoint, randomized controlled trial in China suggested that intensive control of systolic blood pressure (SBP) to lower than 120 mm Hg should be avoided to prevent compromising the functional recovery of patients who have received endovascular thrombectomy due to intracranial large-vessel occlusion. The trial enrolled 821 patients (aged […]

Gum Disease Linked to Atrial Fibrosis

A prospective histological cohort study in Japan revealed the association of periodontitis with atrial fibrosis. The study enrolled 76 patients with atrial fibrillation (AF, 55 with nonparoxysmal AF, 25 with mitral valve regurgitation, 18 with left atrial appendages [LAA] thrombus) who were scheduled to undergo LAA excision during cardiac surgery. […]