Subjects who are enrolled in the Atherosclerosis Risk in Communities (ARIC) study and are meeting goals for six to seven ideal health metrics have a 51 percent lower risk of incident cancer than those not meeting any goals for ideal health metrics, according to research published online in Circulation.

For patients undergoing nonemergency percutaneous coronary intervention (PCI), clinical outcomes at 30 days and one year are similar with and without on-site cardiac surgery services, according to a study published online in the New England Journal of Medicine.

In primary percutaneous coronary intervention (PCI), cangrelor correlates with reduced ischemic events; and, prehospital fibrinolysis with timely angiography is effective for reperfusion in patients unable to undergo primary PCI within one hour after ST-segment elevation myocardial infarction (STEMI), according to two studies published online in the New England Journal of Medicine.

Physicians may not adequately consider a patient's cardiovascular risk when prescribing statins as preventive therapy, according to a research letter published online in JAMA Internal Medicine.

Update on Cardiovascular Disease Prevention in Women
AJN, American Journal of Nursing, March 2013

Persistent misunderstandings about cardiovascular disease (CVD) in women; new epidemiologic data; and increased awareness of sex differences in the way CVD presents, is evaluated, and responds to treatment prompted the AHA to update its 2007 guidelines for preventing CVD in women, stressing interventions described as "effective" in women, not only "evidence based." This article explains the shift in emphasis and reports on the highlights of the updated guidelines.

Is “Teach-Back” Associated With Knowledge Retention and Hospital Readmission in Hospitalized Heart Failure Patients?
Journal of Cardiovascular Nursing, April 2013

The aim of this study was to determine if hospitalized heart failure patients educated with the teach-back method retain self-care educational information and whether it is associated with fewer hospital readmissions.

Assessing and Managing Metabolic Syndrome and Cardiovascular Risk in Midlife Women
Journal of Cardiovascular Nursing, April 2013

This article describes the hormonal and vascular changes occurring during perimenopause and discusses how they set the stage for metabolic syndrome in women. The available screening tools are compared and contrasted within the context of the 2011 Updated Guidelines for the Prevention of Cardiovascular Disease in Women via case study.

MI Mimickers: Chest Pain and Normal Coronary Arteries
Nursing2013 Critical Care, March 2013

Acute myocarditis can mimic a STEMI both in the clinical presentation as well as the ECG changes. Clinical presentation can range from mild dyspnea or chest discomfort to dysrhythmias, heart failure, cardiogenic shock, and death.

ECG Challenges: Measurement and Rate Correction of the QT Interval
AACN Advanced Critical Care, March 2013

The QT interval is inversely related to heart rate. As heart rate increases, repolarization time decreases, and vice versa. Correcting the QT interval for heart rate is necessary for monitoring, because the correction allows the comparison of multiple QT intervals over time and across varying heart rates.

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In Our Next Issue:

• Evidenced-Based Pharmacotherapy for Rate Control in Atrial Fibrillation
  
• Five Alive: Using Mock Code Simulation to Improve Responder Performance During the First 5 Minutes of a Code