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  THIS JUST IN November 2010  
New clinical data shows that propoxyphene puts patients at risk of potentially serious or even fatal heart rhythm abnormalities; drug withdrawn from U.S. market.

Study finds that majority of patients who take warfarin also take herbal and dietary supplements, and their physicians are unaware.

Total cholesterol levels have fallen since 1976, but triglyceride levels and the prevalence of obesity have increased.

Rapid increases in heart rate and changes in heart-rhythm regularity noted in bereaved survivors after the death of a spouse or child, which then normalized within 6 months.


  FROM OUR JOURNALS


Improving Heart Failure in Home Care with Chronic Disease Management and Telemonitoring
Home Healthcare Nurse November/December 2010

Read one agency’s performance initiative to improve care and outcomes of heart failure patients. A team approach, patient education, and telemonitoring (including chest fluid bioimpedance) were all included in the program.



Prevalence and Risk Factors Associated With Prehypertension: Identification of Foci for Primary Prevention of Hypertension
Journal of Cardiovascular Nursing, November/December 2010

The three goals of this study were to examine the prevalence of prehypertension, identify risk factors, and identify factors that increase the likelihood of developing hypertension. Learn the results and discover how lifestyle changes in these patients can provide long-term benefits.



Clinical Dimension: Hypertrophies and Intraventricular Conduction Defects: Causes, Presentation, and Significance
Dimensions of Critical Care Nursing, November/December 2010

Review the pathophysiology of bundle branch blocks, fascicular blocks, and hypertrophy, characteristics found in the 12-lead electrocardiogram, and the significance of these findings. The use of clinical vignettes in this article will increase your understanding.



ECG Challenges: Pacemaker Timing and Electrocardiogram Interpretation
AACN Advanced Critical Care, October/December 2010

Pacemaker timing cycles are complex and can be intimidating. Fine tune your understanding to help you interpret the paced electrocardiogram.



Sleep and Cognition in Older Adults with Cardiovascular Disease
Journal of Cardiovascular Nursing, November/December 2010

In this study, 94% of participants met the criteria for "poor" sleep and the research revealed that poorer reported sleep was associated with reduced cognitive function. Read the full explanation of the methods and results.




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