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Tag: cardiovascular disease

5 Cardiometabolic Health Topics You Can’t Miss at CMHC West 2019

With dozens of recently released revised clinical guidelines, breakthrough trial data, and newly approved drugs on the market, it is increasingly important for clinicians leading the fight against cardiometabolic disease to review the latest topics and industry developments. Explore how the most respected leaders of the industry are advancing cardiometabolic health and combating the growing epidemic of cardiovascular diseases through sessions spotlighting the most recent and relevant research.

Cardiovascular Disease
The American Heart Association estimates that someone dies of cardiovascular disease every 38 seconds, leaving CVD as the leading cause of death in the United States. Recent advances in cardiovascular medicine continue to address the problem, with greater usage of direct oral anticoagulants, new paradigms in mitral valve regurgitation management and a larger emphasis on technological devices playing a leading role in the ongoing battle against CVD.

New research reveals a correlation between diabetes and increased risk of cardiovascular and thrombotic adverse events in patients with CAD, PAD, and AF, suggesting that current antithrombotic strategies may need to be reevaluated. Learn more at the Antithrombotics in Diabetic Patients: Recent Clinical Trial Results session chaired by Deepak L. Bhatt, MD.

Obesity Management
In 2019, obesity stands as the second most prevalent CVD risk factor in the United States. The alarming rise in worldwide obesity paralleled with the increased incidence of type 2 diabetes mellitus suggests the need for impactful obesity management in the population.

As awareness of obesity complications grows, the focus turns to obesity management techniques such as tailoring nutritional plans specific to patients and their needs. Recent research on the benefits of bariatric surgery for cardiometabolic patients and its long-term effects will be presented alongside developments in pharmacotherapy for obese patients and lifestyle medicine. Learn more from world-renowned experts Dr. Robert E. Ratner and Dr. Ken Fujioka at Session I: Obesity and Lifestyle Medicine .

Heart Failure
The incidence of heart failure is the only form of heart disease that hasn’t decreased in over 30 years, with approximately 550,000 new cases diagnosed in the U.S. per year.  Technological advancements in cardiac devices and improved prevention and treatment methods have diminished the death rate, but cardiovascular disease remains the leading cause of death in the country. A growing need to identify the underlying metabolic causes of heart failure prompts new studies aimed at developing new therapies for patients and addressing the problem at its earliest stage.

Recent research points to the need for comprehensive therapeutic strategies targeting heart failure and type 2 diabetes to improve overall patient outcomes. Studies have revealed that antihyperglycemic therapy can prevent heart failure in patients with and without type 2 diabetes and can be used as a tool for optimizing HF patient care. Learn more about the connection between heart failure and diabetes, the latest advances in iron repletion therapy, and the most recent, relevant clinical research at Session III: Heart Failure and Hypertension .

Female Cardiometabolic Care
Cardiovascular disease is the leading cause of death in women, outnumbering deaths from all other causes combined. According to the American Heart Association, one in three women have some form of cardiovascular disease and recognizing women at risk of CVD is of tremendous public health importance. Studies have shown that under-recognition of heart disease in female patients is frequent and often leads to less aggressive treatment strategies and poorer outcomes. Comprehensive education, training,and awareness are necessary to ensure adequate future female cardiometabolic care.

Back by popular demand, the CMHC West Women’s Health Summit will cover an array of topics ranging from the intersection between breast cancer and CVD, to cardiometabolic risk in American Indians, Alaska native women, pregnancy and PCOS patients. The one-day workshop spearheaded by Dr. Pamela Morris, expert on female cardiovascular risk, will present an in-depth analysis of the intricacies related to female cardiometabolic care and the newest developments in prevention and management therapy. Explore the Women’s Health Summit agenda, the can’t-miss event in women’s healthcare of the year.

Diabetes Management
According to recent calculations, the CDC reports 100 million U.S. adults to be living with diabetes or prediabetes, with that number expected to rise to 592 million by 2035.
Only about 20% of diabetic individuals are under professional care, according to BioMed Central. A recent study on the future implications of diabetes projects that the condition will remain a major health crisis in America despite medical advances and prevention efforts.

Crucial to the control of this epidemic is successful diabetes management based on the most recent research and trial results. Adherence to new glycemic target guidelines, medication and treatment plans and the impact of real-world data on the treatment of patients with T2DM will be discussed in depth by expert faculty with decades of experience in diabetic care. Learn more about the newest developments in diabetic therapies, prevention, and management at Session IV: Diabetes Management.

CMHC West 2019: Advancing Cardiometabolic Health from East to West
The CMHC West conference allows attendees the opportunity to delve into three days of comprehensive clinical education, covering the key topics below, led by world-renowned faculty, clinicians and keynote speakers and guaranteed to leave attendees with the most up-to-date, applicable knowledge to incorporate into their practice.

You can still gain access to the latest clinical education and a panel of world-renowned speakers by signing up today for our can’t miss event in cardiometabolic health education.

Register Now 

Muscle Strength: Tied to Type 2 Diabetes Risk

While various studies have linked strength to a lower risk of type 2 diabetes, a new study published in the journal Mayo Clinic Proceedings indicates that even ‘moderate amounts of muscle strength’ were associated with a 32% reduced risk of developing T2DM.

Angelique Brellenthin, a postdoctoral research associate in Iowa State University’s College of Human Sciences and author of the study, stated: “While it’s not entirely clear why higher strength did not protect against diabetes, it’s possible that higher aerobic fitness, higher amounts of physical activity and lower body mass indexes that were present in this higher-strength group were also affecting the relationship between strength and diabetes.”

As published in CNN, this is the first study to explore the relationship between the risk of later development of diabetes and muscular strength: according to the US Centers for Disease Control and Prevention, more than 30 million Americans have diabetes; between 90% to 95% of them have type 2 diabetes. The global number of those diagnosed with diabetes has continued to rise; the World Health Organization has indicated that statistics worldwide have skyrocketed from 108 million in 1980 to 422 million in 2014.

This new study involved 4,681 subjects, 20 and older, who had no type 2 diabetes at the outset of the research. Between the years 1981 and 2006, the adults underwent muscular strength tests and treadmill exercise tests as part of medical examinations at the Cooper Clinic in Dallas. While the strength tests evaluated the upper & lower body using resistance weight machines, the treadmill exercise tests assessed cardiorespiratory fitness. Additionally, the researchers gauged the development of type 2 diabetes: noting that 229 developed the disease. 

The researchers divided the adults’ muscular strength tests into thirds, and found that those in the middle level had a 32% reduced risk of type 2 diabetes compared with the lower third. However, there was no noteworthy association between type 2 diabetes and level of upper muscular strength: compared with the lower level. “While we adjusted for these other healthy factors in the study, it doesn’t completely take away their potential confounding effects, particularly in the higher-strength group,” Brellenthin said. “Future studies will have to consider these to fully understand the relationship between strength and diabetes.” The study had some limitations, including that the sample size was small, and the adults were mostly white and in a middle to upper socioeconomic status. More research is needed to determine whether similar findings would emerge among a more diverse group.

Dr. Monique Tello, a practicing physician at Massachusetts General Hospital and clinical instructor at Harvard Medical School, asserts that the study’s findings point to the importance of both muscle strength and cardiorespiratory fitness for an overall lowered risk of diabetes. “People in the medium strength group tended to also have good cardiorespiratory fitness…there was a good correlation.”

Tello additionally stated that there were people in the low strength group with high cardiorespiratory fitness, and people in the high strength group with low cardiorespiratory fitness. Because “the correlation was not as clear,” some of the more significant findings may have been “washed out.” Previous studies, however, have confirmed that the specific combination of aerobic exercise and resistance training improves blood sugars in people who have diabetes, and can simultaneously act as a preventive measure in the development of diabetes.

Ultimately, Brellenthin said, the most positive and encouraging takeaway from the study is that one does not need to be incredibly strong or muscular to reduce the risk of diabetes. According to the 2018 Physical Activity Guidelines Advisory Committee, adults should perform muscle-strengthening activities on two days each week to stay healthy, and at least 150 minutes of moderate-to-vigorous aerobic activity every week.

“We have a solid body of evidence that shows that just being moderately in good shape—having decent muscle strength and decent cardiorespiratory fitness—is significantly associated with a lower risk of diabetes,” Tello said. “Having both of those things is very good for your health.”