Top news of October: Chest pain guidance, USPSTF aspirin recommendations and more

Healio and Cardiology Today have compiled a list of the most-read cardiology news of October 2021.

Readers were interested in the updated U.S. Preventive Services Task Force aspirin recommendation; risk for myocarditis following COVID-19 vaccination; new guidelines for chest pain diagnosis; and more.

USPSTF advises against aspirin for primary CVD prevention for adults 60 years or older

The USPSTF no longer recommends aspirin for primary CVD prevention in adults aged 60 years or older, according to a draft recommendation. Read more

Myocarditis after COVID-19 vaccination infrequent; signals observed in young men

In two studies from Israel published in The New England Journal of Medicine, incidence of myocarditis after COVID-19 vaccination remained low; however, almost all documented cases were in young men. Read more

ACC, AHA publish first guideline for evaluation, diagnosis of chest pain

For the first time, the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines published recommendations for the evaluation and diagnosis of patients who present to the ED with chest pain. Read more

Low-fat diet confers less energy intake vs. low carb, opposite of prior predictive models

Contrary to prior models, a plant-based, low-fat diet was associated with less ad libitum energy intake compared with an animal-based, low-carbohydrate diet, for reasons still unclear, a speaker reported. Read more

Omega-3 fatty acid supplementation associated with increased AF risk

Omega-3 fatty acid supplementation, especially at higher doses, was associated with elevated risk for atrial fibrillation, according to a meta-analysis of various large-scale randomized controlled trials published in Circulation. Read more

Sustained weight loss may delay cardiometabolic disease onset

Sustained weight loss was associated with delayed cardiometabolic disease onset, especially among individuals with greater weight-loss magnitude, according to study results published in The American Journal of Cardiology. Read more

Digital app helps adults achieve sustained BP reduction

A hypertension self-management program using a digital app was associated with BP reductions at 1 year, according to results published in JAMA Network Open. Read more

AHA survey: Three in five people may delay or skip flu shot this year, despite warnings

According to a survey conducted by Wakefield Research for the American Heart Association, three in five Americans may delay or skip the flu shot this year, despite warnings from health experts. Read more

Iron deficiency in middle age associated with CHD, mortality

Among middle-aged individuals in Europe, absolute and functional iron deficiency were associated with incident CHD, and functional iron deficiency was linked to elevated risk for mortality, researchers reported. Read more

Comorbidities may explain myocardial abnormalities seen in patients with COVID-19

Compared with comorbidity-matched volunteers, patients recovering from severe COVID-19 did not show evidence of left ventricular dysfunction or a major excess in persistent myocardial injury, researchers reported. Read more

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