The ramifications of recent health policy actions for cardiovascular care of women: Progress, threats, and opportunities.

Abstract:

:Women's health and well-being are shaped by a combination of healthcare policies that impact the type of health insurance coverage they benefit from, as well as access to preventive, screening, and treatment services. Furthermore, more distal policies, such as those that pertain to housing, education, and employment, as well as social determinants of health, such as issues of socioeconomic status and women's status in society, also impact their cardiac health. Before the passage of the Affordable Care Act in 2010, women were at greater risk of facing barriers to coverage, reflecting gender rating and the higher likelihood of the existence of preexisting health conditions such as a previous pregnancy. The ACA made substantial progress in responding to women's health needs by expanding the numbers of low-income groups eligible for Medicaid (for the 32 states and Washington, DC that expanded the program) and other subsidized healthcare, as well as access to preventive health services. Although health reform efforts to eliminate the ACA failed in 2016, the administration and Congress are using a variety of channels, including the new Tax Cuts and Job Act, to implement policies such as the elimination of the individual insurance mandate, as well as the elimination of premium subsidies, that will likely impact women differentially, potentially undoing the progress that has been achieved over the past decade.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Brindis CD,Freund KM

doi

10.1002/clc.22896

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

173-178

issue

2

eissn

0160-9289

issn

1932-8737

journal_volume

41

pub_type

杂志文章,评审
  • Trends in smoking cessation counseling: experience from American Heart Association-get with the guidelines.

    abstract:BACKGROUND:Successful smoking cessation in stroke and coronary artery disease (CAD) patients is important, as smoking contributes to significant morbidity and mortality. The American Heart Association developed Get With The Guidelines (GWTG) to improve compliance with national guideline recommendations for cardiovascul...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22023

    authors: Huang PH,Kim CX,Lerman A,Cannon CP,Dai D,Laskey W,Peacock WF,Hernandez AF,Peterson ED,Smith EE,Fonarow GC,Schwamm LH,Bhatt DL

    更新日期:2012-01-01 00:00:00

  • Stroke and Systemic Embolism After Successful Ablation of Typical Atrial Flutter.

    abstract:BACKGROUND:Following successful cavotricuspid isthmus (CTI) ablation during typical atrial flutter (AFL), anticoagulation therapy is usually withdrawn. However, potential subsequent atrial fibrillation (AF) in these patients may increase embolic risk in the long term. Embolic rates in this setting have not been clearly...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22538

    authors: Expósito V,Rodríguez-Entem F,González-Enríquez S,Veiga G,Olavarri I,Olalla JJ

    更新日期:2016-06-01 00:00:00

  • Culprit plaque characteristics in women vs men with a first ST-segment elevation myocardial infarction: In vivo optical coherence tomography insights.

    abstract:BACKGROUND:It is unclear whether more severe coronary atherosclerosis is a prerequisite to an initial acute coronary event in women vs men. HYPOTHESIS:Women may have more severe coronary atherosclerosis than men in patients with acute coronary event. METHODS:We used intravascular optical coherence tomography (OCT) to...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22825

    authors: Sun R,Sun L,Fu Y,Liu H,Xu M,Ren X,Yu H,Dong H,Liu Y,Zhu Y,Tian J,Yu B

    更新日期:2017-12-01 00:00:00

  • N-terminal prohormone brain natriuretic peptide-proBNP levels in ventricular arrhythmias in children.

    abstract:BACKGROUND:Ventricular arrhythmias are the most common consequences of structural and functional heart diseases, but cases with no evident pathology are also observed. A parameter indicating asymptomatic circulatory failure could support decisions related to possible treatment of ventricular arrhythmias. HYPOTHESIS:Th...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20611

    authors: Mazurek B,Szydłowski L,Giec-Fuglewicz G,Markiewicz-Łoskot G

    更新日期:2009-12-01 00:00:00

  • Where There's Smoke, There's Fire? Significance of Atrial Fibrillation in Young Patients.

    abstract:BACKGROUND:Atrial fibrillation (AF), a disease of the elderly, occasionally occurs at younger age. Pathophysiology of AF in younger patients is diverse, including channelopathies and cardiomyopathies. Data on the significance and complications of AF in young patients are scarce. HYPOTHESIS:Atrial fibrillation is the f...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22516

    authors: Wutzler A,von Ulmenstein S,Attanasio P,Huemer M,Parwani AS,Völk K,Blaschke F,Boldt LH,Haverkamp W

    更新日期:2016-04-01 00:00:00

  • Sinus arrest due to sertraline.

    abstract::Sertraline is a selective serotonin reuptake inhibitor with established safety for the treatment of depression. Among the common adverse effects associated with sertraline are nausea, insomnia, diarrhea, somnolence, and dizziness. Cardiac arrest had not been reported in the literature, although tachycardia was frequen...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20647

    authors: Kocabay G,Yildiz M,Eksi Duran N,Ozkan M

    更新日期:2010-06-01 00:00:00

  • Role of transesophageal echocardiography in the clinical management of a patients with a giant coronary artery aneurysm.

    abstract::Transthoracic echocardiography (TTE) has substantial limitations for the study of abnormalities of the coronary tree. Transesophageal echocardiography (TEE) allows a more complete examination of the coronary arteries, particularly the proximal segments. This report describes the use of TEE after cardiac catheterizatio...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960200612

    authors: Wolford DC,Jost CM,Madu EC,Walker W,Ramanatian KB

    更新日期:1997-06-01 00:00:00

  • Rare or unusual causes of chronic, isolated, pure aortic regurgitation.

    abstract::Six patients undergoing aortic valve replacement had rare or unusual causes of isolated, pure aortic regurgitation. Two patients had congenitally bicuspid aortic valves with a false commissure (raphe) displaced to the aortic wall ("tethered bicuspid aortic valve"), two had floppy aortic valves, one had a congenital qu...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960130812

    authors: Waller BF,Taliercio CP,Dickos DK,Howard J,Adlam JH,Jolly W

    更新日期:1990-08-01 00:00:00

  • Systolic, diastolic, and pulse pressures as coronary risk factors in a population with low cholesterol levels: a prospective 10-year evaluation.

    abstract:BACKGROUND:Pulse pressure (PP) has recently been found to be predictive of subsequent cardiovascular, particularly coronary, events in some middle-aged and elderly populations. HYPOTHESIS:The aim of this prospective population-based study was to evaluate the roles of systolic (SBP), diastolic blood pressure (DBP), and...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960260209

    authors: Onat A,Ceyhan K,Erer B,Başar O,Uysal O,Sansoy V

    更新日期:2003-02-01 00:00:00

  • Dynamic cardiomyoplasty for treatment of heart failure.

    abstract::Dynamic cardiomyoplasty is a new surgical procedure proposed for treatment of the failing heart. Clinically, the latissimus dorsi muscle is raised as a pedicled flap and wrapped around the heart. The skeletal muscle is transformed to produce a myocardium-like fatigue-resistant muscle. It is stimulated to contract in s...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960121203

    authors: Hill AB,Chiu RC

    更新日期:1989-12-01 00:00:00

  • Choice of vein-harvest technique for coronary artery bypass grafting: rationale and design of the REGROUP trial.

    abstract::The Randomized Endo-vein Graft Prospective (REGROUP) trial (ClinicalTrials.gov NCT01850082) is a randomized, intent-to-treat, 2-arm, parallel-design, multicenter study funded by the Cooperative Studies Program (CSP No. 588) of the US Department of Veterans Affairs. Cardiac surgeons at 16 Veterans Affairs (VA) medical ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/clc.22267

    authors: Zenati MA,Gaziano JM,Collins JF,Biswas K,Gabany JM,Quin JA,Bitondo JM,Bakaeen FG,Kelly RF,Shroyer AL,Bhatt DL

    更新日期:2014-06-01 00:00:00

  • Transvenous defibrillator systems implanted by electrophysiologists in the catheterization laboratory.

    abstract:BACKGROUND:A significantly lower perioperative mortality has established the nonthoracotomy approach as the preferred technique in implantable cardioverter defibrillation (ICD) implantation. With the currently available transvenous endocardial leads in combination with the expanded use of biphasic ICD devices, the need...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960200207

    authors: Manolis AS,Vassilikos V,Maounis T,Chiladakis J,Cokkinos DV

    更新日期:1997-02-01 00:00:00

  • Heart with circulatory failure secretes and processes atrial natriuretic peptide in a manner different from normal heart.

    abstract::The role of catecholamine in atrial natriuretic peptide (ANP) secretion and its secretory mechanism in normal humans is not well defined; therefore, we studied the relationship among ANP, catecholamine, and atrial pressures in 25 patients without cardiovascular disease and in 35 patients with chronic congestive heart ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960110402

    authors: Matsubara H,Umeda Y,Nishikawa M,Yamane Y,Kurimoto T,Iwasaka T,Inada M

    更新日期:1988-04-01 00:00:00

  • The effects of varying lengths and powers of CO2 laser pulses transmitted through an optical fiber on atherosclerotic plaques.

    abstract::We have studied the changes induced in atherosclerotic arteries by a CO2 laser beam delivered through a silver halide optical fiber. We found that the crater depth and diameter correlate with the total energy delivered and with the mode of delivery. Short-duration high-power pulses caused shallower and narrower crater...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960090302

    authors: Eldar M,Battler A,Gal D,Rath S,Rotstein Z,Neufeld HN,Akselrod S,Katzir A,Gaton E,Wolman M

    更新日期:1986-03-01 00:00:00

  • Lower admission hemoglobin levels are associated with longer symptom duration in acute ST-elevation myocardial infarction.

    abstract:BACKGROUND:An acute-phase response in patients with acute myocardial infarction could contribute to the development of anemia. HYPOTHESIS:An association may exist between symptom duration, hemoglobin (Hb) concentration and serum C-reactive protein (CRP) values in patients presenting to an emergency department (ED) wit...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.22215

    authors: Shacham Y,Leshem-Rubinow E,Ben-Assa E,Roth A,Steinvil A

    更新日期:2014-02-01 00:00:00

  • Endovascular stents: preliminary clinical results and future developments.

    abstract::At present, there is an exponential use of new interventional techniques whose proper role and value have not yet been defined. The intracoronary stent is just one example. There is no doubt that stents can be implanted with a high technical success rate associated with highly predictable immediate angiographic result...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960160503

    authors: de Jaegere PP,de Feyter PJ,van der Giessen WJ,Serruys PW

    更新日期:1993-05-01 00:00:00

  • Abnormalities of the S-T segment--Part I.

    abstract::The usual normal S-T segment of the surface electrocardiogram (ECG) contributes little to the diagnostic procedure. When the S-T segment is too long or too short, or when it is displaced upward or downward, it is commonly abnormal. Under such circumstances, an S-T segment abnormality usually contributes considerable d...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960200602

    authors: Hurst JW

    更新日期:1997-06-01 00:00:00

  • The inaccuracy of aortic valve systolic flutter as a screening test for significant aortic stenosis.

    abstract::The noninvasive assessment of the severity of aortic stenosis is difficult. A recent description of systolic flutter of aortic valve leaflets as a screening test for severe aortic stenosis was applied to a group of patients who had undergone catheterization. As opposed to the previous report, we found this an inaccura...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960070407

    authors: Vacek JL,Phelix J,Rycyna JL

    更新日期:1984-04-01 00:00:00

  • Silent myocardial ischemia: prognostic significance and therapeutic implications.

    abstract::Evidence is now accumulating which strongly suggests that prognosis of patients with painless myocardial ischemia determined either by ambulatory ECG monitoring or exercise testing may be no different than the prognosis of patients who have overt clinical manifestations of myocardial ischemia associated with transient...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960111202

    authors: Conti CR

    更新日期:1988-12-01 00:00:00

  • Design and rationale of the PRAGUE-12 trial: a large, prospective, randomized, multicenter trial that compares cardiac surgery with left atrial surgical ablation with cardiac surgery without ablation in patients with coronary and/or valvular heart disease

    abstract::Surgical ablation procedure can restore sinus rhythm (SR) in patients with atrial fibrillation (AF) undergoing cardiac surgery. However, it is not known whether it has any impact on clinical outcomes. There is a need for a randomized trial with long-term follow-up to study the outcome of surgical ablation in patients ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1002/clc.22085

    authors: Straka Z,Budera P,Osmančík P,Vaněk T,Hulman M,Smíd M,Malý M,Widimský P

    更新日期:2013-01-01 00:00:00

  • Controversies in hypertension: mild hypertension, isolated systolic hypertension, and the choice of a step one drug.

    abstract::The realization that cardiovascular morbidity and mortality increases in patients with mild elevation of either systolic or diastolic blood pressure has led to a consideration to treat millions of patients with mild diastolic or isolated systolic hypertension. The cost of administering a successful antihypertensive tr...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1002/clc.4960060101

    authors: Cressman MD,Gifford RW Jr

    更新日期:1983-01-01 00:00:00

  • Apolipoprotein E polymorphism and the characteristics of diseased vessels in male Chinese patients with angiographic coronary artery disease: a case-case study.

    abstract:BACKGROUND:Variations in the apolipoprotein E (apo E) gene may predict the incidence of coronary artery disease (CAD). However, the correlation between apo E polymorphism and the severity of CAD is still unclear. HYPOTHESIS:Apolipoprotein E polymorphism can predict CAD. METHODS:Used a case-case study of 213 Chinese a...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.20703

    authors: Li SS,Yang J,Li LS,Wang HC

    更新日期:2010-06-01 00:00:00

  • Nisoldipine: a replacement therapy for nifedipine in the treatment of severe hypertension.

    abstract::The use of nisoldipine (10-20 mg b.i.d.) was evaluated as a replacement therapy for long-acting nifedipine (40-120 mg/day) in 21 patients with severe hypertension, who were resistant to or intolerant of nifedipine. Except for one patient with specific contraindications, all participants received an individually determ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960110510

    authors: Grossman E,Rosenthal T

    更新日期:1988-05-01 00:00:00

  • The pacemaker syndrome: old and new causes.

    abstract::The pacemaker syndrome refers to symptoms and signs in the pacemaker patient caused by inadequate timing of atrial and ventricular contractions. The lack of normal atrioventricular synchrony may result in decreased cardiac output and venous "cannon A waves." A sudden increase in atrial pressure at the onset of asynchr...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960140410

    authors: Schüller H,Brandt J

    更新日期:1991-04-01 00:00:00

  • Effects of theophylline on exercise indices in a patient with chronotropic incompetence.

    abstract::Several investigators have documented the successful use of oral sustained-release theophylline in treating symptomatic bradycardia and sick sinus syndrome. This paper reports a case of chronotropic incompetence in which specific exercise indices, including the chronotropic response index, were used to measure the the...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,评审

    doi:10.1002/clc.4960231019

    authors: Dixon WC 4th,Bauch TD

    更新日期:2000-10-01 00:00:00

  • Losartan and end-organ protection--lessons from the RENAAL study.

    abstract:BACKGROUND:The Reduction in ENdpoints with the Angiotensin Antagonist Losartan (RENAAL) study reported that losartan delayed the progression of renal disease in patients with type 2 diabetes and nephropathy. Diabetic or renally impaired patients are at high cardiovascular risk, a risk potentially increased in patients ...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1002/clc.4960280307

    authors: Kowey PR,Dickson TZ,Zhang Z,Shahinfar S,Brenner BM,RENAAL Investigators.

    更新日期:2005-03-01 00:00:00

  • Development of a multi-institutional cohort to facilitate cardiovascular disease biomarker validation using existing biorepository samples linked to electronic health records.

    abstract:BACKGROUND:Emerging biomarkers for acute myocardial infarction (AMI) may enhance conventional risk-prediction algorithms if they are informative and associated with risk independently of established predictors. In this study, we constructed a cohort for testing emerging biomarkers for AMI in managed-care populations us...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/clc.22146

    authors: Cross DS,McCarty CA,Steinhubl SR,Carey DJ,Erlich PM

    更新日期:2013-08-01 00:00:00

  • Monocyte chemoattractant protein-1 and coronary artery disease.

    abstract::The designation of atherosclerosis as a chronic inflammatory process represents an exciting and logical paradigm shift for cardiologists. Monocyte chemoattractant protein-1 (MCP-1) plays an important role in the recruitment and activation of monocytes and thus in the development of atherosclerosis. Enhanced MCP-1 expr...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审

    doi:10.1002/clc.4960250403

    authors: Ikeda U,Matsui K,Murakami Y,Shimada K

    更新日期:2002-04-01 00:00:00

  • Evaluation of flecainide acetate in rapid atrial fibrillation complicating Wolff-Parkinson-White syndrome.

    abstract::Flecainide is reported to be effective in patients with paroxysmal tachycardias, but its effect on rapid ventricular response over accessory atrioventricular pathway during atrial fibrillation is not known. The influence of flecainide on various electrophysiological properties of the accessory pathway with special emp...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960080603

    authors: Kappenberger LJ,Fromer MA,Shenasa M,Gloor HO

    更新日期:1985-06-01 00:00:00

  • Acute myocardial infarction in patients with normal coronary arteries after acute ethanol intoxication.

    abstract::Three cases are presented where acute myocardial infarction occurred in young individuals after an episode of heavy alcohol intake. Subsequent coronary arteriograms demonstrated normal coronary arteries. Several mechanisms by which acute ethanol intoxication might precipitate myocardial infarction are discussed. To ou...

    journal_title:Clinical cardiology

    pub_type: 杂志文章

    doi:10.1002/clc.4960050707

    authors: Moreyra AE,Kostis JB,Passannante AJ,Kuo PT

    更新日期:1982-07-01 00:00:00