France has become the first European country to reimburse the costs associated with remote monitoring of patients with chronic medical conditions. The initiative aims to reduce hospitalizations and enhance patient well-being. Starting from July 1, the country's health insurance scheme, Assurance Maladie, has begun refunding the expenses incurred during these remote checks, which are sometimes conducted through video calls. What is medical remote monitoring? Medical remote monitoring, known as "télésurveillance médicale" in French, involves the use of video or biomedical devices to allow healthcare professionals to monitor a patient's condition. This can include devices such as glycemic monitors, pacemakers, or other biomedical tools. It's important to note that télésurveillance médicale differs from téléconsultation, which refers to doctor appointments conducted via video. However, video calls may be incorporated into medical remote monitoring if necessary. Distance monitoring eliminates the need for patients to make frequent in-person visits to healthcare practitioners or rush to the hospital in case of an issue. Instead, patients may need to perform specific regular tasks at home and report the results to their doctor. For instance, they might be required to measure their blood pressure, monitor their weight, and complete a brief questionnaire every week, with the data being sent to their doctor. One patient, Jean-Louis Bernard, aged 74 from Caen, shared his experience with Le Monde, stating, "When you have a chronic illness, your condition can rapidly deteriorate, and if you're not careful, you may end up in the emergency room, even after consuming a meal that's too salty. Thanks to this tool, medical teams can respond to even the slightest alert and advise me remotely." His wife, Michelle, emphasized the invaluable assistance provided by remote monitoring, as it has prevented Jean-Louis from being hospitalized since he started using it, whereas hospitalizations were previously frequent. Why has reimbursement been extended to all individuals in need? The decision to make remote monitoring reimbursements accessible to all aims to achieve the following objectives: - Enhance the quality of care for patients undergoing distance monitoring. - Reduce hospitalizations and emergency room admissions by enabling patients to receive care at home. - Update healthcare processes and enhance care organization. - Improve patients' quality of life and overall comfort. Which conditions are eligible for distance monitoring? Since 2014, remote medical monitoring has been covered on an experimental basis under the ETAPES program (Experiments de télémédecine pour l'amélioration des parcours en santé) for the following five conditions: - Chronic respiratory failure - Chronic heart failure - Chronic renal failure - Diabetes Cardiac arrhythmia requiring cardiac prostheses The ETAPES program has now concluded, and distance monitoring can be implemented for any patients whose healthcare professionals determine the necessity, particularly for those who are at risk of hospitalization or health complications. The Ministry of Health has emphasized that patients must be fully informed about the process and provide their consent for monitoring. Which healthcare professionals can offer télésurveillance? According to Assurance Maladie, any doctor can refer a patient for remote monitoring. However, only healthcare professionals "whose specialities are referred to in the ministerial decrees registering telemonitoring activities, whatever their sector of practice and their place of practice” are authorized to carry out remote medical monitoring. These professionals can operate from general practitioner surgeries, nursing homes, health centers, hospitals, or clinics. *Photo by John Valette via Pexels
Staying "well hydrated" in middle age may lower a person's risk of heart failure in later life, new research suggests. According to the study by researchers at the Laboratory of Cardiovascular Regenerative Medicine at the National Heart, Lung, and Blood Institute (NHLBI), individuals with lower blood sodium levels (serum sodium) has a 39% lower risk of having heart failure in their later years. Serum sodium increases as a person's fluid levels decrease i.e. people who are dehydrated usually have more sodium in their blood. The normal range for serum sodium is 135 to 146 millimoles per liter (mmol/L). The researchers found that study participants with levels of serum sodium on the high end of the normal range — above 143 mmol/L — had a 39% increased risk of developing heart failure. For the study, the researchers analyzed information from more than 11,000 adults aged 45 to 66 over a 25-year period. It is worth noting that the study did not include individuals with diabetes, obesity or heart failure. The results of the study are published in the European Heart Journal. *Image by Engin Akyurt from Pixabay
The United States Centers for Disease Control and Prevention (CDC) says nearly half of American adults are living with high blood pressure (hypertension). Left untreated, this hypertension can lead to serious cardiovascular conditions, such as heart attack, stroke and heart failure. Individuals with hypertension are often advised to reduce their salt intake, as doing so can help reduce blood pressure levels. Now, a group of researchers from Pennsylvania State University has decided to investigate the health effects of herbs and spices, particularly whether they can benefit people with hypertension. The researchers conducted a randomized, controlled trial to look at the effect of longer-term consumption of herbs and spices on risk factors for cardiovascular disease. They found that a higher level of herbs and spices in food reduced 24-hour blood pressure readings. The findings appear in the American Journal of Clinical Nutrition. Speaking to Medical News Today, Prof. Penny Kris-Etherton, one of the lead authors of the study, said: “Indeed, the blood pressure-lowering effects of herbs and spices in an average Western diet were surprising to me. “We [already know] about the effects of many lifestyle factors, especially dietary factors, that can increase blood pressure — such as sodium, alcohol, and caffeine — and others that can decrease blood pressure, such as potassium, magnesium, and calcium, […] weight loss, physical activity, and some vitamins, including folate and vitamin D when intake is low, but the blood pressure-lowering effects of herbs and spices are new!” *Image by monicore from Pixabay
It’s a well-known fact that sleep is of utmost importance to health. Specifically, it’s been shown that a lack of high-quality sleep negatively impacts our resilience, productivity and performance. Furthermore, long-term chronic sleep deprivation is linked to high blood pressure, diabetes, heart attack, heart failure and stroke. Now, new research suggests that irregular sleeping patterns may contribute to the risk of cardiovascular problems. The study was carried out by researchers from Brigham and Women’s Hospital in Boston, MA, who analysed data from 1,992 patients in their 60s and 70s with no cardiovascular problems at baseline. They found that those who had the most irregular sleep patterns (defined as 2 hours or more difference in sleep duration each night) had a twofold plus increased risk of cardiovascular disease than patients with one hour or less difference in sleep duration. Importantly, even after adjusting for other risk factors, patients with irregular sleep patterns remained at significant risk of cardiovascular events. Publishing their findings in the Journal of the American College of Cardiology, the researchers said: “Our study indicates that healthy sleep isn’t just about quantity but also about variability and that this can have an important effect on heart health.” Do you get enough sleep each night? Is your sleeping pattern pretty irregular? If not, you could be increasing your risk of cardiovascular disease. Remember, getting enough high-quality sleep is extremely important and beneficial to your health.
We recently wrote about how avoiding five specific bad habits can significantly extend your life. Now, a new meta-analysis published in The BMJ adds further weight to the argument for eating less salt and being healthier. According to the meta-analysis of 133 clinically randomised trials, lowering salt intake reduces blood pressure – even in individuals who are not yet at risk of hypertension-related conditions. This is important because heart disease is the number one global killer and high blood pressure is the leading cause of heart disease. Furthermore, hypertension is also the leading cause of stroke, heart failure and kidney disease, highlighting how potentially beneficial a low slat diet could be for many people. Interestingly, the research found that the greater the reduction in salt intake, the greater the benefit to blood pressure. At present, U.S. government guidelines advise Americans to not consume more than 2,300 milligrams (mg) of salt per day as part of a healthy eating pattern. However, the vast majority of U.S. adults are eating more sodium than they should -- average of more than 3,400 mg each day. One of the biggest problems is the amount of salt that is contained in manufactured foods, which is usually added to enhance flavour, texture and colour, as well as improve longevity. So even if you don’t reach for the salt shaker at every mealtime, you could still be consuming too much. It’s good to get into the habit of checking the foods you buy to see how much they all contain. After all, just a small reduction could significantly improve your health and reduce your risk of early mortality. Speaking about the findings of the research, lead author Feng He, a researcher at Queen Mary University of London, said: “The totality of evidence in the JACC review and this latest BMJ research shows that reducing our salt intake will be immensely beneficial.”
Scientists have developed a heart patch from millions of living, beating stem cells that could help heal heart attack damage. Grown in a lab from a sample of a patient’s own stem cells, the patches are sewn on to the heart and subsequently turn into healthy, working muscle. After three days, the patches start to beat, and after one month, they mimic mature heart tissue. They also release chemicals that stimulate the repair and regeneration of existing heart cells. Tests involving rabbits showed that the patches appear safe and led to an improvement in the function of the heart following a heart attack. A heart attack occurs when a clogged artery leads to the flow of oxygen blood to the heart muscle being disrupted. This causes the heart to be starved of oxygen and vital nutrients, resulting in its pumping power being damaged. The British Heart Foundation (BHF) said the patches could one day provide an off-the-shelf treatment for patients who have experienced a heart attack. Clinical trials involving humans are set to begin within two years. Speaking about the patches, Researcher Dr Richard Jabbour said: “One day, we hope to add heart patches to the treatments that doctors can routinely offer people after a heart attack. “We could prescribe one of these patches alongside medicines for someone with heart failure, which you could take from a shelf and implant straight in to a person.”
A major study has found that the UK has a big obesity problem, and that there are severe health implications for people who are even just a little overweight. According to the research, which was funded by healthcare firm Novo Nordisk, individuals with a Body Mass Index (BMI) of 30-35 were 70% more likely to develop heart failure than their healthy weight peers (18.5-25 BMI). Furthermore, the study of 2.8 million adults also showed that people who were even slightly overweight were twice as likely to develop Type 2 diabetes. The study, which is due to be presented at the European Congress on Obesity (ECO) in Glasgow, also revealed: The risk of Type 2 diabetes for people with a BMI of 35-40 was almost nine times higher People with severe obesity (BMI of 40-45) were 12 times more likely to develop Type 2 diabetes People with severe obesity also had triple the risk of heart failure, high blood pressure, and dyslipidaemia (elevated levels of total or low-density lipoprotein (LDL) cholesterol levels, or low levels of high-density lipoprotein (HDL) cholesterol) A BMI of 40-45 was also linked with a 50% higher risk of dying prematurely from any cause Speaking about the findings of the study, Public Health England said “sustained action” was needed to tackle obesity.
People who have a heart attack sometimes experience heart muscle damage. As a result, many live with heart failure and may require a heart transplant in the future. But what if there was a way for human hearts to heal themselves? Scientists say an exotic fish could perhaps hold clues to making such an occurrence a reality. The Mexican tetra fish, which lives in freshwater, can, quite amazingly, repair its own heart. Popular with aquarium owners because of its unique coloring, the tetra fish has many different species, most of which can heal their own hearts following damage. To understand how the tetra fish do this, a team of researchers from the University of Oxford in the UK travelled to the Pachón cave in Mexico to study a tetra subspecies, the “blind cave tetra”. This remarkable fish has not only lost its ability to see, but also its color. Moreover, it can no longer regenerate heart tissue. By studying the blind cave tetra alongside other species of tetra, the team of researchers was able to create genetic profiles for both, allowing them to better understand what gives the tetra its amazing heart regeneration abilities. The team, led by Dr. Mathilda Mommersteeg, an associate professor at the University of Oxford, identified three separate genomes relevant to the tetra’s self-healing. Further analysis revealed two genes, lrrc10 and caveolin, were far more active in the river tetras. “A real challenge until now was comparing heart damage and repair in fish with what we see in humans. But, by looking at river fish and cave fish side by side, we've been able to pick apart the genes responsible for heart regeneration,” said Dr. Mommersteeg. Going forward, the research team hopes it may be possible to develop a way for heart attack patients to repair their own heart tissue.
While many people will be using the start of the New Year to kick-start certain lifestyle changes in an attempt to become “healthier”, there are some who might think it’s too late based on their age. However, a new study has revealed that it’s often not too late for many who want to improve their fitness. In fact, with exercise, even individuals who are into their late middle age can reduce or even reverse the risk of heart failure caused by years of sedentary living. But there’s a slight catch – it requires at least two years of aerobic exercise four to five days a week. According to the study, which was published in the journal Circulation, individuals aged 45-64 who followed an aerobic exercise routine for two years showed an 18% improvement in their maximum oxygen intake while exercising and a more than 25% improvement in "plasticity" in the left ventricular muscle of the heart, compared to their counterparts who didn’t follow such an exercise regime. The take-home message of the research is that exercise needs to be part of a person’s daily routine, like teeth brushing. Dr Richard Siow, vice-dean for the faculty of life sciences and medicine at King's College London, said: "I think that's a very important take-home message for those of us who may have a doom and gloom view there's nothing we can do about it. Yes there is, we can start by getting off the couch to have a more active lifestyle."
Researchers from Oxford University have discovered a potential “goldmine” for new drugs in one of the unlikeliest places – ticks. They found that proteins contained in the parasites’ saliva are excellent at stopping inflammation of the heart, which can cause myocarditis and lead to heart failure. Ticks are remarkably good at biting and feeding without being detected. This allows them to stay attached to animals and humans for up to 10 days while they feed on their blood. The reason tick bites don’t cause any pain or inflammation is because proteins in their saliva neutralise chemicals called chemokines in the host. It’s now thought that ticks could be used to help treat other conditions, such as stroke and arthritis. Prof Shoumo Bhattacharya, BHF professor of cardiovascular medicine at the University of Oxford, who led the research, said: "Myocarditis is a devastating disease, for which there are currently very few treatments. "With this latest research, we hope to be able to take inspiration from the tick's anti-inflammatory strategy and design a life-saving therapy for this dangerous heart condition.” Traditionally, tick saliva was obtained by milking the tiny parasites using tubes. Nowadays, though, tick saliva proteins can be grown in yeast from synthetic genes, which allows large amounts to be produced. It should be noted that all of the current research has only been carried out in a laboratory, so it will be several years before any trials are conducted with humans.
People with non-O blood could be at greater risk of stroke and heart attack, research suggests. Scientists say it's because A, B and AB blood contains higher levels of a blood-clotting protein. The research, which was presented at the 4th World Congress on Acute Heart Failure, analysed studies involving 1.3m people. It found that people 15 in 1,000 people with non-O blood suffered a heart attack, compared to 14 in 1,000 people with O blood. While these figures don't sound that startling at first, when applied to a whole population the numbers become more important. It is hoped that the findings will help doctors better identify who is at risk of developing heart disease. However, Dr Mike Knapton, associate medical director at the British Heart Foundation, said the findings would not have a large impact on the current advice issued by the charity. "Most of a person's risk estimation is determined by age, genetics (family history and ethnicity) and other modifiable risk factors including diet, weight, level of physical activity, smoking, blood pressure, cholesterol and diabetes. "People with a non-O blood group type - AO, BO and AB - need to take the same steps as anyone wanting to reduce their CVD risk." So regardless of your blood type, the advice remains the same: improve your diet, weight, level of physical activity and don't smoke. In addition, manage blood pressure, cholesterol and diabetes too. There's nothing you can do about your blood group, but you can make positive lifestyle changes to reduce your risk of heart attack and stroke.