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ECG Blog #462 — Why so Slow. ?

Ken Grauer, MD

I was sent the ECG in Figure-1 told only that the patient was an older adult who reported dizziness with activity. QUESTIONS: What is the rhythm? ( HINT: There are at least 4 important findings that should be noted ). Is there AV block? Figure-1: The initial ECG in today's case. ( To improve visualization I've digitized the original ECG using PMcardio ).

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Five Tests To Assess Your Heart Health In The New Year.

Dr. Paddy Barrett

I am a little odd. At least, according to my wife, anyway. I love Mondays and January. Everyone else seems to dislike these calendar milestones, but for me, they represent a fresh start and the opportunity to reassess the work that needs to be done. As we approach the end of the year and prepare to set out into the next one, the most common New Year resolutions are often health-related.

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Rising Atherogenic Index of Plasma Tied to Increased Psoriasis Risk

HCPLive

A study indicates that dyslipidemia may be associated with a greater risk of psoriasis development.

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Reprogramming cells for heart repair: New method transforms ordinary fibroblasts into mature cardiomyocytes

Medical Xpress - Cardiology

Cardiovascular disease continues to lead as the primary cause of death across the globe, taking millions of lives every year. Damage caused by these diseases is particularly difficult to repair, since the heart has minimal ability to regenerate itself. But what if we could reprogram the body's own cells to restore damaged tissue?

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First Generic of Once-Daily GLP-1 Injection Approved for Diabetes

Med Page Today

(MedPage Today) -- The FDA has approved the first generic form of liraglutide (Victoza), a once-daily injectable for improving glycemic control in patients ages 10 and older with type 2 diabetes, used as an adjunct to diet and exercise. This is.

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The most popular Heart Sisters article in 2024

Heart Sisters

Was this particular article the most popular of 2024 because my HEART SISTERS readers aren't getting clear jargon-free, patient-friendly answers from their doctors?

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Proteinuria Reduction in Long-Term Kidney Damage Prevention

HCPLive

Panelists discuss how the reduction of proteinuria is integral to the broader treatment goals for IgA nephropathy, highlighting evidence that supports its role in preventing long-term kidney damage.

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Monitoring long-term cardiac activity with contactless radio frequency signals

Medical Xpress - Cardiology

A research team led by Prof. Chen Yan at the University of Science and Technology of China (USTC) has taken a leap forward in cardiovascular health monitoring. They have developed a non-invasive radio frequency (RF)-based system capable of monitoring heart rate variability (HRV) with clinical-grade accuracy over extended periods.

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Bill Clinton Hospitalized; Lower Cost Ozempic? WHO Withdrawal Planned

Med Page Today

(MedPage Today) -- Note that some links may require registration or subscription. Former President Bill Clinton was admitted to MedStar Georgetown University Hospital in Washington, D.C. on Monday with a fever, according to his spokesperson.

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Asymptomatic severe degenerative mitral regurgitation

Heart BMJ

Degenerative mitral valve disease is common. Up to a quarter of patients with degenerative mitral valve disease may be asymptomatic despite having severe valve regurgitation. Current guideline indications for intervention in asymptomatic patient are centred on left ventricular dimensions and ejection fraction and may include consideration in atrial fibrillation, pulmonary hypertension and those with left atrial dilatation.

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FDA Approves Generic Once-Daily GLP-1 RA for Type 2 Diabetes in Pediatric, Adult Patients

HCPLive

The FDA's approval marks the second generic approval referencing a GLP-1 receptor agonist in as many months for the agency.

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Heart Disease Assessments: What’s Going Wrong and How to Fix It.

Dr. Paddy Barrett

"Frustrated, lost and confused." That was the main feedback I got from thousands of readers when I asked them about their experience working with existing healthcare systems to implement a plan to prevent heart disease. This is not good. Heart disease is the leading cause of death worldwide, and with the right approaches, 80% or more can be prevented at an early age.

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New MRI technique identifies heart disease risk from fat composition

Medical Xpress - Cardiology

Everyone knows the health risks of carrying too much fat around the waist and hips, but UVA Health scientists are developing a noninvasive way to assess the health risks of unseen fat around the heart.

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ART & Heart Safety; Eosinophil Counts Post MI; Antibiotics Fall Short After TAVR

Med Page Today

(MedPage Today) -- Use of assisted reproductive technology (ART) was not significantly associated with an increased long-term risk of cardiovascular diseases in women, according to a meta-analysis. (European Heart Journal) A randomized trial in.

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Dizziness in a 40-something with recent stent for inferior OMI

Dr. Smith's ECG Blog

Dizziness is so unlikely to be OMI without an obvious ECG, that I am going to pretend that this patient presented with chest pain. The PMCardio Queen of Hearts app asks you, before giving an interpretation of OMI ("STEMI-Equivalent"), whether the patient's clinical presentation is high risk for OMI. If no, then she will tell you that the case is outside of the intended use group.

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Symptoms Management and Targeting the Root Cause of IgAN

HCPLive

Panelists discuss how clinicians can effectively shift treatment strategies for IgA nephropathy from merely managing symptoms to actively targeting the root causes of the disease.

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Evolving use and clinical outcomes of coronary intravascular lithotripsy: insights from an international, multicentre registry

Heart BMJ

Background Intravascular lithotripsy (IVL) is increasingly used for treatment of coronary artery calcification. This study aimed to evaluate contemporary utilisation patterns, safety and efficacy of IVL in an unselected real-world patient cohort. Methods We included 454 patients undergoing IVL from May 2019 to February 2024 across seven centres in two European countries.

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More blood transfusions linked to lower 6-month mortality in heart-attack patients with anemia

Medical Xpress - Cardiology

Giving more blood to anemic patients after a heart attack may save lives, according to a Rutgers Healthled study. The study, published in NEJM Evidence, affirms research conducted in 2023 that suggested mortality rate or recurrent heart attacks were more frequent in anemic patients who received less blood.

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Higher-Dose Anticoagulation Not a Sure Bet for Hospitalized COVID Patients

Med Page Today

(MedPage Today) -- Trials evaluating anticoagulation in patients hospitalized for COVID-19 did not consistently favor stepping up dosing for short-term survival, according to a systematic review and prospective meta-analysis. Among 22 studies.

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Prevalence and predictors of poor heart failure treatment outcomes in Ethiopia: a systematic review and meta-analysis

Frontiers in Cardiovascular Medicine

BackgroundHeart failure (HF) is a leading cause of morbidity and mortality worldwide. Various factors can exacerbate disease progression in patients with HF and negatively impact treatment outcomes. This study aims to evaluate the pooled prevalence and contributing factors associated with poor heart failure treatment outcomes in Ethiopia.MethodsA systematic review and meta-analysis were conducted using five databases: Google Scholar, ScienceDirect, Hinari, PubMed, and Scopus.

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HCPLive Year in Review: Top Podcasts & Shows for 2024

HCPLive

From groundbreaking therapies to ethical dilemmas, HCPLives top podcasts of 2024 delivered expert insights and human stories across medicine.

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Cleveland Clinic touts at-home heart failure treatment: 6 takeaways

Becker's Hospital Review - Cardiology

Some acute heart failure patients can be safely and successfully treated at home, according to a research letter published Nov. 16 in JACC: Heart Failure.

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Wearable tech takes on heart health: Exploring advancements in cardiovascular disease monitoring

Medical Xpress - Cardiology

Cardiovascular diseases remain a global health crisis, spurring an urgent demand for innovative diagnostic tools that enable early detection and effective treatment. Wearable heart sound devices represent a significant shift in cardiac care, offering continuous, non-invasive monitoring with the potential to revolutionize the prevention, diagnosis, and treatment of cardiovascular conditions.

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New-Onset Epilepsy, Migraine Tied to Hypertensive Disorders of Pregnancy

Med Page Today

(MedPage Today) -- Hypertensive disorders of pregnancy -- gestational hypertension, preeclampsia, or eclampsia -- were tied to an increased risk of new-onset neurologic disorders years after giving birth, Swedish registry data showed. Women.

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Malignant hypertension: current challenges, prevention strategies, and future perspectives

Frontiers in Cardiovascular Medicine

IntroductionBased on office blood pressure (BP) values, hypertension is categorized into three stages: stage 1 (140159/9099mmHg), stage 2 (160179/100109mmHg), and stage 3 (180/110mmHg). Malignant hypertension (MHT) is characterized by extreme BP elevation (systolic blood pressure above 200mmHg and diastolic blood pressure above 130mmHg) and acute microvascular damage affecting various organs, particularly the retinas, brain, and kidneys.ObjectivesThe pathogenesis, predisposing variables, therapy

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Ophthalmology Year in Review: 2024

HCPLive

A look back at some of our top coverage in ophthalmology from 2024, including pipeline news and FDA approvals.

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Top ACC Content in 2024

American College of Cardiology

What an amazing year 2024 was in terms of advances in cardiovascular care! With more than 882,000 users, ACC.org continues to be a critical resource for cardiovascular clinicians around the world!

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New laser technology improves stent effectiveness in vascular treatments

Medical Xpress - Cardiology

A Korea Institute of Science and Technology (KIST) research team has developed a novel stent surface treatment technology using laser patterning. This technology promotes endothelial cell growth while inhibiting smooth muscle cell dedifferentiation in blood vessels.

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Less Sleep During and After Pregnancy May Spell Future Heart Troubles

Med Page Today

(MedPage Today) -- Persistently short sleep duration during and after pregnancy was tied to a greater risk for adverse cardiometabolic outcomes, a secondary analysis of cohort study data showed. Women who said they slept fewer than 7 hours a night.

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Study of the effect of azithromycin on airway remodeling in asthma via the SAPK/JNK pathway

Journal of Cardiothoracic Surgery

Asthma is a prevalent status attributing to lower respiratory tract chronic inflammation. Azithromycin (AZM) is known to be effective against asthma. Thus, this study delved into the mechanism of AZM repressin.

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Hyperglycemia, Obesity Relevant Risk Factors for Retinopathy in Type 1 Diabetes

HCPLive

Glycemic control continues to be a major risk factor for diabetic retinopathy, while overweight, obesity, and hypertension are growing in prevalence.

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Perivascular adipose tissue: a central player in the triad of diabetes, obesity, and cardiovascular health

Cardiovascular Diabetology

Perivascular adipose tissue (PVAT) is a dynamic tissue that affects vascular function and cardiovascular health. The connection between PVAT, the immune system, obesity, and vascular disease is complex and pla.

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Women are less likely than men to take medication after a stroke, study suggests

Medical Xpress - Cardiology

Female stroke victims are less likely than men to take drugs that could lower their odds of a second stroke.

Strokes 57
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Medicare Will Cover Blood Tests to Monitor for Transplant Rejection, for Now

Med Page Today

(MedPage Today) -- In August, we reported on the decision by the Centers for Medicare & Medicaid Services (CMS) to not pursue a proposed Medicare policy that would have restricted coverage of a blood test used to monitor for transplant rejection.

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Therapeutic strategy and efficacy evaluation of chronic empyema after total pneumonectomy: individualized analysis of six patients

Journal of Cardiothoracic Surgery

Chronic empyema after total pneumonectomy is a potentially fatal complication.The aim of the study is to explore the treatment strategy and clinical efficacy of chronic empyema after pneumonectomy.

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Hypertension in Pregnancy and Women

HCPLive

A panelist discusses how hypertensive disorders during pregnancy remain a leading cause of maternal mortality worldwide, affecting 5-10% of pregnancies and requiring careful monitoring, early detection, and appropriate medical management to protect both mother and baby.

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Wealth, can be an enemy of health !

Dr. S. Venkatesan MD

Visit the post for more.