Dr. Paddy Barrett

DECEMBER 13, 2024

Excess visceral fat results in a higher risk of insulin resistance, which is the precursor state to diabetes. The relationship between excess weight, a high BMI and the risk of severe insulin resistance and diabetes is clear 4. Relationship of BMI and Risk Of Diabetes. You put their diabetes into remission. Losing 6.5%

Heart Disease 98

Heart Disease BMI Cardiovascular Disease Diabetes 98

Cardiovascular Diabetology

FEBRUARY 27, 2024

The Stress hyperglycemia ratio (SHR) is a novel marker reflecting the true acute hyperglycemia status and is associated with clinical adverse events. The relationship between SHR and mortality in patients with.

Diabetes 52

Diabetes Research 52

Journal of the American Heart Association

FEBRUARY 29, 2024

Generalized linear models with Poisson distribution were used to examine the prevalence and prevalence ratios of self‐reported hypertension, diabetes, high cholesterol, physical inactivity, smoking, and overweight/obesity among Asian subgroups compared with US‐born NHW adults. Participants' mean (±SD) age was 49±0.1

Risk Factors 40

Risk Factors Obesity Diabetes Cholesterol 40

Stroke Journal

FEBRUARY 1, 2024

Background:The current AHA stroke prevention guidelines give Class 1 recommendations that patients with AIS and diabetes should receive glucose-lowering agents with cardiovascular benefit to reduce risk of MACE. Patients were identified to have diabetes as derived by the Charlson Comorbidity Index ICD 10 codes E10 through E14.

Diabetes 40

Diabetes Stroke Strokes Kidney Disease 40

Frontiers in Cardiovascular Medicine

JANUARY 23, 2024

Methods Data from the National Health and Nutrition Examination Survey (NHANES) 2015–2018 were collected and analyzed. Stratified analysis and interaction tests were carried out according to hypertension, diabetes and age. Hypertension and diabetes interacted with high-risk sleep patterns, but age did not.

Cardiovascular Disease 64

Cardiovascular Disease Diabetes Hypertension Research 64

Dr. Paddy Barrett

FEBRUARY 13, 2024

A 10 to 15kg weight loss in those who are overweight can reverse diabetes in 57% of patients with diabetes 1. Even in diabetics of normal weight (BMI<27), weight loss can reverse diabetes 2. 2018 Feb 10;391(10120):541-551. Diabetes 70(Supplement 1):1184-P What should you eat to do this?

Diet 105

Diet Diabetes Exercise Kidney Disease 105

Stroke Journal

FEBRUARY 1, 2024

When compared with placebo, glucagon-like peptide-1 receptor agonists such as once-weekly semaglutide (semaglutide OW T2D) improve cardiovascular outcomes in people with type 2 diabetes (T2D), whereas dipeptidyl peptidase-4 inhibitors (DPP-4is) do not. However, no head-to-head trials of these 2 incretin-based drug classes have been conducted.

Cardiovascular Disease 40

Cardiovascular Disease Diabetes Myocardial Infarction Outpatient 40

Coronary Artery Disease Journal

APRIL 24, 2024

Method Retrospective analysis of STEMI patients treated with PCI from April 2018 to April 2021 in Fuyang People’s Hospital. Lasso regression was used to screen the risk factors for the first occurrence of MACE in patients, and multifactorial logistic regression analysis was used to construct a prediction model.

Myocardial Infarction 40

Myocardial Infarction STEMI Diabetes Hypertension 40

Open Heart

OCTOBER 11, 2022

Data from 36 970 consecutive PCI cases performed between 2014 and 2018 were analysed. Those who developed renal impairment were more comorbid, with higher rates of diabetes (22% vs 38% vs 38%, p<0.001), peripheral vascular disease (3.4% 96.3% (n=35 611) of patients did not develop NRI.

Kidney Disease 52

Kidney Disease Outcomes Diabetes 52

Circulation: Cardiovascular Quality & Outcomes

FEBRUARY 26, 2025

Diabetes was present in 28% and multivessel disease in 51%. BACKGROUND:The appropriate use criteria for revascularization of stable ischemic heart disease have not been evaluated using randomized data. Differences in the primary clinical outcome were similarly examined.RESULTS:The mean age was 63 years, 81% were male, and 71% were White.

Ischemia 40

Ischemia Heart Disease Angina Anatomy 40

Open Heart

SEPTEMBER 19, 2023

Methods Cross-sectional study conducted between 2018 and 2021 in Lausanne, Switzerland. Prevalence, awareness, treatment and control rates of hypertension, dyslipidaemia and diabetes were compared between the periods before (N=2416, 45.2% For diabetes, prevalence did not change but awareness increased 5.76 (95% CI 1.23

COVID-19 40

COVID-19 Risk Factors Hypertension Diabetes 40

The British Journal of Cardiology

APRIL 16, 2024

We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. A total of 567 patients underwent coronary catheterisation for the three-year period between January 2018 and December 2020.

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 40

Stroke Journal

JANUARY 30, 2025

Background:The STRACK project aims to improve post-stroke patient management and the transition from acute to primary care thanks to improvements in patient pathways and monitoring cardiovascular risk factors: heart failure, diabetes, atrial fibrillation, dyslipidemia and hypertension.

Stroke 40

Stroke Strokes Atrial Fibrillation Risk Factors 40

Journal of the American Heart Association

DECEMBER 12, 2023

We calculated total patients with potentially undiagnosed hypertension and compared patients flagged for undiagnosed hypertension to those with diagnosed hypertension and to the full patient panel across individual characteristics, clinical and health system factors (eg, clinic of care), and timing.

Hypertension 45

Hypertension COVID-19 Medicaid Medicare 45

Stroke Journal

FEBRUARY 1, 2024

The purpose of this study is to clarify the incidence rate of IHOS among hospitalized patients and to investigate the risk factors associated with IHOS.Methods:Patients consecutively admitted to the Nippon Medical School hospital between April 2018 and March 2023 were assessed.

Risk Factors 40

Risk Factors Hospital Atrial Fibrillation Stroke 40

Circulation

NOVEMBER 11, 2024

17.4]) and was also more likely to have diabetes mellitus, hyperlipidemia, chronic lung disease, chronic kidney disease, chronic liver disease, BMI ≥ 25, anemia, metastatic cancer, and atrial fibrillation. The overall study population was compared to the general population, non-hemophilia. The hemophilia cohort was slightly older (63.2[16.8]

Risk Factors 40

Risk Factors Cardiovascular Disease Coronary Artery Bypass Graft Outcomes 40

Circulation

NOVEMBER 11, 2024

Here, we aimed to develop a nomogram model utilizing multimodal data for the risk stratification of AF recurrence following catheter ablation in individuals diagnosed with PFO and new-onset PAF.Methods:Patients with PFO and PAF who underwent catheter ablation at our hospital from January 2018 to June 2020 were consecutively enrolled.

Atrial Fibrillation 40

Atrial Fibrillation Ablation Risk Factors Diabetes 40

Circulation

NOVEMBER 11, 2024

Therefore, we examined the temporal trends in cardiovascular conditions among Chinese, Filipino, and Asian Indian adults living in the U.S.Methods:We conducted a cross-sectional analysis using the 2004-2018 National Health Interview Survey.

Risk Factors 40

Risk Factors Cardiovascular Disease Obesity Heart Attack 40

Circulation: Heart Failure

MARCH 8, 2024

Between 2016 and 2018, 3285 MESA participants from 6 field centers underwent comprehensive speckle-tracking echocardiography with passive leg raise maneuver, Kansas City Cardiomyopathy Questionnaire, 6-minute walk test, arterial stiffness assessment, and proteomics (including NT-proBNP [N-terminal pro-B-type natriuretic peptide]).Results:Median

Heart Failure 40

Heart Failure Atherosclerosis Kidney Disease Risk Factors 40

Stroke Journal

FEBRUARY 1, 2024

We aim to study if patients with severe cervical myalgias and FHP have an increased risk of posterior circulation stroke.Methods:We identified all adult patients with posterior circulation stroke and diagnosis of cervical myalgia at Loyola University Medical Center from January 2018 to January 2023. The average C2 tilt of cases was 22.9

Risk Factors 40

Risk Factors Circulation Atrial Fibrillation Ischemia 40

Hypertension Journal

DECEMBER 11, 2023

METHODS:The J-HOP study enrolled outpatients with ≥1 cardiovascular risk factor between 2005 and 2012, with follow-up until March 2015 and extended follow-up from December 2017 to May 2018. Findings were similar in the subgroup of high-risk patients (those with diabetes or stroke history).CONCLUSIONS:These

Blood Pressure 40

Blood Pressure Coronary Artery Disease Cardiovascular Disease Heart Failure 40

Stroke Journal

JANUARY 30, 2025

In the United States, syphilis rates have been increasing at an alarming rate since 2000, and between 2018-2022 cases increased by nearly 80%. Introduction:Syphilis is associated with increased risk of cerebrovascular disease and acute stroke; stroke may even be the initial clinical manifestation of syphilis (Images 1 and 2).

Stroke 40

Stroke Strokes Hospital Laboratory 40

Circulation

NOVEMBER 11, 2024

This study compares outcomes of these treatments and evaluates the correlation between clinical features and medical history with 30-day outcome.Methods:Patients with VBAS were identified from the 2017-2018 National Inpatient Sample (NIS). Hypertension (HTN, 85.4%) and diabetes (DM, 18.9%) were prevalent. Mean age was 69.45

Stenosis 40

Stenosis Inpatient Stent Stents 40

Dr. Paddy Barrett

AUGUST 30, 2024

Insulin resistance is a precursor condition to metabolic syndrome and type 2 diabetes, both major drivers of heart disease. 2018 Apr 10;90(15):e1298-e1305. Poor Sleep Is A Major Risk Factor For Insulin Resistance. Insulin resistance is a significant driver of cardiovascular risk. Lancet Healthy Longev. 2023 Jul;4(7):e345-e353.

Heart Disease 111

Heart Disease Dementia Obesity Heart Attack 111

Circulation: Cardiovascular Quality & Outcomes

OCTOBER 20, 2023

This study examined the relationship between marijuana use, ASCVD risk factors, and cardiometabolic risk profiles.METHODS:US adults (18–59 years) without cardiovascular disease were identified from the National Health And Nutrition Examination Survey (2005–2018) based on self-reported marijuana use. female; 13% non-Hispanic Black), 26.6%

Risk Factors 40

Risk Factors Cardiovascular Disease Cholesterol Biomarkers 40

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Written by Willy Frick A man in his 50s with a history of hypertension, dyslipidemia, type 2 diabetes mellitus, and prior inferior OMI status post DES to his proximal RCA 3 years prior presented to the emergency department at around 3 AM complaining of chest pain onset around 9 PM the evening prior.

Chest Pain 130

Chest Pain Myocardial Infarction Blog Stent 130

Dr. Smith's ECG Blog

DECEMBER 29, 2018

Repeat ECGs make difficult decisions easier. -- Comment by K EN G RAUER, MD ( 12/29/2018 ): -- Superb case by Dr. Pendell Meyers, which highlights recognition of subtle acute findings. Although I arrived at the same conclusion as Drs.

Chest Pain 52

Chest Pain STEMI Hypertension Diabetes 52

Dr. Paddy Barrett

NOVEMBER 7, 2023

LDL cholesterol, when measured in the context of diabetes, metabolic syndrome or insulin resistance, is not an accurate reflection of the number of apoB particles in circulation. 4 Apolipoprotein B but not LDL cholesterol is associated with coronary artery calcification in type 2 diabetic whites. Eur Heart J. 2009 Aug;58(8):1887-92.

Cholesterol 52

Cholesterol Atherosclerosis Stenosis Aortic 52

Dr. Paddy Barrett

AUGUST 16, 2024

What do you think would happen to someone's blood pressure, LDL cholesterol, or blood glucose if you were to evaluate what happens after you stop their blood pressure, cholesterol-lowering, or diabetes medication? 2018 Jan;102(1):183-197. Diabetes Obes Metab. The exact same thing. But we know one thing for certain.

Obesity 52

Obesity Blood Pressure Diet Exercise 52

Dr. Smith's ECG Blog

DECEMBER 11, 2018

This patient with a history diabetes was found with a GCS of 4. Comment by K EN G RAUER, MD ( 12/11/2018 ): = I love this case — because it brings home 3 of my favorite teaching points about electrolyte disorders and ECG interpretation. There just aren’t that many clinical conditions that cause hyperkalemia.

Tachycardia 52

Tachycardia Diabetes Pacemaker Arrhythmia 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting. BP was 110 and oxygen saturation was normal.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Paddy Barrett

MAY 24, 2024

In the US, over 45% of the population has either diabetes or pre-diabetes 1. The absolute majority of those with diabetes have type 2 diabetes, which is usually associated with excess visceral fat and poor cardiometabolic health. Because a diagnosis of diabetes is very likely to shorten your life. Pre-Diabetes.

Diabetes 110

Diabetes Diet BMI Exercise 110

Dr. Smith's ECG Blog

MAY 1, 2023

edits by Meyers A woman in her 60s with a history of chronic atrial fibrillation on Eliquis, ESRD on hemodialysis, type-II diabetes mellitus, prior CVA, hypertension, and hyperlipidemia presented to the emergency department with multiple complaints after missing dialysis. Case written by Brandon Friedman M.D.,

Atrial Flutter 52

Atrial Flutter Tachycardia Arrhythmia Blog 52

Stroke Journal

MARCH 18, 2025

BACKGROUND:The purpose of this study is to examine the association between race and ethnicity and ischemic stroke severity in the United States.METHODS:We performed an analysis of adult hospital discharges in the National Inpatient Sample from 2018 to 2021 with a primary discharge diagnosis of ischemic stroke.

Inpatient 40

Inpatient Stroke Strokes Health Disparities 40

Dr. Smith's ECG Blog

OCTOBER 6, 2018

The patient was in his 50s with history of hypertension, diabetes, seizure disorder, and smoking, but no known coronary artery disease. My Comment by K EN G RAUER, MD ( 10/6 /2018 ): = Superb case presented by Dr. Meyers! I limit my comments to reinforcing several important concepts emphasized by him.

Chest Pain 40

Chest Pain STEMI Myocardial Infarction Coronary Artery Disease 40

Dr. Paddy Barrett

AUGUST 9, 2024

The 14 Factors Include: Hearing Loss High LDL cholesterol Less Education Traumatic Brain Injury Depression Social Isolation Hypertension Obesity Smoking Excess Alcohol Diabetes Physical Inactivity Air Pollution Visual Loss Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission When You Intervene Matters.

Dementia 116

Dementia Blood Pressure Obesity Cholesterol 116

Journal of the American Heart Association

JANUARY 23, 2024

BackgroundMeta‐analyses of large clinical trials investigating SGLT2 (sodium‐glucose cotransporter‐2) inhibitors have suggested their protective effects against atrial fibrillation in patients with type 2 diabetes. An active‐comparator, new‐user design was used, and the 2 groups of patients were matched using propensity scores.

Atrial Fibrillation 75

Atrial Fibrillation Diabetes Risk Factors Cardiovascular Disease 75