Stroke Journal

FEBRUARY 1, 2024

Comorbidities like diabetes, hyperlipidemia, obesity, and hypothyroidism were less common in CUD patients, but substance abuse and mental health disorders were more prevalent. From 2016 to 2019, CUD among stroke survivors rose from 0.24% to 0.37%. vs. 45.1%), with a larger representation of black individuals (30.8% vs. 28.4%).

Inpatient 45

Inpatient Stroke Strokes Obesity 45

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

Stroke Journal

FEBRUARY 1, 2024

Introduction:The paucity of large-scale data exploring the effect of prior bariatric surgery on recurrent stroke outcomes in elderly obese stroke survivors led us to address the gap, with an emphasis on the risk of recurrent stroke and its trends.Methods:A retrospective study was conducted using National Inpatient Sample data from 2016-2019.

Obesity 40

Obesity Inpatient Stroke Strokes 40

Journal of the American Heart Association

DECEMBER 12, 2023

BackgroundPostpancreatectomy diabetes can be caused by resection of functioning pancreatic tissue and is associated with postoperative pancreatic islet cell mass loss and subsequent endocrine dysfunction. Diabetes is a well‐known risk factor for ischemic heart disease. Journal of the American Heart Association, Ahead of Print.

Heart Disease 40

Heart Disease Diabetes Cancer Risk Factors 40

Circulation

JUNE 4, 2024

Diabetes (16.3% We projected through 2050, overall and by age and race and ethnicity, accounting for changes in disease prevalence and demographics.RESULTS:We estimate that among adults, prevalence of hypertension will increase from 51.2% in 2020 to 61.0% to 26.8%) and obesity (43.1%

Risk Factors 81

Risk Factors Cardiovascular Disease Stroke Strokes 81

Journal of the American Heart Association

NOVEMBER 28, 2023

However, there is ongoing debate whether intensive BP lowering may paradoxically increase the risk of cardiovascular disease (CVD), especially in patients with type 2 diabetes (T2D).

Blood Pressure 40

Blood Pressure Diabetes Cardiovascular Disease Outcomes 40

DAIC

JULY 1, 2024

Diabetes Care, Mardil Medical, and Catheter Robotics. Englund brings over 25 years of experience in the medical device industry, most recently serving as Senior Vice President, Scientific Affairs at Monteris Medical, where she established a strong clinical portfolio that was pivotal in achieving reimbursement and clinical guideline status.

Reimbursement 105

Reimbursement RN Heart Failure Laboratory 105

Dr. Smith's ECG Blog

DECEMBER 19, 2023

link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. From My Comment in the November 14, 2019 post in Dr. Smith's ECG Blog: A subject well worth periodic review — is the concept of Terminal QRS Distortion ( T-QRS-D ).

Plaque 127

Plaque Angina Blog Stent 127

Circulation: Cardiovascular Quality & Outcomes

NOVEMBER 6, 2023

1.09]) in 2021 compared with 2019. 0.96]) decreased for low-income adults, while diabetes screening (RR 1.01 [0.95-1.08]) 0.96]) decreased for low-income adults, while diabetes screening (RR 1.01 [0.95-1.08]) 1.08]) increased and diabetes focused visits and insulin use remained stable. However, routine visits (RR 0.96 [0.94-0.98])

Risk Factors 40

Risk Factors Medicaid COVID-19 Outpatient 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

x) from 2016‐2019. The rate of 30‐day readmission was overall stable (7.34% in 2016 and 7.70% in 2019; p=0.42), but the 90‐day readmission rate slightly increased from 11.69% in 2016 to 12.47% in 2019 (p=0.04). ConclusionThe annual rate of 90‐day readmission, but not 30‐day readmission, increased from 2016 to 2019.

Hemorrhage 40

Hemorrhage Coronary Artery Disease Obesity Heart Failure 40

Journal of the American Heart Association

MARCH 19, 2025

We aimed to examine the incidence of and risk factors for cardiotoxicity in a racially and ethnically diverse cohort with cancer treated with anthracyclines.MethodsWe included consecutive adult patients who underwent anthracyclinebased chemotherapy from 2016 to 2019 for any type of cancer. ResultsA total of 743 individuals were included (28.0%

Cancer 40

Cancer Risk Factors Obesity Heart Failure 40

Stroke Journal

FEBRUARY 1, 2024

The multivariate model (area under curve = 0.93) had three significant predictors: diabetes mellitus (aOR 36.5, For inclusion, patients must have been successfully recanalized by mechanical thrombectomy with or without intravenous thrombolytic and ultimate modified thrombolysis in cerebral infarction (mTICI) score 2B/2C/3.

Hemorrhage 40

Hemorrhage Thrombolysis Diabetes Biomarkers 40

Stroke Journal

FEBRUARY 1, 2024

0.86, p<0.001) showed that patients had a higher likelihood of excellent recanalization with lower admission NIHSS (aOR 0.93, p = 0.036), no history of diabetes mellitus (DM) (aOR 0.42, p = 0.050), no prior stroke (aOR 0.27, p = 0.007), cerebral blood volume (CBV) index >= 0.7 (aOR excellent) revascularization.

Stroke 40

Stroke Strokes Thrombolysis Diabetes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

x) from 2016‐2019 using the Nationwide Readmission Database (NRD). Data was weighted to allow for representative nationwide estimates.ResultsA total of 260,854 patients were admitted with a primary diagnosis of ICH between 2016‐2019. The mean age of the cohort was 68.49 years, with 52.6% being male.

Hemorrhage 40

Hemorrhage Risk Factors Coronary Artery Disease Obesity 40

Cardiometabolic Health Congress

JUNE 7, 2024

This is a focused update to the 2019 NLA Scientific Statement on the Use of Lipoprotein(a) in Clinical Practice. Untangling the Statins and Diabetes Link : Dr. Savitha Subtamaniam explored the incidence of diabetes associated with statin use, noting that the mechanism is unclear. Targeting apoB to Lower ASCVD Risk : Dr.

Cardiovascular Disease 59

Cardiovascular Disease Obesity Heart Disease Risk Factors 59

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

Stroke Journal

FEBRUARY 1, 2024

million (2019) and projected to reach 4.90 Stroke, Volume 55, Issue Suppl_1 , Page A52-A52, February 1, 2024. Background/Purpose:Stroke imposes a substantial healthcare burden, with ischemic stroke (IS) mortality rising from 2.04 million (1990) to 3.29 million by 2030 according to the Global Burden of Disease Study.

Inpatient 40

Inpatient Stroke Strokes Coronary Artery Disease 40

Circulation

NOVEMBER 11, 2024

We aimed to investigate prevalence of prediabetes among people according to sleep apnea status.Methods:This cross-sectional study included 10131 Korean adults without diabetes with information of STOP-Bang score were identified from the dataset of the Korea National Health and Nutrition Examination Survey 2019-2021.

Diabetes 40

Diabetes Circulation 40

CardiacWire

APRIL 10, 2024

GLP-1s Are So Hot Right Now – In the year since ACC 2023, GLP-1s went from a weight loss and diabetes drug that “might” have cardiovascular benefits to becoming a promising (and Medicare-covered) option for CV event reduction.

Innovation 59

Innovation Technology Interventional Cardiology Medicare 59

Stroke: Vascular and Interventional Neurology

NOVEMBER 28, 2023

We evaluated the association between pretreatment clinical, imaging, and interventional parameters in patients who achieved mTICI 2c/3 versus 2b using multivariate logistic regressions.RESULTSFrom May 11, 2019 to October 9, 2022, 149 consecutive patients met our inclusion criteria (median 70 years old [interquartile range 65–78.5], 57.7%

Stroke 40

Stroke Strokes Thrombolysis Diabetes 40

Circulation

NOVEMBER 11, 2024

This study evaluates the outcomes in patients admitted for HF with and without hyperkalemia.Methods:We used the Nationwide Readmissions Database (NRD) from 2016-2019, extracting adult patients with a primary diagnosis of HF who were admitted between January and November of each year. Survey procedures were applied using SAS 9.4.Results:We

Inpatient 40

Inpatient Heart Failure Outcomes Cardiac Arrest 40

Stroke Journal

JANUARY 30, 2025

between 2016-2019, but then dropped to 1.02% in 2020. The average annual screening rate of syphilis (1.19%) was significantly lower than that of HbA1c (58%; p=0.002) and LDL (69.0%; p<0.001). Annual screening rates increased from 0.44% to 2.5%

Stroke 40

Stroke Strokes Hospital Laboratory 40

Stroke Journal

JANUARY 30, 2025

Clinical and neuroimaging predictors of an unfavorable discharge outcome (modified Rankin score 4) were assessed in univariate and multivariable models.Results:Between 2003 and 2019, 1,791 patients were admitted with non-traumatic ICH.

Hemorrhage 40

Hemorrhage Dementia Hypertension Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

We utilized a multi-state database to examine myocardial infarction (MI) risk post stroke or CAD to estimate cardiovascular complication risk.Method:We analyzed State Inpatient Database from New York (2011-2017) and Florida (2011-2019). 5.21, P < 0.001; HR 1.67, 95% CI 1.02-2.73, 2.06, P = 0.60) (Figure). 1.58, P = 0.42).Conclusion:This

Myocardial Infarction 40

Myocardial Infarction Inpatient Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Methods:We extracted data from our stroke registry for consecutive patients with acLVO who underwent EVT and subsequent neurocritical care (12/2019-12/2022). vs. 45.4%; p=0.01), had higher baseline NIHSS scores (17 [7] vs. 15 [9.5]; p=0.001), lower baseline ASPECTS (7 [3] vs. 8 [2]; p<0.001) and higher diabetes prevalence (45.9%

Stroke 40

Stroke Strokes Outcomes Thrombolysis 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. 2019 Sep 10;74(10):1304-1314. Poor Sleep Is A Major Risk Factor For Insulin Resistance. Insulin resistance is a significant driver of cardiovascular risk. Obesity (Silver Spring). 2023 May;31(5):1204-1215.

Heart Disease 111

Heart Disease Dementia Obesity Heart Attack 111

The Beat Blog

SEPTEMBER 20, 2022

Shortly thereafter in 2016 and 2019, the American Cardiology Association and American Diabetes Association , respectively, recommended the Mediterranean diet as a healthy dietary pattern to help prevent cardiovascular diseases and type two diabetes.

Diet 52

Diet Blood Pressure Cholesterol Cardiovascular Disease 52

Stroke Journal

FEBRUARY 1, 2024

Methods:We retrospectively collected baseline demographic, clinical, and radiographic data on 27 patients who presented as a stroke alert within 24 hours of symptoms and had extensive (from bifurcation to distal ICA) occlusion by computerized tomography angiography from 2019-2023 at our institution.

Stents 40

Stents Stent Outcomes Blood Pressure 40

Dr. Smith's ECG Blog

JANUARY 1, 2024

His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago.

Tachycardia 112

Tachycardia Blog Ischemia Heart Failure 112

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. Am J Med 2019, 132(5):622-630.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 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? 2019 Aug 18;9(8):e029966. 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

OCTOBER 17, 2024

Past medical history included diabetes and hypertension. Finally — Note that there is also T-QRS-D ( T erminal QRS D istortion ) in lead V3 ( See My Comment in the November 14, 2019 post for review and illustration of T-QRS-D criteria ). Vitals were normal. There’s normal sinus rhythm, RBBB, normal axis and normal voltages.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

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

JUNE 23, 2023

A 50-something male with unspecified history of cardiomyopathy presented in diabetic ketoacidosis (without significant hyperkalemia) with a wide complex tachycardia and hypotension. Bedside echo showed "mildly reduced" LV EF. Here is the ED ECG: What do you think? Analysis: there is a wide complex tachycardia. It is regular.

Tachycardia 52

Tachycardia Cardiomyopathy Arrhythmia Diabetes 52

Dr. Smith's ECG Blog

SEPTEMBER 21, 2022

A 40-something woman with diabetes and peripheral vascular disease who frequently needs the ED for chronic pain called 911 for sudden severe chest pain. The patient was very agitated and could not hold still. I greeted medics at the door to view the prehospital ECG.

Chest Pain 52

Chest Pain Blog Ischemia STEMI 52

Dr. Smith's ECG Blog

FEBRUARY 14, 2020

Written by Pendell Meyers, sent by Anonymous A man in his 50s with history of type 2 diabetes, HTN, and HLD presented with one day of off and on chest / upper abdominal pain. It had awoken him from sleep earlier, and he described it as "gas pain," located in the upper epigastrium and radiating upwards. Vitals were within normal limits.

Chest Pain 52

Chest Pain STEMI Anatomy Risk Factors 52

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

A 50 something-year-old man with a history of newly diagnosed hypertension and diabetes, for which he did not take any medication, presented a non-PCI-capable center with a vague, but central chest pain. 2019 Apr;21(5):253-258. Written by Emre Aslanger. Emre is a new Editor of the Blog. He is an interventionalist in Turkey. 2019.09465.

Chest Pain 52

Chest Pain Myocardial Infarction Blog Pericarditis 52