Open Heart

AUGUST 30, 2024

Objective To describe the impact of the pandemic on blood pressure screening and hypertension management based on a national quality of care scheme (Quality and Outcomes Framework, QOF) across key demographic, regional and clinical subgroups. million NHS patients registered at general practices (March 2019 to March 2023).

COVID-19 52

COVID-19 Blood Pressure Hypertension Outcomes 52

Open Heart

MAY 23, 2024

Pre-eclampsia and heart failure have common risk factors, including hypertension, obesity and diabetes. Hypertension and diabetes were independent risk factors for pre-eclampsia. It is not known whether heart failure increases the risk of pre-eclampsia.

Heart Disease 98

Heart Disease Heart Failure Risk Factors Obesity 98

Journal of the American Heart Association

FEBRUARY 25, 2025

For chronic hypertension in NonHispanic Black births there was a slight decrease in odds from 3.4 When considering the contribution of Neighborhood Deprivation Index to racial and ethnic disparities in PPCM, the odds ratio slightly decreased for NonHispanic Black births from 3.8

Cardiomyopathy 40

Cardiomyopathy Hypertension Heart Failure Pulmonary 40

Circulation

JUNE 4, 2024

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% Diabetes (16.3% to 26.8%) and obesity (43.1% Prevalences of coronary disease (7.8% to 15.0%) will rise.

Risk Factors 81

Risk Factors Cardiovascular Disease Stroke Strokes 81

Open Heart

JUNE 6, 2023

Objective Pulmonary hypertension (PHT) commonly coexists with significant mitral regurgitation (MR), but its prevalence and prognostic importance have not been well characterised. Methods In this retrospective study, we analysed the National Echocardiography Database of Australia (data from 2000 to 2019). years, IQR 1.3–6.2

Bicuspid/Mitral 52

Bicuspid/Mitral Pulmonary Hypertension Outcomes 52

Journal of the American Heart Association

DECEMBER 29, 2023

We compared the risk of adverse events between hypertensive patients using valsartan and a propensity score–matched group using nonrecalled angiotensin receptor blockers and angiotensin‐converting enzyme inhibitors.Methods and ResultsWe used Optum's deidentified Clinformatics Datamart (July 2017–January 2019).

Hypertension 45

Hypertension Myocardial Infarction Hospital Heart Failure 45

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

Stroke Journal

FEBRUARY 1, 2024

We also sought to identify independent predictors of mortality based on race.Methods:We queried the 2019 National Inpatient Sample to identify stroke hospitalizations in women aged >55 years by using ICD-10 CM codes. Demographics were analyzed after stratifying the population by race. COPD (OR: 1.19 95%, p- 0.017), cancer (OR: 1.27

Hospital 40

Hospital Stroke Strokes Inpatient 40

Circulation: Cardiovascular Quality & Outcomes

FEBRUARY 8, 2024

Background:Undiagnosed hypertension and uncontrolled blood pressure (BP) are common and contribute to excess cardiovascular morbidity and mortality. All 323 participants returned a positive diagnostic test for hypertension based on 24-hour ambulatory BP monitoring and were followed for 6 months. mm Hg [95% CI, −10.3 95% CI, 1.1

Blood Pressure 40

Blood Pressure Hypertension Outcomes Circulation 40

Stroke Journal

FEBRUARY 1, 2024

We aimed to analyze the clinical outcome of the cerebral vasospasms and characterize the racial disparities in patients with vasospasms over a 20 year period.Methods:A query of the 2000-2019 National Inpatient Sample was performed for patients admitted with cerebral vasospasm (ICD-9 435.9, vs. 7.70 ± 7.77; p<0.001). days, 95%CI:3.03-4.07),

Inpatient 40

Inpatient Hemorrhage Outcomes Hospital 40

Ken Grauer, MD

APRIL 5, 2024

The ECG in Figure-1 was obtained from a middle-aged woman — who presented with low back pain, shortness of breath and marked hypertension — but no CP ( C hest P ain ). Today's patient is a middle-aged woman who presented with low back pain, shortness of breath and marked hypertension — but no chest pain. The KEY lies in the history.

Blog 93

Blog Ischemia Chest Pain Hypertension 93

Circulation

NOVEMBER 11, 2024

Background:The relationship between anion gap (AG) and short-term mortality in intensive care unit (ICU) sepsis patients complicated by pulmonary hypertension (PH) remains unclear.Methods:Retrospective analysis of incident sepsis patients complicated by PH first admitted to ICU in MIMIC database (2008 to 2019) were enrolled.

Pulmonary 40

Pulmonary ICU Hypertension Hospital 40

Ken Grauer, MD

JANUARY 13, 2024

The ECG in Figure-1 was obtained from a middle-aged man with known hypertension — who presented to the ED ( E mergency D epartment ) for CP ( C hest P ain ) over the preceding 2-3 days. QUESTIONS: How would YOU interpret the ECG in Figure-1 ? Should you activate the cath lab? If not — What next?

Blog 158

Blog Ischemia AFIB Hypertension 158

Frontiers in Cardiovascular Medicine

MARCH 7, 2024

Background Although the impact of hypertension on carotid intima-media thickness (IMT) and plaques has been well established, its association with femoral IMT and plaques has not been extensively examined. In addition, the role of the ratio of systolic and diastolic pressure (SDR) in the subclinical atherosclerosis (AS) risk remains unknown.

Atherosclerosis 49

Atherosclerosis Plaque Hypertension Blood Pressure 49

The British Journal of Cardiology

JUNE 11, 2024

Cardiovascular diseases (CVDs) have been reported to occur in a significant number of patients diagnosed with coronavirus disease 2019 (COVID-19). Manifestations of CVDs, such as chest pain, abnormal serum markers, unstable angina, myocardial infarction (MI), myocarditis, and new-onset hypertension, were documented.

COVID-19 40

COVID-19 Cardiovascular Disease Angina Chest Pain 40

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 Stents 127

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

DAIC

FEBRUARY 12, 2024

Food and Drug Administration (FDA) approval for Barostim in August 2019, and now adds Allina Health’s Abbott Northwestern Hospital to its growing, active total implanting sites throughout the U.S. It has also received the CE Mark for heart failure and resistant hypertension in the European Economic Area.

Heart Failure 104

Heart Failure Hospital Quality of Life Heart Attack 104

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

Hypertension (94% vs. 67%,p< 0.01) and LVH (60% vs. 28%,p< 0.01) were more common among patients with deep vs. superficial cICH. Of these, 83 (64%) patients had deep cICH and 46 (36%) patients had superficial cICH.

Hemorrhage 40

Hemorrhage Hypertension Risk Factors Stroke 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

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

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

Hypertension Journal

OCTOBER 23, 2023

Hypertension, Ahead of Print. The primary outcome was adjudicated dementia ascertained through 2019.RESULTS:Among BACKGROUND:Abnormal orthostatic blood pressure (BP) regulation may result in cerebral hypoperfusion and brain ischemia and contribute to dementia. RESULTS:Among 11 644 participants (mean [SD] age, 54.5 [5.7]

Dementia 40

Dementia Blood Pressure Atherosclerosis Ischemia 40

Circulation: Cardiovascular Quality & Outcomes

NOVEMBER 6, 2023

1.09]) in 2021 compared with 2019. Treatment for hypertension (RR 1.05 [1.02-1.08]) We assessed for differential changes between low-income (<138% FPL) and high-income (>400% FPL) working-age adults by including an interaction term for income group and year. 1.12]), access to a provider (RR 1.12 [1.09-1.14]),

Risk Factors 40

Risk Factors Medicaid COVID-19 Outpatient 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

FEBRUARY 1, 2024

Prevalence of hypertension was highest in Ghanaians (87%) vs 60% AA, and 34% in those WAA lineage, p-value 0.0008. Conclusion:Significant differences were found between stroke type and risk factors in young women with stroke (hypertension, DM, and smoking), race, and country of origin.

Risk Factors 40

Risk Factors Stroke Strokes Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

Methods:We conducted a retrospective cohort study using US data from the National Inpatient Sample (NIS) for the years 2016 to 2019. A total of 33,107 patients (83.9%) had a history of hypertension. We therefore sought to determine the prevalence and clinical severity of PRES among hospitalized patients in the United States (US).Methods:We

Inpatient 40

Inpatient Hemorrhage Hospital Stroke 40

Stroke Journal

FEBRUARY 1, 2024

We aim to further characterize this risk and its in hospital consequences using a large population based sample over a 20 year study period.Methods:Using the Nationwide Inpatient Sample (2000-2019), we selected for patients who had ICH. A 1:1 propensity score matched cohort was generated. Pregnant patients were notably younger (30.63

Hemorrhage 40

Hemorrhage Outcomes Kidney Disease Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

NHB patients were more likely to have prior hypertension (72%), and diastolic dysfunction (27.2%) compared to NHW (53.1%, 13.5%), and HIS (50.4%, 11.4%) patients). Black patients had the highest likelihood of living alone (20.6%; p=0.07), while Hispanic patients were more likely not to not have a primary care provider (64.2%; p=0.02).

Risk Factors 40

Risk Factors Hemorrhage Outcomes Inpatient 40

Stroke Journal

FEBRUARY 1, 2024

We aimed to study the impact of cannabis use disorder (CUD) or dependent use on stroke risk in CLD, considering recent American and Canadian surveys reporting 85% overlap between medicinal and recreational use.Methods:The National Inpatient Sample, 2019, was queried to identify adult stroke hospitalizations in patients with CLD.

Hospital 40

Hospital Stroke Strokes Inpatient 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 Heart Failure Ischemia 112

Stroke Journal

APRIL 3, 2024

We describe clinical PCMMD characteristics in a large cohort of patients with MMD.METHODS:We retrospectively reviewed patients with MMD treated between 1991 and 2019 at a large academic medical center. Demographics, perioperative outcomes, and radiological phenotypes were recorded for 770 patients. at 1 year, 82.4% at 3 years, 68.8%

Circulation 40

Circulation Outcomes Academic Atherosclerosis 40

Dr. Smith's ECG Blog

JANUARY 13, 2024

A few days later, midodrine and fludrocortisone were held due to hypertension and the patient was discharged. Cardiology was consulted, and the note said "no arrhythmias on telemetry or pacer interrogation." The final cardiology recommendation was to increase fludrocortisone and midodrine.

Pacemaker 110

Pacemaker Bicuspid/Mitral Blood Pressure Bradycardia 110

DAIC

FEBRUARY 12, 2024

Food and Drug Administration (FDA) approval for Barostim in August 2019, and now adds Allina Health’s Abbott Northwestern Hospital to its growing, active total implanting sites throughout the U.S. It has also received the CE Mark for heart failure and resistant hypertension in the European Economic Area.

Heart Failure 52

Heart Failure Hospital Quality of Life Heart Attack 52

Dr. S. Venkatesan MD

OCTOBER 2, 2024

2019 Dec;49(12):1115-1122. A sudden shearing stress of intracoronary hypertensive spike can crack a 650 micron cap. Now, we realize the concept of TCFA, could be thin layer of truth intertwined in a thick layer of myth. Lee KY, Chang K. Understanding Vulnerable Plaques: Current Status and Future Directions. Korean Circ J. 2019.0211. )

Plaque 52

Plaque Atherosclerosis Education Cholesterol 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. Am J Med 2019, 132(5):622-630.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52