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And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. Figure-1: My "correction factor" for QTc estimation when the QRS is not wide ( from My Comment in the March 19, 2019 post in Dr. Smith's ECG Blog ).
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.
Introduction:Rising obesity rates and the increasing prevalence of stroke in the metabolically healthy obese (MHO) necessitate examining its association in younger (18-44 year) populations. Methods:Data from the National Inpatient Sample (2016-2019) was analyzed to identify young MHO and MH-NW AIS patients using ICD-10 codes.
Pre-eclampsia and heart failure have common risk factors, including hypertension, obesity and diabetes. Obesity, multifetal pregnancies, in vitro fertilisation, older age, Nordic origin and nulliparity were more common among women who developed pre-eclampsia compared with controls.
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%).
to 26.8%) and obesity (43.1% 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%
Obesity is one of the biggest global health concerns we face today. Obesity is also a key driver of risk for cardiovascular disease. Although there are many factors linked to obesity, one factor is certain: excess caloric intake leads to an excess in the energy balance. Obesity (Silver Spring). hour sleep-per-night group.
This is a focused update to the 2019 NLA Scientific Statement on the Use of Lipoprotein(a) in Clinical Practice. The interplay of Obesity, Dyslipidemia, and CVD : Dr. Harold E. He highlighted that obesity elevates the risk of heart disease, partly due to its adverse effects on lipid levels.
kg/m2), normal weight (18.524 kg/m2), overweight (2428 kg/m2), and obese (>28 kg/m2). Considering patients with 1 SMuRF and obesity as the reference group, the group who were SMuRFless underweight exhibited the highest increase in mortality (adjusted OR, 3.854 [95% CI, 2.1306.973],P<0.001).ConclusionsAmong
Overweight/Obesity. Falling into the class of obesity with a BMI of greater than 30 makes this more likely, but so also does having excess visceral fat deposition with significant metabolic consequences at a BMI less than 30. Weight Loss Potential With Obesity Medications. 2019 Aug 18;9(8):e029966. Med Clin North Am.
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%
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.
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.
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.
Further research and attention to this area are crucial for improving patient outcomes and guiding clinical interventions in this challenging condition.MethodsICD‐10‐CM codes were used to query the National Inpatient Sample (NIS) for patients with AIS between 2010 and 2019. Patients with AKI were on average older (63.29
This study aims to investigate the incidence, complications, and outcomes of SAH patients who develop HIT.MethodsICD‐9‐CM and ICD‐10‐CM codes were used to query the National Inpatient Sample for patients with SAH between 2010 and 2019. Results76,387 patients were diagnosed with SAH between 2010 and 2019.
A 40-something woman with h/o obesity, hyperlipidemia, smoking, as well as cocaine and alcohol abuse presented with intermittent chest pain for 2-3 weeks that became constant in the last day. I illustrate use of a Systematic Approach to ECG Interpretation in My Comment at the bottom of the June 28, 2019 SSmith Post ).
Can you please explain the concept of an obesity paradox? Salvatore Carbone, PhD: First, I’d like to point out that obesity is a major risk factor for cardiometabolic disease. 2, 3] This association is more pronounced for those with class I obesity, which is a body mass index (BMI) between 30-35 kg/m2.
A study of almost 10,000 adults with obesity (BMI >30) who were evaluated for all LE8 factors and followed for over 7 years can give us some insight 1. Many people who are overweight or obese and who cannot reduce their weight often feel that no matter what they do, they are not able to reduce their future risk. The answer is yes.
Meanwhile, Metabolically healthy obesity (MHO) trends are understudied in association with stroke. Patients were categorized into a metabolically healthy obese MHO+ve cohort, BMI> 30, and MHO-ve cohort, BMI<30. Background:Obesity has been associated with an increase in the risk of stroke and poor outcomes.
The only patients where single arterial grafting resulted in better survival were severely obese,” said Dr. Sabik. Patient data was collected from the STS Adult Cardiac Surgery Database and linked to the National Death Index for comprehensive longitudinal survival analysis.
A-Fib, as the condition is commonly known, has been on the rise for at least the past decade, driven by the aging of the population, along with increasing rates of hypertension, diabetes and obesity. percent of the patients treated between 2005 and 2009 to 6.82% of the patients treated between 2015 and 2019. million U.S. million.
Let’s admit that we face an energy abundance today — in most industrial societies, the problem is caloric surplus and overweight/obesity rather than malnutrition or food scarcity. We are well aware of the risk of overweight and obesity caused by a caloric surplus and a lack of physical activity.
New obesity medications such as GLP-1 agonists have shown significant reductions in weight in those with a prior heart attack. JACC Volume 79, Issue 17 , 3 May 2022, Pages 1690-1700 9 Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes. 2019 Dec 26;381(26):2497-2505. Br J Gen Pract. 2018 Mar;68(668):151-152.
If you take people with obesity and feed them only ultra-processed food for a year, what do you think happens? 2019 Jul 2;30(1):67-77.e3. But surely some of that weight gain is down to the ‘ Bad Stuff ’ in ultra-processed food? Probably not. It is likely just down to the excess calories. They lose weight. How much weight?
Type 2 diabetes is much more common in those with a BMI in the overweight or obese category but is not uncommon in those who are relatively normal weight. 2019 Dec 4;19(12):156. But what about those with a relatively normal weight? Does weight loss work in these cases? But What Diet Should I Use To Lose The Weight? Curr Diab Rep.
years (peaking at 86 years in 2019 before declining to 83.7 This population (America 10) was the only group to experience a drop in life expectancy between 2000 and 2010 and again between 2010 and 2019 falling from the already low 72.3 years in 2019 (vs. year drop in life expectancy between 2019 and 2021. years in 2000).
Heart Disease in 2050 – The AHA warned of massive heart disease increases by 2050, spanning CVD (+60%), diabetes (+100%), obesity (+70%), hypertension (+44%), heart failure (+66%), and stroke (+100%). It’s well known that heart disease is the U.S.’s trillion, representing 4.6% If applied across the U.S., adult population.
A-Fib, as the condition is commonly known, has been on the rise for at least the past decade, driven by the aging of the population, along with increasing rates of hypertension, diabetes and obesity. percent of the patients treated between 2005 and 2009 to 6.82% of the patients treated between 2015 and 2019. million U.S. million.
This study investigated whether advances in these treatments improved outcomes in this population.METHODS:Using a prospective multicenter stroke registry in Korea, young adults (aged 18–50 years) with acute ischemic stroke hospitalized between 2008 and 2019 were identified. Current smoking decreased, whereas obesity increased.
1,12,13 While it is important to treat all known risk factors that contribute to ASCVD including high blood pressure, hyperlipidemia, diabetes, and obesity, physicians also need to recognize and treat systemic inflammation in CV disease. 2019 Sep 10;140(11):e649-e650] [published correction appears in Circulation. Published 2019 Feb 28.
Furthermore, those with a history of hypertension (1.23, 1.13 - 1.33), diabetes (1.30, 1.17 - 1.45), obesity (1.31, 1.22 - 1.41), and coagulopathy (2.36, 2.17 - 2.57) were more likely to experience MAVE.Conclusions:Migraine seems to be independently associated with a higher risk of post-partum MAVE.
The National Inpatient Sample (NIS) database from 2016‐2019 for patients with a principal diagnosis of AIS using the ICD‐10 code I63 was queried. Outcome measures studied included prolonged length of stay (LOS), discharge disposition, and inpatient mortality.ResultsWe identified 2,939,160 patients with AIS between 2016 and 2019.
Methods:Deidentified administrative discharge data included all individuals admitted to SC hospitals between 2010 and 2019 with ICD-9/10 codes for ischemic stroke. This study aims to assess sociodemographic profile and stroke risk factors among individuals residing in FDs within the predominantly rural state of South Carolina (SC).Methods:Deidentified
Patients with a high risk of metabolic syndrome (>= 2 of the following: hypertension, diabetes, hyperlipidemia, or obesity) have a higher risk of AIS (1.37, 1.13 - 1.65), AMI (1.81, 1.19 - 2.75), and MACE (1.28, 1.13 - 1.44).Conclusions:Developing Results:Among 10,652 ICH patients (median age [IQR]: 70 [58 - 80] years; 47.7%
For other significant risk factors, the trend is also the same, with almost nonexistent rates of obesity, abnormal glycemic control and very low rates of smoking 14. Adults: Fall 2019. The average Non-HDL cholesterol is 2.9 mmol/l (112 mg/dl), which equates to the 20th percentile. Circulation. 2006 Jan 3;113(1):30-7.
Between 1901 and 2019, the Nobel Prizes were awarded to 21 women out of 615 scientists. Since 2019, women have accounted for (50.5%) of most US medical students. She is one of the first fellowship-trained obesity medicine physicians in the world. Dr. Stanford has served as a health communications fellow for the U.S.
In one randomized controlled trial of adults with overweight and obesity, morning and afternoon exercise caused comparable weight loss. ” When it comes to weight loss, time of day also doesn’t seem to be important. Exercise at both times also led to improvements in aerobic fitness (i.e.,
Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The Society (..)
Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)
These new guidelines provide necessary updates to both the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation and the 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation.
Result:The total number of deaths saw a decline from 148,031 (95%UI 85,206-219,328) in 1990 to 143,105 (95%UI: 85,383-209,533) in 2019. The annual percentage change (APC) in the total number of DALYs exhibited a decrease of 1% between 1990-2019. Conversely, Estonia displayed the most significant decrease in APC at 63%.
By 2050, spending was highest for ischemic heart disease at $110 billion, up from $79 billion in 2019, followed by heart failure at $102 billion, up from $64 billion in 2019. in 2019 to 22.1% Across all types of care, inpatient care expenditure was the highest and remained so at 42.6% of total spending by 2050.
Regular exercise and high fitness levels are associated with lower rates of obesity. Obesity is the second leading cause of preventable cancers after smoking 6. The likely driver of the cancer risk conferred by obesity is probably related to higher levels of insulin resistance and metabolic syndrome. Breast 2019; 44:144-152.
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