Cardiometabolic Health Congress

FEBRUARY 23, 2024

Black History Month is a poignant backdrop to the alarming rise in obesity and type 2 diabetes, particularly among those of marginalized populations. Two major risk factors for CVD are hypertension and diabetes, which also place a heavier burden on minority groups.

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Risk Factors Health Disparities Education CME 105

DAIC

AUGUST 21, 2024

The analysis also found smoking, Type 2 diabetes status, kidney damage, previous heart attack and high blood pressure are major modifiable determinants of developing heart failure over five to 10 years among American Indian adults. tim.hodson Wed, 08/21/2024 - 11:32 Aug.

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Heart Failure Risk Factors Heart attacks Heart Attack 52

Frontiers in Cardiovascular Medicine

OCTOBER 8, 2024

ObjectiveAlthough the association between admission glucose (AG) and major adverse cardiac events (MACE) is well-documented, its relationship with 30-day MACE in patients presenting with cardiac chest pain remains unclarified. years, with 1,028 (60.29%) being male and 500 (29.33%) having diabetes. The median AG levels were 7.60 mmol/L

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Chest Pain Cardiogenic Shock Cardiac Arrest Myocardial Infarction 52

Dr. Smith's ECG Blog

JANUARY 5, 2024

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. They also documented "Reproducible chest tenderness." The following ECG was obtained. ECG 1 What do you think?

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Angina Plaque Document Stents 120

Stroke Journal

FEBRUARY 1, 2024

Furthermore, for the subpopulation of patients with type 2 diabetes, an antihyperglycemic medication with proven cardiovascular benefit is indicated. Our goal was to improve adherence to the guidelines via pharmacist assessment, discussion, and documentation.

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RN Document Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

However, the change in cognitive function in the same individual before and after strokes is not well-documented especially among Hispanics. Over half of the subjects with strokes were females (55 (63.2%)), diabetic (44 (50.6%)), hypertensive (58 (66.7%)), and had metabolic syndrome (44 (50.6%)). and a mean (sd) MMSE score of 26.7

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Strokes Stroke Education Diabetes 40

Cardiometabolic Health Congress

OCTOBER 26, 2023

A brief history of NAFLD and NASH The field of hepatology has struggled to come up with adequate nomenclature for liver disease since one of the most important figures in historical pathological anatomy, Carl von Rokitansky, documented visceral and subcutaneous adiposity in overfed children in 1849. As of the Oct.

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Diabetes Kidney Disease Obesity Anatomy 52

Stroke Journal

NOVEMBER 28, 2023

Based on 534 identified genetic variants from genome-wide association studies in East Asians, we constructed 6 polygenic risk scores for stroke and its risk factors, including atrial fibrillation, blood pressure, type 2 diabetes, body mass index, and triglyceride. years, 3147 incident stroke cases were documented.

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Strokes Stroke Blood Pressure Atrial Fibrillation 40

Circulation

NOVEMBER 11, 2024

years, 87 (15.59%) adverse events were documented. The nomogram consists of age, smoking, hypertension, diabetes mellitus (DM), hyperuricemia, and FFR≤0.8 The prediction efficiency of nomogram was evaluated by multiple methods, including C-index, area under the curve (AUC), calibration curves and decision-curve analysis (DCA).Results:During

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Coronary Artery Disease Stenosis Risk Factors Outcomes 40

European Journal of Heart Failure

SEPTEMBER 26, 2023

This document from the Heart Failure Association examines the practical uses of N-terminal pro-B-type natriuretic peptide (NT-proBNP) in various clinical scenarios. diabetes, hypertension, coronary artery disease), underlying the development of cardiac dysfunction and further increased risk.

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Heart Failure Coronary Artery Disease Outpatient Document 40

All About Cardiovascular System and Disorders

DECEMBER 15, 2023

There was no increase in new onset diabetes mellitus or worsening of diabetes mellitus. Though this effect has also been documented with statin therapy, monotherapy using PCSK9 inhibitors or ezetimibe have not been associated with similar reduction in biomarkers of inflammation. at 6 months compared to placebo.

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Cholesterol Myocardial Infarction Cardiovascular Disease Diabetes 52

Circulation

NOVEMBER 11, 2024

All models simultaneously included CRP and LDL-C, and were adjusted for age, current smoking, hypertension, diabetes mellitus, body mass index, lipid-lowering medications, total cholesterol and family income.Results:12,726 participants (53.4% years , and 1905 cardiovascular deaths were documented. female, mean age 46.8 ± 19.7

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Cholesterol Document Risk Factors Cardiovascular Disease 40

Dr. Smith's ECG Blog

SEPTEMBER 12, 2024

His history included known heart failure with prior EF 18%, insulin dependent diabetes, and polysubstance abuse. RED dotted lines in ECG #2 that mark the ST segment baseline in lead V2 , and leads V4 , V5 , V6 — document new ST elevation that was not present in ECG #1. Vitals were within normal limits except for tachypnea.

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Chest Pain STEMI Cardiogenic Shock Heart Failure 121

Stroke Journal

FEBRUARY 1, 2024

Introduction:The consequences of increased morbidity and increased socioeconomic strain, for stroke survivors and their families, is well documented in stroke literature worldwide. Stroke, Volume 55, Issue Suppl_1 , Page ATMP40-ATMP40, February 1, 2024.

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Stroke Strokes Coronary Artery Disease Quality of Life 40

GEMMS

JUNE 25, 2024

Pregnancy-related complications, such as preeclampsia and gestational diabetes, also elevate the chances of developing heart disease later in life. Additionally, conditions like diabetes can significantly increase the likelihood of heart disease in women, who may also experience silent heart attacks due to altered pain perception.

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Heart Disease Risk Factors Diet Chest Pain 52

Stroke Journal

FEBRUARY 1, 2024

years), 43,840 (2.79%) had a documented history of migraine. Adjusted odds ratios (aOR) and 95% confidence interval (CI) are reported.Results:Among 1,568,646 eligible participants (mean age [SD]: 29 [5.7] Women with a history of migraine (vs.

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Inpatient Hypertension Document Obesity 40

Stroke Journal

JANUARY 30, 2025

Patients without a documented final central visual acuity were excluded from the analysis. More patients had diabetes in tPA (52.6%) vs TNK (13.3%) vs MM (29.0%) p=0.04. T-test, chi-square, and ANOVA were used for statistical analysis.Results:A total of 15 TNK, 19 tPA, and 31 MM patients were included. vs. 68.214.4 yrs) p=0.04.

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Hemorrhage Document Diabetes Stroke 40

Circulation

NOVEMBER 11, 2024

Mean patient age was 55 yrs, 56% (n=575) were women, and comorbid conditions were frequent: hypertension (64.1%), dyslipidemia (46.1%), diabetes (25.7%), documented coronary artery disease (19.3%), previous revascularization (20.6%), previous myocardial infarction (10.1%). Length of stay (LOS) in the CPU to discharge was 10.4

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Chest Pain ACE Inhibitor Cardiac Function Coronary Artery Disease 40

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Relationship between abnormal microvolt T-wave alternans and poor glycemic control in type 2 diabetic patients. PMID: 35146844; PMCID: PMC9296802. Molon G, Costa A, Bertolini L, Zenari L, Arcaro G, Barbieri E, Targher G. Pacing Clin Electrophysiol. 2007 Oct;30(10):1267-72. doi: 10.1111/j.1540-8159.2007.00849.x. 1540-8159.2007.00849.x.

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Tachycardia Cardiac Arrest ICU Blog 130

European Journal of Heart Failure

DECEMBER 7, 2023

DM, diabetes mellitus; HTN, hypertension; LV, left ventricular; NP, natriuretic peptide; PCWP, pulmonary capillary wedge pressure; RV, right ventricular; SV, stroke volume. Aims Obesity is causally related to the development of heart failure with preserved ejection fraction (HFpEF) but complicates the diagnosis and treatment of this disorder.

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Preserved Ejection Fraction Obesity Heart Failure BMI 40

Dr. Smith's ECG Blog

MAY 13, 2024

Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chest pain. Chest Pain – Benign Early Repol or OMI?

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Chest Pain STEMI Ultrasound Heart attacks 120

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Furthermore, knowledge regarding the management of paraspinal mycotic aneurysms and the efficacy of endovascular repair of these lesions is scarce.⁴MethodsWe

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Aneurysm Peripheral Arterial Disease Coronary Artery Disease ICU 40

Dr. Smith's ECG Blog

NOVEMBER 15, 2013

This was a male in his 50's with a history of hypertension and possible diabetes mellitus who presented to the emergency department with a history of squeezing chest pain, lasting 5 minutes at a time, with several episodes over the past couple of months. Also see this incredible case of the use of 12-lead ST Segment monitoring. de Wood et al.

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Chest Pain Thrombosis Myocardial Infarction STEMI 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

MethodsN/AResultsA 40‐year‐old female with a history of type I Diabetes mellitus, bipolar disorder, and polysubstance abuse presented with acute‐onset bilateral lower limb weakness, sensory loss, neck pain, and bladder incontinence.

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Ischemia Myocardial Infarction Thrombosis Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

He had a documented history of transient‐ischemic attack and was noted to have undergone progressive cognitive decline.

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Arterioles Cerebrovascular Disease Outpatient Document 40

GEMMS

MARCH 28, 2023

Chronic Care Management Chronic care management programs are designed to reduce symptoms, improve quality of life and prevent hospitalizations for chronic illnesses like diabetes, heart disease, arthritis, and asthma. Regular check-ups for long-term care patients ensure the best possible care by closely monitoring progress.

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Patient Care Quality of Life Technology Medicaid 52

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. This patient was not one of the lucky 6.4%

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Chest Pain Myocardial Infarction Blog Stents 130

All About Cardiovascular System and Disorders

OCTOBER 25, 2023

The study documented that catheter ablation for AF in patients with heart failure was associated with a significantly lower rate of a composite endpoint of death from any cause or hospitalization for worsening heart failure, than medical therapy.

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Atrial Fibrillation Heart Failure Ablation Cardiac Arrest 52

Dr. Smith's ECG Blog

NOVEMBER 26, 2015

We can see that there is evolution of the elevations, worsening reciprocal change, as well as evolution of posterior involvement (right precordial R-waves with ST depression) There was very little documentation surrounding these ECGs. This is particularly true in women, diabetics, and the elderly.

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Chest Pain Aneurysm STEMI Document 52

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. This likelihood of VT increases to at least 90% if the patient has documented underlying heart disease. Bedside echo showed "mildly reduced" LV EF.

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Tachycardia Cardiomyopathy Arrhythmia Diabetes 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. Written by Emre Aslanger. Emre is a new Editor of the Blog. He is an interventionalist in Turkey. Smith's Blog show this same phenomenon ).

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Chest Pain Myocardial Infarction Blog Pericarditis 52

Dr. Smith's ECG Blog

APRIL 6, 2023

Medical history: History of Ischemic Heart Disease History of Congestive Heart Failure Diabetes Mellitus requiring treatment with insulin Pre-operative serum creatinine >2 mg/dL He had this ECG recorded: What do you think? second that might document underlying SSS. This patient presented with complications of his dialysis fistula.

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Arrhythmia Atrial Fibrillation AFIB Outpatient 52

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. Diagnosis of acute myocardial infarction in angiographically documented occluded infarct vessel: limitations of ST-segment elevation in standard and extended ECG leads.

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Chest Pain STEMI Myocardial Infarction Coronary Artery Disease 40

Circulation: Heart Failure

APRIL 7, 2025

BACKGROUND:The long-term impact of bariatric surgery on cardiac mechanics and energetics has been scarcely documented. Circulation: Heart Failure, Ahead of Print. CONCLUSIONS:Bariatric surgery results in favorable 5-year trajectories of LV geometry, myocardial O2demand, and left heart longitudinal mechanics.

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Blood Pressure Document Heart Failure Diabetes 75

Stroke Journal

FEBRUARY 1, 2024

There was a significant difference in age, history of diabetes, last known well to hospital arrival, groin puncture to recanalization, and sICH within 36 hours between groups (Table 1). Goals of care (GOC) discussion was documented in only 36% of patients, with a mean of 4 days from stroke onset to code status change.

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Document Academic Diabetes Strokes 40

Stroke Journal

JANUARY 30, 2025

While racial and ethnic differences in clinical outcomes after stroke are well-documented, the impact of post-stroke disability on patient-centered outcome measures, which account for physical, emotional, and sociocultural factors, remains insufficiently understood. with diabetes) were included in this study. female, 80.9%

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Quality of Life Stroke Strokes Diabetes 40

Dr. Paddy Barrett

OCTOBER 10, 2023

Even in those with documented coronary artery disease, less than half were on statin therapy, which has been repeatedly proven to decrease risk in this high-risk group 1. Insulin Resistance Everyone exists along a continuum of insulin sensitive to highly insulin resistant, the later stages being characterised by type 2 diabetes.

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Risk Factors Heart Disease Blood Pressure Coronary Artery Disease 52