Cardiology Update

JANUARY 28, 2024

The optimal management of concomitant chronic obstructive coronary artery disease (CAD) in transcatheter aortic valve replacement (TAVR) recipients remains a debated topic. While some advocate for pre-TAVR percutaneous coronary intervention, others adopt an expectant approach. In a recent study published in the European Heart Journal, researchers investigated the influence of varying degrees and extent of untreated chronic obstructive CAD on TAVR outcomes and longer-term results.

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TAVR Aortic valve Outcomes Coronary Artery Disease 115

Heart Sisters

JANUARY 28, 2024

If you live with heart disease, it’s important to know the surprising effects of COLD TEMPERATURES on your heart health.

Angina 98

Angina Heart Disease 98

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Abstract Introduction Some previous studies have reported that a first-step ethanol infusion into the vein of Marshall (EIVOM) with touch-up radiofrequency (RF) ablation can facilitate mitral isthmus (MI) block and improves the ablation outcomes in persistent atrial fibrillation (PeAF) patients. However, the effect of an initial RF ablation with an adjunctive EIVOM has not been fully investigated.

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Atrial Fibrillation Ablation Bicuspid/Mitral Tachycardia 75

CardiacWire

JANUARY 28, 2024

Amarin’s fish oil-based Vascepa (icosapent ethyl, aka IPE) made its mark in 2018’s REDUCE-IT trial after achieving a 25% MACE reduction among high-risk statin users, and new post hoc analysis of the same data suggests that IPE might have an even greater benefit among patients who recently had acute coronary syndrome (ACS). Researchers analyzed 840 REDUCE-IT participants (10.3% of total trial) who experienced ACS within 12 months of trial randomization, finding that most patients who received IPE

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AFIB Angina Strokes Stroke 69

Frontiers in Cardiovascular Medicine

JANUARY 28, 2024

Background Due to its potential to significantly reduce scanning time while delivering accurate results for cardiac volume function, compressed sensing (CS) has gained traction in cardiovascular magnetic resonance (CMR) cine. However, further investigation is necessary to explore its feasibility and impact on myocardial strain results. Materials and methods A total of 102 participants [75 men, 46.5 ± 17.1 (SD) years] were included in this study.

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Society of Thoracic Surgeons - Adult Cardiac

JANUARY 28, 2024

A recent multicenter study on post-arterial switch operations (ASO) revealed improved survival rates for adolescent and adult patients. However, it also highlighted an increased likelihood of these patients requiring cardiac reoperations to address arterial switch-related complications later in life.

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Congenital 52

Frontiers in Cardiovascular Medicine

JANUARY 28, 2024

Introduction A high recurrence rate of atrial fibrillation was monitored after catheter ablation for persistent atrial fibrillation. Sacubitril/valsartan can improve outcomes for patients with heart failure and ventricular tachycardia, but few studies examined whether it can reduce recurrence or improve cardiovascular outcomes in patients with persistent atrial fibrillation after catheter ablation.

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Atrial Fibrillation Heart Failure Ablation Electrocardiogram 64

Frontiers in Cardiovascular Medicine

JANUARY 28, 2024

Background Impaired energy balance caused by lipid metabolism dysregulation is an essential mechanism of myocardial ischemia-reperfusion injury (MI/RI). This study aims to explore the lipid metabolism-related gene (LMRG) expression patterns in MI/RI and to find potential therapeutic agents. Methods Differential expression analysis was performed to screen the differentially expressed genes (DEGs) and LMRGs in the MI/RI-related dataset GSE61592.

Ischemia 59

Ischemia 59

Med Page Today

JANUARY 28, 2024

(MedPage Today) -- SAN ANTONIO -- The Society of Thoracic Surgeons (STS) made a big push for left atrial appendage (LAA) occlusion in updated guidelines for the surgical treatment of atrial fibrillation (Afib). In this document, concomitant.

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AFIB Atrial Fibrillation Document 52

Frontiers in Cardiovascular Medicine

JANUARY 28, 2024

Introduction Autophagy refers to the process of breaking down and recycling damaged or unnecessary components within a cell to maintain cellular homeostasis. Heart failure (HF) is a severe medical condition that poses a serious threat to the patient's life. Autophagy is known to play a pivotal role in the pathogenesis of HF. However, our understanding of the specific mechanisms involved remains incomplete.

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Heart Failure 59

HCPLive

JANUARY 28, 2024

These data represent a significant step toward finding a causal connection for drug-induced alopecia, though further controlled studies may be necessary to isolate certain variables.

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Frontiers in Cardiovascular Medicine

JANUARY 28, 2024

Heart failure with preserved ejection fraction (HFpEF) and atrial fibrillation (AF) have emerged as major age-related epidemics within cardiology. Both conditions carry overlapping symptomatology, and delineating between AF and HFpEF from a diagnostic standpoint is challenging as echocardiographic and biomarker assessments used to diagnose HFpEF may be impacted by AF.

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Preserved Ejection Fraction Heart Failure Atrial Fibrillation Electrophysiology 59

HCPLive

JANUARY 28, 2024

Over 24 months in a real-world study, selective retina therapy with real-time feedback-controlled technology achieved anatomical improvements in eyes with CSC.

Technology 52

Technology Outcomes 52

Circulation

JANUARY 28, 2024

Circulation, Volume 149, Issue 5 , Page 339-341, January 30, 2024.

Heart Transplant 81

Heart Transplant Transplant Pediatrics Circulation 81

HCPLive

JANUARY 28, 2024

Angus Worthing, MD, discusses the recent developments in rheumatology and his predictions for the future of treatment moving into 2024 and beyond.

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HeartRhythm

JANUARY 28, 2024

Targeting non-pulmonary vein triggers (NPVTs) after pulmonary vein isolation may reduce atrial fibrillation (AF) recurrence. Isoproterenol infusion and cardioversion of spontaneous or induced AF can provoke NPVTs but typically require vasopressor support and increased procedure time.

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Atrial Fibrillation Pulmonary 40

Society of Thoracic Surgeons - Research

JANUARY 28, 2024

Press Release STS Annual Meeting Late-Breaking Research: 2023 STS/AATS Joint Expert Consensus Document on the Management of the Small Aortic Root January 29, 2024 KCummings Sun, 01/28/2024 - 14:06 SAN ANTONIO (January 28, 2024) — The Society of Thoracic Surgeons and the American Association for Thoracic Surgery released a late-breaking study on a new risk model for isolated tricuspid valve surgery at the 2024 Annual Meeting taking place January 27 - 29 in San Antonio.

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Document Research Aortic Cardiothoracic 40

HeartRhythm

JANUARY 28, 2024

Representing the spark that lit the Protestant Reformation, on the 31st of October Anno Domini 1517 Reverend Martin Luther sent the manuscript entitled “Disputation on the Power and Efficacy of Indulgences” to the Archbishop of Mainz for academic disputation or, as it would be called today, external peer review. This document challenged well-established religious beliefs of the time, leading to massive changes across a society ripe for transformation yet deeply entrenched into outdated believes.

Academic 40

Academic Cardiomyopathy Document 40

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Abstract Introduction The optimized ablation index (AI) value for catheter ablation of atrial fibrillation (AF) remains to be defined. We aimed to compare the efficacy and safety of CLOSE protocol and lower AI protocol in paroxysmal AF. Methods and Results Patients with symptomatic, drug-resistant paroxysmal AF for first ablation were prospectively enrolled from September 2020 to January 2022.

Atrial Fibrillation 40

Atrial Fibrillation Ablation Arrhythmia Pulmonary 40

HeartRhythm

JANUARY 28, 2024

Atrial fibrillation (AF) patients at high risk for stroke and also at high risk for bleeding may be unsuitable for either oral anticoagulation or endocardial left atrial appendage (LAA) occlusion. However, minimally invasive, epicardial LAA exclusion (LAAE) may be an option.

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Atrial Fibrillation Strokes Stroke 40

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Abstract Objective To evaluate the progression of electrophysiological phenomena in atrial fibrillation (AF) and elucidate the association between the left atrial conduction velocity (LACV) and AF recurrence after pulmonary vein isolation. Methods A total of 188 AF patients (121 paroxysmal AF and 67 persistent AF) who underwent PVI for the first time were enrolled in this prospective study.

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Atrial Fibrillation Ablation Pulmonary Electrophysiology 40

Circulation

JANUARY 28, 2024

Circulation, Volume 149, Issue 5 , Page 363-366, January 30, 2024.

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Circulation 45

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Abstract Introduction During atrial fibrillation ablation (AFA), achievement of first pass isolation (FPI) reflects effective lesion formation and predicts long-term freedom from arrhythmia recurrence. We aim to determine the clinical and procedural predictors of pulmonary vein FPI. Methods We reviewed AFA procedures in a multicenter prospective registry of AFA (REAL-AF).

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Ablation Pulmonary BMI Atrial Fibrillation 40

Circulation

JANUARY 28, 2024

Circulation, Volume 149, Issue 5 , Page 402-405, January 30, 2024.

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Circulation 45