Fri.Apr 26, 2024

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ECG Blog #427 — To Cath this Elderly Patient?

Ken Grauer, MD

The ECG in Figure-1 — was obtained on the scene by EMS ( E mergency M edical S ervices ). The patient was a man in his 90s, who ~1 hour earlier, noted the onset of severe CP ( C hest P ain ). He was hemodynamically stable — but clearly distressed with a sense of “impending doom” at the time ECG #1 was recorded. Despite the patient’s age — he was independent, lived alone, had good mental function — and had family support.

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Dementia May Be Underdiagnosed in States With Motor Vehicle Reporting Mandates

Med Page Today

(MedPage Today) -- Mandating clinicians to report drivers with dementia may be associated with missed or delayed dementia diagnoses, a cross-sectional study of primary care providers suggested. Clinicians in states that required them to report.

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Using stem cell-derived heart muscle cells to advance heart regenerative therapy

Science Daily - Heart Disease

Regenerative heart therapies involve transplanting cardiac muscle cells into damaged areas of the heart to recover lost function. However, the risk of arrhythmias following this procedure is reportedly high. In a recent study, researchers tested a novel approach that involves injecting 'cardiac spheroids,' cultured from human stem cells, directly into damaged ventricles.

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DAIC Webinars Available On-Demand

DAIC

tim.hodson Fri, 04/26/2024 - 10:50 Did you know that you have instant access to the latest webinars from Diagnostic and Interventional Cardiology? DAIC's webinars are available on-demand by clicking here. The most recent webinar topics include: Contrast Management in Modern PCI Improving Patient Outcomes and Reducing Contrast Utilization in the Cath Lab How to Transform Imaging with Behavioral Science Imaging Trends: Designing Cardiac Training Programs Through Innovation These webinars are spons

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Is Industry Influence Driving LVAD Use by Cardiologists?

Med Page Today

(MedPage Today) -- As physicians, our patients and their caregivers expect that we base clinical decisions about disease management and treatment on the best available evidence, following guidelines and recommendations based on randomized clinical.

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Ketone body levels and its associations with cardiac markers following an acute myocardial infarction: a post hoc analysis of the EMMY trial

Cardiovascular Diabetology

Sodium-glucose co-transporter 2 inhibitors (SGLT2i) have been suggested to exert cardioprotective effects in patients with heart failure, possibly by improving the metabolism of ketone bodies in the myocardium.

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Could Statins Be The Next Breakthrough HFpEF Treatment?

CardiacWire

A new JAMA study suggests that statins might have a massive impact on HFpEF care, even among patients who don’t have atherosclerosis. Statins are one of the most-prescribed drug classes in the world, but there’s still little data on their heart failure benefits, especially for HFpEF patients. The two major RCTs evaluating statins as a heart failure treatment (CORONA and GISSI-HF) didn’t show significant benefits, although they mainly focused on HFrEF patients.

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How To Reduce The Risk Of Heart Disease If You Have Insulin Resistance.

Dr. Paddy Barrett

Coronary artery disease is caused by the retention of a cholesterol particle in the artery wall. This is the spark that sets the fire. But if a retained cholesterol particle is the spark. Insulin resistance is the gasoline poured on that spark. Everyone exists on a spectrum from insulin-sensitive to insulin-resistant. On the far end of that line is type two diabetes.

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Nurse-Led Gout Care Linked to Better Medication Adherence

HCPLive

Among the nurse-led cohort, 83% of patients with gout achieved target p-urate levels and 98% continued treatment with urate lowering therapy.

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CIARTIC Move Self-Driving Mobile C-arm Cleared by FDA

Cassling

Automates repositioning during surgery Has potential to address staff shortages and work overload in operating rooms Can be moved effortlessly thanks to its fully motorized chassis and touch-sense handles Siemens Healthineers has announced the Food and Drug Administration (FDA) clearance of the CIARTIC Move , a mobile C-arm with self-driving capabilities.

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Tricuspid Regurgitation Velocity Linked to Cerebrovascular, Kidney Disease in SCD

HCPLive

A higher TRV was significantly associated with cerebrovascular disease and persistent albuminuria in children with SCD across two large cohorts.

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Climb stairs to live longer

Science Daily - Heart Disease

Climbing stairs is associated with a longer life, according to new research

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Independent cardiology medicine board gets one step closer to reality

Becker's Hospital Review - Cardiology

The American Board of Medical Specialties is one step closer to creating an independent board of cardiology medicine. Recently, it created a formal board of directors and its Specialty Board Development group opened a comment period.

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COVID-19 Vaccination May Raise Risk of Uveitis Recurrence

HCPLive

Both vaccine type and period mediated the risk of uveitis after COVID-19 vaccination in patients with a history of the ocular inflammatory event.

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Limb Outcomes With Ticagrelor Plus Aspirin in Diabetics With PAD/CAD

American College of Cardiology

Since limb events are major drivers of morbidity in diabetic patients with peripheral (PAD) and coronary artery disease (CAD), does the addition of ticagrelor to background therapy of aspirin improve limb events?

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Ugochi Ohuabunwa, MD: Preparing Patients for the Postdischarge Transition of Care

HCPLive

During this discussion, Ohuabunwa discussed additional takeaways from her ACP conference talk on postdischarge care and other tips for internal medicine physicians.

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Can GERD cause Esophageal Cancer?

CTVS

The esophagus is the tubular muscle that facilitates swallowing and connects the mouth to the stomach. The American Cancer Society estimates that there will be about 22,000 new cases of esophageal cancer diagnosed this year, and more than half of those will result in death.

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Study Highlights Serum Gd-IgA1 as Potential Prognostic Biomarker for IgA Nephropathy

HCPLive

Results showed a negative correlation between serum Gd-IgA1 and kidney function but found no association with several validated IgAN prognostic risk factors.

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Real-World Experience and Outcomes with Percutaneous Coronary Intervention for Protected versus Unprotected Left Main Coronary Artery Disease: Insights from the VA CART Program

The American Journal of Cardiology

Publication date: Available online 26 April 2024 Source: The American Journal of Cardiology Author(s): Pedro Engel Gonzalez, Annika Hebbe, Yasin Hussain, Rohan Khera, Subhash Banerjee, Mary E Plomondon, Stephen W. Waldo, Steven E. Pfau, Jeptha P. Curtis, Samit M.

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Race, Neighborhood Influence Lapses in Diabetic Retinopathy Care

HCPLive

Areas with socioeconomic disadvantage often face concentrated poverty, poor walkability, and few healthcare facilities, creating challenges in eye care follow-up.

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Bystander CPR Laws Don't Only Work for Rich Areas

Med Page Today

(MedPage Today) -- Government regulation was effective for increasing bystander CPR and public automated external defibrillator (AED) use even in a limited-resource setting, according to registry data from one Chinese city. Shenzhen was among.

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Connecting with Other Parents May Ease Parental Loneliness for Many

HCPLive

Many parents experience high levels of isolation, loneliness, and burnout, feeling like there is no one to talk to about their struggles in their daily lives.

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Global burden of stroke attributable to high systolic blood pressure in 204 countries and territories, 1990–2019

Frontiers in Cardiovascular Medicine

BackgroundHigh systolic blood pressure (HSBP) is severely related to stroke, although the global burden of stroke associated with HSBP needs to be understood.Materials and methodsData derived from the Global Burden of Disease, Injuries, and Risk Factors Study were used to analyze deaths, disability-adjusted life years (DALYs), age-standardized rates of mortality (ASMR), age-standardized rates of DALY (ASDR), and estimated annual percentage change (EAPC).ResultsGlobally, 52.57% of deaths and 55.5

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Physiology Friday #215: Sitting Less Improves Blood Pressure

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. ICYMI On Wednesday, I published The Ultimate Guide to Sleep and Cardiovascular Health. Details about the sponsors of this newsletter including Examine.com and my book “VO2 Max Essentials ” can be found at the end of the post! Physiologically Speaking is a reader-supported publication.

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Catheter Ablation for AFib Shows Little to No Benefit in HFpEF, Despite Positive Effect in HFrEF

HCPLive

A meta-analysis of 12 trials suggests catheter ablation for atrial fibrillation reduces heart failure events in HFrEF patients but not in HFpEF.

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Transcatheter MViR Identified as Reasonable Alternative For Patients With High Surgical Risk

American College of Cardiology

Transcatheter mitral valve-in-ring (MViR) using third-generation balloon-expandable aortic transcatheter heart valves was associated with a significant reduction in mitral regurgitation (MR) and improvement in heart failure symptoms at one year, with the tradeoff of elevated valvular gradients and a high rate of reintervention, according to a recent study published in JACC: Cardiovascular Interventions.

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Selecting Appropriate Therapy in the Evolving Treatment Landscape of Plaque Psoriasis

HCPLive

Expert dermatology physician assistants share how to select the appropriate therapy for your patient with plaque psoriasis in an expanding treatment landscape.

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ACC CardiaCast: Heart Vision: Advanced Imaging in Cardiovascular Infection

American College of Cardiology

“Heart Vision” is a new CardiaCast podcast series stemming from the ACC Cardiovascular Imaging Section Leadership Council. This podcast series will tackle topics on emerging multimodality imaging data, trends, practice patterns, disease status and advocacy effort.

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Coping With and Support for Generalized Pustular Psoriasis (GPP)

HCPLive

Dermatologists Drs Tina Bhutani and Scott Boswell and patient Kanya Oul share resources and tools available to cope with generalized pustular psoriasis (GPP).

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Day Time Sleepiness Triples Risk of Heart Failure!

All About Cardiovascular System and Disorders

Daytime sleepiness is not that uncommon. There are many who fall asleep while at work or while reading. Wait before taking it so lightly. It may mean something more sinister. The Sleep Heart Health Study found that obstructive sleep apnea with excessive daytime sleepiness triples the chance of heart failure and doubles the risk of a heart disease event.

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Tips for Managing Generalized Pustular Psoriasis (GPP)

HCPLive

Dermatologists Drs Tina Bhutani and Scott Boswell and patient Kanya Oul share resources and tools available to cope with generalized pustular psoriasis (GPP).

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Impact of periprocedural myocardial injury on long-term outcomes after percutaneous coronary intervention requiring atherectomy

The American Journal of Cardiology

Publication date: Available online 26 April 2024 Source: The American Journal of Cardiology Author(s): Hiroki Emori, Yasutsugu Shiono, Nehiro Kuriyama, Yasuhiro Honda, Kosuke Kadooka, Takeaki Kudo, Kenji Ogata, Toshiyuki Kimura, Kensaku Nishihira, Atsushi Tanaka, Yoshisato Shibata

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Ugochi Ohuabunwa, MD: Tips for Inpatient Geriatric Management, Frailty Assessment

HCPLive

This discussion with Ohuabunwa was held at the ACP conference and covered inpatient geriatrics assessment tips for internal medicine physicians.

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Good Candidates for TYK2 Inhibitors

HCPLive

Physician assistants TJ Chao and Kristine Kucera share their knowledge on which patients make good candidates for TYK2 inhibitors.

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Patient Experience With Oral Systemic Treatments

HCPLive

TJ Chao and Kristine Kucera, PA’s share their insights into the patient experience with oral systemic agents for plaque psoriasis.

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Impact of Generalized Pustular Psoriasis (GPP) on the Quality of Life

HCPLive

A patient and 2 dermatologists discuss the impact of generalized pustular psoriasis (GPP) on patient’s quality of life.

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EHR-Based Gout Register May Improve Disease Management

HCPLive

The incidence of gout was 2.9 per 1000 patient-years, which dropped by 30% at the beginning of the COVID-19 pandemic.