Wed.Sep 11, 2024

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How many people have A-Fib? Three times more than we thought

Science Daily - Heart Disease

Atrial fibrillation, a rapid, irregular heart beat that can lead to stroke or sudden death, is three times more common than previously thought, affecting nearly 5% of the population, or 10.5 million U.S. adults, according to new estimates.

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Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Dr. Smith's ECG Blog

A former resident texted me this case: "Hey Dr. Smith. Hope you’re doing well! How excited would you have been about this case?" Here is the case: Report from EMS was witnessed syncope, his son did CPR, but the patient had pulses when EMS arrived. When the patient arrived in the ED, he was still hypotensive in 70s, slowly improving with EMS fluids. No Chest Pain, but somnolent.

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AFib Might Be Far More Common Than We Think

CardiacWire

A JACC study suggests that atrial fibrillation is far more prevalent than many previously thought, estimating that nearly one in 20 American adults have been diagnosed with the disease. UCSF researchers analyzed medical records from 29M adults who received hospital-based care in California from 2005 to 2019 (51yr avg. age, 54% women, 50% White), finding that a whopping 2M (6.8%) of them had been diagnosed with AFib.

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Throat problems could impair autonomic nervous system's ability to regulate blood pressure

Science Daily - Heart Disease

Patients with throat problems were less able to regulate their blood pressure in a new study. The study shows reduced baroreflex sensitivity in patients with throat symptoms.

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Spontaneous avulsion of left internal mammary artery graft a complication of coronary artery bypass surgery: case report and review of the literature

Journal of Cardiothoracic Surgery

Coronary artery bypass grafting (CABG) surgery is a common procedure for managing multi-vessel coronary artery disease to revascularize the myocardium. Among the various conduits used, the left internal mammar.

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Can having a stroke change your sleep?

Science Daily - Heart Disease

People who have had a stroke may be more likely to sleep too much or too little compared to those without prior stroke, according to a new study. The study does not prove that stroke causes abnormal sleep; it only shows an association.

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Steroid Use Tied to Diabetes; Suicide Rates Climbing; Legionnaire's Death Toll Rises

Med Page Today

(MedPage Today) -- Note that some links may require registration or subscription. Chronic steroid use more than doubled the risk of type 2 diabetes, a large-scale study showed. (U.S. News & World Report) A novel blood test identified people.

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Diabetes Dialogue: Lingo Availability and FDA Clearance for Embecta's Tubeless Patch Pump

HCPLive

In this episode, hosts discuss availability of the Abbott Lingo CGM and Embecta’s announcement of FDA clearance for their tubeless patch pump with a 300-unit insulin reservoir.

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Intention to Treat: What Exactly Is Long Covid? — ITT Episode 37

The New England Journal of Medicine

The millions of people worldwide who are suffering from a vast array of disabling symptoms long after being infected with SARS-CoV-2 may eventually benefit from a new consensus definition of long Covid.

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Anti-tTG, EMA Antibodies Implicated in Fibromyalgia in Patients With Celiac Disease

HCPLive

There may be a relationship between the inflammatory processes of fibromyalgia and celiac disease.

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Intermountain expands digital heart health program

Becker's Hospital Review - Cardiology

"Intermountain Health expands partnership with Story Health to improve heart failure outcomes through virtual and asynchronous care, resulting in high patient e

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ESC Consensus Statement on Obesity and CVD: Key Points

American College of Cardiology

The following are key points to remember from a European Society of Cardiology (ESC) clinical consensus statement on obesity and cardiovascular disease (CVD).

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Where 3 hospital leaders see progress in cardiology

Becker's Hospital Review - Cardiology

Three leaders from cardiology hospitals ranked among the best by U.S. News & World Report shared with Becker's where they think the industry has made the most progress in the last five years.

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Association of nonalcoholic fatty liver disease with new-onset atrial fibrillation stratified by age groups

Cardiovascular Diabetology

The association between nonalcoholic fatty liver disease (NAFLD) and atrial fibrillation (AF) has been inconsistent, and the impact of hepatic fibrosis on this relationship remains uncertain. We investigated t.

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North Carolina cardiologist 1st to implant FDA-cleared drug-eluting 'bio envelope'

Becker's Hospital Review - Cardiology

A cardiologist from Greenville, N.C.-based East Carolina University Health has performed the first patient implant of the world's first FDA-cleared, drug-eluting "bio envelope.

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Therapeutic Effects of HF Medical Therapies on Kidney Outcomes

American College of Cardiology

What are the effects of steroidal mineralocorticoid receptor antagonists (MRAs), the angiotensin receptor-neprilysin inhibitor (ARNI) sacubitril/valsartan, and sodium-glucose cotransporter-2 (SGLT2) inhibitors on composite kidney endpoints using uniform definitions in six contemporary heart failure (HF) trials?

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Transepidermal Water Loss in Newborns Associated with Clinical Atopic Dermatitis Signs

HCPLive

These data may provide invaluable insights, given the lack of reliable methods for identifying newborns with increased risk of developing eczema.

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UK Biobank Data: Quitting Smoking May Lower Risk of AFib

American College of Cardiology

Not only do former smokers have lower risk of atrial fibrillation (AFib) than current smokers, but patients who quit smoking may reduce their AFib risk while doing so, according to a longitudinal cohort study utilizing UK Biobank data, published Sept. 11 in JACC: Clinical Electrophysiology.

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Real-World Data Support Use of rpFVIII for Acquired Hemophilia A

HCPLive

A real-world post-authorization safety study identified no new safety signals compared with the phase 2/3 clinical trial of rpFVIII for acquired hemophilia A.

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National A-Fib Numbers Higher Than Previously Thought

DAIC

tim.hodson Wed, 09/11/2024 - 15:40 Sept. 11, 2024 — In the first national estimate in two decades, researchers at the University of California-San Francisco (UCSF) report that 10.5 million Americans have atrial fibrillation. Atrial fibrillation, a rapid, irregular heart beat that can lead to stroke or sudden death, is three times more common than previously thought, affecting nearly 5 percent of the population, or 10.5 million U.S. adults, according to new estimates from University of California

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Birth Weight, Gestational Age Linked to Pediatric MASLD, Progressive Liver Disease Risk

HCPLive

Low birth weight and being small for gestational age were linked to a greater risk of developing pediatric-onset MASLD and progressive liver disease.

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“One-stop” interventional therapy for quadricuspid aortic valve combined with severe coronary artery disease: a case report

Journal of Cardiothoracic Surgery

Congenital Quadricuspid Aortic Valve (QAV) malformation is a relatively rare cardiac valve malformation, especially with abnormal coronary opening and severe stenosis of Coronary Artery Disease (CAD). The pati.

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National A-Fib Numbers Higher Than Previously Tought

DAIC

tim.hodson Wed, 09/11/2024 - 15:40 Sept. 11 — In the first national estimate in two decades, researchers at the University of California-San Francisco (UCSF) report that 10.5 million Americans have atrial fibrillation. Atrial fibrillation, a rapid, irregular heart beat that can lead to stroke or sudden death, is three times more common than previously thought, affecting nearly 5 percent of the population, or 10.5 million U.S. adults, according to new estimates from University of California-San F

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Importance of Starting on Right Fibromyalgia Treatment Early

HCPLive

Experts discuss the critical importance of early identification and consistent application of appropriate treatments for fibromyalgia patients to optimize their long-term health outcomes and quality of life.

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Direct Oral Anticoagulants versus Vitamin K Antagonists for the Management of Left Ventricular Thrombus after Myocardial Infarction: A Meta-analysis

The American Journal of Cardiology

Publication date: Available online 11 September 2024 Source: The American Journal of Cardiology Author(s): Christos Gogos, Vasileios Anastasiou, Andreas S.

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Report Breaks Down Discount Programs Negative Impact on Dermatology Care

HCPLive

In a recently published Viewpoint, the authors stress the importance of dermatologists staying updated on prescription cost-saving programs and their impact on patient care.

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Identification of potential therapeutic targets for nonischemic cardiomyopathy in European ancestry: an integrated multiomics analysis

Cardiovascular Diabetology

Nonischemic cardiomyopathy (NISCM) is a clinical challenge with limited therapeutic targets. This study aims to identify promising drug targets for NISCM.

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FDA Approves Guselkumab (Tremfya) for Ulcerative Colitis

HCPLive

The decision is based on rates of clinical and endoscopic remission with guselkumab in the ongoing phase 2b/3 QUASAR study.

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Percutaneous Edge-to-Edge Repair for TR: TRILUMINATE 3-Year Outcomes

American College of Cardiology

What are the 3-year outcomes of tricuspid transcatheter edge-to-edge repair (T-TEER) with the TriClip implant for the treatment of severe symptomatic tricuspid regurgitation (TR)?

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Survey Points to Patient-Centered Definition of Atopic Dermatitis Flare

HCPLive

In this survey, investigators sought to develop a definition for eczema flare which was patient-centered and based upon consensus.

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Mechanical Circulatory Support in Infarct-Related Cardiogenic Shock, Anticoagulation Benefit in Device-Detected AFib, Semaglutide in HFpEF Patients

American College of Cardiology

In this week’s View, Dr. Eagle looks at temporary mechanical circulatory support in infarct-related cardiogenic shock.

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Pre-Pregnancy BMI Unrelated to Iron Deficiency During Pregnancy, Study Finds

HCPLive

Pre-pregnancy overweight and obesity were not linked to an increased prevalence of iron deficiency or anemia during pregnancy in a US population.

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New look at stroke response: Mobile physicians

Medical Xpress - Cardiology

Many patients living in rural areas don't have easy access to specialized or emergency care. When they face conditions like strokes, every minute counts when trying to get them the treatment they need.

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Diabetes Dialogue: Real-World Experience with the Dexcom Stelo

HCPLive

A follow-up to an earlier episode, this episode features a deep dive into the hosts experience with the Dexcom Stelo sensor.

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Incidence and Outcomes of Cardiovascular Implantable Electronic Device Infections in Patients with End-Stage Kidney Disease

HeartRhythm

End-stage kidney disease (ESKD) patients are prone to bloodstream infections which may result in a higher risk of cardiac implantable electronic device (CIED) infections.

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Low-Dose Triple-Pill Combination Therapy vs. Standard Care for Uncontrolled Hypertension in Nigeria

NEJM Journal Watch - Cardiology

A combination therapy lowered blood pressure more than a standard-care protocol, but both groups had excellent outcomes, likely attributable to intensive follow-up.

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Timing Is Everything, Even for the ENCHANTED National Institutes of Health Stroke Scale

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print.

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