Fri.Apr 11, 2025

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The Best Way To Prevent Dementia

Dr. Paddy Barrett

More than heart disease or cancer, dementia is the primary concern for many of the patients I see. Heart disease and cancer attack your body, but dementia attacks your mind and identity. It strips away the fabric of who a person is. That is why I believe people fear dementia so much. Thankfully, 45% of all dementia is preventable 1. Many factors make up that 45%, but one factor seems to impact the risk of dementia the most.

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Macrophages and cardiac lesion in zebrafish: what can single-cell RNA sequencing reveal?

Frontiers in Cardiovascular Medicine

Unlike mammals, zebrafish can regenerate their heart after cardiac insult. There are several ways to perform cardiac injury in zebrafish, but cryoinjury most closely resembles human myocardial infarction (MI). Studies demonstrated that macrophages are essential cells from the beginning to later stages of cardiac injury throughout the regenerative process in zebrafish.

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Endothelial SMAD4 Deficiency Promotes Pulmonary Hypertension by Impairing Cell Adhesion and Extracellular Matrix Organization

Hypertension Journal

Hypertension, Ahead of Print. BACKGROUND:Aberrant BMPR2 (bone morphogenetic protein receptor 2) signaling is associated with the pathogenesis of pulmonary hypertension. SMAD4 is an essential downstream effector of BMPR2 signaling, but whether and how it participates in pulmonary hypertension are unclear.METHODS:Globally and vascular cell-specifically inducible knockout mouse models were used to examine the role of SMAD4 deficiency in differential cell compartments in the development of pulmonary

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Narcolepsy-CVD Link: Stage Is Set as Early as Childhood

Med Page Today

(MedPage Today) -- The link between narcolepsy and cardiovascular disease (CVD) was strengthened by new evidence that the relationship applied to subclinical disease and was apparent early in life, based on a retrospective cohort study. Across.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Methotrexate Microinfusion Improves Symptoms in Frontal Fibrosing Alopecia

HCPLive

This analysis demonstrates the effectiveness of methotrexate application via microinfusion in frontal fibrosing alopecia.

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AI-generated 'synthetic scarred hearts' aid atrial fibrillation treatment

Medical Xpress - Cardiology

Researchers from Queen Mary University of London have developed an AI tool that creates synthetic yet medically accurate models of fibrotic heart tissue (heart scarring), aiding treatment planning for atrial fibrillation (AF) patients. The study, published in Frontiers in Cardiovascular Medicine, could lead to more personalized care for patients affected by this common heart rhythm disorder.

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AI-generated 'Synthetic scarred hearts' aid atrial fibrillation treatment

Science Daily - Heart Disease

Researchers have developed an AI tool that creates synthetic yet medically accurate models of fibrotic heart tissue (heart scarring), aiding treatment planning for atrial fibrillation (AF) patients. The study could lead to more personalized care for patients affected by this common heart rhythm disorder.

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FDA Grants Fast Track Designation to VERVE-102 Gene Therapy

HCPLive

VERVE-102 is targeting the treatment of individuals with hyperlipidemia and high lifetime cardiovascular risk to reduce LDL-C levels.

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Endovascular treatment under laparotomy with n-butyl-2-cyanoacrylate in a pediatric traumatic aortic injury: a case report

Journal of Cardiothoracic Surgery

The Society for Vascular Surgery (SVS) guidelines recommend thoracic endovascular aortic repair (TEVAR) for blunt traumatic aortic injuries (BTAI) in adults, especially BTAI grades II to IV. TEVAR is increasin.

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Icotrokinra Clears Skin Among 75% of Adolescents with Plaque Psoriasis

HCPLive

These subgroup analysis findings on icotrokinra indicate that the drug is safe and effective among adolescents and adults with moderate-to-severe psoriasis.

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Continuous postoperative pericardial flushing to reduce the risk of postoperative bleeding after elective adult cardiac surgery – a study-level meta-analysis

Journal of Cardiothoracic Surgery

Retained blood syndrome contributes to higher morbidity and mortality post cardiac surgery. We investigate the benefits of continuous postoperative pericardial flushing (CPPF) over standard care chest drainage.

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One Diuretic May Be Better for Hypertensive Patients With Kidney Stone History

Med Page Today

(MedPage Today) -- BOSTON -- In people with hypertension, a history of kidney stones may inform the choice of diuretic for stone prevention, according to a secondary analysis of the Diuretic Comparison Project. Among 1,164 older veterans with.

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Oral JAK Inhibitors’ Place in Atopic Dermatitis Guidelines

HCPLive

Experts discuss the current place of JAK inhibitors in atopic dermatitis management, highlighting their role as an effective oral treatment option within the broader spectrum of therapies, including topical treatments and biologics, depending on disease severity and patient needs.

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Concomitant Kommerell diverticulectomy, carotid-subclavian bypass, and modified ravitch pectus excavatum repair via sternotomy

Journal of Cardiothoracic Surgery

Congenital heart disease may present with pectus excavatum. Concomitant and staged repair are described, but the optimal approach is controversial. We report a 17-year-old male with left aortic arch, aberrant.

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Utilizing Patient Factors to Guide Treatment Selection in Atopic Dermatitis

HCPLive

Experts discuss situations where an oral JAK inhibitor might be prescribed initially over a biologic for moderate to severe atopic dermatitis (AD), noting advantages such as oral administration, quicker onset of action, and convenience, which may make it a preferred option for some patients.

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Investigating psychological difference between two genders in mental health after percutaneous coronary intervention for elderly patients with acute coronary syndrome

Journal of Cardiothoracic Surgery

Psychological factors are closely correlated with coronary heart disease, and gender discrepancies occurs in mental health after percutaneous coronary intervention (PCI) for acute coronary syndrome patients (A.

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Understanding Atrasentan (Vanrafia) for IgA Nephropathy, with Richard Lafayette, MD

HCPLive

Lafayette describes ongoing unmet needs in IgAN care and how the growing understanding of disease pathogenesis has informed drug development.

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Egyptian experience with aortic valve repair using Ozaki procedure in adult and pediatric patients

Journal of Cardiothoracic Surgery

to document the Egyptian experience with Ozaki procedure in adults and children and compare the clinical outcomes of the procedure to that of aortic valve replacement (AVRc) in adult patients.

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GLP-1 RAs and the Future of Cardiology, with Christian Ruff, MD, MPH

HCPLive

Ruff discusses his expectations for cardiology for the rest of 2025, including new research into GLP-1 receptor agonists.

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ACC CardiaCast: Courtside with the Chair: Discussion on 2025 Sports Eligibility Guidelines - Part 1

American College of Cardiology

Courtside with the Chair is a new series within CardiaCast presented by the Sports and Exercise Cardiology Member Section covering topics within the field of sports and exercise cardiology.

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Residency at Risk: Policy Barriers Facing Clinicians, with Shari Erickson, MPH

HCPLive

Erickson discussed how federal travel restrictions put critical patient care and workforce stability at risk.

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#ACC2025 Antithrmbotic / Antiplatelet Wrap Up:

Clinical Trial Results

Dr. Bhatt and I discuss ticagrelor reversal using bentracimab from the REVERSE-IT trial, as well as comparable efficacy and safety of rivaroxaban vs. warfarin for post-MI LV thrombus from the RIVAWAR trial.

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Balancing Benefits and Risks of AI Mitigation of Clinician Burden, with Ellen Gelles, MD

HCPLive

Gelles discussed potential concerns with AIs use in reducing administrative burden but stressed its promise.

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Impact of Chronic Total Occlusion PCI in Non-LAD Coronary Arteries on Patients with Cardiomyopathy

The American Journal of Cardiology

Publication date: Available online 11 April 2025 Source: The American Journal of Cardiology Author(s): Michael Megaly, Samer Zakhour, Mohamed Maki, Linda Albusoul, Asaad Nakhle, Judit Karacsonyi, Kambis Mashayekhi, Stephane Rinfret, Emmanouil S.

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Mortality Risk Rises 2.7-Fold in Adults After Respiratory Syncytial Virus

HCPLive

Acute respiratory infection caused by RSV results in a nearly 3-fold increase in mortality, particularly in those with underlying respiratory conditions.

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Long-Term Effects of a Remotely Delivered Hypertension Management Program

NEJM Journal Watch - Cardiology

Participants who completed the program maintained blood pressure control 42 months after enrollment.

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Reframing Lipid Strategies in Preventive Cardiology, with Payal Kohli, MD

HCPLive

Payal Kohli, MD, explores how evolving tools and strategies in lipid management are reshaping preventive cardiology.

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Exercise Right Ventricular‐Pulmonary Arterial Coupling and Functional Outcome in Patients Undergoing Surgery for Secondary Ischemic Mitral Regurgitation

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundThe exercise assessment of the right ventricularpulmonary arterial (PA) coupling adds diagnostic and prognostic value in patients with heart failure. In patients with ischemic mitral regurgitation undergoing surgery, data on the exercise assessment of the right ventricularPA coupling are not available.

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Sex differences in carotid artery plaques and stroke symptoms revealed in new study

Medical Xpress - Cardiology

A new study published in Nature Cardiovascular Research found that while carotid artery narrowing can lead to stroke in both men and women, the symptoms and plaque characteristics often differ between the sexes. Even though the main types of cells in the plaques are similar, important differences exist in the smaller structures within those cells.

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Look what happens when you advocate for your patient with a skeptical cardiologist.

Dr. Smith's ECG Blog

While at ACC, I received this text message from a former resident: Good morning Steve! Hope youre doing well. Just curious what you think of this? He writes: "To me, the downsloping ST in V2/V3 is always OMI until proven otherwise. Also looks hyperacute inferior." "I activated cath lab, cardiologist is not impressed. Trop pending." Smith : "It is diagnostic of OMI!

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Physiology Friday #265: Should Carbohydrate Intake During Exercise Be Personalized? A New Study Suggests Yes.

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. I want to take a brief moment to plug a product and company I’ve been obsessed with—and give you a chance to try them out! A few weeks ago, I downloaded an app on my iPhone that uses the FaceID camera (the same tech Apple uses to unlock your iPhone or iPad) to scan my feet and make custom running insoles.

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New Recommendations for Antithrombotic Therapy in Patients with Acute Coronary Syndromes

NEJM Journal Watch - Cardiology

A new guideline recommends short duration of DAPT if bleeding risk is high and advises bivalirudin instead of heparin for PCI.

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Research Shows Ultrasound Less Effective than DECT at Removing Tophi

HCPLive

Dual-energy computed tomography results in faster dissolution of both the core and crown of tophi.

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Three questions (not so simple) on a 90% LAD lesion.

Dr. S. Venkatesan MD

1. Is systemic HT an advantage, so that high pressure head aids in pushing the blood across the lesion ? I don’t know whether I can say Yes*, physiologically, the high proximal pressure and low distal pressure help maintain the flow. The distal drop happens due to the tightness of the lesion itself, but that is counterproductive, unless tone of the distal microvascular bed is intact and dilates fully.

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At Home Nasal Sprays and PSVT ER Visits

CardiacWire

Data analysis from the NODE-301 Phase 3 trial suggests that patients self-adminstering Milestone Pharmaceuticals etripamil (CARDAMYST) might be able to avoid ER visits for paroxysmal supraventricular tachycardia (PSVT). PSVT includes a range of heart-rhythm disorders and occurs in 1 out of 300 patients, leading to unpredictable elevated heart rates that require medical intervention.

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Treatment of Severe Alopecia Areata with JAK Inhibitors

HCPLive

A panelist discusses how their traditional treatment approach for severe alopecia areata typically involved a stepped care pathway beginning with topical and intralesional steroids before progressing to systemic immunosuppressants or immunotherapy, which often yielded inconsistent, temporary, or incomplete hair regrowth results, leaving significant unmet needs for treatments that could provide sustained efficacy, acceptable safety profiles, and therapies specifically developed for this condition

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