Fri.Jan 05, 2024

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ECG Blog #411 — Is it Wenckebach?

Ken Grauer, MD

How would YOU interpret the tracing in Figure-1 — that was sent to me without additional information? QUESTIONS: What is the rhythm? Is there AV dissociation? If so — WHY? Clinically — HOW would you approach interpretation of this tracing in optimal time -efficient fashion? Figure-1: The initial ECG in today's case. KEY Clinical Point: If I was the medical provider charged with the care of the patient whose ECG is shown in Figure-1 — I would approach this tracing in the following sequential stag

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Midlife Cognitive Problems Tied to Sleep Disruptions Earlier in Life

Med Page Today

(MedPage Today) -- People who had fragmented sleep in their 30s and 40s were more likely to have worse cognition a decade later, longitudinal data showed. Those in the highest versus the lowest tertile of the sleep fragmentation index had over.

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Physiology Friday #199: High-Intensity Interval Training Reduces Coronary Artery Plaque

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. This newsletter is brought to you by Examine.com — the best place on the internet for health and nutrition information — and my new eBook, “VO2 Max Essentials.” Details can be found at the end of the post! Physiologically Speaking is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

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Maternal Type 1 Diabetes an Outsized Red Flag for Child Heart Defect Risk

Med Page Today

(MedPage Today) -- Maternal type 1 diabetes (T1D) emerged as the larger contributor to the child's risk of congenital heart defect (CHD) when considering maternal diabetes and weight status together, a Finnish population-based cohort study found.

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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

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. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.

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2023 in Review: A Look at the Year's Top 10 Topics

DAIC

As the Diagnostic and Interventional Cardiology (DAIC) team welcomes in the New Year, we also have taken a few moments to reflect back on the Top 10 most read content from 2023. 1. A Dietary Supplement Leads to Remarkable Regression in Atherosclerotic Lesions 2. Medtronic Creates History with FDA Approval of its Novel PulseSelect Pulsed Field Ablation System to Treat Atrial Fibrillation 3.

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NAFLD Presents Similar Risk for Adverse Outcomes Regardless of BMI

HCPLive

Patients with lean NAFLD had fewer metabolic comorbidities but maintained similar risk of NASH, cirrhosis, nonliver cancer, and mortality compared to their overweight and obese counterparts.

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More Trending

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Questionnaire Successfully Evaluates Transition Readiness in Patients with JIA

HCPLive

The PETRA questionnaire proves valuable in assessing the transition readiness of juvenile idiopathic arthritis patients into adult care, with a focus on self-management skills.

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Hypertension's hidden hand: Pressure-driven foam cell formation revealed as key driver of arterial disease

Science Daily - Heart Disease

A new study unlocks the secrets of how high blood pressure (hypertension) fuels the progression of arterial disease.

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Despite Increase in Use, Telehealth Not Enough to Address Gaps in Access to Care

HCPLive

Telehealth visits increased during the COVID-19 pandemic, with a peak in April 2020. About half of primary care visits were telehealth, but the percentage declined and stabilized to about 8% in late 2021.

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Cover Story | ACC at 75: Transforming Care, Inspiring Innovation, Building Community

American College of Cardiology

In 1949, 13 cardiologists led by Franz Groedel, MD, MACC, and Bruno Kisch, MD, MACC, founded the ACC, creating a professional home for cardiovascular clinicians seeking the latest science, research and cutting-edge education.

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Patients who undergo TAVR face higher stroke risk for 2 years

Becker's Hospital Review - Cardiology

A recent study found patients who undergo transcatheter aortic valve replacement have higher risk of stroke for up to two years after the procedure.

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How are Novel Imaging Techniques Helping the CHD Population?

American College of Cardiology

Cardiac imaging technologies are increasing rapidly and are becoming increasingly important in helping the growing congenital heart disease (CHD) population who are being treated with more complex surgical and catheter-based procedures, according to a JACC Scientific Statement published Jan. 1 in JACC.

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Belimumab Linked to Long-Term Corticosteroid Reduction in Patients with Lupus

HCPLive

A retrospective cohort analysis suggests the monoclonal antibody may help patients with SLE reduce their reliance on oral corticosteroids over 1 year after initiating treatment.

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Association between the cumulative average triglyceride glucose-body mass index and cardiovascular disease incidence among the middle-aged and older population: a prospective nationwide cohort study in China

Cardiovascular Diabetology

Findings from earlier research have established that insulin resistance (IR) is implicated in atherosclerosis progression, representing a noteworthy risk factor for cardiovascular disease (CVD). Recently, the.

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Medtronic Receives CE Mark for its Next Generation Micra Leadless Pacing Systems

DAIC

milla1cf Fri, 01/05/2024 - 11:42 June 5, 2024 — Medtronic , a global leader in healthcare technology, today announced it has received CE (Conformité Européenne) Mark for its Micra AV2 and Micra VR2 , the next generation of its industry-leading miniature, leadless pacemakers. Micra AV2 and Micra VR2, the world's smallest pacemakers, provide longer battery life and easier programming than prior Micra pacemakers, while still delivering the many benefits of leadless pacing such as reduced complicat

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Maternal Type 1 Diabetes Increases Congenital Heart Defect Risk in Children

HCPLive

A new study identified T1D as a risk factor associated with nearly all subtypes of CHD, whereas overweight was associated only with certain defect types.

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New in Clinical Documents | ACC/AHA Guideline Focuses on Diagnosis, Management of AFib

American College of Cardiology

The newest clinical guideline released by the ACC and the American Heart Association (AHA) provides new and updated recommendations for preventing and optimally managing atrial fibrillation (AFib).

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Diabetes Dialogue: Latest Updates on Diabetes Management in Pregnancy

HCPLive

In this episode, hosts breakdown as pair of recent studies examining management of diabetes during pregnancy.

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Placement of stent grafts with different calibers into the true and false lumens of anastomotic aneurysms after descending aortic replacement for aortic dissection

Journal of Cardiothoracic Surgery

Anastomotic aneurysms present as a life-threatening emergency after descending aortic replacement for aortic dissection. Thoracic endovascular aneurysm repair (TEVAR) has been performed since the early 2000s f.

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FDA Approval of Topical Berdazimer Gel Announced for Molluscum Contagiosum

HCPLive

The FDA decision on berdazimer gel, 10.3%, represents the second approved treatment for the viral-borne skin disease.

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Feature | Robotics in Cardiac Intervention: An Update

American College of Cardiology

In a world saturated with headlines highlighting breakthroughs in artificial intelligence and virtual reality, robotics may seem somewhat conventional.

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FDA Authorizes Program Allowing Import of Prescription Drugs from Canada

HCPLive

For the first time, the FDA has approved a plan allowing Florida to import certain, cheaper prescription drugs from Canada.

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St. Mary's, Renown reach temporary deal on cardiology access

Becker's Hospital Review - Cardiology

Reno, Nev.-based Saint Mary's Health Network reached a temporary agreement with Reno-based Renown Health for access to cardiology specialists working with Renown, Reno Gazette Journal reported Jan. 4.

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Efficacy of Assisted Reproductive Technology in Women with Liver Disease, with Tatyana Kushner, MD, BSCE

HCPLive

We sat down with Tatyana Kushner, MD, BSCE to discuss findings from her study comparing IVF treatment in women with and without liver disease.

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Heart of Health Policy | Year in Review: ACC Advocacy Top Ten From 2023

American College of Cardiology

As the caretakers of cardiovascular patients, the ACC is committed to developing and advancing solutions to increase access, quality and value of patient care and promote heart health for all.

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Progressive Massive Fibrosis Observed in Federally Funded Black Lung Clinics

HCPLive

These data on PMF among coal miners suggest that urgent action may need to be taken to protect these workers from the preventable disease.

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From the Member Sections | RHD: An Overlooked CV Burden

American College of Cardiology

We have turned a blind eye to the needs of the world's poorest, most vulnerable and most underserved communities. Almost 300,000 people every year lose their lives to rheumatic heart disease (RHD), an immune-mediated inflammatory condition that causes damage to the heart valve – a treatable and preventable disease.

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Lung Biopsy Shown to be Reliable Diagnostic Procedure for Neonatal Patients in Critical Situations

HCPLive

Despite these findings, the study highlights the need for a careful decision on the use of lung biopsy in older children given both benefits and risks.

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Hidden opportunities for growth in cardiology

Becker's Hospital Review - Cardiology

Discover the hidden potential for growth in cardiology with treatment options, according to a recent Becker's poll. See the top results and expert insights.

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Anorexia Nervosa Associated with Being an Early Riser

HCPLive

A new study found individuals with anorexia nervosa were associated with having a morning chronotype and vice versa.

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Association between the remnant cholesterol to high-density lipoprotein cholesterol ratio and the risk of coronary artery disease

Coronary Artery Disease Journal

Background The purpose of this study was to evaluate the relationship between remnant cholesterol (RC) to high-density lipoprotein cholesterol (HDL-C) ratio and the risk of coronary artery disease (CAD). We also investigated the clinical value of RC/HDL-C ratio in evaluating the severity of CAD and in predicting the short-term prognosis of CAD patients.

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Glycemic control and cardiovascular outcomes in patients with diabetes and coronary artery disease according to triglyceride-glucose index: a large-scale cohort study

Cardiovascular Diabetology

The role of triglyceride-glucose (TyG) index, an insulin resistance indicator, in glycemic management for diabetic patients with coronary artery disease (CAD) was still unknown. Therefore, we aimed to explore.

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Conduction time around the mitral valve annulus has the potential to rule out postablation perimitral atrial tachycardia

Journal of Cardiovascular Electrophysiology

Abstract Introduction It would be helpful in determining ablation strategy if the occurrence of perimitral atrial tachycardia (PMAT) could be predicted in advance. We investigated whether estimated perimitral conduction time (E-PMCT), namely, twice the time between coronary sinus (CS) pacing and the ensuing wave-front collision at the opposite side of the mitral annulus, correlated with the cycle length of PMAT and could predict future PMAT.

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Nonlinear relationship between untraditional lipid parameters and the risk of prediabetes: a large retrospective study based on Chinese adults

Cardiovascular Diabetology

Abnormal lipid metabolism poses a risk for prediabetes. However, research on lipid parameters used to predict the risk of prediabetes is scarce, and the significance of traditional and untraditional lipid para.

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Protocolized Natriuresis-Guided Decongestion Improves Diuretic Response: The Multicenter ENACT-HF Study

Circulation: Heart Failure

Circulation: Heart Failure, Ahead of Print. Background:The use of urinary sodium to guide diuretics in acute heart failure is recommended by experts and the most recent European Society of Cardiology guidelines. However, there are limited data to support this recommendation. The ENACT-HF study (Efficacy of a Standardized Diuretic Protocol in Acute Heart Failure) investigated the feasibility and efficacy of a standardized natriuresis-guided diuretic protocol in patients with acute heart failure a

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Triglyceride-glucose index as a suitable non-insulin-based insulin resistance marker to predict cardiovascular events in patients undergoing complex coronary artery intervention: a large-scale cohort study

Cardiovascular Diabetology

Insulin resistance (IR), a hallmark of proceeding diabetes and cardiovascular (CV) disease, has been shown to predict prognosis in patients undergoing percutaneous coronary intervention (PCI). The triglyceride.