Tue.Jul 30, 2024

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Why skipping breakfast can be bad for your heart

Medical Xpress - Cardiology

Some say that breakfast is the most important meal of the day. Is it really? That's up for debate. However, skipping the first meal is not the healthiest choice and can even put someone at risk for health issues. In this Mayo Clinic Minute, Dr. Francisco Lopez-Jimenez, a Mayo Clinic cardiologist, explains why.

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Hint of Alzheimer's Benefit Seen With GLP-1 Drug

Med Page Today

(MedPage Today) -- PHILADELPHIA -- A GLP-1 receptor agonist may have the ability to protect cognition in people with mild Alzheimer's dementia, data from the phase IIb ELAD trial suggested. Liraglutide (Saxenda, Victoza) showed benefit on one.

Dementia 116
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Kidney Dysfunction May Predict Sudden Cardiac Death in Patients with Heart Failure

DAIC

This study by Fujita Health University researchers revealed that kidney function, considered in terms of estimated glomerular filtration rate (eGFR), can be used as a predictor for SCD in patients with congestive heart failure. Image courtesy of Yoshihiro Sobue from Fujita Health University mtaschetta-millane Tue, 07/30/2024 - 09:18 July 30, 2024 — Patients with congestive heart failure (CHF) having a compromised blood supply, are at greater risk of sudden cardiac death (SCD).

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Body Dysmorphia More Common Among Women with Dermatologic Conditions

HCPLive

These data highlight gender differences related to dysmorphic concern and the prevalence of body dysmorphic disorder among those with various dermatologic disorders.

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Heart Rhythm Society’s HRX 2024 to Draw Cardiovascular Innovators to Atlanta

DAIC

The Heart Rhythm Society (HRS) is preparing for HRX 2024, the third annual event of its kind, which will be held from September 5-7, 2024, in Atlanta, GA, gathering cardiovascular health innovators together to explore discoveries and advance partnerships between medicine and technology. christine.book Tue, 07/30/2024 - 14:20 July 30, 2024 — The Heart Rhythm Society ( HRS ) is preparing for HRX 2024 , bringing cardiovascular health innovators to Georgia's capital.

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Top medication spend for cardiopulmonary drugs

Becker's Hospital Review - Cardiology

Cardiopulmonary medications made up 5.08% of pharmacy program participants' drug spend from April 2023 to March 2024, according to Vizient's "Summer 2024 Pharmacy Market Outlook" report.

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Leadless Ultrasound-Based Cardiac Resynchronization System in Heart Failure

JAMA Cardiology

This study assess the safety and efficacy of a novel, leadless, left ventricular endocardial pacing system for patients at high risk for a cardiac resynchronization therapy upgrade or whose coronary sinus lead placement/pacing with a conventional cardiac resynchronization therapy system has failed.

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SSS

ECG Guru

The ECG shows an example of a patient with bradycardia/tachycardia syndrome. Initially, a sinus rhythm with a heart rate of approx. 70 bpm is seen. This is followed by my sinus arrest of just under 3000 ms, followed by a junctional escape beat (no preceding P wave, QRS remains narrow). After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. 120 bpm here).

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Study finds lasting, reliable performance for wireless pacemaker

Medical Xpress - Cardiology

A dual-chamber wireless pacemaker provides reliable performance over three months, bolstering evidence for this new pacemaker option, according to results from a multi-center, international clinical trial co-led by a Weill Cornell Medicine and NewYork-Presbyterian investigator.

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Long Covid Defined

The New England Journal of Medicine

Members of the National Academies of Sciences, Engineering, and Medicine describe the process and rationale for the development of the 2024 definition of persistent Covid-19 symptoms (long Covid).

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Cholesterol Absorption Inhibitors Linked to Reduced Liver Cancer Risk

HCPLive

Results suggest cholesterol absorption inhibitors are linked to a lower risk of liver cancer, but no association was observed for other nonstatins like fibrates, omega-3 fatty acids, and niacin.

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Semaglutide May Help Smokers Quit, Study Suggests

Med Page Today

(MedPage Today) -- Among patients with type 2 diabetes and tobacco use disorder (TUD), use of the GLP-1 receptor agonist semaglutide (Ozempic, Wegovy) was associated with a reduced risk of medical encounters for TUD compared with other diabetes.

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New AHA guidelines could make millions ineligible for statins: Study

Becker's Hospital Review - Cardiology

The American Heart Association's new cardiovascular disease event prediction equations could leave 14.3 million patients ineligible for statin therapy, according to a study published July 29 in JAMA.

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PREVENT Equations Could Result in 100,000 CVD Events by Reducing Statin, Antihypertensive Prescribing

HCPLive

A study cautions the AHA's new PREVENT equations may underprescribe statins and antihypertensives, potentially causing 107,000 more ASCVD events in 10 years.

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Liraglutide Myocardial Effects in Type 2 Diabetes

American College of Cardiology

What are the efficacies of increasing insulin secretion versus decreasing insulin resistance (IR) strategies for improving myocardial perfusion, energetics, and function in type 2 diabetes (T2D)?

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HCPLive Five at ASRS 2024

HCPLive

Counting down the most impactful news at major medical meetings, it’s the HCPLive Five! This episode focuses on 5 key interviews from the American Society of Retina Specialists (ASRS) 42nd Annual Meeting.

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Study finds lasting, reliable performance for wireless pacemaker

Science Daily - Heart Disease

A dual-chamber wireless pacemaker provides reliable performance over three months, bolstering evidence for this new pacemaker option.

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Melinda Gooderham, MD: Effects of Roflumilast Foam on Scalp, Body Psoriasis

HCPLive

In this interview, Gooderham highlights the ARRECTOR study findings which led to roflumilast foam’s supplemental new drug application to the FDA.

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Short-term outcomes after surgical aortic valve replacement in elderly patients - results of a comparative cohort study

Journal of Cardiothoracic Surgery

With the introduction of transcatheter aortic valve implantation, the role of surgical aortic valve replacement (SAVR) in elderly patients has been called into question. We investigated the short-term outcomes.

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Your wearable says your heart rate variability has changed: Now what? A cardiologist explains

Medical Xpress - Cardiology

Wearables measure several aspects of health, and heart rate variability might be one of those. It may be surprising when your device informs you that your heart rate variability is high or low, but what does it mean? Elijah Behr, M.D., a cardiologist at Mayo Clinic Healthcare in London, explains heart rate variability and how it factors into health.

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AV Nodal Reentry Tachycardia on a Holter Monitor Strip

ECG Guru

The first 3 beats are sinus node beats, all have the same morphology of the P wave. This is followed by a PAC, which is conducted via the fast pathway in the AV node. The next PAC is conducted via the slow pathway, then the AV nodal reentry tachycardia (slow/fast) starts. The retrograde P waves are visible at the end of the QRS complex in the lower lead K3.

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Sticky Patch Defibrillator; State Telehealth Laws and BP Meds; Ketones and HFpEF?

Med Page Today

(MedPage Today) -- The Jewel patch-wearable cardioverter-defibrillator delivered successful shocks for protection from sudden cardiac arrest, and people were highly compliant to wearing the water-resistant device. (Journal of the American College.

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Sick Sinus Syndrome

ECG Guru

The ECG shows an example of a patient with bradycardia/tachycardia syndrome (also called sick sinus syndrome). Initially, a sinus rhythm with a heart rate of approx. 70 bpm is seen. This is followed by sinus arrest of just under 3000 ms, followed by a junctional escape beat (no preceding P wave, QRS remains narrow). After a further pause of just under 2000 ms, 2 sinus node beats follow, which merge into a sinus tachycardia or atrial tachycardia (heart rate approx. 120 bpm here).

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Compassionate Care to Improve Patient Outcomes and Your Career from EMU 2024

ECG Cases

As a profession, we suck at compassion as it is trained out of us through medical school and beyond. Compassion in not simply innate; like any behaviour, it can be learned through deliberate practice. There is evidence that compassion may improve morbidity and/or mortality in patients after trauma, cardiac events, cancer, diabetes, back pain, migraine headache and other conditions, prevent physician burnout and reduces rates of medical error, reduce the rates of patient complaints and litigation

CME 52
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Case Report: Leadless and left bundle branch area pacemakers, complementary advantages require a personalized approach

Frontiers in Cardiovascular Medicine

Traditional transvenous pacemakers consist of a pacemaker generator usually positioned surgically in the upper left chest on the pectoral muscle fascia and one or more leads positioned through the veins to the right atrium and across the tricuspid valve to the right ventricular apex. While these devices reduce symptoms and improve survival among patients with symptomatic bradycardia, they are associated with an increased risk of infection, venous occlusion, heart failure, and tricuspid valve reg

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AVNRT ON A HOLTER-STRIP

ECG Guru

The first 3 beats are sinus node beats, all have the same morphology of the P-wave. This is followed by a PAC, which is conducted via the fast pathway in the AV node. The next PAC is conducted via the slow pathway, then the AV nodal reentry cardia (slow/fast) starts. The retrograde P waves are visible at the end of the QRS complex in the lower lead K3.

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Circulating Z-Polymer Levels Show Potential as Prognostic Biomarker in AATD

HCPLive

Greater circulating Z-polymer levels were associated with an increased risk of adverse clinical outcomes in adults with AATD and the PiZZ genotype.

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Late Gadolinium Enhancement in Early Repolarization Syndrome

HeartRhythm

In patients with Brugada syndrome, myocardial fibrosis can be identified through epicardial biopsy or cardiac magnetic resonance imaging (CMR) with late gadolinium enhancement (LGE). However, the myocardial alterations in patients with early repolarization syndrome (ERS) remain poorly elucidated.

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Deprescribing Intervention Ineffective at Preventing Falls Among Older Adults

HCPLive

A study found deprescribing high-risk medication among older adults was no more effective than usual care in reducing medically treated falls.

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Transcatheter Neo-Superior Vena Cava Creation for Placement of a Cardiac Defibrillator: Overcoming the Limitation of Chronic Superior Vena Cava Occlusion

HeartRhythm

Chronic venous occlusion presents a formidable challenge in patients with cardiac implantable electronic devices (CIEDs), often manifesting with symptomatic venous congestion and complicating lead revisions or device upgrades[1]. Occlusions can be managed by a variety of techniques including balloon venoplasty and transvenous lead extraction. Herein, we describe a novel approach for the creation of a neo-superior vena cava (SVC) in the setting of chronic SVC occlusion to facilitate the placement

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Physical Activity Improves Depression, Fatigue in Patients with Arthritis

HCPLive

Patients with lower levels of physical activity had higher levels of fatigue and a higher risk of sarcopenia.

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Pulsed field ablation of atrial tachyarrhythmia originating from atrial aeptal aneurysm

HeartRhythm

Extra-pulmonary vein (PV) triggers have been reported in up to 4.9-15% of all atrial fibrillation (AF) patients who undergo catheter ablation and plays significant roles in arrhythmia recurrence.1,2 Eliminating identified extra-PV triggers is an important part of an AF ablation procedure after pulmonary vein isolation (PVI) is achieved.3 However, anatomical obstacles can often make extra-PV foci difficult to map and challenging with conventional radiofrequency ablation (RFA) catheters.4 We hereb

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Macular Atrophy Progresses Similarly in Wet and Dry AMD Types

HCPLive

Geographic atrophy in eyes with dry AMD and macular atrophy in fellow eyes with neovascular AMD demonstrate similar growth rates.

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Catheter Ablation for Atrial Fibrillation in Patients with Significant Mitral Regurgitation: A Systematic Review and Meta-Analysis

HeartRhythm

Atrial fibrillation (AF) is commonly associated with cardiac structural abnormalities including mitral regurgitation (MR). Contemporary guidelines recommend consideration of early rhythm control strategies including catheter ablation (CA) for AF. However, the long-term efficacy of CA is highly variable across studies and patient populations, and the effect of coexisting MR on AF recurrence remains unclear.

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Secukinumab Treatment Effective Up to 5 Years in PsO, PsA

HCPLive

PASI100 was achieved by 41.7% of patients at week 16 and 70.6% at week 260.

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When pacing or defibrillator leads become redundant: extract or abandon?

HeartRhythm

The 2017 HRS expert consensus paper on lead management and extraction did not express a preference for either extracting or abandoning pacing or defibrillator leads that are dysfunctional or superfluous after an upgrade (further referred to as redundant leads) 1. However, there are no randomized or even non-randomized trials that show a better patient outcome with extraction.

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Enhanced stent imaging-guided detection and treatment for in-stent restenosis within a previously implanted underexpanded stent

Coronary Artery Disease Journal

No abstract available

Stent 74