Thu.Dec 12, 2024

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FDA Finds Obeticholic Acid (Ocaliva) Linked to Serious Liver Injury in Noncirrhotic PBC

HCPLive

An FDA review of postmarket clinical trial data revealed an increased risk of liver injury with obeticholic acid in patients with PBC without cirrhosis.

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Study likely to change standard of care for deadly strokes

Science Daily - Stroke

Endovascular therapy, a minimally invasive surgery performed inside the blood vessels, is preferred to alternative approaches for vessel obstructions in life-sustaining areas of the brain, analysis suggests.

Stroke 107
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Micro-Factors May Explain the Connection Between COVID-19, Schizophrenia

HCPLive

Patients with schizophrenia and COVID-19 both present dysregulated energy metabolism, explaining the high COVID-19 rates among those with schizophrenia.

COVID-19 105
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Potential target to address a severe heart disease in diabetic patients

Science Daily - Heart Disease

Some patients with diabetes develop a serious condition known as diabetic cardiomyopathy, which is slow and cannot be directly attributed to hypertension or other cardiovascular disorders. This often under-diagnosed heart function impairment is one of the leading causes of death in diabetic patients and it affects both type 1 and type 2 diabetes. There is no current specific drug treatment or clinical protocol approved to address this disease.

Diabetes 103
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Bridging Innovation & Patient Care: The Growing Role of AI

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

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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Lung Cancer Drug Osimertinib Tied to Cardiac Events, Even in Low-Risk Patients

Med Page Today

(MedPage Today) -- The non-small cell lung cancer (NSCLC) drug osimertinib (Tagrisso) was associated with an increased risk of therapy-related cardiovascular (CV) events compared with older EGFR inhibitors, a retrospective cohort study from Taiwan.

Cancer 98
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Tobevibart, Elebsiran Receive FDA Breakthrough Therapy Designation for Chronic HDV

HCPLive

The FDA awarded Breakthrough Therapy Designation to Vir Biotechnologys tobevibart and elebsiran for the treatment of chronic hepatitis delta.

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Diabetes Dialogue: Celebrating 25 Years of CGM, with Irl Hirsch, MD

HCPLive

To celebrate surpassing 100 episodes, Diabetes Dialogue sits down with Irl Hirsch, MD, to discuss the 25-year anniversary of continuous glucose monitoring in 2024.

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Mediterranean plants show promise in heart disease prevention

Medical Xpress - Cardiology

Cardiovascular problems are the leading cause of disease and mortality worldwide. Plant extracts, rich in bioactive compounds, have contributed significantly to the development of drugs, as they offer therapeutic potential for several of these diseases. However, their use is limited by possible side effects, drugdrug interactions and the lack of scientific evidence from quality preclinical and clinical studies.

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Study Discovers Constipation Has a Causal Relationship with Schizophrenia, MDD

HCPLive

A study shows constipation has a causal relationship with schizophrenia and MDD, but the relationship with schizophrenia may have limited clinical implications.

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ECG Blog #460 — A Wide Tachycardia.

Ken Grauer, MD

I was sent the ECG in Figure-1 initially told only that it was obtained from an older man with palpitations. The cardiology team thought the rhythm was an SVT ( S upra V entricular T achycardia ) with QRS widening as a result of aberrant conduction. QUESTION: Do YOU agree that the rhythm is consistent with an SVT , in which there is QRS widening because of aberrancy?

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Lower Diet Diversity, Quality Linked to More Severe IBS Symptoms

HCPLive

Patients with IBS had different dietary patterns than matched general population controls, with poor diet diversity and quality linked to symptom severity.

Diet 97
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Study likely to change standard of care for deadly strokes

Medical Xpress - Cardiology

Endovascular therapy, or EVT, a minimally invasive surgery performed inside the blood vesselsis 2 times more likely than standard medical management to achieve a positive outcome after vertebrobasilar stroke that affects the back of the brain, including the brain stem.

Stroke 81
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Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association

Stroke Journal

Stroke, Ahead of Print. Considerable variation exists in the delivery of acute stroke care and stroke outcomes across settings and population groups. This is attributable in part to variation in resources among emergency departments in the United States, most notably in rural regions. Structural constraints of the US health care system, including the geographic distribution of where patients live relative to the location of hospitals and certified stroke centers, will continue to mean that many

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Investigation raises new concerns over landmark trial for top selling anti-platelet drug

Medical Xpress - Cardiology

An investigation published in The BMJ raises new concerns over the landmark clinical trial (PLATO) that was used to gain worldwide approval for the anti-platelet drug ticagrelor (Brilinta in the US and Brilique in Europe), manufactured by AstraZeneca.

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Dupilumab Treatment of Atopic Dermatitis Safe for Up to 5 Years in Children, Adults

HCPLive

This assessment of dupilumab for pediatric and adult patients with moderate-to severe eczema treated for up to 5 years confirms the drug efficacy and safety across age groups.

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Long-term exposure to air pollution linked to blood clots in veins that bring blood to the heart

Medical Xpress - Cardiology

A large study found that greater exposure to long-term air pollution was linked with increased risks for blood clots that can occur in deep veins, which, if untreated, can block blood flow and cause serious complications, even death.

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Lebrikizumab for Atopic Dermatitis Results in Long-Term Improvements Over 152 Weeks

HCPLive

These long-term results from the ADjoin trial show that long-term lebrikizumab therapy may improve sleep disturbances, pruritus, and skin symptoms, using POEM as an assessment tool.

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Case Report: Loeffler endocarditis as a cause of left ventricular thrombosis in young women: a case study and literature review

Frontiers in Cardiovascular Medicine

It is unusual for young patients without any underlying diseases to experience sudden cerebral infarction and heart failure. Here, we report a rare case of a 28-year-old female patient who presented with chest tightness and dizziness. Left ventricular thrombus formation and cardiac insufficiency were evident on echocardiogram, while multiple acute or subacute cerebral infarctions were visible on brain magnetic resonance imaging.

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Where is the Mental Health Crisis Heading in 2025? Hear from Experts

HCPLive

America's mental health crisis continues to escalatewhat drives it, and what lies ahead in 2025? Hear insight from psychiatry and psychology experts.

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Prediction of postoperative stroke in patients experienced coronary artery bypass grafting surgery: a machine learning approach

Frontiers in Cardiovascular Medicine

BackgroundCoronary artery bypass grafting (CABG) surgery has been a widely accepted method for treating coronary artery disease. However, its postoperative complications can have a significant effect on long-term patient outcomes. A retrospective study was conducted to identify before and after surgery that contribute to postoperative stroke in patients undergoing CABG, and to develop predictive models and recommendations for single-factor thresholds.Materials and methodsWe utilized data from 1,

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Growing Price Tag Reported for Newer De Facto Stroke Lytic

Med Page Today

(MedPage Today) -- NEW ORLEANS -- Tenecteplase in recent years outpaced alteplase as the stroke thrombolytic of choice at one large hospital system, despite shrinking cost savings, a researcher reported here. In 2021, clinicians at Cardinal.

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Association between “Life's Essential 8” cardiovascular health and apparent treatment-resistant hypertension among US adults from the NHANES, 2005 to 2018

Frontiers in Cardiovascular Medicine

BackgroundThe association between healthy lifestyle and American Heart Association (AHA) Life's Essential 8 (LE8) score and apparent treatment-resistant hypertension(aTRH)remains uncertain. We aimed to explore the association between healthy lifestyle and higher LE8 score and apparent treatment-resistant hypertension in the general population.MethodsUsing NHANES data from 2005 to 2018, we included and analyzed information on 7,474 participants eligible for this study.

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Mifepristone Notably Reduces HbA1c in Treatment Phase of CATALYST Trial

HCPLive

Patients with hypercortisolism and difficult-to-control type 2 diabetes who received mifepristone exhibited a significant HbA1c improvement in the Phase 4 trial.

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How an Intermountain community hospital earned vascular verification

Becker's Hospital Review - Cardiology

Salt Lake City-based Intermountain Health's St. Mary's Regional Hospital in Grand Junction, Colo., recently became the first community hospital in the nation to receive vascular verification from the American College of Surgeons and the Society for Vascular Surgery.

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Insulin Resistance Amplifies Risk of Colorectal Cancer Development

HCPLive

Elevated blood insulin levels and insulin resistance each contributed to an elevated risk of colorectal cancer, a new study finds.

Cancer 52
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NYU Langone expands cardiac services

Becker's Hospital Review - Cardiology

New York City-based NYU Langone has expanded cardiology services at the NYU Langone HospitalBrooklyn. Previously, NYU Langone patients living in Brooklyn were travelling to Manhattan to receive advanced cardiac care.

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A New Era for NMIBC: How a Decade of Progress is Reshaping Treatment

HCPLive

The BCG-unresponsive non-muscle invasive bladder cancer space has gone from a dearth of options to a wave of new treatments.

Cancer 52
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'We cannot continue doing this': Cardiologists react to 2025 fee schedule

Becker's Hospital Review - Cardiology

After CMS released its finalized 2025 physician fee schedule, which will reduce reimbursements by 2.83%, some cardiologists are raising concerns over what they call an unstable healthcare system, according to a Dec. 9 TCTMD report.

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Trial to Evaluate Cardiovascular Outcomes in Patients Treated With the Tricuspid Valve Repair System Pivotal

American College of Cardiology

The goal of the TRILUMINATE Pivotal trial was to evaluate percutaneous tricuspid valve transcatheter edge-to-edge repair (TEER) compared with medical therapy among patients with symptomatic severe tricuspid regurgitation.

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Salary disparities in cardiothoracic surgery: 4 study notes

Becker's Hospital Review - Cardiology

Women in academic cardiothoracic surgery earn 80% to 87% of the salary men with equal academic rank earn, according to a study published Dec. 2 in The Annals of Thoracic Surgery.

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Value-Based Care in Cardiology Forum Explores CV Contributions to High-Value Care

American College of Cardiology

Presenting and learning from real-world accountable care cardiovascular arrangements was the focus of ACCs sixth annual Value-Based Care in Cardiology Forum, held Dec. 5 in Washington, DC.

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Long-term outcomes of ganglionated plexus ablation as sole therapy for paroxysmal atrial fibrillation

HeartRhythm

The autonomic nervous system, through the ganglionated plexus (GP), is known to contribute to the arrhythmogenesis of atrial fibrillation (AF). The GANGLIA-AF trial was a prospective, multicenter, randomized, single-blinded study (NCT02487654) randomizing paroxysmal AF patients to either stand-alone left atrial ectopy-triggering GP (ET-GP) ablation or standard pulmonary vein isolation (PVI) only.1 The trial was unique in that it performed detailed mapping of the left atrium, surveying for sites

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ACC Priority Legislation to Fund Cardiomyopathy Awareness, AEDs in Schools Passes Senate

American College of Cardiology

The U.S. Senate passed the Cardiomyopathy Health Education, Awareness, Research, and Training in the Schools (HEARTS) Act (H.R. 6829), a major ACC Advocacy priority, on Dec. 10. The bill secures funding for cardiomyopathy awareness initiatives and supporting the placement of AEDs in schools, along with CPR and AED training.

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Impact of shortening the blanking period to 8 weeks after PVI: Insights from COMPARE-CRYO using continuous rhythm monitoring

HeartRhythm

Early recurrences of atrial tachyarrhythmias (ERATs) after pulmonary vein isolation (PVI) are common. While many correlate to late recurrences (LRs), some do not. The impact of ERAT timing is difficult to assess with noninvasive Holter monitoring because of undersampling. The recommended duration of the blanking period (BP) was recently shortened from 90 days to 8 weeks.

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A Giant Left Atrial Appendage Aneurysm With Incessant Atrial Tachycardia

Journal of Cardiovascular Electrophysiology

ABSTRACT Introduction Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life-threatening systemic thromboembolism, and cardiac dysfunction. Methods and Results We described a case of a 36-year-old woman with incessant atrial tachycardia (AT) originating from LAAA, which surgical intervention successfully terminate

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Novel risk predictor of arrhythmias for patients with potassium channel–related congenital long QT syndrome

HeartRhythm

Congenital long QT syndrome (LQTS) is characterized by delayed ventricular repolarization, predisposing to potentially lethal ventricular arrhythmias. The variability in disease severity among patients remains largely unexplored, underscoring the limitations of current risk stratification methods.