Tue.Oct 15, 2024

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Spatiotemporal transcriptomic mapping of regenerative inflammation in skeletal muscle reveals a dynamic multilayered tissue architecture

Journal of Clinical Investigation - Cardiology

Tissue regeneration is orchestrated by macrophages that clear damaged cells and promote regenerative inflammation. How macrophages spatially adapt and diversify their functions to support the architectural requirements of actively regenerating tissue remains unknown. In this study, we reconstructed the dynamic trajectories of myeloid cells isolated from acutely injured and early stage dystrophic muscles.

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Poor Hepatitis D Screening in HBV Patients Impacts Survival Outcomes

HCPLive

A new study highlights suboptimal HDV screening rates in HBV-infected individuals, suggesting that treating HBV may improve survival for those with HDV coinfection.

Outcomes 119
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Millions of Aging Americans Are Facing Dementia by Themselves

Med Page Today

(MedPage Today) -- Sociologist Elena Portacolone, PhD, was taken aback. Many of the older adults in San Francisco she visited at home for a research project were confused when she came to the door. They'd forgotten the appointment or couldn't remember.

Dementia 114
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Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)

Dr. Smith's ECG Blog

This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it and I (Smith) edited. A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. He arrived to the ED by helicopter at 1507, about three hours after the start of his chest pain while chopping wood around noon.

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Policy Changes Boost Survival in Pediatric Liver Transplants

HCPLive

The study found that, following gradual policy changes, children with acute liver failure requiring a transplant now face a reduced risk of both mortality and graft failure from 1989.

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Providing patients with blood vessel calcification imaging results may improve cardiovascular risk control

Medical Xpress - Cardiology

In a first-ever trial, researchers from Edith Cowan University (ECU) have provided abdominal aortic calcification (AAC) imaging results to attempt to elicit behavioral changes to improve diet, physical activity, and other cardiovascular disease risk factors in older men and women.

Diet 96
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Retinal perivascular macrophages regulate immune cell infiltration during neuroinflammation in mouse models of ocular disease

Journal of Clinical Investigation - Cardiology

The blood-retina barrier (BRB), which is disrupted in diabetic retinopathy (DR) and uveitis, is an important anatomical characteristic of the retina, regulating nutrient, waste, water, protein, and immune cell flux. The BRB is composed of endothelial cell tight junctions, pericytes, astrocyte end feet, a collagen basement membrane, and perivascular macrophages.

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Cannabis use disorder: from neurobiology to treatment

Journal of Clinical Investigation - Cardiology

Cannabis has been legalized for medical and recreational purposes in multiple countries. A large number of people are using cannabis and some will develop cannabis use disorder (CUD). There is a growing recognition that CUD requires specific interventions. This Review will cover this topic from a variety of perspectives, with a particular emphasis on neurobiological findings and innovative treatment approaches that are being pursued.

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COVID's Outsized Heart Risk; Prehab for Cardiac Surgery; Telerobotic Valve Repair

Med Page Today

(MedPage Today) -- Severe COVID-19 infection was associated with major cardiac events as much as -- and in some cases more than -- having a history of heart disease, U.K. Biobank data showed. (Arteriosclerosis, Thrombosis, and Vascular Biology.

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Distinguishing between help and harm: Helper T cell subsets and immune-related adverse events

Journal of Clinical Investigation - Cardiology

The precise conditions by which cytokines drive cancer is relevant to improving immune checkpoint inhibition (ICI) responses while decreasing toxicity. In this issue of the JCI, Kao et al. investigated T helper cell pathways in patients with solid tumors receiving ICI. The authors evaluated T cell populations, cytokine signatures, immune related adverse events (irAEs), and survival outcomes.

Cancer 124
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Coronary Revascularization Guided With Fractional Flow Reserve or Instantaneous Wave-Free Ratio

JAMA Cardiology

This study compares long-term outcomes of instantaneous wave-free ratio and fractional flow reserve-based strategies to guide revascularization.

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Transcript splicing optimizes the thymic self-antigen repertoire to suppress autoimmunity

Journal of Clinical Investigation - Cardiology

Immunological self-tolerance is established in the thymus by the expression of virtually all self-antigens, including tissue-restricted antigens (TRAs) and cell-type–restricted antigens (CRAs). Despite a wealth of knowledge about the transcriptional regulation of TRA genes, posttranscriptional regulation remains poorly understood. Here, we show that protein arginine methylation plays an essential role in central immune tolerance by maximizing the self-antigen repertoire in medullary thymic epith

Cancer 84
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What's missing in cardiology conversations

Becker's Hospital Review - Cardiology

From preparing for the effects of AI to bracing for the "silver tsunami," here is what cardiology leaders who shared their insights with Becker's said should be prominent topics of conversation in the industry.

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Longitudinal analysis of viral dynamics in HIV+-to-HIV+ HOPE Act kidney-transplant recipients

Journal of Clinical Investigation - Cardiology

BACKGROUND The HIV Organ Policy Equity (HOPE) Act allows individuals living with HIV to accept organs from donors with HIV. This practice widens the pool of available organs, but also presents important virological issues, including the potential for HIV superinfection of the recipient, viral persistence in the kidney, and loss of virological control.METHODS We addressed these issues by performing in-depth longitudinal viral sequence analyses on urine, blood, and urine-derived renal epithelial c

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Burden, Inequality, Complications of MASLD Growing in Prevalence

HCPLive

The burden of LC-MASLD has significantly increased, especially in economically disadvantaged countries.

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Aortic Stenosis, Heart Failure, and Aortic Valve Replacement

JAMA Cardiology

This narrative review analyzes associations among heart failure, aortic stenosis, and aortic valve replacement.

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Antithrombotic Therapy in Patients at High Bleeding Risk: Key Points

American College of Cardiology

The following are key points to remember from a state-of-the-art review on antithrombotic therapy in patients at high bleeding risk (HBR) from the Working Group of Thrombosis of the Italian Society of Cardiology.

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Diabetes Dialogue: What to Know About the Eversense 365 CGM, with Brian Hansen

HCPLive

Brian Hansen, president of CGM at Ascensia Diabetes Care, joins the podcast to discuss the FDA clearance of the Eversense 365 CGM.

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ADMINISTER trial: Digital consults to optimize GDMT in HF part 2

Cardiology Update

Dr. Chadi Alraies and Dr. Mark Schuuring discuss the results of the ADMINISTER2 trial ( NCT05413447 ) which investigated whether the use of digital consults (DCs) could enhance the adoption of guideline-directed medical therapy (GDMT) in patients with heart failure and reduced ejection fraction (HFrEF). A total of 150 patients were randomized to either receive standard care or participate in DCs.

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Screening for MASLD is Cost-Effective for Patients, Study Suggests

HCPLive

These data on metabolic dysfunction-associated steatotic liver disease provide information on the economic burden among high-risk patients.

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Left Ventricular Hypertrophy in Athletes: Elucidating the Gray Zone Through cMRI Tissue Characterization Beyond LGE

American College of Cardiology

A 19-year-old collegiate volleyball player with no significant medical history was referred for evaluation after she was found to have remarkable electrocardiographic (ECG) findings during a preparticipation screening.

Article 60
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PRMT5: splicing up tolerance

Journal of Clinical Investigation - Cardiology

Expression of tissue-restricted antigens (TRAs) within the thymus is critical for the establishment of self-tolerance; however, exact mechanisms regulating the expression of TRAs has proven more complex than previously appreciated. In this issue of the JCI, Muro et al. identify a central role for protein arginine methyltransferase 5 (PRMT5) in posttranscriptional regulation of TRAs and thereby central tolerance.

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Latin Thoracic Rounds: Rounds on a Patient with Locally Advanced Stage Lung Cancer

Society of Thoracic Surgeons - Surgeon

Webinar Latin Thoracic Rounds: Rounds on a Patient with Locally Advanced Stage Lung Cancer gmckinney Tue, 10/15/2024 - 11:07 November 15, 2024 Image An international panel of experts from the United Arab Emirates, Chile, Colombia, Uruguay, Brazil, Spain, and the US will discuss up-to-date management of a patient with stage IIIA lung cancer. Panelists will discuss diagnosis, neoadjuvant and adjuvant treatments, restaging, and surgical approach and complications.

Cancer 52
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HOPE springs eternal: lack of HIV superinfection in HIV Organ Policy Equity Act kidney transplants

Journal of Clinical Investigation - Cardiology

Kidney transplantation from donors with HIV to recipients with HIV (HIV D+/R+) is an emerging practice that has shown substantial clinical benefit. Sustained HIV superinfection, whereby a transplant recipient acquires a new strain of HIV from their organ donor, is a theoretical risk, which might increase chances of viral failure. In this issue of the JCI, Travieso, Stadtler, and colleagues present phylogenetic analysis of HIV from kidney tissue, urine, plasma, and cells from 12 HIV D+/R+ kidney

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Early Career Journey: Student Loan Management for Early Career Physicians

Society of Thoracic Surgeons - Early Career

Webinar Early Career Journey: Student Loan Management for Early Career Physicians gmckinney Tue, 10/15/2024 - 10:27 November 7, 2024 Early career surgeons should plan to attend this webinar on effective financial management of student loans, presented by an expert speaker from the White Coat Investor. The presentation will examine a variety of student loan considerations: loan repayment plans (IBR, SAVE, PAYE), loan forgiveness (Public Service Loan Forgiveness), refinancing, and making a persona

Webinar 52
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Latin Thoracic Rounds Series: Rounds on Patient with Locally Advanced Stage Lung Cancer

Society of Thoracic Surgeons - Surgeon

Webinar Latin Thoracic Rounds Series: Rounds on Patient with Locally Advanced Stage Lung Cancer gmckinney Tue, 10/15/2024 - 11:07 November 15, 2024 Image An international panel of experts from the United Arab Emirates, Chile, Colombia, Uruguay, Brazil, Spain, and the US will discuss up-to-date management of a patient with stage IIIA lung cancer. Panelists will discuss diagnosis, neoadjuvant and adjuvant treatments, restaging, and surgical approach and complications.

Cancer 52
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Student Loan Management for Early Career Physicians

Society of Thoracic Surgeons - Early Career

Webinar Student Loan Management for Early Career Physicians gmckinney Tue, 10/15/2024 - 10:27 November 7, 2024 Early career surgeons should plan to attend this webinar on effective financial management of student loans, presented by an expert speaker from the White Coat Investor. The presentation will examine a variety of student loan considerations: loan repayment plans (IBR, SAVE, PAYE), loan forgiveness (Public Service Loan Forgiveness), refinancing, and making a personal loan management plan

Webinar 52
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Esophagectomy for Cancer Risk Calculator

Society of Thoracic Surgeons - Surgeon

Resource Esophagectomy for Cancer Risk Calculator kchalko Tue, 10/15/2024 - 15:08 Engineered using contemporary data from the STS General Thoracic Surgery Database, the new esophagectomy for cancer risk calculator allows surgeons and multidisciplinary medical providers to estimate a patient’s individualized risk in real-time, based on specific factors such as tumor characteristics, comorbidities, and procedures performed.

Cancer 52
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Thoracoscopic minimally invasive surgical treatment with the same incisions in a patient with uremia complicated with large thymoma and right upper lobe lung cancer: a case report

Journal of Cardiothoracic Surgery

A 41 year old female with stage 5 chronic kidney disease undergoing hemodialysis was admitted to the hospital. Chest CT scan revealed a large mass lesion of approximately 6.0 × 3.5x4.9 cm in size in the anteri.

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New study links obesity to elevated hypertension risk among young Middle Eastern women

Medical Xpress - Cardiology

Obesity is a widespread public health challenge in the Middle East, maintaining prevalence in 54.2% of women and 31.4% of men in this region. Overweight and obese women have a higher risk of hypertension and cardiovascular risk factors than women with a standard BMI, according to an analysis of the ANCORS-YW STUDY presented at ACC Middle East 2024.

Obesity 52
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Coronary artery bypass grafting in dialysis patients: a propensity score-matched analysis

Journal of Cardiothoracic Surgery

Patients undergoing dialysis treatment have long been recognized as having an elevated risk of developing coronary artery disease necessitating coronary artery bypass grafting (CABG). However, the prognostic i.

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Organization Seeks Comment on AI Governance Standard

DAIC

tim.hodson Tue, 10/15/2024 - 13:49 Oct. 14, 2024 – The Institute for AI Governance in Healthcare (IAIGH) has published the draft Healthcare AI Governance Standard (HAIGS) for public comment. The comment period opened Oct. 14, 2024, and closes Nov. 14, 2024. The draft standard is available for review and feedback at AiHealthcareGovernance.org. "As AI continues to transform healthcare, there is a pressing need for governance practices that ensure these technologies operate transparently and safel

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A case report of acute myocardial infarction with hereditary hemorrhagic telangiectasia

Journal of Cardiothoracic Surgery

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterized by epistaxis, gastrointestinal bleeding, iron deficiency anemia, and arteriovenous malformations (AVMs) affecting the.

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Medicare Administrative Contractors to Extend Coverage of AI Coronary Plaque Analysis

DAIC

tim.hodson Tue, 10/15/2024 - 12:12 Oct. 15, 2024 – Elucid has announced that four of the seven Medicare Administrative Contractors (MACs) will extend coverage for AI-enabled quantitative coronary plaque analysis, including its FDA-cleared PlaqueIQ image analysis software, beginning Nov. 24, 2024. The updated policy will allow for Medicare patients whose claims are administered within the four MACs who present with acute or stable chest pain and no known history of cardiovascular disease to be as

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The Evolving Role of Radiation Therapy in Resectable Lung Cancer

Society of Thoracic Surgeons - Surgeon

Webinar The Evolving Role of Radiation Therapy in Resectable Lung Cancer gmckinney Tue, 10/15/2024 - 10:15 October 24, 2024 In the past five years, immunotherapy has transformed the approach to treating resectable lung cancer in both neoadjuvant and adjuvant settings. During this webinar, experts will explore the continued importance of radiation therapy in managing resectable lung cancer and highlight essential insights that thoracic surgeons need for daily practice.

Cancer 52
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Emerging technology : An Intelligent vacuum thrombo-aspiration system for Acute pulmonary embolism

Dr. S. Venkatesan MD

A new Intelligent thrombo-suction catheter system , is being introduced for treatment of acute pulmonary embolism.This device regulates the force with which thrombus is sucked , with less injury and bleeding and better outcomes. Human studies & Evidence The experience from this device was presented in ESC 2024 London. Intelligent CT vacuum aspiration thrombectomy system : ALEKSANDER A. et al from Poznan University Of Medical Sciences, Pozna POLAND What to know more about this device ?

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Assessment of musical interventions and its effect on blood pressure among United States populations: a systematic review and meta-analysis

Frontiers in Cardiovascular Medicine

BackgroundHypertension (HTN) currently affects over 120 million Americans, in the United States (US). Thus, the implementation of evidence-based interventions (EBI) for blood pressure (BP) reduction is pivotal in minimizing this burden. We sought to evaluate evidence from published literature on the effectiveness of musical interventions for BP reduction within the US.MethodsA systematic review of studies that utilize music interventions to manage BP was conducted in October of 2022.