Fri.Nov 22, 2024

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Physiology Friday #245: Fitness Protects against Neurodegenerative Diseases—Even in Those at the Greatest Risk

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. Details about the sponsors of this newsletter including FSTFUEL electrolytes, Examine.com , and my book “VO2 Max Essentials ” 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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CGM Uptake Very Low for Vulnerable Diabetes Populations

Med Page Today

(MedPage Today) -- Uptake of continuous glucose monitoring (CGM) was relatively low among vulnerable diabetes patients in the largest national system of safety-net primary care clinics, a retrospective cross-sectional study found. In patients.

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Standing at work can be detrimental to blood pressure

Science Daily - Heart Disease

A new study found that prolonged standing at work had a negative impact on the research participants' 24-hour blood pressure. In contrast, spending more time sitting at work was associated with better blood pressure. The study suggests that activity behavior during working hours may be more relevant to 24-hour blood pressure than recreational physical activity.

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Marcelo Kugelmas, MD: Elafibranor (Iqirvo) Does Not Impact Renal Function in PBC

HCPLive

Kugelmas reviews findings from a secondary analysis of the phase 3 ELATIVE trial suggesting elafibranor is associated with stable kidney function.

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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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Cardiology collaboration advances machine learning predictions for AFib after stroke

Medical Xpress - Cardiology

Researchers at Penn State are using machine learning and existing electrocardiogram (ECG) data to help doctors make more accurate predictions. A team of artificial intelligence engineers, in collaboration with a team of physicians from Penn State Heart and Vascular Institute, is working to develop novel algorithms for point-of-care, in-house use and for technology licensing.

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Medical Ethics Unpacked: Ethical Foundations and Background of Euthanasia & Medically-Assisted Suicide

HCPLive

In part 1 of this 2-part discussion, hosts explore the ethical foundation and background of euthanasia and medically-assisted suicide.

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More Trending

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Study Identifies Homelessness as a Predictor Against Clozapine Use

HCPLive

A study identified homelessness and minority status as factors that impact clozapine prescription patterns.

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Women are less likely to receive CPR than men. Training on manikins with breasts could help

Medical Xpress - Cardiology

If someone's heart suddenly stops beating, they may only have minutes to live. Doing CPR (cardiopulmonary resuscitation) can increase their chances of survival. CPR makes sure blood keeps pumping, providing oxygen to the brain and vital organs until specialist treatment arrives.

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AASM Updates Clinical Guidelines for Restless Legs Syndrome

HCPLive

Following the publication of the new RLS recommendations, HCPLive spoke with John Winkelman, MD, PhD, chair of the AASM committee that revised the guidelines.

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Acute Effects of Cannabis Inhalation on Arterial Stiffness, Vascular Endothelial Function, and Cardiac Function

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundThe cardiovascular impact of cannabis use is incompletely understood. Although evidence links chronic use to an increased risk of disease and adverse cardiovascular events, few studies have investigated the acute effects of cannabis inhalation on subclinical dysfunction. Furthermore, it remains unknown how method of inhalation and cannabinoid profile modify risk.

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Study Highlights Wound Closure Techniques Following Wide Excision for HS

HCPLive

This meta-analysis showed that both secondary closure techniques substantially reduce the risk of hidradenitis suppurativa recurrence compared to primary direct closure.

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Pathophysiology, Diagnosis, and Management of Coronary Artery Disease in the Setting of Atrial Fibrillation

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. Atrial fibrillation (AF) and coronary artery disease are frequently associated and, when so, lead to a grim prognosis. Recent studies suggest the presence of interconnected pathophysiological pathways between the 2 conditions that can promote and aggravate each other, igniting a vicious cycle.

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Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Stroke Journal

Stroke, Ahead of Print. BACKGROUND:Stroke triggers are factors that may precipitate a stroke within a given time interval and can predict the timing of a stroke. While hypoglycemia has been established as a risk factor for cardiovascular events such as acute ischemic stroke (AIS), there is limited research demonstrating hypoglycemic events as stroke triggers.

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FDA Approves Acoramidis (Attruby) for ATTR-CM

HCPLive

With approval, acoramaidis becomes the first agent with a label specifying near-complete stabilization of TTR.

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JACC: CardioOncology Expert Panel Addresses CV Care Before Cancer Treatment

American College of Cardiology

An expert panel report, one of three in a special series published in JACC: CardioOncology, provides a review of the current evidence for the cardiovascular care of patients before cardiotoxic cancer therapy and highlights gaps in the evidence.

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Protein and Glycine in Allergens: Negative Correlation with Allergy Prevalence

HCPLive

In this analysis, the investigators systematically assessed links between the macronutrient profiles of common allergenic foods and corresponding prevalence of food allergy.

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Standing at work can be detrimental to blood pressure, study suggests

Medical Xpress - Cardiology

A Finnish study found that prolonged standing at work had a negative impact on the research participants' 24-hour blood pressure. In contrast, spending more time sitting at work was associated with better blood pressure.

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Gildeuretinol for Stargardt Secures FDA Rare Pediatric, Fast Track Status

HCPLive

FDA grants Rare Pediatric Disease, Fast Track designations to gildeuretinol, aiming to accelerate treatment for Stargardt disease.

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Bleeding Risk Using NSAIDs With Anticoagulants After VTE

American College of Cardiology

What is the bleeding risk of nonsteroidal anti-inflammatory drug (NSAID) use in addition to oral anticoagulants (OACs) for the treatment of venous thromboembolism (VTE)?

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J&J Submits sBLA for Guselkumab (Tremfya) Subcutaneous Induction Regimen in UC

HCPLive

The supplemental Biologics License Application is supported by the phase 3 ASTRO study of guselkumab SC induction therapy in ulcerative colitis.

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Improving Health Equity Through Standardization and Selective Expansion of Genetic Testing in Transthyretin Amyloidosis

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print.

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FDA Issues CRL to Avacincaptad Pegol sNDA for Geographic Atrophy

HCPLive

The sNDA was intended to include positive two-year data in the US Prescribing Information for avacincaptad pegol based on the GATHER2 clinical trial.

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The Past, the Present, and the Future of Genomic Therapies in Cardiovascular Disease

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print.

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John Tesser, MD: Improving Outcomes in RA With Vagus Nerve Stimulation

HCPLive

Tesser discussed the background of the phase 3 RESET-RA trial and efficacy findings.

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To Lower Stroke Risk in Patients Undergoing Atrial Fibrillation Ablation, Is a Device or a Medication Better?

NEJM Journal Watch - Cardiology

Closure of the atrial appendage was superior to oral anticoagulation in safety and noninferior in effectiveness.

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Real-World Study Confirms Similar Efficacy of Guselkumab and IL-17i for PsA

HCPLive

Findings from PsABIOnd can help reassure clinicians of similar efficacy between treatment choices.

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Consensus on CPR and Emergency CV Care Science: Key Points

American College of Cardiology

The following are key points to remember from an international consensus on cardiopulmonary resuscitation (CPR) and emergency cardiovascular care science with treatment recommendations.

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Medical Ethics Unpacked: Ethical Considerations for Euthanasia & Medical Assistance in Dying

HCPLive

In part 2 of this 2-part discussion, hosts discuss ethical considerations and the growing evidence base around euthanasia and medical assistance in dying.

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State of the art and perspectives of gene therapy in heart failure. A scientific statement of the Heart Failure Association of the ESC, the ESC Council on Cardiovascular Genomics and the ESC Working Group on Myocardial & Pericardial Diseases

European Journal of Heart Failure

Abstract Gene therapy has recently become a reality in the treatment of cardiovascular diseases. Strategies to modulate gene expression using antisense oligonucleotides or small interfering RNA are proving to be safe and effective in the clinic. Adeno-associated viral vector-based gene delivery and CRISPR-Cas9-based genome editing have emerged as efficient strategies for gene delivery and repair in humans.

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Challenges With Current Treatment Options for CSU

HCPLive

Panelists discuss the challenges associated with using biologics for chronic spontaneous urticaria (CSU), including issues related to accessibility and cost, while also explaining why Burton tyrosine kinase (BTK) is considered an ideal target for CSU treatment due to its role in mediating mast cell degranulation.

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Neuroprotective Potential of Nitroglycerin in Ischemic Stroke: Insights into Neural Glucose Metabolism and Endoplasmic Reticulum Stress Inhibition

Journal of the American Heart Association

Journal of the American Heart Association, Volume 13, Issue 24 , December 17, 2024. BackgroundGlyceryl trinitrate (GTN), also known as nitroglycerin, is predominantly recognized as a vasodilator for ischemic heart disease, and its potential neuroprotective properties in acute ischemic stroke remain under exploration. We sought to discover the therapeutic advantages and mechanisms of postrecanalization GTN administration in acute ischemic stroke.Methods and ResultsA total of 118 male SpragueDawle

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Treatment Approaches and the Limitations of Antihistamines for CSU

HCPLive

Panelists discuss how the treatment goals for chronic spontaneous urticaria (CSU) focus on achieving symptom control and improving quality of life for patients, while also aiming for effective management strategies and adherence to treatment plans for physicians.

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Oldest‐in‐Human Successful Extraction Experience of a Novel Substernal Extravascular Defibrillator

Journal of Cardiovascular Electrophysiology

ABSTRACT Introduction Substernal extravascular defibrillators (EV ICDs) have been shown to be effective and safe for patients at risk of sudden cardiac death, however, there is little evidence around the safety of extracting chronic devices. Methods and Results We present a 50-year-old patient in whom a Medtronic EV ICD system was successfully removed without specialist extraction tools, 186 weeks after implantation, by an operator experienced in transvenous lead extraction but without formal tr

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Future Landscape of BTK Inhibitors for CSU

HCPLive

Panelists discuss the current and future roles of advanced treatments, including biologics and Bruton tyrosine kinase (BTK) inhibitors, in the management of chronic spontaneous urticaria (CSU), highlighting their potential to improve patient outcomes and the evolving landscape of treatment options.

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Commentary on the Recent Medtronic Recall, Current Management Strategy, and Multidisciplinary Approaches for Future Directions

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print.

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Steroids and Immunosuppressive Agents for CSU

HCPLive

Panelists discuss how steroids can play a role in the management of chronic spontaneous urticaria (CSU), while emphasizing that practitioners should exercise caution due to potential adverse effects and the need for careful monitoring when using systemic steroids.