Sun.Apr 13, 2025

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Post-translational acylation of proteins in cardiac hypertrophy

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 14 April 2025; doi:10.1038/s41569-025-01150-1 In this Review, Liu, Yang and He explore the diverse mechanisms by which various post-translational protein acylations, and the dynamic interactions between them, contribute to cardiac hypertrophy. The authors also discuss the therapeutic potential of targeting acylations to modulate their effects on chromatin architecture, enzyme activity and metabolic pathways.

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A patient from Bengal refused bypass surgery at hospitals in multiple States, successfully operated by Dr. Prateek Bhatnagar

Dr. Prateek Bhatnagar

Dr. Prateek Bhatnagar, the best cardiac surgeon in India, operated a 68-year-old gentleman from Bengal, who had been refused coronary bypass surgery by leading cardiac centers across India, due to the high-risk nature of his condition. The patient had a critically low pumping of heart (left ventricular ejection fraction) of just 22%, indicating severely compromised heart function.

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The “not wonderful” new diagnosis I didn’t see coming

Heart Sisters

I was told I’d hear the pathology lab results after my breast biopsy as soon as they were available. But the results sure weren’t what I expected.

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Patient-Reported Outcomes as End Points in Heart Failure Trials

Circulation

Circulation, Volume 151, Issue 15 , Page 1111-1125, April 15, 2025. Heart failure is a growing health-care concern affecting tens of millions of individuals globally. Although traditional therapeutic strategies have focused on reducing the risk for hospitalization and mortality, the importance of patient-reported outcomes (PROs) in patients with heart failure is increasingly being recognized.

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Bridging Innovation & Patient Care: The Growing Role of AI

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

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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Ongoing Litigation and Clinician Advocacy Amid Health Policy Turbulence, with Shari Erickson, MPH

HCPLive

Erickson encouraged clinicians to get involved in advocacy for health policy issues they are passionate about.

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Expanding cardiovascular indications for semaglutide: results from the SOUL and STRIDE trials

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 14 April 2025; doi:10.1038/s41569-025-01158-7 Two clinical trials presented at the ACC.25 describe the expanding indications for the glucagon-like peptide 1 receptor agonist semaglutide in patients with type 2 diabetes mellitus.

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Reprogrammed Smooth Muscle Cells for Vascular Repair: A New Path to Healing Ischemic Tissue

Circulation

Circulation, Volume 151, Issue 15 , Page 1095-1097, April 15, 2025.

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Anemia Correction Before Colorectal Surgery Yields No Postoperative Gains

HCPLive

Anemia correction reduced perioperative rates but showed no significant impact on postoperative outcomes, emphasizing the need for prehabilitation strategies.

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Assessing the Consequences of Retrograde and Transseptal Approaches to Ventricular Arrhythmia Ablation

Circulation

Circulation, Volume 151, Issue 15 , Page 1060-1062, April 15, 2025.

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HCPLive 5 Stories in Under 5: Week of 04/06

HCPLive

An audio recap of the top 5 stories in healthcare news from the week of 03/31-04/06.

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Correction to: Single-Cell Reconstruction of Progression Trajectory Reveals Intervention Principles in Pathological Cardiac Hypertrophy

Circulation

Circulation, Volume 151, Issue 15 , Page e956-e956, April 15, 2025.

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Real-time Smartphone Alerts During Atrial Fibrillation Episodes with Implantable Cardiac Monitors and Wearable Devices: SMART-ALERT study

HeartRhythm

Atrial fibrillation (AF) is a major cause of stroke, with dynamic thromboembolic risk during and shortly after episodes. Implantable cardiac monitors (ICMs) and wearable devices have emerged as tools for real-time AF detection, yet their comparative performance in supporting anticoagulation strategies remains underexplored.

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G-Protein–Coupled Estrogen Receptor 1 and Pregnancy Confer Protection Against Hypertension in Older Females

Circulation

Circulation, Volume 151, Issue 15 , Page 1126-1129, April 15, 2025.

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Risk of Delayed AtrioVentricular Block in Patients Without Procedural Conduction Disturbances During Transcatheter Aortic Valve Replacement.

HeartRhythm

In patients undergoing transcatheter aortic valve replacement (TAVR), the risk of delayed atrioventricular block (AVB) in those without procedural conduction disturbances (CDs) remains largely unknown. This may impact hospital stay, particularly same- or next-day discharge following the procedure.

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Letter by Lu et al Regarding Article, “Association of Atrial Fibrillation Burden and Mortality Among Patients With Cardiac Implantable Electronic Devices”

Circulation

Circulation, Volume 151, Issue 15 , Page e923-e924, April 15, 2025.

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Notable Attributes of Icotrokinra for Adolescents with Psoriasis, with Lawrence Eichenfield, MD

HCPLive

In this interview, Lawrence Eichenfield, MD, speaks on his teams recent research on icotrokinra for patients with moderate-to-severe plaque psoriasis.

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Response by Peigh et al to Letter Regarding Article, “Association of Atrial Fibrillation Burden and Mortality Among Patients With Cardiac Implantable Electronic Devices”

Circulation

Circulation, Volume 151, Issue 15 , Page e925-e925, April 15, 2025.

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Finerenone, chronic obstructive pulmonary disease, and heart failure with mildly reduced or preserved ejection fraction: A prespecified analysis of the FINEARTS‐HF trial

European Journal of Heart Failure

The beneficial effects of finerenone in patients with heart failure (HF) and mildly reduced or preserved ejection fraction were consistent, regardless of a history of chronic obstructive pulmonary disease (COPD) status. BMI, body mass index; LVEF, left ventricular ejection fraction; NT-proBNP, N-terminal pro-B-type natriuretic peptide. Aims Chronic obstructive pulmonary disease (COPD) is associated with worse outcomes in heart failure (HF) with mildly reduced or preserved ejection fraction (HFmr

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ECG Blog #477 — Is One or Both 3rd-Degree?

Ken Grauer, MD

Compare these 2 tracings. Is one or both of them 3rd-Degree ( Complete ) AV Block? If not Why not? Figure-1: Is one or both of these tracings 3rd-Degree? Let's look at these rhythms one at a time starting with Rhythm-B: Rhythm B ( which I have reproduced in Figure-2 ): As always I favor the P s, Q s, 3 R Approach for assessing rhythm disorders, as I find this the most time-efficient way to narrow down my differential diagnosis of arrhythmias ( See ECG Blog #185 ): NOTE # 1: Lead MCL-1 is a ri

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Prediction and prognostic role of left ventricular systolic dysfunction in family screening for dilated cardiomyopathy and non‐dilated left ventricular cardiomyopathy

European Journal of Heart Failure

Aims The prognostic significance of detecting left ventricular (LV) systolic dysfunction during family screening programmes (FSPs) in relatives of probands affected by dilated (DCM) and non-dilated left ventricular (NDLVC) cardiomyopathies remain unclear. This study sought to evaluate the prognostic role of LV systolic dysfunction detection in relatives of DCM/NDLVC probands and to define the most accurate FSP.

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Chest pain and this ECG. Angiogram totally normal. Is this myocarditis?

Dr. Smith's ECG Blog

A man in his early 30s was walking when he developed central chest pain which was non-radiating, then had a syncopal event with bowel incontinence, and when he woke up he had ongoing chest pain. Notes never having symptoms like this before, pain is so severe its causing SOB. He called 911. Medics recorded a BP of 79/52 with pulse of 47. They recorded this ECG: Obvious inferior STEMI/OMI What else?