Sun.Nov 12, 2023

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Lilly’s Zepbound (aka tirzepatide) Lands FDA Approval for Weight Loss

CardiacWire

The US obesity management arena gained a major new competitor last week with the FDA approval of Eli Lilly’s Zepbound, giving obese and overweight patients in the US a second (on-label) option beyond Novo Nordisk’s Wegovy. Zepbound is Lilly’s new obesity-targeted brand for tirzepatide, which has been available to US diabetic patients under its Mounjaro brand since May 2022 Although often referred to as a GLP-1, tirzepatide uniquely activates both GIP (affects adipose tissue regulation and storag

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New anti-clotting medication reduces bleeding among people with atrial fibrillation

American Heart News - Heart News

Research Highlights: Bleeding was reduced by more than 60% among people taking the anti-clotting agent abelacimab, demonstrating its safety for people at risk of stroke from atrial fibrillation. Abelacimab was compared with another standard-of-care.

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Tampering Hippocratic oath, is not a blasphemy !

Dr. S. Venkatesan MD

It is still a huge mystery, why the father of medicine stressed more about “not doing bad” than “doing good” What made him to hold on to, such pessimistic thoughts , 2500 years ago. I am unable to think how he would react to this “tampered version” if he is alive ! My gut feeling is, he will find it hard to object.

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Anti-clotting pill reduced stroke risk in adults with symptomless, irregular heart rhythm

American Heart News - Heart News

Research Highlights: In a large study of adults with implanted heart devices that detected short, symptomless bouts of irregular heart rhythm, known as subclinical atrial fibrillation, those who took the anti-clotting medication apixaban were 37% less.

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Doing a good job when breaking bad news to patients

Heart Sisters

Study: 3/4 of physicians first delivered bad news to a patient while still a med student, yet only 10% were supervised by a senior physician.

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New medication given every 1-3 months may slash stubborn high cholesterol

American Heart News - Heart News

Research Highlights: While currently available PCSK9 inhibitor medications to lower cholesterol must be administered every few weeks by injection, a new, investigational PCSK9 inhibitor called recaticimab safely lowered bad cholesterol more than 50%.

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Prioritizing the Exposome to Reduce Cardiovascular Disease Burden

JAMA Cardiology

The concept that the totality of environmental exposures, from the prenatal period and throughout life, affect health is termed the exposome, which was coined in 2005 by Wild as a complement to genomics to capture the breadth of environmental exposures on a person’s health risk. Wild argued that there was a critical need to address environmental factors, starting with developing reliable exposure assessment tools comparable in rigor with methods used in genomics.

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Neighborhood Environmental Burden and Cardiovascular Health in the US

JAMA Cardiology

This cross-sectional study evaluates associations between environmental burden and cardiovascular risk factors and diseases at the neighborhood level and by levels of social vulnerability.

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Dr. Daniel Judge and Dr. C. Michael Gibson: Acoramidis from bench to bedside

Clinical Trial Results

Disclosures 100 19370 0 19370 0 0 207k 0 --:--:-- --:--:-- --:--:-- 207k : TBD

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Torsemide vs Furosemide Among Patients With New-Onset vs Worsening Chronic Heart Failure

JAMA Cardiology

This post hoc analysis of the Torsemide Comparison With Furosemide for Management of Heart Failure (TRANSFORM-HF) randomized clinical trial investigates if torsemide improves mortality and hospitalization outcomes at 12 months compared with furosemide in either de novo heart failure or worsening chronic heart failure.

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Amal Mattu’s ECG Case of the Week – November 13, 2023

ECG Weekly Workout

This content is for members only

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Declining Risk of Sudden Cardiac Death in Young Athletes

Circulation

Circulation, Ahead of Print.

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Dr. Andrew Bellinger, Dr. Sek Kathiresan and Dr. C. Michael Gibson Discuss: Safety and Pharmacodynamic Effects of VERVE-101, an Investigational DNA Base Editing Medicine Designed to Durably Inactivate the PCSK9 Gene and Lower LDL Cholesterol – Interim Results of the Phase 1b heart-1 Trial

Clinical Trial Results

Disclosures: TBD

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Physical Activity for Patients with Heart Failure with Reduced Ejection Fraction: Pump up the Volume

Circulation

Circulation, Ahead of Print.

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Dr. Steven Nissen and Dr. C. Michael Gibson Discuss: Efficacy and Safety of Lepodisiran: An Extended Duration Short-Interfering RNA Targeting Lipoprotein (a)

Clinical Trial Results

Disclosures: TBD

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Sudden Cardiac Death in National Collegiate Athletic Association Athletes: A 20-Year Study

Circulation

Circulation, Ahead of Print. Background:Understanding the incidence, causes, and trends of sudden cardiac death (SCD) among young competitive athletes is critical to inform preventive policies.Methods:This study included National Collegiate Athletic Association athlete deaths during a 20-year time frame (July 1, 2002, through June 30, 2022). Athlete deaths were identified through 4 separate independent databases and search strategies (National Collegiate Athletic Association resolutions list, Pa

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One dose of experimental therapy reduced lipoprotein(a) more than 94% for nearly a year

American Heart News - Heart News

Research Highlights: In this first trial in people, a single dose of a new therapeutic called lepodisiran reduced the harmful risk factor lipoprotein(a), or Lp(a), by up to 94%, with reductions lasting nearly a year. Lepodisiran is a small interfering.

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A Multicenter, Single-Blind, Randomized, Warfarin-Controlled Trial of Edoxaban in Patients With Chronic Thromboembolic Pulmonary Hypertension: KABUKI Trial

Circulation

Circulation, Ahead of Print.

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A single infusion of a gene-editing medicine may control inherited high LDL cholesterol

American Heart News - Heart News

Research Highlights: In an interim report from the first study in people, a single infusion of a gene-editing therapy significantly reduced bad cholesterol (LDL-C) in people at high risk of early heart attack due to an inherited form of high.