Fri.Feb 16, 2024

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A young man with persistent palpitations

Dr. Smith's ECG Blog

Written by Pendell Meyers A teenager was playing basketball when he suddenly developed palpitations and lightheadedness. He presented soon afterward at the Emergency Department with ongoing symptoms. Mentation and blood pressure were normal. He had no chest pain or shortness of breath. Heart rates on the monitor fluctuated from 180-250 bpm. Here is his triage ECG: What do you think?

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Hypertension, Diabetes in Pregnancy Affects Offspring's Heart Health in Adolescence

Med Page Today

(MedPage Today) -- NATIONAL HARBOR, Md. -- Moms who had hypertensive disorders of pregnancy (HDP) or gestational diabetes mellitus (GDM) were more likely to have kids with worse cardiovascular health (CVH) in adolescence, a secondary analysis.

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Atlantic Health System Breaks New Ground with CAR-T Cell Therapy for Lupus Treatment

HCPLive

A groundbreaking phase 1 study using CAR-T cells to treat severe lupus highlights a collaborative effort between the Cellular Therapy Program and rheumatology programs to pioneer innovative patient care.

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RNA Silencer Zilebesiran: Infrequent Injections Bring Down BP

Med Page Today

(MedPage Today) -- In people with mild to moderate hypertension taken off antihypertensive treatment, quarterly and biannual injections of novel RNA silencer zilebesiran showed promise for safely reducing systolic blood pressure (BP), the phase.

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New study analyzes link between digit ratio and oxygen consumption in footballers

Science Daily - Heart Disease

The efficiency of oxygen supply to tissues is a factor in the severity of important diseases such as Covid-19 and heart conditions. Scientists already know that the relationship between the length of a person's index and ring fingers, known as the 2D:4D ratio is correlated with performance in distance running, age at heart attack and severity of Covid-19.

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What high triglycerides mean and why it matters to your heart

Medical Xpress - Cardiology

You may be familiar with high-density, or good cholesterol; low-density lipoproteins (LDL), or bad cholesterol; and their connections to heart health. But what about triglycerides? Often that word gets skimmed over when talking about cholesterol levels.

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FDA Approves Omalizumab as First Treatment of 1 or More Food Allergies for Children, Adults

HCPLive

The approval is based upon phase 3 findings from the OUtMATCH study, representing the first treatment for adult and pediatric patients with accidental exposure to 1 or more food allergens.

More Trending

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Inappropriate Medications Prescribed Among Patients on Dialysis

HCPLive

Nearly 30% of patients were receiving potentially inappropriately prescribed medications at the start of the study and more than 20% were still receiving these medications 1 year later.

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Cardio Diagnostics Holdings, Inc. Expands HeartRisk Platform Offering to Diverse Markets in Conjunction with Nationwide Rollout

DAIC

mtaschetta-millane Fri, 02/16/2024 - 09:40 February 16, 2024 — Cardio Diagnostics Holdings, Inc. , an AI-driven precision cardiovascular medicine company, announced the nationwide rollout and a significant expansion of its groundbreaking HeartRisk platform. HeartRisk combines insights from HIPAA-compliant anonymized and aggregated clinical cardiovascular data obtained through Cardio Diagnostics’ Epi+Gen CHD and PrecisionCHD clinical tests, with industry and geographic data to enable real-time

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Robert Bissonnette, MD: Discussing the First Oral IL-23 Inhibitor for Psoriasis

HCPLive

In this interview, Bissonnette spoke on the significance of the recent topline data on JNJ-2113 for patients with plaque psoriasis.

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Major Depressive Disorder Impacts Peripheral Artery Disease Risk Through Intermediary Risk Factors

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundMajor depressive disorder (MDD) has been identified as a causal risk factor for multiple forms of cardiovascular disease. Although observational evidence has linked MDD to peripheral artery disease (PAD), causal evidence of this relationship is lacking.Methods and ResultsInverse variance weighted 2‐sample Mendelian randomization was used to test the association the between genetic liability for MDD and genetic liability for PAD

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Salt Substitutes Reduces Hypertension in Older Adults

HCPLive

Older adults who use a salt substitute had a 40% lower incidence of experiencing hypertension than people who use regular salt.

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Hypertension in Pregnancy Among Immigrant and Swedish Women: A Cohort Study of All Pregnant Women in Sweden

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundLittle is known about risks of hypertensive disorders of pregnancy in both first‐ and second‐generation immigrant women in Europe and other Western countries; such knowledge may help elucidate the influence of genetic versus social factors on such risks. We aimed to study both first‐ and second‐generation immigrant women for the presence of all types of hypertension (preexisting hypertension, gestational hypertension, preeclamp

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Iron Deficiency Associated with Hearing Loss Risk in Adolescents

HCPLive

Microalbuminuria and low body iron levels displayed a significant association with pediatric hearing loss independently.

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Urinary Prostaglandin E2 Excretion and the Risk of Cardiovascular and Kidney Disease

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundInhibition of prostaglandin synthesis by nonsteroidal anti‐inflammatory drugs is associated with cardiovascular mortality and kidney disease. This study hypothesizes that urinary prostaglandin E2 (PGE2) and PGE2 metabolite (PGEM) excretions are markers of cardiovascular and kidney health, because they reflect both systemic and kidney‐derived PGE2 production.Methods and ResultsPGE2 and PGEM were measured in spot urine samples fr

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New ranking surpasses standard for patient death risk for heart transplant

Becker's Hospital Review - Cardiology

When patients awaiting crucial heart transplants are placed on the organ transplant waiting list, they've traditionally been arranged based on what type of treatments they were receiving for their current condition. But researchers from the University of Chicago have discovered a new, more accurate way to rank patients.

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Biosocial predictors and blood pressure goal attainment among postmenopausal women with hypertension

Frontiers in Cardiovascular Medicine

Objectives In postmenopausal states, women may not maintain blood pressure (BP) in the same way as men, even though most women follow their treatment plans and prescriptions more consistently than men. Biological and lifestyle factors influence the progression of hypertension in postmenopausal women (PMW). This study aimed to determine biosocial predictors associated with achieving the target BP in PMW with hypertension.

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Originator Users in Finland Hesitant on Using Biosimilars

HCPLive

Nearly half (47%) of biosimilar users knew they were using biosimilars but 31% thought the medicine was an originator. In contrast, 80% of originator users knew they were using an originator, and none thought they were using a biosimilar.

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Reducing Postpartum CVD Risk: Key Points

American College of Cardiology

The following are key points to remember from an American Heart Association Scientific Statement on opportunities in the postpartum period to reduce cardiovascular disease (CVD) risk after adverse pregnancy outcomes.

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School Urinary Screening Program Facilitates Early IgAN Detection, Intervention

HCPLive

Results confirmed the cost-effectiveness of Japan’s mandated school urinary screening strategy, also pointing to fewer patients progressing to ESKD compared to no screening.

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Physiology Friday #205: What Limits VO2 Max? It Might Depend on Your Fitness Level.

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. Details about the sponsors of this newsletter including Zeit Calendar , Examine.com , and my eBook, “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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Ceramide, Niacinamide-Containing Moisturizer with Medication Improves Acne Lesions

HCPLive

Additional research on this form of moisturizer and other ingredients for acne with larger sample sizes may be needed to verify efficacy for acne vulgaris.

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Prediction of In?Hospital Mortality for Ischemic Cardiogenic Shock Requiring Venoarterial Extracorporeal Membrane Oxygenation

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundClinical outcome of ischemic cardiogenic shock (CS) requiring extracorporeal membrane oxygenation is highly variable, necessitating appropriate assessment of prognosis. However, a systemic predictive model estimating the mortality of refractory ischemic CS is lacking. The PRECISE (Prediction of In‐Hospital Mortality for Patients With Refractory Ischemic Cardiogenic Shock Requiring Veno‐Arterial Extracorporeal Membrane Oxygenati

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Tom Nguyen, MD: TAVR Explantation Outcomes with Balloon- vs Self-Expandable Valves

HCPLive

Tom Nguyen, MD, discusses a recent study he led comparing outcomes of TAVR explantation based on transcatheter heart valve type.

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Potential Mediators for Treatment Effects of Novel Diabetes Medications on Cardiovascular and Renal Outcomes: A Meta?Regression Analysis

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundPrior research suggests clinical effects of glucagon‐like peptide‐1 receptor agonists (GLP‐1RAs) and sodium‐glucose cotransporter‐2 inhibitors (SGLT2is) are mediated by changes in glycated hemoglobin, body weight, systolic blood pressure, hematocrit, and urine albumin‐creatinine ratio.

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Salt Substitutes Could Reduce Hypertension in Older Adults

HCPLive

Older adults who use a salt substitute had a 40% lower incidence of experiencing hypertension than people who use regular salt.

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FARS2 Deficiency Causes Cardiomyopathy by Disrupting Mitochondrial Homeostasis and the Mitochondrial Quality Control System

Circulation

Circulation, Ahead of Print. BACKGROUND:Hypertrophic cardiomyopathy (HCM) is a common heritable myocardiopathy. Although HCM has been reported to be associated with many variants of genes involved in sarcomeric protein biomechanics, pathogenic genes have not been identified in patients with partial HCM. FARS2 (the mitochondrial phenylalanyl-tRNA synthetase), a type of mitochondrial aminoacyl-tRNA synthetase, plays a role in the mitochondrial translation machinery.

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Clinical Pain Screening Proves Feasible in Pediatric Sickle Cell Disease

HCPLive

Over the study period, pain screening procedures were integrated within routine clinical visits and providers’ workflow in sickle cell disease care.

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Alternative Renin-Angiotensin System

Hypertension Journal

Hypertension, Ahead of Print. The renin-angiotensin system is the most important peptide hormone system in the regulation of cardiovascular homeostasis. Its classical arm consists of the enzymes, renin, and angiotensin-converting enzyme, generating angiotensin II from angiotensinogen, which activates its AT1receptor, thereby increasing blood pressure, retaining salt and water, and inducing cardiovascular hypertrophy and fibrosis.

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ACC Practice Made Perfect: CV Dyad Leadership Panel Discussion: Part 2 – How to Effectively Use a CV Dashboard to Run Operations

American College of Cardiology

In part 2 of this 2 part podcast, the ACC Cardiovascular (CV) Dyad Leadership Workgroup discusses how to utilize a CV dashboard to assess, communicate and optimize operations.

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Differential 5?-tRNA Fragment Expression in Circulating Preeclampsia Syncytiotrophoblast Vesicles Drives Macrophage Inflammation

Hypertension Journal

Hypertension, Ahead of Print. BACKGROUND:The relationship between placental pathology and the maternal syndrome of preeclampsia is incompletely characterized. Mismatch between placental nutrient supply and fetal demands induces stress in the syncytiotrophoblast, the layer of placenta in direct contact with maternal blood. Such stress alters the content and increases the release of syncytiotrophoblast extracellular vesicles (STB-EVs) into the maternal circulation.

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Why Does a Cardiologist Believe in a Therapy? The Role of Intuitiveness and Understanding the Mechanism

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print.

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T- and L-Type Calcium Channels Maintain Calcium Oscillations in the Murine Zona Glomerulosa

Hypertension Journal

Hypertension, Ahead of Print. BACKGROUND:The zona glomerulosa of the adrenal gland is responsible for the synthesis and release of the mineralocorticoid aldosterone. This steroid hormone regulates salt reabsorption in the kidney and blood pressure. The most important stimuli of aldosterone synthesis are the serum concentrations of angiotensin II and potassium.

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Heart attack significantly increases risk of other health conditions

Science Daily - Heart Disease

Having a heart attack significantly increases the risk of developing other serious long-term health conditions, a major new study shows. Researchers analyzed more than 145 million records covering every adult patient admitted to hospital in England over a nine-year period to establish the risk of long-term health outcomes following a heart attack -- in the largest study of its kind.

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High Resting Coronary Flow Velocity by Echocardiography Is Associated With Worse Survival in Patients With Chronic Coronary Syndromes

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundResting coronary flow velocity (CFV) in the mid‐distal left anterior descending coronary artery can be easily assessed with transthoracic echocardiography. In this observational study, the authors sought to assess the relationship between resting CFV, CFV reserve (CFVR), and outcome in patients with chronic coronary syndromes.Methods and ResultsIn a prospective multicenter study design, the authors retrospectively analyzed 7576

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How to Use Quasi-Experimental Methods in Cardiovascular Research: A Review of Current Practice

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Quasi-experimental methods (QEMs) are a family of techniques used to estimate causal relationships when randomized controlled trials are unfeasible or unethical. They offer a powerful alternative to observational studies by introducing random assignment of individuals or groups into their design, thereby offering stronger means of establishing causation.

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Assessment of Price Variation in Coronary Artery Bypass Surgery at US Hospitals

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundLittle is known about hospital pricing for coronary artery bypass grafting (CABG). Using new price transparency data, we assessed variation in CABG prices across US hospitals and the association between higher prices and hospital characteristics, including quality of care.Methods and ResultsPrices for diagnosis related group code 236 were obtained from the Turquoise database and linked by Medicare Facility ID to publicly availa