Mon.Nov 06, 2023

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Unlocking the Potential of TAVI: ADN CoE's Recent Masterclass Triumph

ADN Center of Excellence

The field of cardiology is constantly changing, with new techniques and technologies emerging to enhance care. One such innovation is the Transcatheter Aortic Valve Implantation (TAVI) which has the potential to revolutionize the treatment of valve disease by offering an invasive option compared to traditional open heart surgery. However becoming proficient in this state of the art procedure requires training and expertise which's exactly what the ADN CoE aimed to provide through their recent TA

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Navigating Healthcare Workforce Shortage | Blueprint for Employers | NHA

Learning + Leading

In the United States, the healthcare industry is confronted with the intricate issue of workforce shortages , but a collaborative network of employers, educators, and healthcare partners such as NHA are actively engaged in working towards a solution. According to a striking data point from  Becker's Hospital Review , the U.S. could encounter a shortage of more than 3.2 million allied healthcare workers, such as medical assistants, home health aides, and nursing assistants, within the following f

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El consumo de marihuana está relacionado con un mayor riesgo de ataque cardíaco e insuficiencia cardíaca

American Heart News - Stroke News

Puntos destacados de la investigación: A medida que más personas en Estados Unidos consumen marihuana por motivos médicos y recreativos, dos nuevos estudios sugieren que el consumo regular puede dañar la salud del corazón y el cerebro. En un primer.

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Unlocking the Potential of TAVI: ADN CoE's Recent Masterclass Triumph

ADN Center of Excellence

The field of cardiology is constantly changing, with new techniques and technologies emerging to enhance care. One such innovation is the Transcatheter Aortic Valve Implantation (TAVI) which has the potential to revolutionize the treatment of valve disease by offering an invasive option compared to traditional open heart surgery. However becoming proficient in this state of the art procedure requires training and expertise which's exactly what the ADN CoE aimed to provide through their recent TA

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AI may accurately detect heart valve disease and predict cardiovascular risk

American Heart News - Stroke News

Research Highlights: Artificial intelligence (AI) and deep learning models may help to predict the risk of cardiovascular disease events and detect heart valvular disease, according to two preliminary research studies. One study found that artificial.

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Duration Of Dual Antiplatelet Treatment After Percutaneous Coronary Intervention In Patients With Diabetes: A Systematic Review And Meta-Analysis

Journal of Cardiovascular Pharmacology

Abstract: Aim of our systematic review and meta-analysis is to compare shortened (≤3 months) dual antiplatelet therapy (DAPT) with longer DAPT in diabetic patients undergoing percutaneous coronary interventions (PCI). Aim of our systematic review and meta-analysis is to compare shortened (≤3 months) dual antiplatelet therapy (DAPT) with longer DAPT in diabetic patients undergoing percutaneous coronary interventions (PCI).

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Depression, anxiety and stress linked to poor heart health in two new studies

American Heart News - Stroke News

Research Highlights: Depression and anxiety may accelerate the onset of risk factors for increased heart attack and stroke, according to a Boston-based study. People with a higher genetic sensitivity to stress developed a cardiovascular risk factor at.

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La prediabetes y el consumo persistente de tabaco pueden triplicar el riesgo de ataque o derrame cerebral en adultos jóvenes sanos

American Heart News - Stroke News

Puntos destacados de la investigación: Los adultos de 18 a 44 años de edad que consumen tabaco durante mucho tiempo y tienen prediabetes (niveles de azúcar en sangre más altos de lo normal) tienen un riesgo 3 veces mayor de sufrir un derrame.

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Association of Prior Stroke With Health Care Perceptions of Adequate Emergency Care in Women

Stroke Journal

Stroke, Ahead of Print. BACKGROUND:Women with a history of stroke represent a vulnerable patient population due to their extant disability, morbidity, and risk of recurrence. The association between prior stroke with patient experience and perception of emergency medical care is unknown.METHODS:We utilized data from the Health Care Experiences and Perception cross-sectional, online survey from the American Heart Association Research Goes Red Registry.

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Dos nuevos estudios relacionan la depresión, la ansiedad y el estrés con una salud cardiaca deficiente

American Heart News - Stroke News

Puntos destacados de la investigación: La depresión y la ansiedad pueden acelerar la aparición de factores de riesgo de infarto de miocardio y ataque o derrame cerebral, según un estudio realizado en Boston. Las personas con una mayor sensibilidad.

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Artificial intelligence may help predict -- possibly prevent -- sudden cardiac death

Science Daily - Heart Disease

Predicting sudden cardiac death may be possible using artificial intelligence (AI) to analyze medical information in electronic health records, according to preliminary research. Researchers analyzed electronic health records from 25,000 people who had died suddenly and 70,000 people hospitalized for cardiac arrest who did not die in Paris, France and Seattle, Washington and used AI to build personalized health equations that identified each person's risk of dying from sudden cardiac arrest.

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An Economic Modeling Analysis of an Intensive GDMT Optimization Program in Hospitalized Heart Failure Patients

Circulation: Heart Failure

Circulation: Heart Failure, Ahead of Print. Background:The STRONG-HF trial demonstrated substantial reductions in the composite of mortality and morbidity over 6 months among hospitalized heart failure patients who were randomized to intensive guideline-directed medical therapy (GDMT) optimization compared to usual care. Whether an intensive GDMT optimization program would be cost-effective for patients with heart failure with reduced ejection fraction (HFrEF) is unknown.Methods:Using a 2-state

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Percutaneous Revascularisation for Ischemic Left Ventricular Dysfunction: Cost-Effectiveness Analysis of the REVIVED-BCIS2 Trial

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Percutaneous coronary intervention (PCI) is frequently undertaken in patients with ischemic left ventricular systolic dysfunction (ILVD). The REVIVED-BCIS2 trial concluded that PCI did not reduce the incidence of all-cause death or heart failure (HF) hospitalization, however patients assigned to PCI reported better initial health-related quality of life than those assigned to optimal medical therapy (OMT) alone.

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Characterising Mechanisms of Ischemia in Patients with Myocardial Bridges

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Ahead of Print. Background:Myocardial bridges (MBs) are prevalent and can be associated with acute and chronic ischemic syndromes. We sought to determine the substrates for ischemia in patients with angina, nonobstructive coronary arteries (ANOCA) and a MB in the left anterior descending artery.Methods:Patients with ANOCA underwent acquisition of intracoronary pressure and flow during rest, supine bicycle exercise and adenosine infusion.

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Healthcare Access and Cardiovascular Risk Factor Management Among Working-Age US Adults During the Pandemic

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Low-income working-age US adults disproportionately experienced healthcare disruptions at the onset of the COVID-19 pandemic. Little is known about how healthcare access and cardiovascular risk factor management changed as the pandemic went on, or if patterns differed by state Medicaid expansion status.Methods:Cross-sectional data from the Behavioral Risk Factor Surveillance System were used to compare self-reported mea

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Angiographic Severity of the Non-culprit Lesion and the Efficacy of Fractional Flow Reserve-guided Complete Revascularization in AMI Patients: FRAMI-AMI Substudy

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Ahead of Print. Background: The benefit of fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) for non-infarct related artery (IRA) lesions with angiographically severe stenosis in patients with acute myocardial infarction (MI) is unclear.Methods:Among 562 patients from FRAME-AMI trial who were randomly allocated into either FFR-guided or angiography-guided PCI for non-IRA lesions, the current study evaluated the relationship b

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Non-ischemic or Dual Cardiomyopathy in Patients with Coronary Artery Disease

Circulation

Circulation, Ahead of Print. Background:Randomized trials in obstructive coronary artery disease (CAD) have largely shown no prognostic benefit from coronary revascularization. While there are several potential reasons for the lack of benefit, an underexplored possible reason is the presence of coincidental non-ischemic cardiomyopathy (NICM). We investigated the prevalence and prognostic significance of NICM in patients with CAD (CAD-NICM).Methods:We conducted a registry study of consecutive pat

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High biological age may increase the risk of dementia and stroke

Science Daily - Stroke

People who have a higher biological age than their actual chronological age have a significantly increased risk of stroke and dementia, especially vascular dementia.

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Meta-analysis of Penetrance and Systematic Review on Transition to Disease in Genetic Hypertrophic Cardiomyopathy

Circulation

Circulation, Ahead of Print. Background:Hypertrophic cardiomyopathy (HCM) is characterized by unexplained left ventricular hypertrophy (LVH) and is classically caused by pathogenic or likely pathogenic variants (P/LP) in genes encoding sarcomere proteins. Not all subclinical variant carriers will manifest clinically overt disease, as penetrance (proportion of G+ who develop disease) is variable, age-dependent, and not reliably predicted.Methods:A systematic search of the literature was performed

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HeartMate 3 Left Ventricular Assist Device Improves Long-Term Cerebral Hemodynamics

Circulation: Heart Failure

Circulation: Heart Failure, Volume 16, Issue 11 , Page e010675, November 1, 2023.

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Associations Between End-Tidal Carbon Dioxide During Pediatric Cardiopulmonary Resuscitation, CPR Quality, and Survival

Circulation

Circulation, Ahead of Print. Background:Supported by laboratory and clinical investigations of adult cardiopulmonary arrest, resuscitation guidelines recommend monitoring end-tidal carbon dioxide (ETCO2) as an indicator of CPR quality but note that "specific values to guide therapy have not been established in children."Methods:This prospective observational cohort study was an NHLBI-funded ancillary study of children in theICU-RESUScitation trial (NCT02837497).

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Percutaneous Coronary Intervention for Heart Failure: Worth the Cost?

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print.

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Inflammation and Cholesterol as Predictors of Cardiovascular Events Among 13970 Contemporary High-Risk Patients With Statin Intolerance

Circulation

Circulation, Ahead of Print. Background:Among patients treated with statin therapy to guideline-recommended cholesterol levels, residual inflammatory risk assessed by high-sensitivity C-reactive protein (hsCRP) is at least as strong a predictor of future cardiovascular events as is residual risk assessed by low-density lipoprotein cholesterol (LDLC).

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Longitudinal Trends in Donor and Recipient Risk Profile, and Clinical Outcomes, for Donation After Circulatory Death Heart Transplantation

Circulation: Heart Failure

Circulation: Heart Failure, Ahead of Print.

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A Tale of Two Maladies: An Interplay of Mendelian Principles

Circulation

Circulation, Ahead of Print.

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Off-Label Dosing of Direct Oral Anticoagulants Among Inpatients with Atrial Fibrillation in the United States

Circulation: Cardiovascular Quality & Outcomes

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Among patients hospitalized for atrial fibrillation (AF), the frequency of off-label direct oral anticoagulant (DOAC) dosing, associated factors, hospital-level variation, and temporal trends in contemporary practice are unknown.Methods:Using the Get With The Guidelines® Atrial Fibrillation (GWTG-AF) registry, patients admitted from January 1st, 2014 to March 31st, 2020, and discharged on DOAC were stratified according

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A Diagnostic CopyCat: Culture-Negative Infective Endocarditis of a Bioprosthetic Valve Presenting as ANCA Vasculitis

Circulation

Circulation, Ahead of Print.

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Transcatheter Palliation With Pulmonary Artery Flow Restrictors in Neonates With Congenital Heart Disease: Feasibility, Outcomes, and Comparison With a Historical Hybrid Stage 1 Cohort

Circulation: Cardiovascular Interventions

Circulation: Cardiovascular Interventions, Ahead of Print. Background:Neonates with complex congenital heart disease and pulmonary overcirculation have been historically treated surgically. However, subcohorts may benefit from less invasive procedures. Data on transcatheter palliation are limited.Methods:We present our experience with pulmonary flow restrictors (PFRs) for palliation of neonates with congenital heart disease, including procedural feasibility, technical details, and outcomes.