Sun.Jan 14, 2024

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Decoding the Menace Within: Unraveling Myocardial Bridges and Exercise-Induced Ischemia

Cardiology Update

The perplexing landscape of angina with nonobstructive coronary arteries (ANOCA) encompasses diverse pathophysiological entities, including coronary microvascular disease (CMD), coronary artery spasm, and the enigmatic myocardial bridging (MB). Traditionally deemed benign, MBs, marked by the intramyocardial passage of an epicardial artery, are increasingly implicated in chronic angina and acute ischemic events.

Exercise 119
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Study Compares Clinical Efficacy of Febuxostat, Benzbromarone in Gout Treatment

HCPLive

A study compared the efficacy of febuxostat and benzbromarone in treating gout, emphasizing the lack of consensus in previous research and the need for future, well-designed studies.

Research 111
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How health journalists help “to make people who feel invisible feel seen”

Heart Sisters

Having severe symptoms dismissed by the doctors we turn to for help can feel as crushing as the physical suffering itself, says science writer Ed Yong - who believes that journalists can "clarify the unfathomable for people too sick to do it themselves.

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Eingun James Song, MD: Tips, Tricks for Dermatologists Treating Palmoplantar Psoriasis

HCPLive

In this discussion with E. James Song, MD, several unique clinical pearls for those in dermatology were described and had been drawn from Song’s Winter Clinical presentation.

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Literature Review: Brugada Syndrome

ECG Weekly Workout

HPI: A 55-year-old man with no significant PMHx (on no medications) presents to the emergency department with right lower quadrant pain. He is afebrile on arrival, with mild sinus tachycardia. He is found to have perforated appendicitis and is admitted for operative intervention. The following routine preoperative ECG is obtained: Case ECG Before watching this week’s video.

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Acoramidis beneficial in transthyretin amyloid cardiomyopathy

Medical Xpress - Cardiology

Acoramidis yields a significantly better four-step primary hierarchical outcome, including aspects of mortality and morbidity, than placebo for patients with transthyretin amyloid cardiomyopathy, according to a study published in the Jan. 11 issue of the New England Journal of Medicine.

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Do patients with diabetes with new onset acute myocardial infarction present with different symptoms than non-diabetic patients?

Frontiers in Cardiovascular Medicine

Background The objective of this study was to investigate the differences in presenting symptoms between patients with and without diabetes being diagnosed with an acute myocardial infarction (AMI). Methods A total of 5,900 patients with a first-time AMI were included into the analysis. All patients aged between 25 and 84 years were recorded by the population-based Myocardial Infarction Registry in Augsburg, Germany, between 2010 and 2017.

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Echocardiography-guided percutaneous intramyocardial alginate hydrogel implants for heart failure: canine models with 6-month outcomes

Frontiers in Cardiovascular Medicine

Background Echocardiography-guided percutaneous intramyocardial alginate-hydrogel implantation (PIMAHI) is a novel treatment approach for heart failure (HF). We validated PIMAHI safety and efficacy in canine HF models. Methods Fourteen canines with HF [produced by coronary artery ligation, left ventricular ejection fraction (LVEF) < 35%] were randomised to PIMAHI treatment ( n  = 8) or controls ( n  = 6).

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Harmony in Learning: Achieving Excellence at Our Global Mitral Valve interventions Training

ADN Center of Excellence

In the ever-evolving landscape of medical advancements, continuous education plays a pivotal role in shaping the expertise of healthcare professionals. Our recent Mitral Valve Training, held on January 10-11, emerged as a beacon of excellence, bringing together cardiologists from across the globe for an immersive experience. Today, we unravel the triumphs and highlights of this exceptional event that left an indelible mark on the journey of medical education.

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Baseline risk factors of in-hospital mortality after surgery for acute type A aortic dissection: an ERTAAD study

Frontiers in Cardiovascular Medicine

Background Surgery for type A aortic dissection (TAAD) is associated with high risk of mortality. Current risk scoring methods have a limited predictive accuracy. Methods Subjects were patients who underwent surgery for acute TAAD at 18 European centers of cardiac surgery from the European Registry of Type A Aortic Dissection (ERTAAD). Results Out of 3,902 patients included in the ERTAAD, 2,477 fulfilled the inclusion criteria.

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Vigilant monitoring is needed to manage cardiac risks in patients using antipsychotics, doctors say

Medical Xpress - Cardiology

The use of the antipsychotic drugs quetiapine and haloperidol is associated with an increased risk of ventricular arrhythmias and sudden cardiac death (SCD) caused by drug-induced QT prolongation, reports a new study in Heart Rhythm.

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Clinical implications of respiratory ciliary dysfunction in heterotaxy patients with congenital heart disease: elevated risk of postoperative airway complications

Frontiers in Cardiovascular Medicine

Objective Cardiac surgery in Congenital Heart Disease-Heterotaxy (CHD-HTX) patients often leads to increased postoperative airway complications. Abnormal respiratory ciliary function, resembling primary ciliary dyskinesia, has been observed. We expanded the sample size by retrospectively reviewing Ciliary Dysfunction (CD) in CHD-HTX patients to verify the increased risk of post-surgical respiratory complications.

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Triumph in TAVI: Adana City Health Training and Research Center Hosts Successful Masterclass with Prof. Dr. Ibrahim Halil Kurt

ADN Center of Excellence

In the heart of Adana, the Adana City Health Training and Research Center recently became the epicenter of groundbreaking advancements in medical education. Last week marked a significant milestone as the center of excellence for Transcatheter Aortic Valve Implantation (TAVI) procedures hosted a highly successful TAVI Masterclass. Spearheaded by the eminent Prof.

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Intermediate and long-term residual cardiovascular risk in patients with established cardiovascular disease treated with statins

Frontiers in Cardiovascular Medicine

Introduction Statins remain the first-line treatment for secondary prevention of cardiovascular (CV) events, with lowering of low-density lipoprotein cholesterol (LDL-C) being their therapeutic target. Although LDL-C reduction significantly lowers CV risk, residual risk persists, even in patients with well-controlled LDL-C; thus, statin add-on agents that target pathways other than LDL-C, such as the omega-3 fatty acid eicosapentaenoic acid, may help to further reduce persistent CV risk in patie

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Harmony in Learning: Achieving Excellence at Our Global Mitral Valve interventions Training

ADN Center of Excellence

In the ever-evolving landscape of medical advancements, continuous education plays a pivotal role in shaping the expertise of healthcare professionals. Our recent Mitral Valve Training, held on January 10-11, emerged as a beacon of excellence, bringing together cardiologists from across the globe for an immersive experience. Today, we unravel the triumphs and highlights of this exceptional event that left an indelible mark on the journey of medical education.

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Implantation of atrial flow regulator devices in patients with congenital heart disease and children with severe pulmonary hypertension or cardiomyopathy—an international multicenter case series

Frontiers in Cardiovascular Medicine

Background The Occlutech Atrial Flow Regulator (AFR) is a self-expandable double-disc nitinol device with a central fenestration. Its use has been approved in the adult population with heart failure and described for pulmonary hypertension (PH). Only case reports and small series have been published about its use in the paediatric population and for congenital heart disease (CHD).

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Right Heart Catheterization in Tetralogy of Fallot

All About Cardiovascular System and Disorders

Right Heart Catheterization in Tetralogy of Fallot With the availability of high resolution echocardiographic images and Doppler echocardiography, role of cardiac catheterization has come down in tetralogy of Fallot and other congenital heart diseases in general. Important risks for cardiac catheterization in a deeply cyanotic infant are the chance of precipitation of a cyanotic spell and thrombotic strokes due to hemoconcentration.

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An unusual query in Wellen’s syndrome ?

Dr. S. Venkatesan MD

What will happen if you happen to thrombolyse   Wellen syndrome? Will evolve into STEMI by prothrombotic trigger of lytic agent ECG will get normalised with clinical stability in some Nothing happens. ECG will remain same. Worsen the situation in majority Will be severely reprimanded by your consultant and peers. Answer: 4 will be answer for most of us , while 2 and 3 is a lesser, but distinct possibility.

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0.18 Mg Fluocinolone Acetonide Implant, Corticosteroid Burst Useful Adjuvant for Uveitis

HCPLive

A local corticosteroid burst followed by 0.18 mg FAi may be a useful adjuvant for the treatment of noninfectious uveitis, but not sufficient as solo therapy.

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Impact of preloading strategy with ticagrelor on periprocedural myocardial injury in patients with non-ST elevation myocardial infarction undergoing early invasive strategy

Journal of Cardiovascular Pharmacology

Pretreatment with an oral P2Y12 receptor blocker (before coronary angiography) vs. treatment in the catheterization laboratory has been a matter of debate in patients presenting with non-ST segment elevation myocardial infarction (NSTEMI). The primary aim of this study was to assess the impact of an immediate preloading strategy with ticagrelor on periprocedural myocardial injury in patients with NSTEMI treated with an early invasive strategy.

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Comparative Analysis of Polymer vs Non-Polymer Jacketed Wires in Chronic Total Occlusion Percutaneous Coronary Intervention

The American Journal of Cardiology

Publication date: Available online 14 January 2024 Source: The American Journal of Cardiology Author(s): Michaella Alexandrou, Athanasios Rempakos, Deniz Mutlu, Ahmed Al Ogaili, James W. Choi, Paul Poommipanit, Khaldoon Alaswad, Mir Babar Basir, Rhian Davies, Stewart Benton, Farouc A. Jaffer, Raj H. Chandwaney, Kathleen E. Kearney, Ahmed M. ElGuindy, Nidal Abi Rafeh, Omer Goktekin, Sevket Gorgulu, Jaikirshan J.

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Transcatheter aortic valve implantation (from inception to standard treatment): a single-center observational study

Frontiers in Cardiovascular Medicine

Background Treatment of severe aortic stenosis with transcatheter aortic valve implantation (TAVI) was introduced in 2002. Since then, TAVI has become the primary treatment approach worldwide for advanced-age patients and younger patients with severe comorbidities. We aimed to evaluate the changes in patient demographics, complications, and mortality rates within 13 years.

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Pioneering Long-Term Outcome of Transcatheter Aortic Valve Replacement in Nonagenarians: A Scientific Odyssey

The American Journal of Cardiology

Publication date: Available online 14 January 2024 Source: The American Journal of Cardiology Author(s): Stefano Nistri, Donato Mele, Giuseppe Tarantini

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Annular Stabilization is the Key to Connective Tissue Disorders

The American Journal of Cardiology

Publication date: Available online 14 January 2024 Source: The American Journal of Cardiology Author(s): Michel Pompeu Sá, Ibrahim Sultan, Danny Chu

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