Thu.Aug 29, 2024

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ECG Blog #445 — VT or LBBB?

Ken Grauer, MD

The ECG in Figure-1 was obtained from an 80-year old woman — who presented to the ED ( E mergency D epartment ) — with a several hour history of "palpitations" and CP ( C hest P ain ). She was hemodynamically stable at the time ECG #1 was recorded. QUESTIONS: The ECG in Figure-1 was seen by a number of physicians — the majority of whom thought the rhythm was some form of SVT ( S upra V entricular T achycardia ) with LBBB ( L eft B undle B ranch B lock ) aberration.

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Experts: Don't Say 'Heartbeat' to Describe Ultrasound Findings in Early Pregnancy

Med Page Today

(MedPage Today) -- Some terms commonly used to describe observations seen on ultrasound during first-trimester pregnancies are outdated and should be replaced with more descriptive language, a multisociety panel of ob/gyns, radiologists, and emergency.

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Catching up on sleep on weekends may lower heart disease risk by up to 20%

Science Daily - Heart Disease

Modern lifestyles mean many people are sleep deprived on work or school days, and try to 'catch-up' with compensatory sleep on weekends. A new study of more than 90,000 individuals showed that those who had the most catch-up sleep on weekends had a 20% lower risk of developing heart disease than those with the least.

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Prefilled Pens, Fewer Injections Improve Satisfaction in Psoriasis Patients with Needle Phobia

HCPLive

Prefilled pens and fewer injections improve satisfaction in psoriasis patients with needle phobia, enhancing adherence and treatment effectiveness, a study finds.

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Researchers attempted to emulate a clinical trial using data from real patients

Science Daily - Stroke

Researchers used real-world clinical data to attempt to emulate a randomized controlled trial testing the effectiveness of two blood thinners, apixaban and warfarin, to prevent stroke in patients with non-valvular atrial fibrillation. The study provides a method to explore the effects of treatments in patients who are underrepresented or excluded from clinical trials.

Research 103
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20 hospitals with the lowest, highest heart attack death rates

Becker's Hospital Review - Cardiology

Discover the top hospitals with the lowest and highest death rates for heart attack patients, according to CMS data.

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Prehospital Pulse-Dose Glucocorticoid in STEMI

JAMA Cardiology

This randomized clinical trial investigates if prehospital pulse-dose glucocorticoid treatment has a cardioprotective effect in patients with ST-segment elevation myocardial infarction (STEMI).

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Borderzone Breakthrough: A new source of cardiac inflammation

Science Daily - Heart Disease

Researchers report the discovery of a novel mechanism of cardiac inflammation that may expand therapeutic opportunities to prevent heart attacks from becoming heart failure.

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Black Women With Limited Health Literacy Identified as Vulnerable to Systemic Lupus Erythematosus Impact

HCPLive

Those with limited health literacy had higher disease activity and more SLE damage.

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Effects of Sacubitril/Valsartan on All-Cause Hospitalizations in Heart Failure

JAMA Cardiology

This post hoc analysis of the PARADIGM-HF and PARAGON-HF randomized clinical trials assesses the effects of sacubitril/valsartan on all-cause hospitalizations across the spectrum of left ventricular ejection fraction.

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SECURE: Restrictive Cholecystectomy Strategy Shows No Benefit for Pain-Free Outcomes

HCPLive

The restrictive strategy led to fewer cholecystectomies without increasing complications but did not improve pain-free outcomes versus usual care for symptomatic cholelithiasis.

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Texas heart hospital kicks off $60M expansion

Becker's Hospital Review - Cardiology

Medical City Heart Hospital in Dallas is expanding with a $60 million project, adding 28 patient beds and advanced equipment for cardiovascular care.

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Smoking Cessation Halves MACE Risk, Reduction Offers Little Protection

HCPLive

Patients with stable CAD who quit smoking reduced the risk of a major event by nearly 50%, while a reduction in smoking habits demonstrated minimal effects.

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The Future of ACHD Training and Certification

Society of Thoracic Surgeons - Adult Cardiac

Webinar The Future of ACHD Training and Certification gmckinney Thu, 08/29/2024 - 14:31 September 12, 2024 In this webinar, experts discuss insights into the management of adult patients with congenital heart disease (ACHD). The panelists will discuss the current management landscape for these patients, as well as provide a broad glimpse into how the field is evolving.

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How AI and Machine Learning are Transforming Cardiology Practice Management

GEMMS

The cardiology landscape is profoundly transformed, empowered by rapid advancements inartificial intelligence (AI) and machine learning. These technologies are not just reshaping but also empowering how cardiology practices manage operations, deliver care, and enhance patient outcomes. These technologies are reshaping how cardiology practices manage operations, deliver care, and enhance patient outcomes.

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Peritumoral radiomics increases the efficiency of classification of pure ground-glass lung nodules: a multicenter study

Journal of Cardiothoracic Surgery

We aimed to evaluate the efficiency of computed tomography (CT) radiomic features extracted from gross tumor volume (GTV) and peritumoral volumes (PTV) of 5, 10, and 15 mm to identify the tumor grades correspo.

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Achieving Low Disease Activity and Remission: Managing Patient Expectations

HCPLive

Experts discuss strategies for achieving low disease activity or remission in patients, including steps taken in clinical practice and methods for managing patient expectations regarding treatment outcomes.

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Direct aortic TAVI via anterior right mini-thoracotomy using 32 mm myval for pure aortic regurgitation

Journal of Cardiothoracic Surgery

Background Aortic regurgitation with dilated annulus presents a technical challenge for conventional transcatheter aortic valve implantation (TAVI) procedures. Case presentation We report a case of an 84-year-old frail patient with a history of breathlessness found to have severe aortic regurgitation and moderately impaired left ventricular systolic function.

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Guidance on Transitioning from TNFi to Non-TNF Targeted Therapies

HCPLive

Experts discuss American College of Rheumatology guidelines on transitioning patients from TNF inhibitors to non-TNF targeted therapies like Janus kinase inhibitors, as well as factors influencing treatment switching decisions in clinical practice.

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Depression predicts delayed return to daily activities in patients post-cardiac surgery: a prospective observational study

Journal of Cardiothoracic Surgery

Depression significantly impacts recovery and return to daily activities in cardiac surgery patients. Assessing and managing depressive symptoms before and after surgery are crucial for improving surgical outc.

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TSF Scholarship Recipient Shares Insights from a Uganda Mission

Society of Thoracic Surgeons - Early Career

Application Deadline for 2025 Thoracic Surgery Foundation Scholarships Is September 15, 2024 In 2023, Dr. Chizoba Efobi was awarded the Thoracic Surgery Foundation (TSF) International Medical Volunteer Scholarship and used it to participate in a surgical outreach trip to Kampala, Uganda.

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Enhanced Games Interview

Physiologically Speaking

Greetings friends! In this interview, I sit down with Christina Smith, the Associate Director of Athlete Relations for the Enhanced Games. Per the Enhanced Games website: “The Enhanced Games are a celebration of the union of athletic excellence and scientific achievement. The Enhanced Movement believes in the medical and scientific process of elevating humanity to its full potential, through a community of committed athletes.” Some are calling the Enhanced Games the “Enhanced O

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IgA Nephropathy Among Most Common COVID-19 Vaccine-Associated Glomerular Diseases

HCPLive

The majority of highly suspected COVID-19 vaccine-associated glomerular disease cases were diagnosed as immunoglobulin A nephropathy and eventually improved with treatment.

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Do Biomarkers Predict Excess Risk for Postoperative Cardiovascular Complications After Noncardiac Surgery?

NEJM Journal Watch - Cardiology

Yes, but proving unequivocally that these measurements — added to clinical assessment — improve outcomes is still a work in progress.

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Treatment Order with Panretinal Photocoagulation Influences PDR Outcomes

HCPLive

Panretinal photocoagulation followed by anti-VEGF injections increases the likelihood of PPV, compared with anti-VEGF therapy first.

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Routine Beta-Blockers in Secondary Prevention — Approaching Retirement?

The New England Journal of Medicine

Nearly half a century ago, trials were performed that provided convincing evidence that long-term treatment with beta-blockers can improve outcomes after a myocardial infarction.1-3 These trials included a high proportion of patients with large myocardial infarctions who had a considerably worse prognosis than most patients who are seen.

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Study Highlights Global Prevalence of Vitiligo, Regional Trends

HCPLive

This systematic review and meta-analysis looks at trends around the world regarding patients with vitiligo, highlighting prevalence and incidence.

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NEJM at ESC — Beta Blocker Interruption or Continuation with Prior Myocardial Infarction

The New England Journal of Medicine

In this audio interview, Editor-in-Chief Eric Rubin and Deputy Editor Jane Leopold discuss research being presented at the 2024 European Society of Cardiology annual meeting.

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New AI Tool Predicts Sepsis Risk Within 4 Hours, Identifies Important Patient Data

HCPLive

Investigators designed a new AI tool called SepsisLab to quickly predict sepsis risk and prevent uncertainty with missing patient data.

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CVD Assessment and Management in Liver Transplantation

American College of Cardiology

The following are key points to remember from a state-of-the-art review on cardiovascular disease (CVD) assessment and management in liver transplantation.

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Clinical Quiz: Gout Flare Management Recommendations from 2020 ACR Guidelines

HCPLive

This clinical quiz, our second in a series of 4, focuses on recommendations for management of gout flares from the 2020 ACR guidelines.

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Clinical Significance of Myocardial Injury in COVID-19 Survivors

American College of Cardiology

What is the progression and impact of myocardial injury on coronavirus disease 2019 (COVID-19) survivors?

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Philip Mease, MD: Bimekizumab’s Efficacy Over Ustekinumab, Risankizumab in Treating PsA, AxSpA

HCPLive

Mease discussed data supporting approval for the indications in Fall 2024.

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Editorial on: Canagliflozin mediates mitophagy through the AMPK/PINK1/PARKIN pathway to alleviate isoprenaline-induced cardiac remodelling

Journal of Cardiovascular Pharmacology

An abstract is unavailable. This article is available as a PDF only.

Article 40
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Coronary Artery Embolism Secondary to Q Fever Endocarditis

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Ahead of Print.

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Study: Robotic Arm Can be Used for Remote Echocardiograms

DAIC

tim.hodson Thu, 08/29/2024 - 11:39 Aug. 28, 2024 — New research presented at this year’s ESC Congress 2024 in London, UK (Aug. 30 – Sept. 2) shows that performing echocardiograms remotely using a 5G cellular network has similar accuracy to those performed in person by cardiologists. “Comprehensive echocardiographic exam with a 5G cellular network and robotic arm-based remote system is feasible with relatively good diagnostic accuracy,” said study author Dr Yu Liu, Zhongshan Hospital, Shanghai