Dr. Smith's ECG Blog

DECEMBER 19, 2023

This is written by Willy Frick, an amazing cardiology fellow in St. Louis. [link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. He described it as "10/10" intensity, radiating across his chest from right to left. EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49.

Plaque 130

Plaque Angina Blog Stents 130

HCPLive

DECEMBER 19, 2023

Among adults in middle- to high-income nations, awareness of diabetes as a cardiovascular risk factor remains a persistent issue.

Risk Factors 128

Risk Factors Diabetes 128

American Heart News - Heart News

DECEMBER 19, 2023

DALLAS, Dec. 19, 2023 — Technologies that less invasively restore blood flow to blocked or narrowed arteries; a medicine that outsmarts high blood pressure’s development; and new evidence that diabetes drugs may offer heart health benefits to people that.

Technology 126

Technology Research Diabetes 126

NOVARAD

DECEMBER 19, 2023

In today's interconnected world, quick and easy access to information is the norm, yet the healthcare sector has sometimes struggled to keep pace. After all, there were once days of using CDs to share essential medical images. It was not only inconvenient but also raised concerns about accessibility and the well-being of patients.

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HCPLive

DECEMBER 19, 2023

Results showed treatment with dipeptidyl peptidase-4 inhibitors (DPP-4i) improved bone mineral density and reduced osteoporosis risk in patients with type 2 diabetes.

Diabetes 111

Diabetes 111

DAIC

DECEMBER 19, 2023

ECGI vest developed at UCL being worn by a UCL medical student. Image courtesy of UCL Institute of Cardiovascular Science / James Tye milla1cf Tue, 12/19/2023 - 18:19 December 19, 2023 — A vest that can map the electrical activity of the heart in fine detail could potentially be used to better identify people at high risk of sudden cardiac death , suggests a new study led by UCL researchers.

Sudden Cardiac Death 105

Sudden Cardiac Death Heart Rhythm Biomarkers Cardiomyopathy 105

HCPLive

DECEMBER 19, 2023

Tight glycemic target treatment compares similarly to less-tight glycemic target treatment in terms of how it affects the mental health status of women with gestational diabetes mellitus.

Diabetes 111

Diabetes 111

HCPLive

DECEMBER 19, 2023

The decision by the FDA is a step closer to omalizumab’s potential approval, making it the potential first medicine to reduce reactions to many different food allergens after accidental exposure.

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Dr. Paddy Barrett

DECEMBER 19, 2023

Reversing or regressing coronary artery disease is possible. You cannot eliminate the plaque entirely, but multiple clinical trials have shown plaque regression using high-intensity cholesterol-lowering treatments, which I have discussed previously. But can coronary artery disease be reversed with lifestyle measures, including changes to nutrition and exercise?

Coronary Artery Disease 105

Coronary Artery Disease Plaque Exercise Heart Attack 105

HCPLive

DECEMBER 19, 2023

While the ACT program did not benefit patients in the study’s primary outcome measure, it did lead to some other benefits for those with type 1 diabetes.

Diabetes 105

Diabetes Outcomes 105

DAIC

DECEMBER 19, 2023

milla1cf Tue, 12/19/2023 - 17:05 December 19, 2023 — Siemens Healthineers announced the Food and Drug Administration ( FDA ) clearance of the Somatom Pro.Pulse, a dual-source computed tomography scanner designed to be more affordable for a wide range of healthcare facilities, including outpatient diagnostic centers. The scanner combines the power and speed of dual-source CT technology—two X-ray tubes and two detectors—with embedded artificial intelligence and user assistance features to deli

Chest Pain 104

Chest Pain Coronary Artery Disease Technology Outpatient 104

HCPLive

DECEMBER 19, 2023

Weight cycling could lead to a relative loss of fat-free mass in people living with overweight and obesity at high risk of type 2 diabetes.

Diabetes 105

Diabetes Obesity 105

Medical Xpress - Cardiology

DECEMBER 19, 2023

Heart rates are easier to monitor today than ever before. Thanks to smartwatches that can sense a pulse, all it takes is a quick flip of the wrist to check your heart. But monitoring the cells responsible for heart rate is much more challenging—and it's encouraged researchers to invent new ways to analyze them.

Research 102

Research Tachycardia 102

HCPLive

DECEMBER 19, 2023

Addressing a lack of quantitative data on AID, this study used validated measures in a real-world setting to corroborate the psychosocial benefits seen in prior qualitative research.

Diabetes 105

Diabetes Outcomes Research 105

ECG Cases

DECEMBER 19, 2023

In this part 1 or our 2-part podcast series on wrist injuries Dr. Arun Sayal and Dr. Matt DiStefano answer such questions as:when should we suspect a DRUJ injury, why is it important to pick up DRUJ injuries in the ED, and how does it change our management? Why is the lateral x-ray view so important in picking up commonly missed wrist injuries? When it comes to distal radius fractures, how are Colles vs Barton's vs Smith's fractures managed differently in the ED?

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HCPLive

DECEMBER 19, 2023

More than half of patients who received a pancreas transplant alone experienced >50% decline in eGFR, had eGFR < 30 mL/min/1.73 m2, and/or received a kidney transplant 10 years after their initial pancreas transplant.

Transplant 98

Transplant 98

Journal of Cardiovascular Pharmacology

DECEMBER 19, 2023

Statins exert antithrombotic effects, which might contribute to reduced risk of venous thromboembolism (VTE). Rosuvastatin 20 mg/d administered for 4 weeks has been reported to decrease coagulation factors (F) VII, FVIII, and FXI in VTE patients. Moreover, in accordance with recent registry data in non-VTE subjects statins usage was associated with lower FXI.

Article 98

Article 98

Med Page Today

DECEMBER 19, 2023

(MedPage Today) -- Growing evidence points to kidney health as a major contributor to cardiovascular health, with the implication that there should be more testing and treatment for albuminuria starting in the current normal range. The death risks.

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HCPLive

DECEMBER 19, 2023

Andrea Nguyen, PA, shares which symptoms are most burdensome to patients with AD.

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Medical Xpress - Cardiology

DECEMBER 19, 2023

It's the season for respiratory viruses and the cough, congestion and sore throats they bring. There are many options for over-the-counter (OTC) remedies and relief, but if you have high blood pressure, you may want to take a closer look at the label. Some may contain warnings that advise against taking if you have high blood pressure. Others contain high levels of sodium, which can also increase blood pressure.

Blood Pressure 94

Blood Pressure Hypertension 94

Circulation

DECEMBER 19, 2023

Circulation, Ahead of Print. Out-of-hospital cardiac arrest is a leading cause of death, accounting for ≈50% of all cardiovascular deaths. The prognosis of such individuals is poor, with &lt;10% surviving to hospital discharge. Survival with a favorable neurologic outcome is highest among individuals who present with a witnessed shockable rhythm, received bystander cardiopulmonary resuscitation, achieve return of spontaneous circulation within 15 minutes of arrest, and have evidence of ST-se

Catheterization Laboratory 79

Catheterization Laboratory Cardiac Arrest Laboratory Hospital 79

JAMA Cardiology

DECEMBER 19, 2023

This post hoc analysis of the Ticagrelor vs Clopidogrel in Stabilized Patients With Acute Myocardial Infarction (TALOS-AMI) randomized clinical trial investigates the efficacy and safety of the de-escalation strategy of switching from ticagrelor to clopidogrel vs dual antiplatelet therapy with ticagrelor in stabilized patients with acute myocardial infarction and high ischemic risk.

Myocardial Infarction 79

Myocardial Infarction 79

The New England Journal of Medicine

DECEMBER 19, 2023

Conversations about prognosis are difficult for patients and clinicians. Clinicians should partner with patients as they integrate prognostic information into goals and end-of-life decisions.

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American College of Cardiology

DECEMBER 19, 2023

The following are key points to remember from an updated American Heart Association (AHA) scientific statement on resistance exercise training in individuals with and without cardiovascular disease (CVD).

Exercise 75

Exercise Cardiovascular Disease Article 75

Medical Xpress - Cardiology

DECEMBER 19, 2023

Heart failure is causally associated with chronic kidney disease (CKD), according to a study published online Dec. 11 in PLOS ONE.

Kidney Disease 74

Kidney Disease Heart Failure 74

American College of Cardiology

DECEMBER 19, 2023

This year saw exciting developments in the treatment of pediatric and congenital heart disease. Transcatheter pulmonary valve replacement (TPVR) continued to dominate the field of interventional cardiology.

Congenital 70

Congenital Pediatrics Congenital Heart Disease Interventional Cardiology 70

Medical Xpress - Cardiology

DECEMBER 19, 2023

To fill gaps in knowledge of yellow fever (YF), a group of researchers in Brazil affiliated with the Department of Pathology at the University of São Paulo's Medical School (FM-USP), Hospital das Clínicas (HC, the hospital complex run by FM-USP), the Heart Institute (InCor, linked to HC) and Emílio Ribas Institute of Infectious Diseases (IIER) have studied the pathogenesis of YF-associated heart injury.

Research 74

Research Hospital 74

Science Daily - Heart Disease

DECEMBER 19, 2023

Scientists identify a population of human progenitor cells that were 100% effective in mouse models at promoting new blood vessel growth and restoring normal blood flow in ischemic limbs at risk of amputation. These cells also were found in high numbers in two human patients after successful treatments in a clinical trial.

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Frontiers in Cardiovascular Medicine

DECEMBER 19, 2023

Idiopathic pulmonary aneurysm is a clinically rare condition characterized by an unknown etiology and episodic occurrence. Despite its rarity, idiopathic pulmonary artery aneurysm poses potential risks to patients. Currently, there is a lack of established clinical guidelines and consensus regarding its management, leading to ongoing controversies in treatment strategies.

Aneurysm 64

Aneurysm Pulmonary Chest Pain 64

HCPLive

DECEMBER 19, 2023

Maternal characteristics, sociodemographic factors, and paternal participation during the initial year of the TEDDY study were identified as key predictors of enhanced visit compliance in a pediatric cohort genetically predisposed to type 1 diabetes.

Diabetes 64

Diabetes Pediatrics 64

Frontiers in Cardiovascular Medicine

DECEMBER 19, 2023

Background Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of non-Hodgkin lymphoma and may occur with lymph node and/or extranodal involvement. However, DLBCL with intracardiac mass is exceedingly rare. In the reported literature, the intracardiac infiltration of DLBCL mostly involves the right ventricle. Lymphoma that invades the heart has an aggressive nature, with symptoms that are easily ignored initially and can lead to multiple complications in severe cases, resulting in a

Ultrasound 64

Ultrasound Outcomes 64

HCPLive

DECEMBER 19, 2023

A review and meta-analysis of 29 studies found systolic blood pressure significantly decreased in the semaglutide group compared with placebo or other active controls.

Blood Pressure 64

Blood Pressure 64

Frontiers in Cardiovascular Medicine

DECEMBER 19, 2023

Background The rising adoption of wearable technology increases the potential to identify arrhythmias. However, specificity of these notifications is poorly defined and may cause anxiety and unnecessary resource utilization. Herein, we report results of a follow-up screening protocol for incident atrial fibrillation/flutter (AF) within a large observational digital health study.

Blood Pressure 64

Blood Pressure Atrial Fibrillation AFIB Arrhythmia 64

Med Page Today

DECEMBER 19, 2023

(MedPage Today) -- Note that some links may require registration or subscription. Apple halted sales of certain versions of the Apple Watch in the U.S. amid a patent dispute involving a medical device maker and its blood oxygen feature. (CNN.

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Cardiovascular Diabetology

DECEMBER 19, 2023

Primary aldosteronism (PA) is an adrenal disorder of autonomous aldosterone secretion which promotes arterial injury. We aimed to explore whether PA is causally associated with lower-extremity arterial disease.

Research 59

Research 59

HCPLive

DECEMBER 19, 2023

The FDA’s approval of Chiesi Global Rare Diseases’ topical gel marks the first approval for the variant of EB known as JEB.

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Med Page Today

DECEMBER 19, 2023

(MedPage Today) -- Thoratec refuted most of the 4,500-plus reports that its HeartMate 3 left ventricular assist device may have caused or contributed to a patient's death. (CBS News) Cardiovascular societies have finally released pediatric cardiac.

Pediatrics 52

Pediatrics 52