Tue.Apr 23, 2024

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Cardiologist burnout rising: 7 things to know

Becker's Hospital Review - Cardiology

Burnout among cardiologists has risen by 2% since last year, with 66% reporting they have felt burned out for at least 13 months, compared to 64% in 2023, a recent Medscape report found.

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Medtronic Launches the Avalus Ultra Valve Engineered for Ease of Use at Implant and Lifetime Patient Management

DAIC

milla1cf Tue, 04/23/2024 - 15:53 April 23, 2024 — Medtronic plc, a global leader in healthcare technology, today announced the launch of its latest innovation in cardiac surgery, the Avalus Ultra valve. This next-generation surgical aortic tissue valve is designed to facilitate ease of use at implant and lifetime patient management. It’s an excellent choice for cardiac surgeons and their patients seeking an aortic valve solution that can be fit for the future, right from the start.

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EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality

ECG Cases

In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic error, Matthew McArthur on penicillin allergy labels, myths and penicillin challenges, and Susan Lu on how ED physician personality influences patie

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Gentle defibrillation for the heart

Science Daily - Heart Disease

Using light pulses as a model for electrical defibrillation, scientists developed a method to assess and modulate the heart function. The research team has thus paved the way for an efficient and direct treatment for cardiac arrhythmias. This may be an alternative for the strong and painful electrical shocks currently used.

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Reversals in the Decline of Heart Failure Mortality in the US, 1999 to 2021

JAMA Cardiology

This cohort study evaluates recent reversals in declines in cardiovascular mortality and whether they vary across sociodemographic categories.

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Patients Have Lower Mortality When Treated by Female Physicians

HCPLive

A new study found female patients (8.15%) had a lower mortality rate when treated by female physicians than male physicians (8.38%).

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Association between triglyceride-glucose related indices with the all-cause and cause-specific mortality among the population with metabolic syndrome

Cardiovascular Diabetology

Triglyceride-glucose (TyG) index has been determined to play a role in the onset of metabolic syndrome (MetS). Whether the TyG index and TyG with the combination of obesity indicators are associated with the c.

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Initiation of Statins for Primary Prevention in HFpEF

American College of Cardiology

Is statin use associated with a lower risk of mortality and major adverse cardiovascular events (MACE) in patients who have heart failure with preserved ejection fraction (HFpEF)?

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Patrick Hemming, MD: Which Mental Health App is Best for Internal Medicine Patients?

HCPLive

This segment of Hemming’s ACP interview featured a discussion of a website used to assess digital applications for patients struggling with mental health issues.

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Systolic blood pressure status modifies the associations between the triglyceride-glucose index and incident cardiovascular disease: a national cohort study in China

Cardiovascular Diabetology

The triglyceride-glucose (TyG) index and blood pressure (BP) are correlated and serve as risk factors for cardiovascular disease (CVD). The potential impact of BP status on the association between the TyG inde.

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Managing General Medical Inpatients with Psychiatric Illness, with Sejal Shah, MD

HCPLive

Shah discusses the prevalence of psychiatric illness among hospitalized patients and highlights key considerations for their management from her session at ACP.

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High BMI and Longevity; Infective Endocarditis in Young Whites; Damar Hamlin Update

Med Page Today

(MedPage Today) -- A higher body mass index (BMI) and lower waist circumference were causally associated with longevity for people older than 80, according to a Mendelian randomization study. (European Heart Journal) Disrupted deep sleep, captured.

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Long-term Risankizumab Treatment Outperforms Placebo in PsA

HCPLive

Treatment with risankizumab was shown to be an effective strategy among patients with PsA regardless of varying demographic and psoriatic disease characteristics through 1 year.

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ARISE-HF Primary Results: Selective Aldose Reductase Inhibitor For Diabetic Cardiomyopathy

American College of Cardiology

In this interview, James Januzzi, MD, FACC, and Alison L. Bailey, MD FACC discuss the primary results from the ARISE-HF study: Selective Aldose Reductase Inhibitor For Diabetic Cardiomyopathy.

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Clinical Quiz: Lp(a) Testing Basics from 2024 NLA Update on Use of Lipoprotein(a)

HCPLive

The first in our 3-part quiz series based on the NLA's 2024 update to their 2019 scientific statement on use of lipoprotein(a) in clinical practice focuses on basic considerations surrounding Lp(a) measurement.

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Posterior pericardiotomy and the prevention of post-operative atrial fibrillation and cardiac tamponade in isolated coronary artery bypass grafting – A retrospective analysis

Journal of Cardiothoracic Surgery

Post-Operative Atrial Fibrillation (POAF) is the most frequent complication of cardiac surgery and is associated with reduced survival, increased rates of cognitive changes and cerebrovascular accidents, heart.

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Thoracic Ultrasound Refines Detection of ILD in Rheumatoid Arthritis

HCPLive

Thoracic ultrasound examination may be applicable as a screening method for interstitial lung disease in patients with RA and respiratory symptoms.

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Efficacy of selenium on patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials

Journal of Cardiothoracic Surgery

Postoperative complications pose significant challenges in cardiac surgery and with the evolution of selenium as a potential anti-inflammatory agent, some studies reported its inefficiency. Thus, we conducted.

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Applications of artificial intelligence-powered prenatal diagnosis for congenital heart disease

Frontiers in Cardiovascular Medicine

Artificial intelligence (AI) has made significant progress in the medical field in the last decade. The AI-powered analysis methods of medical images and clinical records can now match the abilities of clinical physicians. Due to the challenges posed by the unique group of fetuses and the dynamic organ of the heart, research into the application of AI in the prenatal diagnosis of congenital heart disease (CHD) is particularly active.

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Treadmill Stress ECG

All About Cardiovascular System and Disorders

Treadmill Exercise ECG is usually done with a computerized treadmill unit which controls the motor speed of the treadmill as well as monitors the ECG. ECG is recorded periodically during the test in addition to documenting any specific events like arrhythmias. Ideally treadmill test is done in a basal state so that the process of digestion of food and consequent increase in cardiac output does not interfere with the assessment.

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Atherosclerotic cardiovascular disease landscape in Singapore

Frontiers in Cardiovascular Medicine

Cardiovascular disease (CVD) is the leading cause of death worldwide, accounting for over one-third of all deaths in Singapore. An analysis of age-standardized mortality rates (ASMR) for CVD in Singapore revealed a deceleration in the initial rapid decline in ASMR. A decrease in smoking prevalence may have contributed to the initial rapid decline in ASMR.

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CDL Nuclear Technologies Launches New Mobile Cardiac PET/CT Trailer

DAIC

milla1cf Tue, 04/23/2024 - 16:03 April 23, 2024 — CDL Nuclear Technologies , a pioneer in advanced diagnostic solutions, is proud to announce the launch of its latest innovation: the Mobile dedicated Cardiac PET/CT Trailer. This cutting-edge mobile solution is designed to revolutionize cardiac care by directly providing state-of-the-art cardiac PET/CT imaging services to medical facilities on their schedule.

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A sensitivity indicator screening and intelligent classification method for the diagnosis of T2D-CHD

Frontiers in Cardiovascular Medicine

BackgroundThe prevalence of Type 2 Diabetes Mellitus (T2D) and its significant role in increasing Coronary Heart Disease (CHD) risk highlights the urgent need for effective CHD screening within this population. Despite current advancements in T2D management, the complexity of cardiovascular complications persists. Our study aims to develop a comprehensive CHD screening model for T2D patients, employing multimodal data to improve early detection and management, addressing a critical gap in clinic

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Phase 2 SAVITRI Supports Use of NBI-1065845 in Major Depressive Disorder with Inadequate Response to Antidepressants

HCPLive

NBI-1065845 shows promise in alleviating symptoms of major depressive disorder in patients with inadequate response to current antidepressant treatments, according to phase 2 SAVITRI study data.

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Clinical evidence and potential mechanisms of traditional Chinese medicine for refractory heart failure: a literature review and perspectives

Frontiers in Cardiovascular Medicine

Refractory heart failure (RHF), or end-stage heart failure, has a poor prognosis and high case fatality rate, making it one of the therapeutic difficulties in the cardiovascular field. Despite the continuous abundance of methods and means for treating RHF in modern medicine, it still cannot meet the clinical needs of patients with RHF. How to further reduce the mortality rate and readmission rate of patients with RHF and improve their quality of life is still a difficult point in current researc

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How Significant is First Degree Heart Block?

All About Cardiovascular System and Disorders

First degree heart block is an abnormality in the electrical conduction of the heart noted on the ECG, the recording of the electrical activity of the heart. It is not a block in the blood vessels of the heart which we are more familiar with. The waves on an ECG are P, QRS complex and the T wave. Normal interval between the onset of the P wave and the onset of QRS complex is up to one fifth of a second (0.2 seconds).

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The heart condition becoming more common in middle-aged adults

Becker's Hospital Review - Cardiology

A University of Pittsburgh Medical Center study found that 25% of patients with atrial fibrillation were younger than 65 — more than tenfold the estimated prevalence of 2%.

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Safety Considerations for New Therapies

HCPLive

Experts discuss the safety of aflibercept 8 mg, emphasizing familiarity, efficacy, and durability, supported by reassuring data from the two-year PULSAR and PHOTON studies.

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Thrombin in Pregnancy and Preeclampsia: Expression, Localization and Vasoactivity in Brain and Microvessels from Rats

Journal of Cardiovascular Pharmacology

Thrombin is a coagulation factor increased in pregnancy and further increased in preeclampsia (PE), a hypertensive disorder. Thrombin is also expressed in brain and may have a nonhemostatic role. We characterized thrombin expression and vasoactivity in brain cerebral parenchymal arterioles (PAs) in rat models of pregnancy and PE. PAs were isolated and pressurized from nonpregnant (NP), late-pregnant (LP) rats and rats with experimental preeclampsia (ePE).

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Rilzabrutinib Achieves Phase 3 Primary Endpoint in Immune Thrombocytopenia

HCPLive

Rilzabrutinib led to a durable platelet response in adult patients with persistent or chronic immune thrombocytopenia in the LUNA 3 study.

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Pulsed Field Ablation for Incessant Scar-Related Ventricular Tachycardia: First U.S. Report

HeartRhythm

70 y/o woman with a history of ischemic cardiomyopathy with ejection fraction of 20% due to a large healed anteroapical infarction. She had previously undergone three prior endocardial radiofrequency ablations for scar-related ventricular tachycardia (VT) with the most recent procedure at our center 4 months prior to the current hospital presentation.

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Anne Thorndike, MD, MPH: Discussing Obesity, Physical Activity, Weight Loss Drugs

HCPLive

Another segment of her ACP 2024 interview featured a discussion on weight loss drugs, healthy living, and discussions with patients.

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To the Editor: PVC Response Atrial-Pace triggers more than atrial arrhythmias

HeartRhythm

Refers to: “PVC response Atrial-Pace,” an algorithm designed for preventing pacemaker-induced tachycardia after premature ventricular contractions, triggers atrial high rate episodes.

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Kelley Branch, MD: Considerations for Dual Antiplatelet Therapy, Anticoagulation

HCPLive

Branch provides an overview of the use of dual antiplatelet therapy and anticoagulants based on his session at the ACP Internal Medicine meeting.

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Diversity of ICD-10 coding for sudden arrhythmic death syndrome is likely to create a spurious rise in cases under new ICD-11 nomenclature.

HeartRhythm

Numerous studies have established that the commonest contemporary finding in young sudden cardiac death is a negative autopsy – so-called ‘sudden arrhythmic death syndrome’ (SADS) (1). However, no specific International Classification of Disease (ICD) ICD-10 code described the entity of SADS.

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The Impact of Biosimilars in Retinal Diseases

HCPLive

Experts discuss the use of biosimilars in treating neovascular age-related macular edema (nAMD) and diabetic macular edema (DME).

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Arrhythmias and ion channelopathies causing sudden cardiac death in Hispanic/Latino and Indigenous populations

Journal of Cardiovascular Electrophysiology

Abstract The limited literature and increasing interest in studies on cardiac electrophysiology, explicitly focusing on cardiac ion channelopathies and sudden cardiac death in diverse populations, has prompted a comprehensive examination of existing research. Our review specifically targets Hispanic/Latino and Indigenous populations, which are often underrepresented in healthcare studies.