Thu.May 16, 2024

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ECG Blog #430 — Just a Regular LBBB ECG?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from an older man who had just completed dialysis — and , is now complaining of abdominal discomfort that radiates to his chest. The consultant interpreted this tracing as “LBBB” ( L eft B undle B ranch B lock ) — but not indicative of anything acute. QUESTIONS: Do you agree with the consultant’s interpretation? How would YOU approach this case?

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New postpartum care recommendations target CVD risk

American Heart News - Heart News

DALLAS, May 16, 2024 — Pregnancy-related deaths in the U.S. have risen 140% over the past three decades and cardiovascular disease is the leading cause.[1] Despite existing medical guidance on pregnancy and cardiovascular health, current trends in health.

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Draw Between Two Diuretics for Renal Prevention in Hypertension

Med Page Today

(MedPage Today) -- LONG BEACH, Calif. -- Chlorthalidone was no better than hydrochlorothiazide for reducing the incidence of major renal outcomes in patients with hypertension, a secondary analysis of the randomized Diuretic Comparison Project.

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Singing repairs the language network of the brain after a cerebrovascular accident

Science Daily - Stroke

Singing rehabilitates speech production in post-stroke aphasia. Researchers investigated the rehabilitative effect of singing on the brain.

Research 117
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Teen Died From Eating Spicy Chip as Part of Social Media Challenge, Autopsy Says

Med Page Today

(MedPage Today) -- A Massachusetts teen who participated in a spicy tortilla chip challenge on social media died from eating a large quantity of chili pepper extract and also had a congenital heart defect, according to an autopsy report obtained.

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Improving Life Quality in Chronic Limb-Threatening Ischemia Through Revascularization

DAIC

milla1cf Thu, 05/16/2024 - 15:35 May 16, 2024 — A recent publication in the American Heart Association Circulation highlights a comprehensive investigation to assess the impact of revascularization strategies on the health-related quality of life (HRQoL) of patients suffering from chronic limb-threatening ischemia. This study stands as a pivotal exploration into the comparative effectiveness of surgical bypass (Bypass) versus endovascular intervention (Endo) across multiple patient cohorts.

Ischemia 111
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Normothermic perfusion system extends life of organs waiting for transplant

Science Daily - Heart Disease

In the United States, about 30-40% of donor hearts aren't considered for transplant due to inadequate function in the donor. This leads to a drop in the number of donated hearts that are available to be matched with someone who needs a heart transplant.

More Trending

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Study investigates cardiac cell regeneration in search of novel therapeutics

Medical Xpress - Cardiology

When a patient is experiencing heart failure, a leading cause of death worldwide, they begin to lose healthy and functioning cardiac cells. Heart failure causes these once-flexible cells to develop into fibrotic cells that are no longer able to contract and relax. This stiffening of the cardiac cells compromises their ability to carry blood efficiently to the rest of the organs in the human system.

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Adverse Social Determinants of Health Linked to Treatment-resistant Hypertension in Black Americans

DAIC

Getty Images milla1cf Thu, 05/16/2024 - 15:37 May 16, 2024 — People were more likely to develop a type of treatment-resistant hypertension when they experienced adverse effects of economic and social conditions that influence individual and group differences in health status, known as social determinants of health. Additionally, this risk was higher among Black American adults than white American adults, according to a study funded by the National Institute of Neurological Disorders and Stroke

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Study: Exercise does not accelerate artery plaque buildup more often seen in fitness enthusiasts

Medical Xpress - Cardiology

Exercising, even at extreme levels, does not accelerate the calcium buildup in arteries more often seen in marathoners and fitness enthusiasts, according to new research published in JAMA Cardiology from UT Southwestern and the Cooper Institute.

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University of Cincinnati Study Finds Severe Ischemic Strokes are Rare in Patient Population

DAIC

Yasmin Aziz, MD. Photo/University of Cincinnati milla1cf Thu, 05/16/2024 - 15:31 May 16, 2024 — A new University of Cincinnati study provides more insight into how few patients have severe ischemic strokes compared to the total stroke patient population in the region. UC’s Yasmin Aziz, MD, will present a poster on the team’s findings during the European Stroke Organization Conference ( ESOC ) this week in Basel, Switzerland.

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Does Intensive Lipid-Lowering Therapy After Acute MI Improve Survival in Older Adults?

NEJM Journal Watch - Cardiology

A large observational study suggests the answer is yes, providing needed data for patients 80 years and older.

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Very early blood pressure control confers both benefits and harms in acute stroke

Science Daily - Stroke

Early identification of stroke type could be key to harnessing the benefits of very early in-ambulance blood pressure lowering treatment in patients with suspected acute stroke, according to new research.

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Study indicates the rapid identification of stroke type is key to improving outcomes

Medical Xpress - Cardiology

Early identification of stroke type could be key to harnessing the benefits of very early in-ambulance blood pressure lowering treatment in patients with suspected acute stroke, according to new research.

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I'm a Surgeon. Should I Get a Therapist?

Society of Thoracic Surgeons - Early Career

Blog I'm a Surgeon. Should I Get a Therapist? KCummings Thu, 05/16/2024 - 13:14 All Members As physicians we are committed to caring for our patients, guiding them through physical and emotional traumas. Our training, especially as cardiothoracic surgeons, has taught us to be disciplined, self-sufficient, and strong. As cardiothoracic surgeons we deal with significant adversity and are resilient.

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Optimizing RAASi Therapy for Cardiovascular, Renal Health, with Kam Kalantar-Zadeh, MD, MPH, PhD

HCPLive

Kam Kalantar-Zadeh, MD, MPH, PhD, discusses his presentation focusing on dietary challenges, potassium control, and potential solutions associated with RAASi therapy.

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Many cardiovascular deaths are due to an unbalanced diet, study finds

Medical Xpress - Cardiology

In Europe, 1.55 million people die every year due to a poor diet. This is the conclusion of a recent study by Friedrich Schiller University Jena, the Institute for Sustainable Agriculture and Food Economics (INL) and the nutriCARD Competence Cluster.

Diet 71
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Study Suggests Need for More HCV Treatment Delivery in Primary Care Settings

HCPLive

Results of the single-center study showed HCV treatment from PCPs decreased from 2015-2022 but must be improved to help reach elimination goals.

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Adverse social determinants of health linked to treatment-resistant hypertension in Black Americans

Medical Xpress - Cardiology

People were more likely to develop a type of treatment-resistant hypertension when they experienced adverse effects of economic and social conditions that influence individual and group differences in health status, known as social determinants of health.

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Navigating the Complexities of RAASi Therapy, with Kam Kalantar-Zadeh, MD, MPH, PhD

HCPLive

Kam Kalantar-Zadeh, MD, MPH, PhD, addresses the challenge healthcare providers encounter in balancing the cardiovascular advantages of RAASi therapy with the potential hazards of hyperkalemia.

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Researchers identify immunosuppressive pathway that helps newborn hearts regenerate in mouse models

Medical Xpress - Cardiology

When the heart is injured, as in a myocardial infarction, the damaged heart muscle cannot regenerate—instead, scar tissue forms. Cardiomyocytes, the heart muscle cells that generate contractile force, are lost for good. Yet, in mouse models, the hearts of newborns regenerate readily after injury.

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New 4-Year Extension Trial Results Announced for Deucravacitinib Treatment of Psoriasis

HCPLive

The announcement from Bristol Myers Squibb indicates deucravacitinib led to significant improvements in patients’ PASI and sPGA scores after 4 years of treatment.

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Prehospital Hypertension Control No Help in Unselected Acute Stroke

Med Page Today

(MedPage Today) -- Bringing blood pressure under control in the ambulance didn't improve stroke outcomes in an unselected population, the China-based INTERACT 4 trial showed. Functional outcome measured by the modified Rankin Scale was no better.

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Real-World Study Sheds Light on Effects, Adherence to Baricitinib in Rheumatoid Arthritis

HCPLive

A real-world study from Spain suggests baricitinib demonstrated favorable effectiveness, adherence, and safety in rheumatoid arthritis, but investigators caution more research is needed.

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Las nuevas recomendaciones de atención posparto se centran en el riesgo de ECV

American Heart News - Heart News

DALLAS, 16 de mayo de 2024 - Las muertes relacionadas con el embarazo en EE. UU. han aumentado un 140% en las últimas tres décadas y las enfermedades cardiovasculares son la principal causa.[1] A pesar de las pautas médicas existentes sobre el embarazo y.

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Clinical Quiz: Nutrient Supplementation in CKD from KDOQI Guidelines

HCPLive

Check out this quiz on the NKF's KDOQI recommendations on nutrition in chronic kidney disease, with a focus on their guidance for micronutrient supplementation!

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New insights and novel perspectives in bileaflet mechanical heart valve prostheses thromboresistance

Journal of Cardiothoracic Surgery

Although well-known for their thromboresistance, bileaflet mechanical heart valves (BMHV) require lifelong anti-thrombotic therapy. This must be associated with a certain level of thrombogenicity. Since both t.

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Enhancing Cardiovascular Health in End-Stage Kidney Disease, with Maya N. Clark-Cutaia, PhD, RN

HCPLive

Maya N. Clark-Cutaia, PhD, ACNP-BC, RN, highlights strategies to improve cardiovascular disease-related outcomes in patients with ESKD.

RN 59
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Case Report: Assessment of primary myxofibrosarcoma in the left atrium using multimodal ultrasonography

Frontiers in Cardiovascular Medicine

Primary myxofibrosarcoma of the heart, a rare cardiac malignancy, was diagnosed in a middle-aged female patient exhibiting progressive dyspnea following transthoracic echocardiography and pathological analysis. Postoperatively, the patient underwent chemotherapy and Lenvatinib mesylate therapy, with regular check-ups confirming her survival. After 10 months the patient is still alive and well.

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Oral Liposomal Iron Helps Correct Iron Deficiency in Non-Dialysis CKD

HCPLive

Liposomal iron achieves a partial correction of transferrin saturation, with no significant effect on iron storage and hemoglobin, in patients with NDD-CKD.

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Indian Myval Enters TAVR Horse Race With Good Early Performance

Med Page Today

(MedPage Today) -- PARIS -- Novel Myval balloon-expandable (BE) valves were as good as contemporary gold standards for transcatheter aortic valve replacement (TAVR or TAVI) -- at least in terms of early safety, based on head-to-head comparisons.

TAVR 52
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HCPLive Five at APA 2024

HCPLive

From the prospect of semaglutide and MDMA for substance use disorder to evolving research around personality disorders and OCD, here are 5 key topics from the annual psychiatric meeting.

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Full-moon coronary calcification as detected with computed tomography angiography in chronic total occlusion percutaneous coronary intervention

The American Journal of Cardiology

Publication date: Available online 16 May 2024 Source: The American Journal of Cardiology Author(s): Giuseppe Panuccio, Gerald S. Werner, Salvatore De Rosa, Daniele Torella, David M. Leistner, Patrick T. Siegrist, Arash Haghikia, Carsten Skurk, Kambis Mashayekhi, Ulf Landmesser, Youssef S.

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Psoriasis Negatively Impacts Adolescent Mental Health, Particularly for Those with Joint Pain

HCPLive

These data highlight the effects of psoriasis on the mental health of adolescents in Denmark.

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What are the possible mechanisms of simultaneous Inferior and Anterior STEMI?

Dr. S. Venkatesan MD

1. Wrap around LAD true Global MI 2. RCA-dependent LAD circulation through collaterals 3. True bifurcation STEMI with static thrombus (Carinal trapping of thrombus ,Coronary Lerish sydrome ) 4. Embolic STEMI with showers of emboli into both LCX and LAD Simultaneous or sequential Anterior and Inferior STEMI 5. Mid or Proximal LAD lesion with proximal thrombus build-up Further possibilities Mimickers: Distal LAD lesions -Inferior ST elevation due to sparing of diagonal Wrong diagnosis

STEMI 52
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Oseltamivir Treatment for Influenza Linked to Fulminant Hepatitis, Liver Damage

HCPLive

An analysis of FDA Adverse Event Reporting System data suggests baloxavir marboxil has lower hepatic toxicity than oseltamivir and may be a safer option for patients with liver diseases.

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New postpartum care recommendations target CVD risk

Medical Xpress - Cardiology

Pregnancy-related deaths in the U.S. have risen 140% over the past three decades and cardiovascular disease is the leading cause. Despite existing medical guidance on pregnancy and cardiovascular health, current trends in health outcomes suggest a significant opportunity for an improved system of care, particularly in the postpartum period.