Dr. Smith's ECG Blog

FEBRUARY 20, 2024

A 20-something type, 1 diabetic presented by EMS with altered mental status. Blood pressure was 117/80, pulse 161, Resp 45, SpO2 100 on oxygen. Here is the 12-lead ECG: Wide complex tachycardia What do you think? The providers thought that this wide QRS was purely due to (severe) hyperkalemia. They treated with 4 ampules (200 mL) of bicarb and 1 gram of calcium gluconate.

Tachycardia 123

Tachycardia Blood Pressure Diabetes 123

HCPLive

FEBRUARY 20, 2024

A new study found crisis response planning for PTSD among military veterans had lower onset of suicidal ideation than veterans with self-guided safety planning.

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Med Page Today

FEBRUARY 20, 2024

(MedPage Today) -- Dietary thiamine (vitamin B1) intake was linked with cognition in older adults, a longitudinal analysis in China suggested. Over a median follow-up of 5.9 years, cognitive decline risk was minimal at dietary thiamine intake.

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Science Daily - Heart Disease

FEBRUARY 20, 2024

The drug finasteride, also known as Propecia or Proscar, treats male pattern baldness and enlarged prostate in millions of men worldwide. But a new study suggests the drug may also provide a surprising and life-saving benefit: lowering cholesterol and cutting the overall risk of cardiovascular disease.

Heart Disease 121

Heart Disease Cholesterol Cardiovascular Disease 121

DAIC

FEBRUARY 20, 2024

Pictured is the TMVR procedure milla1cf Tue, 02/20/2024 - 15:19 February 20, 2024 — As New Jersey’s leading provider of high-quality cardiac procedures and diagnostic testing and an academic institution, Hackensack Meridian Jersey Shore University Medical Center provides patients with state-of-the-art clinical trials in the management of heart valve disease and congestive heart failure.

Heart Valves 116

Heart Valves Bicuspid/Mitral Academic Chest Pain 116

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Introduction Kinetics of stress-related biological parameters were determined in acute coronary syndrome (ACS) patients undergoing complex cardiovascular rehabilitation. Methods We determined platelet functionality in the absence/presence of a selective alpha-2 adrenergic receptor inhibitor, atipemazole parallel with salivary cortisol levels at enrolment, and at 3- and 12-months follow-up in 75 ACS patients with percutaneous coronary intervention.

Laboratory 111

Laboratory Pharmacology Biomarkers 111

Society of Thoracic Surgeons - Early Career

FEBRUARY 20, 2024

Blog Retirement Planning for the Early Career Surgeon KCummings Tue, 02/20/2024 - 15:58 Medical Student Resident / Fellow You finally made it. You survived and possibly thrived in surgical training and now you’re early in practice. There are many profound changes and considerations during this time and certainly financial wellness is one of them. Even though you may have just started your career, it is important to consider what happens when you conclude practice and retire.

Blog 111

Blog Academic Education 111

Med Page Today

FEBRUARY 20, 2024

(MedPage Today) -- For acute ischemic stroke within 48 hours of onset, the novel sublingual combination of edaravone (Radicava) with dexborneol appeared to dramatically improve functional outcomes in the phase III TASTE-SL trial from China. The.

Stroke 116

Stroke Strokes Outcomes 116

HCPLive

FEBRUARY 20, 2024

Additional research may be necessary to look at the sequence of epinephrine administration and advanced airway management in settings in which alternative epinephrine administration strategies are utilized.

Cardiac Arrest 105

Cardiac Arrest Hospital Research 105

DAIC

FEBRUARY 20, 2024

Coronary CT angiography for the suspected progression of known coronary artery disease in a 56-year-old female patient. Curved multiplanar reconstructions with 0.6-mm (yellow outline), 0.4-mm (blue outline), and 0.2-mm (green outline) section thickness show the respective calcified plaque (arrowheads) and coronary stenosis (inset images). The reduced section thickness leads to less calcium blooming and therefore a less severe assessment of percentage of coronary stenosis in this patient.

Coronary Artery Disease 105

Coronary Artery Disease Stenosis Plaque Technology 105

HCPLive

FEBRUARY 20, 2024

Among youth with intellectual disabilities and autism, black children and females are more likely to be placed in foster care, a new study found.

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DAIC

FEBRUARY 20, 2024

milla1cf Tue, 02/20/2024 - 15:22 February 20, 2024 — X-trodes , a bio-convergence company bringing wireless monitoring solutions to the home environment, today announced that the U.S. Food and Drug Administration ( FDA ) has granted 510(k) clearance for X-trodes' Smart Skin solution (marketed as X-trodes System M), a new wireless wearable technology for advanced electrophysiological monitoring.

Electrophysiology 105

Electrophysiology Technology Outpatient Laboratory 105

Becker's Hospital Review - Cardiology

FEBRUARY 20, 2024

Niacin , a common B vitamin once recommended to patients as a way to help lower cholesterol, has been linked to cardiovascular disease, Cleveland Clinic researchers announced Feb. 19.

Cholesterol 100

Cholesterol Cardiovascular Disease Research 100

Dr. Paddy Barrett

FEBRUARY 20, 2024

Blue Zones are areas where an unusual percentage of the population live to exceptional old age. Think 100 to 110 plus. These Blue Zones have become incredibly popular topics and have been extensively covered in National Geographic and, more recently, in the Netflix documentary ‘Live To 100: Secrets of the Blue Zones’ The idea of Blue Zones is such a lovely idea.

Certification 99

Certification Diet Document Research 99

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Background Current clinical guidelines on cardiovascular disease (CVD) do not specifically address the female population. The aim of this consensus is to know the opinion of a group of experts on the management of CVD in women. Methods Through a Delphi consensus, 31 experts in cardiology, 9 in gynecology and obstetrics, and 14 primary care physicians, showed their degree of agreement on 44 items on CVD in women divided into the following groups: (1) risk factors and prevention strategies; (2) di

Cardiovascular Disease 94

Cardiovascular Disease Blood Pressure Hypertension Diabetes 94

HCPLive

FEBRUARY 20, 2024

Patients with fibromyalgia and cognitive dysfunction report feeling a loss of identify and impaired social interaction.

Quality of Life 109

Quality of Life 109

JAMA Cardiology

FEBRUARY 20, 2024

This cohort study investigates the association of accelerometer-measured physical activity and sedentary behavior with incident heart failure in older women.

Heart Failure 92

Heart Failure 92

Med Page Today

FEBRUARY 20, 2024

(MedPage Today) -- Alain Cribier, MD, who performed the first transcatheter aortic valve replacement (TAVR) in 2002, died last week at age 79, the American College of Cardiology announced. Higher lipoprotein(a) went hand in hand with increased.

TAVR 97

TAVR Aortic valve Aortic 97

The British Journal of Cardiology

FEBRUARY 20, 2024

Multidisciplinary experts in heart failure care from across the UK and wider afield gathered for the recent 26th British Society of Heart Failure (BSH) annual meeting. This year’s programme sought to highlight how collaboration, coordination and cooperation would ultimately be vital for the delivery and success of the flagship 25in25 initiative. The meeting, held at the Queen Elizabeth II Centre, London, on 30th November and 1st December 2023, offered thought-provoking plenary sessions, focused

Heart Failure 69

Heart Failure Technology Arrhythmia Obesity 69

JAMA Cardiology

FEBRUARY 20, 2024

This study performs a systematic review to identify which types of system-level initiatives are most effective at improving guideline-directed medical therapy use among patients with heart failure with reduced ejection fraction.

Heart Failure 68

Heart Failure 68

American College of Cardiology

FEBRUARY 20, 2024

The goal of the VICTORIA trial was to evaluate vericiguat compared with placebo among patients with chronic heart failure (CHF) due to reduced ejection fraction (EF). Vericiguat increases soluble guanylate cyclase activity. By stimulating production of cyclic guanosine monophosphate, this may help to improve myocardial and vascular function.

Heart Failure 71

Heart Failure Article 71

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Objectives Minimally-invasive direct coronary artery bypass (MIDCAB) is a less-invasive alternative to full sternotomy off-pump coronary artery bypass (FS-OPCAB) revascularization of the left anterior descending artery (LAD). Some studies suggested that MIDCAB is associated with a greater risk of graft occlusion and repeat revascularization than FS-OPCAB LIMA-to-LAD grafting.

Coronary Artery Bypass Graft 64

Coronary Artery Bypass Graft Myocardial Infarction Outcomes Stroke 64

HCPLive

FEBRUARY 20, 2024

Viral Shah, MD, joins Diabetes Dialogue to discuss a recent study examining associations between time in range and other advanced CGM metrics with diabetic retinopathy and the implications for use in predicting other microvascular outcomes.

Diabetes 64

Diabetes Outcomes 64

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Background Exercise training is commonly employed as a efficacious supplementary treatment for individuals suffering from heart failure, but the optimal exercise regimen is still controversial. The objective of the review was to compare the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on the exercise capacity, cardiac function, quality of life (QoL) and heart rate among patients with heart failure with reduced ejection fraction.

Heart Failure 64

Heart Failure Exercise Quality of Life Cardiac Function 64

JAMA Cardiology

FEBRUARY 20, 2024

This substudy of a randomized clinical trial investigates the effects of pitavastatin on noncalcified coronary artery plaque using coronary computed tomography angiography and on inflammatory biomarkers as potential mechanisms for major adverse cardiovascular event prevention.

Coronary Artery Disease 72

Coronary Artery Disease Biomarkers Plaque 72

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Background Right ventricular systolic dysfunction (RVSD) in patients with sepsis is an area of growing interest, but its prognostic significance remains unclear and additional tools are needed to improve our understanding. Right ventricular free wall strain (RV-FWS) is a relatively new parameter to assess RV function. This study aimed to investigate the potential correlation between impaired RV-FWS and prognostic outcomes in patients with sepsis.

Tricuspid 64

Tricuspid Outcomes Hospital 64

HCPLive

FEBRUARY 20, 2024

Results revealed a consistent safety profile with low rates of discontinuation and no increase in adverse events with prolonged treatment exposure in patients treated with ixekizumab.

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Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Chronic obstructive pulmonary disease (COPD), particularly following acute exacerbations (AE-COPD), significantly heightens the risks and mortality associated with acute myocardial infarction (AMI). The intersection of COPD and AMI is characterised by a considerable overlap in inflammatory mechanisms, which play a crucial role in the development of both conditions.

Myocardial Infarction 64

Myocardial Infarction Pulmonary Research 64

HCPLive

FEBRUARY 20, 2024

These findings, to be presented at AAAAI, highlight the importance of labeling different cleansing products used by consumers with eczema.

Outcomes 64

Outcomes 64

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Introduction Studies in cholesterol-fed rabbits showed that anti-proliferative chemotherapeutic agents such as paclitaxel associated with solid lipid nanoparticles (LDE) have marked anti-atherosclerotic effects. In addition, association with LDE nearly abolishes paclitaxel toxicity. We investigated whether treatment with LDE-paclitaxel changes plaque progression by coronary CT angiography and is safe in patients with chronic coronary artery disease.

Coronary Artery Disease 59

Coronary Artery Disease Laboratory Plaque Biomarkers 59

American College of Cardiology

FEBRUARY 20, 2024

What are the safety, utility, and prognostic implications of invasive implanted hemodynamic monitoring (IHM) using the CardioMEMS™ HF System (Abbott Laboratories, Abbott Park, Illinois) in patients with Fontan circulation (FC)?

Circulation 60

Circulation Laboratory Article 60

Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Heart failure (HF) represents a worldwide health burden and the annual per patient cost to treat HF in the US is estimated at $24,383, with most of this expense driven by HF related hospitalizations. Decompensated HF is a leading cause for hospital admissions and is associated with an increased risk of subsequent morbidity and mortality. Many hospital admissions for decompensated HF are considered preventable with timely recognition and effective intervention.Systems of care that include interve

Heart Failure 59

Heart Failure Hospital 59

HCPLive

FEBRUARY 20, 2024

Histological inflammation and clinical IBD activity were both associated with reduced fertility rates compared to histological remission and quiescent IBD.

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Frontiers in Cardiovascular Medicine

FEBRUARY 20, 2024

Introduction Accurate identification of the myocardial texture features of fat around the coronary artery on coronary computed tomography angiography (CCTA) images are crucial to improve clinical diagnostic efficiency of myocardial ischemia (MI). However, current coronary CT examination is difficult to recognize and segment the MI characteristics accurately during earlier period of inflammation.

Ischemia 59

Ischemia 59

American College of Cardiology

FEBRUARY 20, 2024

What are the outcomes of the stellate ganglion block (SGB) with respect to recurrence of ventricular tachycardia/ventricular fibrillation (VT/VF)?

Arrhythmia 67

Arrhythmia Tachycardia Outcomes Article 67

HCPLive

FEBRUARY 20, 2024

Retreatment with voxilaprevir/velpatasvir/sofosbuvir in patients with HCV and prior DAA failure is effective but may be impacted by hepatocellular carcinoma, cirrhosis, and genotype 3.

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Dr. S. Venkatesan MD

FEBRUARY 20, 2024

We wish, our understanding about cardiac contractile physiology is deep and nearly complete. Heart is an irreversibly coupled electro-mechanical organ , right from the fetal days until the final heart beat. In myocardial pathology, the genesis and sustainability of ventricular arrhythmia are intricately related to the degree of LV dysfunction of any cause.

Defibrillator 52

Defibrillator Heart Failure Sudden Cardiac Death Cardiomyopathy 52