Thu.Jun 27, 2024

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ECG Blog #436 — Bigeminy or Alternans?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from an older man with known coronary disease. He was on a number of medications — including antiplatelet agents, a statin drug and Digoxin. The patient presented to the ED ( E mergency D epartment ) for an episode of syncope. He developed cardiac arrest shortly after the ECG in Figure-1 was recorded. QUESTIONS: How would YOU interpret the ECG in Figure-1 ?

Blog 161
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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

By Sofiya Diurba MD, reviewed by Meyers, Grauer A woman in her 50s with PMH known RBBB and prior syncopal events presents to the ED for five syncopal events over the last 24 hours. Each event is associated with a prodrome of mild substernal CP, SOB, and “brain fog.” EMS reports intermittent sinus tachycardia and bradycardia secondary to some type of heart block during transport.

Blog 117
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Society of Cardiovascular Computed Tomography Annual Scientific Meeting SCCT24 Preview

DAIC

June 27, 2024 — The countdown has begun for the Society of Cardiovascular Computed Tomography (SCCT) 19th Annual Scientific Meeting, SCCT24, “At the heart of it,” to be held July 18-21, in Washington, DC. Planners have designed this year’s program and events to engage physicians, trainees, technologists and healthcare professionals in a complete overview of the cardiovascular CT field.

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Diabetes Dialogue: Blue Circle Health, with Monica Gomberg, MD

HCPLive

Monica Gomberg, MD, joins the podcast to discuss how Blue Circle Health leverages free support and education programs to improve management and quality of life in people with types 1 diabetes.

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Anumana and InfoBionic.Ai Announce Collaboration to Advance AI-powered Remote Cardiac Telemetry Technology for Early Detection of Cardiac Diseases

DAIC

milla1cf Thu, 06/27/2024 - 08:50 June 26, 2024 — Anumana, a leading AI-driven health technology company and portfolio company of nference , and InfoBionic.Ai , a digital health company specializing in remote cardiac monitoring and diagnostic solutions, announced a joint research collaboration agreement to develop and commercialize the next generation of remote cardiac care solutions, combining Anumana’s breakthrough ECG-AI technology and InfoBionic.Ai’s MoMe ARC platform.

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Common blood pressure drug may make leukemia more responsive to chemotherapy while protecting heart

Medical Xpress - Cardiology

Researchers from the University of Missouri School of Medicine found that a targeted gene therapy may make acute myeloid leukemia (AML) more sensitive to chemotherapy, while also protecting the heart against toxicity often caused by cancer treatments.

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Diabetes Dialogue: Advances in AID and CGM at ADA 2024, with Davida Kruger, NP

HCPLive

Davida Kruger, NP, joins the podcast to discuss updates in automated insulin delivery and continuous glucose monitoring systems from ADA 2024.

Diabetes 105

More Trending

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More Than 1 in 4 Seniors Have Asymptomatic Valve Disease

Med Page Today

(MedPage Today) -- Undiagnosed heart valve disease was highly prevalent in a large community study of otherwise healthy people recruited from primary care in the U.K., researchers found. There was a 28.2% prevalence of mild, moderate, or severe.

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Urban green and blue spaces are linked to less coronary artery calcification

Science Daily - Heart Disease

Being near and having more exposure to urban green space and blue (water) space is linked to lower odds of having coronary artery calcification in middle age, which is an early marker of cardiovascular disease. The associations were more pronounced among Black individuals and those living in neighborhoods with lower socioeconomic status, with the strongest effects observed in Black individuals in economically deprived neighborhoods.

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Study defines the process of and defenses against cardiac valve calcification

Medical Xpress - Cardiology

The human body has sophisticated defenses against the deposition of calcium minerals that stiffen heart tissues, researchers at the University of Illinois Urbana-Champaign and collaborators at UCLA Health and the University of Texas at Austin found in a new study that provides the first detailed, step-by-step documentation of how calcification progresses.

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Relationship between heart disease and spontaneous loss of Y chromosome

Science Daily - Heart Disease

Researchers found that men with a higher proportion of blood cells missing Y chromosomes have a higher mortality rate from a common cause of heart disease called transthyretin cardiac amyloidosis (ATTR-CA), informing future treatment for patients with ATTR-CA.

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Poorer teen mental ability linked to as much as tripling in stroke risk before age of 50

Medical Xpress - Cardiology

A lower level of mental ability during the teenage years may be linked to as much as a tripling in the risk of having a stroke before the age of 50, finds research published online in the Journal of Epidemiology and Community Health.

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FDA Grants Marketing Authorization to Xpert HCV, First Point-of-Care Hepatitis C RNA Test

HCPLive

The marketing authorization makes the Xpert HCV test and GeneXpert Xpress System the first point-of-care test for diagnosing HCV.

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New study evaluates cardiovascular health scores in predicting mortality risks

Medical Xpress - Cardiology

Physician-scientists from the University of Alabama at Birmingham Marnix E. Heersink School of Medicine have conducted a nationwide study evaluating the predictive value of cardiovascular health scores for mortality.

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CMHC Presents at ADA 2024: Key Findings and Insights

Cardiometabolic Health Congress

Neha Agarwal, PhD, Clinical Director at Cardiometabolic Health Congress , Informa Connect, recently presented significant findings at the 84th American Diabetes Association (ADA) Scientific Sessions. The poster abstract, titled “A CME Webcast Series’ Impact on Clinicians’ Knowledge and Competence of Long-Term Obesity Management in Patients with Type 2 Diabetes,” shared outcomes from a CME webcast series jointly provided by the Postgraduate Institute for Medicine and Tarsus Cardio (db

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Antibiotic Use Not Associated with Healthcare Revisits for Conjunctivitis

HCPLive

Revisits and new antibiotic dispensations were rare, regardless of initial topical antibiotic treatment, in children with acute infectious conjunctivitis.

64
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A New Cardiovascular Risk Calculator from the American Heart Association

NEJM Journal Watch - Cardiology

The “PREVENT” calculator differs from the widely used ASCVD risk estimator in several important ways.

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Interclass Versus Intraclass Switching: IL-23, IL-17A Inhibitors for Psoriasis

HCPLive

These findings made comparisons between clinical outcomes of interclass and intraclass switching of biologic treatments among individuals with psoriasis.

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Dual-trajectory of TyG levels and lifestyle scores and their associations with ischemic stroke in a non-diabetic population: a cohort study

Cardiovascular Diabetology

The Triglyceride-glucose (TyG) index, a surrogate marker of insulin resistance, has been implicated in the risk of ischemic stroke. However, the interplay between TyG levels, lifestyle factors, and their colle.

Strokes 52
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Study Shows High Fibromyalgia Prevalence or Symptoms in Rheumatic Patients

HCPLive

A study presented at EULAR 2024 found fibromyalgia and worse pain, symptom severity, and depression scores were linked to a risk of low medication adherence.

59
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2-year results and myocardial impact of transapical mitral valve repair in patients with primary mitral regurgitation: an echocardiographic study

Journal of Cardiothoracic Surgery

There is limited data on the 2-year outcomes of transapical transcatheter edge-to-edge repair (TA-TEER) using the ValveClamp in patients with severe primary mitral regurgitation (MR) and its impact on myocardi.

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Study Calls for Greater Focus on Hepatic Health in Patients with RA, PsA

HCPLive

More than half of patients with RA or PsA without obesity exhibited steatosis despite having low disease activity, with no differences observed based on methotrexate use and dosage.

Obesity 52
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Clinical application of CT-assisted body surface localization combined with intraoperative stereotactic anatomical localization in thoracoscopic lung nodule resection: a single-centre retrospective study

Journal of Cardiothoracic Surgery

Today, the detection rate of lung nodules is increasing. Some of these nodules may become malignant. Thus, timely resection of potentially malignant nodules is essential. However, Identifying the location of n.

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A Promising Pipeline for COPD

HCPLive

Mannino, Anzueto and Christenson conclude the panel with thoughts on developing biologics for COPD, and increased interest in the field after ensifentrine and dupilumab.

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Total aortic arch debranching with antegrade Thoracic Endovascular Aortic Repair (TEVAR) in acute non-A non-B aortic dissection

Journal of Cardiothoracic Surgery

The surgical evaluation and management of non-A non-B aortic dissections, in the absence of ascending aortic involvement, remains a grey area. It is in these scenarios when thorough evaluation of patient/famil.

Aortic 52
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Depression in adolescents linked to increased risk of cardiovascular disease

Medical Xpress - Cardiology

Depression affects about 8% of adolescents worldwide and is a known risk factor for premature cardiovascular disease (CVD) in adulthood. While the reasons for this risk are not well understood, a study from The Hospital for Sick Children (SickKids) has found that certain subgroups of adolescents with depression have an even higher risk of developing CVD.

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Optimal antiplatelet therapy after revascularization of left subclavian artery during TEVAR

Journal of Cardiothoracic Surgery

Thoracic endovascular aortic repair (TEVAR) is a minimally invasive technique used to treat type B aortic dissections. Left subclavian artery (LSA) reconstruction is required when treating patients with involv.

Aortic 52
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JAK Inhibitor Updates: Ruxolitinib Cream for Pediatric, Adolescent Eczema

HCPLive

Raj Chovatiya, MD, PhD, MSCI, and Lawrence Eichenfield, MD, discuss recent data assessing ruxolitinib cream for patients as young as 2 years old with atopic dermatitis.

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New study shows a relationship between heart disease and spontaneous loss of Y chromosome

Medical Xpress - Cardiology

Researchers at Boston Medical Center (BMC) and Boston University (BU) Chobanian & Avedisian School of Medicine, in collaboration with an international team of scientists, shared findings from a new study published in the American Heart Association journal, Circulation: Heart Failure that explores a common cause of heart disease in older men called transthyretin cardiac amyloidosis (ATTR-CA).

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What the Ensifentrine FDA Approval Means for COPD

HCPLive

In this HCPLive Special Report, experts review ensifentrine's role as a novel maintenance therapy for COPD.

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Echocardiogram can ID women with preeclampsia at risk for future hypertension

Medical Xpress - Cardiology

Echocardiography during pregnancy or early postpartum can assist in identifying women with preeclampsia at greater risk of future hypertension, according to a study presented at the American Society of Echocardiography's 35th Annual Scientific Sessions, held from June 14 to 16 in Portland, Oregon.

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Dupilumab Led to Histologic Remission in High Percentage of Children with EoE

HCPLive

This analysis looked at children 1 to 11 years of age with eosinophilic esophagitis, highlighting the impacts of dupilumab on EoE.

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Study links hs-cTnT to MACE, mortality in rheumatoid arthritis

Medical Xpress - Cardiology

For patients with rheumatoid arthritis (RA), a detectable level of high-sensitivity cardiac troponin T (hs-cTnT) is associated with increased risk of major adverse cardiovascular events (MACE) and all-cause mortality, according to a research letter published online June 15 in the Journal of Rheumatology.

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TNF Inhibitor Tapering Increases Flare Risk in Patients with RA in Sustained Remission

HCPLive

Compared to patients on stable TNFi, patients tapering TNFi to withdrawal experienced significantly more flares and had lower Boolean 2.0 remission rates.

52
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Rare predicted loss-of-function variants, polygenic risk score linked to risk of A-fib

Medical Xpress - Cardiology

Rare predicted loss-of-function (pLOF) variants and a polygenic risk score (PRS) are associated with increased atrial fibrillation (AF) risk, according to a study published online June 26 in JAMA Cardiology.

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High Fatigue Rates Exist in Economically Disadvantaged Patients with RA

HCPLive

A study presented at EULAR 2024 found patients with RA of low socioeconomic status have a high prevalence of fatigue.

59
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Researchers link urban green and blue spaces to less coronary artery calcification

Medical Xpress - Cardiology

Being near and having more exposure to urban green space and blue (water) space is linked to lower odds of having coronary artery calcification in middle age, which is an early marker of cardiovascular disease.