Tue.Apr 02, 2024

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Ep 193 The Crashing Asthmatic – Recognition and Management of Life Threatening Asthma

ECG Cases

In this part 2 of our 2-part podcast on asthma with Dr. Sameer Mal and Dr. Leeor Sommer, we dig into the recognition and management of life-threatening asthma. We answer such questions as: what are the key elements in recognition of threatening asthma? What are the most time-sensitive interventions required to break the vicious cycle of asthma? What are the best options for dosing and administering magnesium sulphate, epinephrine, fentanyl and ketamine in the management of the crashing asthmatic

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Ventricular Fibrillation, ICD, LBBB, QRS of 210 ms, Positive Smith Modified Sgarbossa Criteria, and Pacemaker-Mediated Tachycardia

Dr. Smith's ECG Blog

An elderly man collapsed. There was no bystander CPR. Medics found him in ventricular fibrillation. He was defibrillated, but they also noticed that he was being internally defibrillated and then found that he had an implantable ICD. He was unidentified and there were no records available After 7 shocks, he was successfully defibrillated and brought to the ED.

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ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain

ECG Cases

In this ECG Cases blog, Jesse McLaren and Rajiv Thavanathan explore how ECG and POCUS complement each other for patients presenting to the emergency department with shortness of breath or chest pain. They explain complementary diagnostic insights into pericardial effusion and cardiac tamponade, occlusion MI and RV strain. The post ECG Cases 49 – ECG and POCUS for Dyspnea and Chest Pain appeared first on Emergency Medicine Cases.

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Scientists link certain gut bacteria to lower heart disease risk

Medical Xpress - Cardiology

Changes in the gut microbiome have been implicated in a range of diseases including type 2 diabetes, obesity, and inflammatory bowel disease. Now, a team of researchers at the Broad Institute of MIT and Harvard along with Massachusetts General Hospital has found that microbes in the gut may affect cardiovascular disease as well.

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E-Cigarettes Tied to Heart Failure

Med Page Today

(MedPage Today) -- Use of electronic nicotine products was associated with incident heart failure, a prospective study found. People who self-reported ever having used electronic cigarettes (e-cigarettes) were 19% more likely to develop heart.

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Risk of Cardiac Arrhythmias Among Climbers on Mount Everest

JAMA Cardiology

This cohort study examines data from climbers at Mount Everest to explore the incidence of tachyarrhythmias and bradyarrhythmias in healthy individuals at high altitudes.

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Recapping Q1 2024 FDA Decisions in Cardiology, with Deepak Bhatt, MD, MPH, MBA

HCPLive

A recap of the biggest FDA news and decisions in cardiovascular medicine from the first 3 months of 2024, with commentary on recent announcements by Deepak Bhatt, MD, MPH, MBA.

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RESTORE: MCO-010 Achieves Significant Vision Restoration in Retinitis Pigmentosa

HCPLive

The phase 2b trial showed a statistically significant improvement of BCVA at week 52 in both the high-dose and low-dose MCO-010 cohorts compared with sham.

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Study links e-cigarette use with higher risk of heart failure

Medical Xpress - Cardiology

People who use e-cigarettes are significantly more likely to develop heart failure compared with those who have never used them, according to one of the largest prospective studies to date investigating possible links between vaping and heart failure. The findings are being presented at the American College of Cardiology's Annual Scientific Session.

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A Closer Look at the New Statin Therapy Guidelines for Patients With HIV

Med Page Today

(MedPage Today) -- Ms. C*, a 53-year-old African American woman living with HIV for almost a decade, inquired about the recently released recommendations for cardiovascular disease prevention among people with HIV (PWH). Her predicted 10-year atherosclerotic.

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Outcomes of subsequent pregnancy in women with peripartum cardiomyopathy: a systematic review and meta-analysis

Open Heart

Introduction The primary concern for women who have experienced peripartum cardiomyopathy (PPCM) is the safety of a subsequent pregnancy (SSP). To maximie decision-making, facilitate effective patient counselling, and ultimately improve maternal and fetal outcomes as a whole, it is critical to comprehend the outcomes of SSP in women who have previously experienced PPCM.

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WVU Medicine expands advanced cardiac services

Becker's Hospital Review - Cardiology

WVU Medicine is expanding its advanced cardiac services with the launch of an open-heart surgery program at its Thomas Hospitals in South Charleston, W. Va.

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Walk this way—it's quite good for you

Medical Xpress - Cardiology

Walking is sometimes equated with simplicity itself. If your task is a "walk in the park," it might require little more than baby steps to get things moving.

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Verve Therapeutics Halts Enrollment of Heart-1 PCSK9 Gene Therapy Trial

HCPLive

Verve Therapeutics announced plans to voluntary pause enrollment of the Heart-1 trial, citing an adverse event and consultation with DSMB, with plans to shift focus to VERVE-102 and Heart-2 trial.

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STS Panel Discussion: Predictors of Venous Thromboembolism after Pulmonary Resection for Lung Cancer

Society of Thoracic Surgeons - Research

News STS Panel Discussion: Predictors of Venous Thromboembolism after Pulmonary Resection for Lung Cancer KCummings Tue, 04/02/2024 - 08:33 1 min read

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Concept Medical Receives FDA IDE Approval for US Clinical Study of MagicTouch AVF Indication

DAIC

Concept Medical has received FDA IDE Approval for a US Clinical Study of its MagicTouch AVF, its Sirolimus drug-coated balloon (DCB) catheter. Image courtesy: Concept Medical christine.book Tue, 04/02/2024 - 12:22 April 2, 2024 — Medical device technology developer Concept Medical has announced it has been granted Investigational Device Exemption (IDE) approval from the U.S.

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Alain Cribier (1945–2024)

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 03 April 2024; doi:10.1038/s41569-024-01019-9 Gilard and Wijns reflect on the life of Alain Cribier, who revolutionized the management of patients with valvular disease.

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Male 70 yrs with Left Bundle Branche Block

CineECG

In this ECG case study we describe the advantages of using CineECG for the following case: male 70 yrs with Left Bundle Branche Block. Physicians deliver great jobs in identifying cardiac disorders from interpreting ECG waveforms. For this purpose they are trained in recognizing cardiac disorder patterns which relate to specific diseases and heart conditions.

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Study shows heart health declines rapidly after menopause

Medical Xpress - Cardiology

A woman's cardiovascular risk can rise sharply after she goes through menopause, quickly catching up to men of a similar age and health profile, according to new findings presented at the American College of Cardiology's Annual Scientific Session. Researchers said the study underscores the importance of recognizing and addressing early warning signs of heart disease risk in women as they lose the protective effects of estrogen after menopause.

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Author’s Reply to Regarding the risk of atrial arrhythmias in arrhythmogenic right ventricular cardiomyopathy patients undergoing ventricular tachycardia ablation

HeartRhythm

In response to Drs. Cheng and Zhang to our paper1, we note that despite ARVC being a relatively uncommon cardiomyopathy, we uniquely report on a large clinical experience with very long-term follow-up after VT ablation and confirm a high incidence of atrial flutter (AFL) and the effectiveness and low risk of catheter ablation of AFL. We also readily acknowledge that a risk score for predicting a clinical outcome is strengthened by a large data set, and we noted as a limitation that our risk scor

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Majority of people with heart disease consume too much sodium, research finds

Medical Xpress - Cardiology

Individuals with heart disease stand to gain the most from a low-sodium diet but, on average, consume over twice the recommended daily sodium intake, according to a study being presented at the American College of Cardiology's Annual Scientific Session.

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FDA Approves TriClip; Fortified Eggs vs Cholesterol; Impella Maker Chided

Med Page Today

(MedPage Today) -- Abbott said its TriClip transcatheter edge-to-edge repair system snagged FDA approval for treating for tricuspid regurgitation. Medtronic announced that the FDA approved the Evolut FX+ TAVR system, featuring a larger diamond.

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Want to cut US heart risks? Get more people into primary care, study suggests

Medical Xpress - Cardiology

When someone has a heart attack or a stroke, specialized care can give them the best chance of surviving.

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SGLT2i Better Than Diuretic for Early Decongestion in Acute Heart Failure?

Med Page Today

(MedPage Today) -- Starting dapagliflozin (Farxiga) early during acute heart failure hospitalization didn't boost decongestion, although it appeared to spare loop diuretic doses and increase diuresis compared with usual care, the DICTATE-AHF trial.

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Heart rate zones aren't a perfect measure of exercise intensity, but getting your heart pumping is still important

Medical Xpress - Cardiology

Aerobic exercise like jogging, biking, swimming or hiking is a fundamental way to maintain cardiovascular and overall health. The intensity of aerobic exercise is important to determine how much time you should spend training in order to reap its benefits.

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All About Autism: Misconceptions, Stigma, Lack of Females in Research

HCPLive

Autism presents differently in males and females, which could explain why fewer females are diagnosed. Females are also often limited or excluded in autism research.

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Airway and anesthesia management in tracheoesophageal fistula closure implantation: a single-centre retrospective study

Journal of Cardiothoracic Surgery

To review and analyze the airway and anesthesia management methods for patients who underwent endoscopic closure of tracheoesophageal fistula (TEF) and to summarize the experience of intraoperative airway mana.

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Probiotic Supplementation May Serve as Psoriasis Treatment Option, Study Finds

HCPLive

This meta-analysis demonstrates the possibilities for probiotic supplementation, though additional multi-center clinical studies with larger samples may be needed.

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Mapping heart health: AI illuminates neighborhood impact on well-being

Medical Xpress - Cardiology

Is the view from your doorstep mostly trees and sky or buildings and grass? The answer could influence your cardiovascular health, according to a study presented at the American College of Cardiology's Annual Scientific Session. Using an analysis of Google Street View images powered by machine learning, researchers found people living in surroundings rich in sidewalks, trees and clear sky saw a significantly lower risk of major adverse cardiac events.

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Rheumatology Month in Review: March 2024

HCPLive

This month’s rheumatology month in review showcases the efficacy of various medications for the treatment of psoriatic arthritis, underscores the importance of addressing workforce challenges, and explores non-pharmacological interventions.

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After Lariat LAA Ligater Disappoints in aMAZE, is a Path Ahead Still Possible?

Med Page Today

(MedPage Today) -- Credit: Patrick J. Lynch, medical illustrator; C. Carl Jaffe, MD, cardiologist. Adjunctive left atrial appendage (LAA) ligation failed to increase the efficacy of catheter pulmonary vein isolation (PVI) in the aMAZE trial.

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Biosimilars Month in Review: March 2024

HCPLive

In March, FDA approved biosimilar versions of established biologic drugs for autoimmune diseases and skeletal-related events, adalimumab biosimilars demonstrated sustained efficacy and acceptance among patients, and affirmed CT-P41’s potential as an alternative treatment options in clinical practice.

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Virtual reality to reduce periprocedural anxiety during invasive coronary angiography: rationale and design of the VR InCard trial

Open Heart

Introduction Patients undergoing invasive coronary angiography (ICA) experience anxiety due to various reasons. Procedural anxiety can lead to physiological and psychological complications, compromising patient comfort and overall procedural outcomes. Benzodiazepines are commonly used to reduce periprocedural anxiety, although the effect is modest. Virtual reality (VR) is a promising non-pharmacological intervention to reduce anxiety in patients undergoing ICA.

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Right Ventricular Function on Cardiovascular Magnetic Resonance Imaging and Long-Term Outcomes in Stable Heart Transplant Recipients

Circulation: Cardiovascular Imaging

Circulation: Cardiovascular Imaging, Ahead of Print. BACKGROUND:In heart transplant recipients, right ventricular (RV) dysfunction may occur for a variety of reasons. Whether RV dysfunction in the stable phase after heart transplantation is associated with long-term adverse outcomes is unknown. We aimed to determine the long-term prognostic significance of RV dysfunction identified on cardiovascular magnetic resonance imaging (CMR) at least 1 year after heart transplantation.METHODS:In consecuti

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Arrhythmias and cardiac MRI associations in patients with established cardiac dystrophinopathy

Open Heart

Aims Some patients with cardiac dystrophinopathy die suddenly. Whether such deaths are preventable by specific antiarrhythmic management or simply indicate heart failure overwhelming medical therapies is uncertain. The aim of this prospective, cohort study was to describe the occurrence and nature of cardiac arrhythmias recorded during prolonged continuous ECG rhythm surveillance in patients with established cardiac dystrophinopathy and relate them to abnormalities on cardiac MRI.

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FDA Approves Iloperidone (Fanapt) for Acute Treatment of Bipolar I Disorder

HCPLive

The FDA approved iloperidone for acute treatment of bipolar I disorder on April 02, 2024, according to Vanda Pharmaceuticals.

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Non-invasive screening tools may miss heart failure for certain patients and should be used with caution, warns study

Medical Xpress - Cardiology

Existing non-invasive screening tools may miss heart failure among patients with atrial fibrillation (AF) and should be used with caution, according to recent research.