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In this 12-lead ECG there is a bradycardic rhythm, which is regular, heart rate about 45 bpm. The QRS complexes are narow. What is this rhythm called? There are no P waves present, and no flutter or fibrillation waves can be seen. There are 2 possibilities: 1. There is a sinus arrest with a junctional escape rhythm. The junctional rhythm either cannot conduct retrograde to the atria (therefore no inverted retrograde P wave can be seen) or the retrograde P wave is hidden in the QRS complex (atria
tim.hodson Thu, 01/30/2025 - 15:31 Jan. 29, 2025 Researchers atOchsner Health, led byHernan Bazan, MD, DFSVS, FACS, have developed a predictive model with a 93% accuracy rate in determining whether urgent carotid-intervention patients will regain functional independence. This study, Precision in Stroke Care: A Novel Model for Predicting Functional Independence in Urgent Carotid Intervention Patients, is now available in the Journal of the American College of Surgeons.
Atherosclerosis, the leading cause of death worldwide, is a chronic inflammatory disease leading to the accumulation of lipid-rich plaques in the intima of large and medium-sized arteries. Accumulating evidence indicates the important regulatory role of the adaptive immune system in atherosclerosis during all stages of the disease. The gut microbiome has also become a key regulator of atherosclerosis and immunomodulation.
Background Training in complex high-risk indicated percutaneous coronary intervention (CHIP-PCI) has frequently been reserved for established operators (consultants/attending) with trainees (fellows-in-training or FIT) being often discouraged from carrying out such procedures as a primary operator due to their high-risk nature. Whether the outcomes of these cases differ if the primary operator is a supervised FIT compared with a consultant is unknown.
People who regularly floss their teeth (one or more times per week) may lower their risk of stroke caused by a blood clot traveling from the heart and a stroke associated with an irregular heartbeat such as atrial fibrillation (AFib).
tim.hodson Thu, 01/30/2025 - 15:22 Jan. 29, 2025 Scandinavian Real Heart AB (recently aannouncedthat its total artificial heart, Realheart TAH, has been granted Humanitarian Use Device (HUD) designation by the U.S. Food and Drug Administration (FDA). The HUD designation makes Realheart TAH eligible to apply for Humanitarian Device Exemption (HDE), an expedited regulatory pathway that can grant the product limited marketing rights.
Background Short-term improvements in quality of life (QOL) have been reported in adult congenital heart disease patients with systemic right ventricle (sRV) failure after treatment with sacubitril/valsartan. This study aimed to evaluate the medium-term QOL changes in sRV failure patients treated with sacubitril/valsartan. Methods In this single-centre, prospective cohort study, patients with symptomatic sRV failure completed the Netherlands Organisation for Applied Scientific Research/Academic
(MedPage Today) -- An online intervention targeting modifiable dementia risk factors improved cognition over 3 years, a randomized controlled trial of 6,100 older adults in Australia showed. The primary outcome of change in global cognitive composite.
(MedPage Today) -- An online intervention targeting modifiable dementia risk factors improved cognition over 3 years, a randomized controlled trial of 6,100 older adults in Australia showed. The primary outcome of change in global cognitive composite.
Bileaflet mechanical heart valves (MHV) remain a viable option for aortic valve replacement, particularly for younger patients and patients from low- and middle-income countries and underserved communities. Despite their exceptional durability, MHV recipients are at increased risk of thromboembolic complications. As such, the development of the next generation of MHVs must prioritize improved thromboresistance and aim for independence from anticoagulant therapy.
Background Mitral valve repair (MVr) is the gold standard treatment for degenerative mitral regurgitation, yet there is ongoing controversy regarding optimal anti-thrombotic therapy post-MVr. This scoping review aimed to summarise current evidence on the safety and efficacy of anti-thrombotic therapy after MVr, identify knowledge gaps and propose a future study design.
tim.hodson Thu, 01/30/2025 - 15:12 Penumbra recently launched its Element Vascular Access System , a laser-cut hypotube sheath designed for venous thromboembolism (VTE). The Element Vascular Access System is compatible with Lightning Flash 2.0, a powerful and advanced mechanical thrombectomy system for the removal of venous thrombus and the treatment of pulmonary embolism (PE), effectively completing Penumbras VTE platform.
When someone's heart stops pumping, early CPR can save their life. New survey research from the American Heart Association reveals more Americans are prepared to provide that lifesaving rhythm for their friends, family and community.
Findings suggest the benefits of combined belatacept and tacrolimus immunosuppression after kidney transplantation for patient and all-cause graft survival.
Shorter protective caps on chromosomes called telomeres, a proposed marker of accelerated biological cell aging, may be associated with an increased risk of stroke, dementia and late-life depression, according to an analysis of more than 356,000 people in the United Kingdom.
Research Highlights: Propranolol, a beta blocker medication used for treating high blood pressure and preventing migraines, may lower ischemic stroke risk in women who experience migraines frequently. In the large analysis of more than 3 million.
Electrocardiogram tests may someday be used with an artificial intelligence (AI) model to detect premature aging and cognitive decline, according to a preliminary study presented at the American Stroke Association's International Stroke Conference 2025, held in Los Angeles, Feb. 57, 2025.
The American Heart Associations 2025 statistical update confirms cardiovascular diseases claim more US lives than all forms of cancer and accidental deaths.
Propranolol, a beta blocker medication used for treating high blood pressure and preventing migraines, may lower ischemic stroke risk in women who experience migraines frequently.
It started as a respiratory illnessor so everyone thought. But it quickly became apparent that SARS-CoV-2, the virus that causes COVID-19, was so much more.
Research Highlights: Children who have had a stroke may be at higher risk for developing anxiety, depression and related physical symptoms such as headaches and stomach aches than their peers. Among the study participants, the most common age for.
A common bacteria usually found in the mouth and gastrointestinal tract, Streptococcus anginosis, may be abundant in the guts of people with stroke and is associated with a worse prognosis and increased risk of death, according to a preliminary study presented at the American Stroke Association's International Stroke Conference 2025, held in Los Angeles, Feb. 57, 2025.
Increased levels of Streptococcus anginosus, a common type of bacteria that usually lives in the mouth and gut, was found in the gut of recent stroke survivors in Japan.
Stroke, Volume 56, Issue Suppl_1 , Page AWP56-AWP56, February 1, 2025. Introduction:Prior studies have shown the association between oral infection, white matter hyperintensity (WMH), a marker of cerebral small vessel disease (CSVD), and asymptomatic intracranial atherosclerosis (ICAS). However, the impact of preventative oral behavior such as dental flossing is unknown.
Stroke, Volume 56, Issue Suppl_1 , Page ATP69-ATP69, February 1, 2025. Background:According to AHAs Scientific Statement,Ideal Foundational Requirements for Stroke Program Development and Growth, an essential role responsibility for stroke coordinators (SC) is to optimize stroke care within their facility and the community. SCs accomplish this by designing and implementing quality improvement (QI) projects close gaps in care identified through analysis of performance data.
By integrating 30 minutes a day of progressive walking exercise into standard stroke rehabilitation (30 to 60 minutes of physical therapy five days a week) stroke patients had a measurable improved quality of life and mobility at hospital discharge compared to a control group.
Stroke, Volume 56, Issue Suppl_1 , Page A65-A65, February 1, 2025. Introduction:Dizziness is a common reason patients visit the emergency department (ED). Stroke-dizziness diagnosed in the ED is typically due to cerebellar or brainstem lesions which might only have subtle signs of central vestibular dysfunction. Stroke after the ED visit is infrequent but could have been missed at the index visit.
People with brain bleeds had nearly 7 times higher blood levels of a specific brain protein, called glial fibrillary acidic protein (GFAP), than those who had strokes caused by clots in a study conducted in Germany.
Heart failure with preserved ejection function is a lethal form of heart failure, with few effective treatments. A team has now identified an enzyme, alpha-kinase 2 (ALPK2), that is specifically expressed in the heart and regulates the heart dysfunction that leads to heart failure with preserved ejection function. ALPK2 signaling represents a potential therapeutic target.
Puntos destacados de la investigacin: El seguimiento estricto de una dieta de estilo mediterrneo (rica en frutas, verduras, frijoles, aceite de oliva y algo de pescado y pollo) estuvo relacionado con una mejor salud cerebral en un estudio de adultos.
A blood test may rapidly distinguish brain bleeds from clot-caused strokes, even before people with stroke symptoms reach the emergency room, according to a preliminary study presented at the American Stroke Association's International Stroke Conference 2025, held in Los Angeles, Feb. 57, 2025.
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