Mon.Dec 23, 2024

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Asymptomatic severe degenerative mitral regurgitation

Heart BMJ

Degenerative mitral valve disease is common. Up to a quarter of patients with degenerative mitral valve disease may be asymptomatic despite having severe valve regurgitation. Current guideline indications for intervention in asymptomatic patient are centred on left ventricular dimensions and ejection fraction and may include consideration in atrial fibrillation, pulmonary hypertension and those with left atrial dilatation.

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Prevalence and predictors of poor heart failure treatment outcomes in Ethiopia: a systematic review and meta-analysis

Frontiers in Cardiovascular Medicine

BackgroundHeart failure (HF) is a leading cause of morbidity and mortality worldwide. Various factors can exacerbate disease progression in patients with HF and negatively impact treatment outcomes. This study aims to evaluate the pooled prevalence and contributing factors associated with poor heart failure treatment outcomes in Ethiopia.MethodsA systematic review and meta-analysis were conducted using five databases: Google Scholar, ScienceDirect, Hinari, PubMed, and Scopus.

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Experts' Perspectives: Top Stories in Cardiology for 2024

HCPLive

To celebrate the close of 2024, we surveyed top cardiologist on what they view as the biggest storyline in their field from the past year.

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Malignant hypertension: current challenges, prevention strategies, and future perspectives

Frontiers in Cardiovascular Medicine

IntroductionBased on office blood pressure (BP) values, hypertension is categorized into three stages: stage 1 (140159/9099mmHg), stage 2 (160179/100109mmHg), and stage 3 (180/110mmHg). Malignant hypertension (MHT) is characterized by extreme BP elevation (systolic blood pressure above 200mmHg and diastolic blood pressure above 130mmHg) and acute microvascular damage affecting various organs, particularly the retinas, brain, and kidneys.ObjectivesThe pathogenesis, predisposing variables, therapy

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva Health Inc.

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Use of Ibuprofen, Other NSAIDs During Pregnancy Could Increase Risk of Childhood CKD

HCPLive

Gestational exposure to certain NSAIDs during different trimesters of pregnancy was associated with an increased risk of childhood CKD.

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New-Onset Epilepsy, Migraine Tied to Hypertensive Disorders of Pregnancy

Med Page Today

(MedPage Today) -- Hypertensive disorders of pregnancy -- gestational hypertension, preeclampsia, or eclampsia -- were tied to an increased risk of new-onset neurologic disorders years after giving birth, Swedish registry data showed. Women.

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First Generic of Once-Daily GLP-1 Injection Approved for Diabetes

Med Page Today

(MedPage Today) -- The FDA has approved the first generic form of liraglutide (Victoza), a once-daily injectable for improving glycemic control in patients ages 10 and older with type 2 diabetes, used as an adjunct to diet and exercise. This is.

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Hyperglycemia, Obesity Relevant Risk Factors for Retinopathy in Type 1 Diabetes

HCPLive

Glycemic control continues to be a major risk factor for diabetic retinopathy, while overweight, obesity, and hypertension are growing in prevalence.

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More blood transfusions linked to lower 6-month mortality in heart-attack patients with anemia

Medical Xpress - Cardiology

Giving more blood to anemic patients after a heart attack may save lives, according to a Rutgers Healthled study. The study, published in NEJM Evidence, affirms research conducted in 2023 that suggested mortality rate or recurrent heart attacks were more frequent in anemic patients who received less blood.

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The Rise, Fall (and Future?) of MDMA-Assisted Therapy

HCPLive

MDMA-assisted therapy, a source of hope for many, went on a tumultuous journey in 2024, going from historichype to setbacks.

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New MRI technique identifies heart disease risk from fat composition

Medical Xpress - Cardiology

Everyone knows the health risks of carrying too much fat around the waist and hips, but UVA Health scientists are developing a noninvasive way to assess the health risks of unseen fat around the heart.

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Proteinuria Reduction in Long-Term Kidney Damage Prevention

HCPLive

Panelists discuss how the reduction of proteinuria is integral to the broader treatment goals for IgA nephropathy, highlighting evidence that supports its role in preventing long-term kidney damage.

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Top ACC Content in 2024

American College of Cardiology

What an amazing year 2024 was in terms of advances in cardiovascular care! With more than 882,000 users, ACC.org continues to be a critical resource for cardiovascular clinicians around the world!

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FDA Approves Concizumab for Hemophilia A or B with Inhibitors

HCPLive

Concizumab marks the first subcutaneous injection treatment for hemophilia A or B with inhibitors, demonstrating an 86% reduction in bleeds in pivotal trial data.

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Tirzepatide Once Weekly for the Treatment of Obesity

American College of Cardiology

The goal of the SURMOUNT-1 trial was to assess the efficacy and safety of tirzepatide, a glucose-dependent insulinotropic polypeptide (GIP) receptor and glucagon-like peptide-1 (GLP-1) receptor agonist versus placebo in overweight or obese adults without diabetes.

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FDA Approves Generic Once-Daily GLP-1 RA for Type 2 Diabetes in Pediatric, Adult Patients

HCPLive

The FDA's approval marks the second generic approval referencing a GLP-1 receptor agonist in as many months for the agency.

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Study of Heart and Kidney Protection With Empagliflozin

American College of Cardiology

The goal of the EMPA-KIDNEY trial was to assess the safety and efficacy of empagliflozin in improving cardiac and renal outcomes among patients with chronic kidney disease (CKD).

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Symptoms Management and Targeting the Root Cause of IgAN

HCPLive

Panelists discuss how clinicians can effectively shift treatment strategies for IgA nephropathy from merely managing symptoms to actively targeting the root causes of the disease.

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Top Trials, Journal Scans, and Takeaways of 2024

American College of Cardiology

In this weeks special edition of Eagles Eye View, Dr. Eagle looks at the top trials, journal scans, and clinical developments in cardiology that have changed your practice and will continue to change clinical care in the future.

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Greater Non-HDL/HDL Cholesterol Ratio Linked to Lower Anemia Rates

HCPLive

A study shows that a lower non-HDL/HDL cholesterol ratio is linked to greater anemia prevalence. A threshold of 4.28 shows a 15% anemia risk drop per unit increase below this value.

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VA-ECOM assisted percutaneous mechanical thrombectomy treatment high-risk pulmonary embolism

Frontiers in Cardiovascular Medicine

BackgroundPercutaneous mechanical thrombectomy (PMT) is increasingly used in the treatment of intermediate and high-risk acute pulmonary embolism (PE), and the treatment of high-risk PE with the aid of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has also been reported. However, there are few reports of VA-ECOM-assisted PMT in the treatment of high-risk PE.

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PSC Linked to Worse Transplant, Mortality Outcomes Than PBC, Autoimmune Hepatitis

HCPLive

Patients with PSC had worse death, transplant, liver-related mortality, and liver-related decompensation outcomes than PBC and autoimmune hepatitis.

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Heart team implants new blood-pumping device for first time in US

Medical Xpress - Cardiology

Physicians at Emory University Hospital performed the first-ever surgical implantation in the United States of a brand-new type of heart pump designed to help save patients with heart failure, using a smaller, more comfortable device.

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Study Highlights 5-Year Real-World Survival of Dupilumab for Atopic Dermatitis

HCPLive

These data expanded upon limited real-world data on retention of dupilumab past 2 years of treatment for patients with atopic dermatitis.

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Effects of a Digital Intervention to Improve DASH and Blood Pressure Among US Adults

Hypertension Journal

Hypertension, Ahead of Print. BACKGROUND:Dietary Approaches to Stop Hypertension (DASH) is a recommended first-line treatment for adults with hypertension, yet adherence to DASH is low.PURPOSE:To evaluate the efficacy of a digital health intervention (DHI), compared with attention control, on changes in DASH adherence and blood pressure among adults with hypertension.METHODS:Nourish was a 12-month, parallel, 2-arm, randomized controlled trial of a virtually delivered DHI.

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Coding for CKD Diagnosis

HCPLive

Panelists discuss the key considerations for properly coding chronic kidney disease (CKD) diagnoses, with a particular focus on the nuances involved in coding for early-stage CKD.

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‘Pacing System Analyzers to guide Conduction System Pacing implantation procedures: A comparison study of intracardiac and surface signals with an Electrophysiological Recording System’

HeartRhythm

Left bundle branch area pacing (LBBAP) needs confirmation of left conduction system capture assessed by testing of different electrical parameters. Guidelines recommend the use of an electrophysiological recording-system (EP-RS) to guide conduction system pacing (CSP) procedures. However, some experienced centers perform LBBAP procedures without an EP-RS.

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Chronic Spontaneous Urticaria and Bruton Tyrosine Kinase: A Multispecialty Expert Discussion Primer

HCPLive

Panelists discuss how chronic spontaneous urticaria involves autoantibody-mediated mast cell activation and degranulation, with BTK serving as a critical signaling molecule in both mast cells and B cells that produce pathogenic autoantibodies.

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Impact of Anemia on Clinical Outcomes in Atrial Fibrillation Patients on Oral Anticoagulants: A Prognostic Meta‐Analysis

Journal of Cardiovascular Electrophysiology

ABSTRACT Background Anemia is frequently observed as a comorbidity in atrial fibrillation (AF), especially in elderly patients and in those on anticoagulation. This has been associated with poor clinical outcomes. We aim to investigate the impact of anemia on clinical outcomes in patients with AF on oral anticoagulation. Methods We comprehensively searched PubMed, WOS, SCOPUS, EMBASE, and CENTRAL through March 2024 and conducted a prognostic systematic review and meta-analysis.

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Outcomes and Adoption of PPAR Agonists in PBC

HCPLive

The panel of experts addresses potential challenges in the adoption of peroxisome proliferator-activated receptor (PPAR) agonists for primary biliary cholangitis (PBC), including barriers to access, patient selection, and long-term treatment considerations.

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Machine Learning‐Driven Identification of Distinct Persistent Atrial Fibrillation Phenotypes: A Cluster Analysis of DECAAF II

Journal of Cardiovascular Electrophysiology

ABSTRACT Introduction Catheter ablation of persistent atrial fibrillation yields sub-optimal success rates partly due to the considerable heterogeneity within the patient population. Identifying distinct patient phenotypes based on post-ablation prognosis could improve patient selection for additional therapies and optimize treatment strategies. Methods We studied all patients who underwent catheter ablation of persistent atrial fibrillation in the DECAAF II trial.

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Thoughts on the Current State of PBC Management

HCPLive

The panel of experts offers expert insights and concluding thoughts on the management of primary biliary cholangitis (PBC), emphasizing the importance of personalized treatment strategies, monitoring, and the evolving role of new therapies in improving patient outcomes.

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Parents, clinicians skeptical of children's high blood pressure readings

Medical Xpress - Cardiology

Both parents of children with hypertension and treating clinicians are aware of the importance of addressing pediatric hypertension but show significant mistrust in clinic blood pressure measurements, according to a study published online Dec. 13 in JAMA Network Open.

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NCQA Guidelines and the KDIGO Heat Map in CKD Management

HCPLive

Panelists discuss how NCQA guidelines apply to chronic kidney disease (CKD) management and the role of the KDIGO heat map in enhancing clinical practice.

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What can fecal proteins reveal about heart health?

Medical Xpress - Cardiology

Human and microbial proteins found in feces could help doctors detect a long-term risk of deadly cardiovascular conditions in otherwise healthy patients, avoiding the need for costly and invasive diagnostic procedures.

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Oroteinuria Reduction in Long-Term Kidney Damage Prevention

HCPLive

Panelists discuss how the reduction of proteinuria is integral to the broader treatment goals for IgA nephropathy, highlighting evidence that supports its role in preventing long-term kidney damage.

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