Mon.Nov 25, 2024

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Coronary Angiography Guide by Willy Frick -- Everything you ever wanted to know about the Cath Lab

Dr. Smith's ECG Blog

Introductory Angiography Guide To find the guide later, go to the banner at the top of the blog: This blog is dedicated to improving understanding of ECGs in the context of emergency medicine. A substantial proportion of cases discussed include diagnostic angiography. Attaining expertise in angiography requires dedication and practice. What follows is an introduction to angiography -- a guide meant for people with no prior experience interpreting angiograms.

Blog 73
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Popular diabetes and obesity drugs also protect kidneys, study shows

Science Daily - Heart Disease

The biggest and most comprehensive analysis of glucagon-like peptide-1 (GLP-1) receptor agonists on kidney and cardiovascular outcomes shows they have significant benefits in people with and without diabetes.

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Alexei Grom, MD: Exploring Safer Treatment Options for Refractory Macrophage Activation Syndrome

HCPLive

Emapalumab may improve outcomes in patients with MAS whose disease didn’t respond to steroid therapy and mitigate the need for more toxic therapies.

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New insights into FGF21 alleviates diabetic cardiomyopathy by suppressing ferroptosis: a commentary

Cardiovascular Diabetology

Diabetic cardiomyopathy (DCM) is a severe cardiovascular complication of diabetes characterized by myocardial hypertrophy, fibrosis, and impaired cardiac function. Fibroblast growth factor 21 (FGF21) has emerg.

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Genetic Screening for IgAN

HCPLive

Panelists discuss the importance of screening and monitoring family members of individuals with IgA nephropathy, noting that up to 15% of cases are familial and outlining recommendations for the frequency of such assessments.

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Urinary metabolomics provide insights into coronary artery disease in individuals with type 1 diabetes

Cardiovascular Diabetology

Type 1 diabetes increases the risk of coronary artery disease (CAD). High-throughput metabolomics may be utilized to identify metabolites associated with disease, thus, providing insight into disease pathophys.

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Impact of IgAN on Quality of Life

HCPLive

Panelists discuss how IgA nephropathy affects patients’ quality of life, addressing both the physical symptoms and the emotional challenges associated with the condition.

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Vitamin D Deficiency More Common in Lupus Nephritis Than Lupus Without Kidney Disease

HCPLive

Hypovitaminosis D was more prevalent in patients with lupus nephritis compared to patients with systemic lupus erythematosus without kidney disease.

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Opps. The FIRST Day. Not The Last Day.

Dr. Paddy Barrett

The Heart Health Formula is available from today until Sunday, Dec 1st. You might have received an email saying today is the LAST day of availability, but it's not. It is the first day. Apologies for the earlier email. This was a scheduling error on our part. But if you want to pick up the Heart Health Formula for 30% off, you can do so from today until Sunday.

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Bimekizumab Maintains Efficacy for PsA Up to 2 Years Among Week 16 Responders

HCPLive

These data, presented at ACR 2024, demonstrate that response was maintained at 2 years among those with psoriatic arthritis who responded to bimekizumab at Week 16.

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Death after sauna—case report of a heat stroke associated subarachnoid hemorrhage

Frontiers in Cardiovascular Medicine

Heat exposure could cause organ injuries leading to multi-organ failure. This case report describes a cardiopulmonary healthy 61-year-old woman who was admitted to our university hospital in an unconscious state after spending more than 30 min in an 80°C sauna. Initial radiological imaging revealed no pathological findings. Laboratory results revealed a rapidly progressing disseminated intravascular coagulation (“DIC”) and a clinically asymptomatic COVID-19 infection.

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Strict Disease Control Criteria Linked to Increased Work Productivity for Patients with PsA

HCPLive

This post-hoc analysis demonstrated an association between work productivity and stringent disease control criteria for those with psoriatic arthritis.

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Bibliometric analysis of youth myocardial infarction research (1980–2023)

Frontiers in Cardiovascular Medicine

IntroductionCardiovascular diseases include myocardial infarction, a high mortality disease. Myocardial infarction patients are becoming younger, typically defined as patients under 45 years of age. This study analyzes the relevant papers on myocardial infarction in youth in the Web of Science Core Collection (WoSCC) between 1980 and 2023.MethodsIt uses bibliometric methods to systematically understand the current status and development trend of research in this field.

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BridgeBio Pharma Receive FDA Nod for Attruby

DAIC

tim.hodson Mon, 11/25/2024 - 18:06 Nov. 22, 2024 — BridgeBio Pharma, Inc. recently announced that the U.S. Food and Drug Administration (FDA) approved Attruby (acoramidis), an orally-administered near-complete (≥90%) stabilizer of Transthyretin (TTR) for the treatment of adults with ATTR-CM to reduce cardiovascular death and cardiovascular-related hospitalization.

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Multi-modal transcriptomics: integrating machine learning and convolutional neural networks to identify immune biomarkers in atherosclerosis

Frontiers in Cardiovascular Medicine

BackgroundAtherosclerosis, a complex chronic vascular disorder with multifactorial etiology, stands as the primary culprit behind consequential cardiovascular events, imposing a substantial societal and economic burden. Nevertheless, our current understanding of its pathogenesis remains imprecise. In this investigation, our objective is to establish computational models elucidating molecular-level markers associated with atherosclerosis.

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Lower cardiac arrest survival in women may be linked to CPR manikins: 5 study notes

Becker's Hospital Review - Cardiology

Ninety-five percent of CPR training manikins on the global market are flat-chested, possibly contributing to disproportionate survival outcomes for women after cardiac arrest, according to a study published Nov. 21 in Health Promotional International.

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CircRNA-mediated regulation of cardiovascular disease

Frontiers in Cardiovascular Medicine

Cardiovascular diseases (CVDs) encompass a range of disorders affecting the heart and blood vessels, such as coronary heart disease, cerebrovascular disease (e.g., stroke), peripheral arterial disease, congenital heart anomalies, deep vein thrombosis, and pulmonary embolism. CVDs are often referred to as the leading cause of mortality worldwide. Recent advancements in deep sequencing have unveiled a plethora of noncoding RNA transcripts, including circular RNAs (circRNAs), which play pivotal rol

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Top hospitals for cardiac care: Healthgrades

Becker's Hospital Review - Cardiology

Healthgrades published its 2025 Specialty Excellence Awards recipients Oct. 22. Of those, 97 hospitals were recognized for delivering superior clinical outcomes in cardiac care for heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment and heart valve surgery.

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Perspective: Pathological transdifferentiation—a novel therapeutic target for cardiovascular diseases and chronic inflammation

Frontiers in Cardiovascular Medicine

Pathological transdifferentiation, where differentiated cells aberrantly transform into other cell types that exacerbate disease rather than promote healing, represents a novel and significant concept. This perspective discusses its role and potential targeting in cardiovascular diseases and chronic inflammation. Current therapies mainly focus on mitigating early inflammatory response through proinflammatory cytokines and pathways targeting, including corticosteroids, TNF-α inhibitors, IL-1β mon

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Acoramidis Snags FDA Approval for ATTR Cardiomyopathy

Med Page Today

(MedPage Today) -- Acoramidis (Attruby) gained FDA approval for treating wild-type or variant transthyretin (TTR) amyloidosis cardiomyopathy (ATTR-CM), BridgeBio Pharma announced. Offering patients near-complete TTR stabilization in an oral tablet.

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Ablation index value for transmural lesions based on unipolar electrograms in patients with paroxysmal atrial fibrillation undergoing pulmonary vein isolation

Frontiers in Cardiovascular Medicine

BackgroundIt remains unclear whether the current recommended ablation index (AI) value is suitable for individualized catheter ablation. Prior research has established that the elimination of the negative component of the unipolar electrogram (UP-EGM) applications reflects the formation of transmural lesion during radiofrequency ablation. The aim of this study was to explore the relationship between AI values when UP-EGM turns positive during pulmonary vein isolation and recommended AI values.Me

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Hospitals with lowest, highest Medicare payments for heart attack care

Becker's Hospital Review - Cardiology

Memorial Hospital at Gulfport (Miss.) reported the highest Medicare payment of $38,459 for heart attack care between July 1, 2020, and June 30, 2023, according to CMS data published Oct. 30.

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Your Top Five Questions About CMHC On-Demand, Answered

Cardiometabolic Health Congress

If you’re looking to revisit or explore the sessions from the 19th Annual Cardiometabolic Health Congress (CMHC), we’ve got good news—on-demand access is now available! Below, we answer the most common questions about CMHC On-Demand to help you make the most of this resource and stay updated on key developments in cardiometabolic health. If you attended the 19th Annual Cardiometabolic Health Congress (CMHC), please reach out to info@cardiometabolichealth.org and we will provide you with a compli

CME 52
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Cardiac rehabilitation: the gateway for secondary prevention

Heart BMJ

Cardiac rehabilitation (CR) is a multidisciplinary supervised programme which typically consists of tailored exercise and education on lifestyle management and risk factor modification in cardiac patients. Participation in CR reduces morbidity and mortality, while improving quality of life following major cardiovascular events. Despite the benefits of CR, it is underutilised, generally in the 20%–30% range for eligible patients.

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25-year trajectories of physical activity and atrial fibrillation risk: results from the ARIC study

Frontiers in Cardiovascular Medicine

BackgroundThe relationship between serial changes in physical activity and the risk of developing atrial fibrillation (AF) has been rarely studied.ObjectivesTo evaluate the association between changes in physical activity over time and the incidence of AF.MethodsA total of 11,828 participants without AF at baseline (visit 1: 1987–1989) from the ARIC Study were included.

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Exercise training improves cardiovascular fitness in dilated cardiomyopathy caused by truncating titin variants

Heart BMJ

Background Participation in regular exercise activities is recommended for patients with chronic heart failure. However, less is known about the effect of exercise in patients with genetic dilated cardiomyopathy (DCM). We sought to examine the effect of vigorousintensity training on physical capacity in patients with DCM caused by truncating titin variants (TTNtv).

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Early Detection of CKD in Stages 2 and 3

HCPLive

Panelists discuss how early detection of chronic kidney disease (CKD) in stages 2 and 3 can improve patient outcomes across various specialties, including nephrology, cardiology, and primary care.

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Effectiveness of rapid access chest pain clinics: a systematic review of patient outcomes and resource utilisation

Heart BMJ

Background Rapid Access Chest Pain Clinics (RACPC) are widely used for the outpatient assessment of chest pain, but there appears to be limited high-quality evidence justifying this model of care. This study aimed to review the literature to determine the effectiveness of RACPCs. Methods A systematic review of studies evaluating the effectiveness of RACPCs was conducted to assess the quality of the evidence supporting this model.

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Rates of Missed CKD Diagnoses and Consequences

HCPLive

Panelists discuss the high rates of missed chronic kidney disease (CKD) diagnoses despite testing and the consequences of diagnosing CKD in patients with type 2 diabetes without administering treatment, including insights on how frequently this occurs among cardiologists and primary care providers.

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New frontiers for exercise training: evidence of cardiovascular benefit for titin-induced dilated cardiomyopathy

Heart BMJ

Regular physical activity combined with structured exercise training has well described benefits for quality of life and mortality in a range of cardiovascular conditions. For individuals with underlying genetic cardiac myopathies there has been concern that exercise training could trigger a potentially fatal event. Thus, there has been caution with recommending exercise training broadly, especially with respect to vigorous intensity exercise and participation in competitive sports.

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SEL-212 Advances Refractory Gout Outcomes with Prolonged Treatment

HCPLive

Clinically meaningful increases in patient-reported outcomes were identified after 3 doses of SEL-212 and strengthened after 3 additional doses.

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Handing over the car keys: a reappraisal of driving restrictions after implantable cardioverter/defibrillator implantation

Heart BMJ

A set of keys to one’s first car is an unrivalled symbol of personal autonomy and liberation. The elation a teenager feels when getting the car keys for the first time (now more likely to be fobs, phones or fingerprints) is only equaled in intensity by the crushing defeat of being stripped of this privilege when, say, curfew is broken. For people with medical problems, relinquishing one’s driving privileges, in this case for reasons of health and safety, is a difficult, often content

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Urate-Lowering Therapy Remains Tolerable in Patients with Gout, CKD

HCPLive

Lowering serum urate level to less than 6 mg/dL was not linked to an elevated risk of severe or end-stage kidney disease progression in patients with gout.

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Correction: Too fast, too furious

Heart BMJ

10.1136/heartjnl-2024-324724corr1 Makkar N, Arasan S, Namboodiri N. Too fast, too furious. Heart 2024; 110: 1164-1196. This article has been corrected since it was first published. The correct answer, ‘B: Atrial pacing at a high set rate’ was missing and has now been added to the online version.

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Rheumatologists Recognize the Need to Create Pediatric Enthesitis Scoring Tool

HCPLive

At ACR, HCPLive spoke with Erin Treemarcki on a survey that showed many rheumatologists do not use established enthesitis scoring measures for children.

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Prognostic value of glycaemic variability for mortality in critically ill atrial fibrillation patients and mortality prediction model using machine learning

Cardiovascular Diabetology

The burden of atrial fibrillation (AF) in the intensive care unit (ICU) remains heavy. Glycaemic control is important in the AF management.

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Presence of Diffuse Cutaneous Disease Linked to Worse HRQOL in Systematic Sclerosis

HCPLive

At ACR, HCPLive spoke with Ashima Makol, MD, about factors linked to a worse health-related quality of life in patients with early systemic sclerosis.