Fri.Jan 17, 2025

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Overcoming the Odds with Expert Fetal Cardiology Care: Zeke and Zane’s Story

Conquering CHD

Zane had three open heart surgeries before he turned 3. And surprisingly, he had a more routine care journey than his brother, Zeke. Zeke and Zane were both diagnosed with hypoplastic left heart syndrome (HLHS) before birth. As far as congenital heart diseases go, HLHS falls on the rarer end of the spectrum. The odds that either boy would have the condition are low roughly 1 in every 3,800 babies are born with it.

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Current and novel biomarkers in cardiogenic shock

European Journal of Heart Failure

A summary of current and novel biomarkers and their potential stages of release in cardiogenic shock. The diagram illustrates the proposed release of the biomarkers during the different stages of cardiogenic shock: progression from cardiac dysfunction/stress, through to inflammation and end-organ dysfunction. It is believed that a self-propagating spiral of events follows as a result of hypoperfusion, ischaemia and inflammation, leading to end-organ dysfunction.

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Physiology Friday #253: Low-carb Matches High-carb for Performance: Is it Time to Question the Obligatory Role of Glycogen for Endurance Exercise?

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. Details about the sponsors of this newsletter including FSTFUEL electrolytes, Examine.com , and my book “VO2 Max Essentials ” can be found at the end of the post. You can find more products I’m affiliated with on my website. Physiologically Speaking is a reader-supported publication.

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Health and Economic Burden of COPD

HCPLive

Panelists discuss how, despite being preventable and treatable, chronic obstructive pulmonary disease (COPD) has emerged as a major global health challenge due to widespread exposure to risk factors, particularly tobacco smoke, which remains the primary cause despite declining smoking rates in some regions. Early environmental exposures play a crucial roleworkplace pollutants, air pollution, and secondhand smoke can damage developing lungs, whereas genetic factors like 1-antitrypsin deficiency i

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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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Effects of respiratory sarcopenia on the postoperative course in elderly lung cancer patient: a retrospective study

Journal of Cardiothoracic Surgery

Recently, sarcopenia has been linked to unfavorable outcomes in various surgical procedures, including lung cancer surgery. This study aimed to investigate the impact of respiratory sarcopenia (RS) on postoper.

Cancer 116
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Early TAVR trial : Too early to call

Dr. S. Venkatesan MD

We know TAVI is in the striking distance , to literally take over most aortic valve interventions. From a humble beginning from very high surgical risk with prohibitive comorbidity, now it has almost touched the totally asymptomatic, relatively morbid-free patients. Thanks to the hardware, expertise, and motivation from multiple forces. While the numbers increase, still the debate between SAVR and TAVR is riddled with speculation, skepticism, and absolute confidence.

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Marla Dubinsky, MD: Ushering In a New Era of Crohn’s Disease Treatment with Mirikizumab

HCPLive

Dubinsky describes the evolution from anti-TNF therapies to IL-23 antagonists and the significance of mirikizumabs approval for Crohns disease.

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Excess weight gain in first trimester associated with fetal fat accumulation

Science Daily - Heart Disease

Fetuses of pregnant people who gained excess weight in the first trimester of pregnancy show signs of excess fat distribution in the upper arm and in the abdomen, according to a new study. These findings may inform efforts to prevent excessive weight gain early in life, a risk factor for adult obesity and related conditions, such as heart disease, high blood pressure and diabetes.

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Treatment of COPD Based on Symptoms

HCPLive

Panelists discuss how chronic obstructive pulmonary disease (COPD) management follows a stepwise approach, beginning with bronchodilators (typically short-acting 2-agonists/long-acting 2-agonists) and progressing to combination therapy with long-acting muscarinic antagonists/inhaled corticosteroids based on symptom severity. Current unmet needs include more targeted anti-inflammatory treatments, better biomarkers for phenotyping, and therapies to halt disease progression, particularly for those

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Higher costs can limit attendance for life changing cardiac rehab

Medical Xpress - Cardiology

Despite the success cardiac rehabilitation has shown at reducing heart-related deaths and hospital readmissions, higher out-of-pocket costs may prevent patients from participating in the program, a Michigan Medicine study suggests.

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New Research Provides Insight Into Incidence, Prevalence of IgAN in the United States

HCPLive

The study leverages large US-based claims datasets and pathologist input to estimate the annual incidence and total prevalence of IgAN in the US.

Research 105
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Children with congenital heart defects found to have poorer survival following cancer diagnosis

Medical Xpress - Cardiology

For children battling both congenital heart defects (CHD) and cancer, the road to recovery is far more precarious than previously understood, according to a study published in the Journal of the National Cancer Institute.

Cancer 79
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Study Highlights New Data on Probiotics as Food Allergy Treatment for Children

HCPLive

This systematic review and meta-analysis highlighted several key findings on use of probiotics as a treatment of pediatric patients with allergies to food.

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Mortality Patterns in Pediatric Pulmonary Vein Stenosis: Insights Into Right Ventricular Systolic Pressure Associations

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundPulmonary vein stenosis in children is associated with a poor prognosis. However, the cause and risk factors for mortality remain uncertain.MethodsThis retrospective, singlecenter study identified children with primary and secondary pulmonary vein stenosis through a cardiac catheterization database.

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Mindfulness App Maintains Improvements in Employee Stress at 4 Months

HCPLive

A new study shows that employee stress improves when using a mindfulness meditation app for under or above 5 minutes (the more effective option).

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AI-driven approach reads heart cells' inner electrical signals from the outside

Medical Xpress - Cardiology

A team of researchers led by the University of California San Diego and Stanford University has developed a noninvasive method to monitor the electrical activity inside heart muscle cells from the outside, avoiding the need to physically penetrate the cells.

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HHS Targets 15 Drugs for Medicare Part D Negotiations, Including Semaglutide

HCPLive

Medicare has selected 15 additional drugs to negotiate prices directly with participating drug companies, including semaglutide (Ozempic).

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Incidence and predictors of weaning failure from veno‐arterial extracorporeal membrane oxygenation therapy in patients with cardiogenic shock

European Journal of Heart Failure

Predictors of weaning failure from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock. RRT, renal replacement therapy. Abstract Aims This study aimed to investigate incidence and predictors of weaning failure and in-hospital death after successful weaning from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock (CS).

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Diabetes mellitus risk in post-myocardial infarction patients: FINDRISC versus self-assessment—a cross sectional study

Cardiovascular Diabetology

The aim of this study was to investigate the difference between perceived and calculated diabetes risks among post-myocardial infarction (AMI) patients using the Finnish Diabetes Risk Score (FINDRISC).

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Semaglutide 7.2 mg Displays 20.7% Weight Loss in Phase 3b STEP UP Trial

HCPLive

Semaglutide 7.2 mg achieved statistically significant and superior weight loss at 72 weeks versus placebo, hitting the Phase 3b trial's primary endpoint.

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ICAM1 blockade improves ischemic muscle reperfusion in diabetic mice

Cardiovascular Diabetology

Chronic Limb-Threatening Ischemia (CLTI) represents the most advanced stage of Peripheral Artery Disease (PAD) and is associated with dire prognosis, characterized by a substantial risk of limb amputation and.

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Study Compares ChatGPT-4 Diagnostic Abilities to Teledermatologists

HCPLive

In this analysis, the investigators sought to assess the ability of a ChatGPT-4-based chatbot in its performance of key functions in a teledermatology platform.

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ACC Practice Made Perfect: Reducing Burnout Through AI Integration

American College of Cardiology

In this second episode in a three-part series of episodes focusing on artificial intelligence (AI) in cardiology, Dr. Effie Andrikopoulou hosts Dr. Nishath Quader and Mr. Demetri Giannikopoulos to discover how innovative AI solutions can tackle one of the biggest challenges facing todays cardiologistsburnout.

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Telemental Health Surges for Schizophrenia Care Post-COVID, Racial Gaps Persist

HCPLive

Despite the surge in telemental health use in patients with schizophrenia, fewer people in racial or ethnic minority groups had a telemental health visit compared to White people.

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The additional impact of metabolic syndrome on left ventricular deformation and myocardial energetic efficiency impairment in ischemia with nonobstructive coronary arteries patients

Cardiovascular Diabetology

Ischemia with nonobstructive coronary arteries (INOCA) has high morbidity, mortality, and poor quality of life. Metabolic syndrome (MetS) is a complex of multiple cardiac metabolic risk factors, significantly.

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McLaren expands stroke care network through telehealth

Becker's Hospital Review - Cardiology

Grand Blanc, Mich.-based McLaren Health Care has expanded its stroke care network to include Schoolcraft Memorial Hospital in Manistique, Mich., through a stroke-specific telehealth platform.

Stroke 52
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Longitudinal association between DNA methylation and type 2 diabetes: findings from the KORA F4/FF4 study

Cardiovascular Diabetology

Type 2 diabetes (T2D) has been linked to changes in DNA methylation levels, which can, in turn, alter transcriptional activity. However, most studies for epigenome-wide associations between T2D and DNA methyla.

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New Review Article in Annals of Emergency Medicine: ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review

Dr. Smith's ECG Blog

ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review

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Association between atherogenic index of plasma and future risk of cardiovascular disease in individuals with cardiovascular-kidney-metabolic syndrome stages 0–3: a nationwide prospective cohort study

Cardiovascular Diabetology

As an emerging concept, Cardiovascular-kidney-metabolic syndrome (CKM) elucidates the intricate interconnection between metabolic disorders(Mets), cardiovascular disease(CVD), and chronic kidney disease(CKD).

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Optimal Duration of Dual Antiplatelet Therapy After Carotid Artery Stenting: A Nationwide Cohort Study

Stroke Journal

Stroke, Ahead of Print. BACKGROUND:Carotid artery stenting (CAS) is an alternative treatment for patients with carotid artery stenosis who are not eligible for carotid endarterectomy. Dual antiplatelet therapy (DAPT) after CAS aims to prevent ischemic stroke. However, its optimal duration remains unclear. We aimed to determine the optimal duration of DAPT by identifying the differences in clinical events that occur depending on the DAPT maintenance period.METHODS:Data were obtained from the nati

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Role of Nutritional Epigenetics for Cerebrovascular Health in Low‐ and Middle‐Income Countries

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print.

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Atypical Atrial Flutter: Electrophysiological Characterization and Effective Catheter Ablation

Journal of Cardiovascular Electrophysiology

ABSTRACT Atrial flutter (AFL), defined as macro-re-entrant atrial tachycardia, is associated with debilitating symptoms, stroke, heart failure, and increased mortality. AFL is classified into typical, or cavotricuspid isthmus (CTI)-dependent, and atypical, or non-CTI-dependent. Atypical AFL is a heterogenous group of re-entrant atrial tachycardias that most commonly occur in patients with prior heart surgery or catheter ablation.

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Efficacy and safety of finerenone in patients with chronic kidney disease and type 2 diabetes by diuretic use: A FIDELITY analysis

European Journal of Heart Failure

Efficacy and safety of finerenone in patients with chronic kidney disease and type 2 diabetes by diuretic use: a FIDELITY analysis. CI, confidence interval; CKD, chronic kidney disease; CV, cardiovascular; eGFR, estimated glomerular filtration rate; FIDELIO-DKD, FInerenone in reducing kiDnEy faiLure and dIsease prOgression in Diabetic Kidney Disease; FIDELITY, FInerenone in chronic kiDney diseasE and type 2 diabetes: Combined FIDELIO-DKD and FIGARO-DKD Trial programme analYsis; FIGARO-DKD, FIner

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Case for Establishing a National Stroke Activation Fee in the United States: Learning From Trauma Centers

Stroke Journal

Stroke, Ahead of Print. There is a large burden of stroke in the United States, and extensive systems of care have been established to address it. The resources devoted to stroke centers are analogous to those of trauma centers, both sharing many strict requirements for certification, clinical preparedness, quality improvement, data management, and reporting.

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Evaluation of Intensive Statins and Proprotein Convertase Subtilisin/Kexin Type 9 Inhibitors on Intracranial Artery Plaque Stability: A Prospective Single‐Arm Study

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundIntracranial atherosclerotic stenosis is a leading cause of ischemic stroke and recurrent events due to plaque instability. Highresolution magnetic resonance imaging identifies plaque enhancement as a key marker of instability. This study evaluated the efficacy of combined highintensity statins and proprotein convertase subtilisin/kexin type 9 inhibitors in plaque stabilization.MethodsIn this prospective, singlearm study, patie

Plaque 40
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Memory in the Balance: Exploring Ischemic Amnesia in Posterior Circulation Stroke

Stroke Journal

Stroke, Ahead of Print.