Sun.Nov 17, 2024

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Cholesterol crystals in the pathogenesis of atherosclerosis

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 18 November 2024; doi:10.1038/s41569-024-01100-3 Cholesterol crystals (CCs) have a pathogenic role in various cardiovascular diseases, particularly atherosclerosis. In this Review, Boisvert and colleagues describe the mechanisms underlying CC formation and the role of CCs in cardiovascular disease, as well as therapeutic approaches aimed at reducing CC-mediated atherosclerotic burden.

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Oussama Wazni, MD, MBA: OPTION Trial and the Role of LAAC in Atrial Fibrillation

HCPLive

Oussama Wazni, MD, discusses the results of the OPTION trial examining LAAC in atrial fibrillation as well as its reception as AHA 2024.

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Spironolactone Misses the Mark in Acute MI Without HF

Med Page Today

(MedPage Today) -- CHICAGO -- A mineralocorticoid receptor antagonist (MRA) was unable to further improve 3-year outcomes of acute myocardial infarction (MI) in the modern era, based on the CLEAR OASIS 9 trial. Among heart attack survivors without.

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Emapalumab May Improve Response Rates in MAS Treatment

HCPLive

Findings from the first and only controlled study for macrophage activation syndrome were presented at the ACR Convergence.

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Bridging Innovation & Patient Care: The Growing Role of AI

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

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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Semaglutide Eligibility Across All Current Indications for US Adults

JAMA Cardiology

This cross-sectional study uses National Health and Nutrition Examination Survey data to examine the number of US adults eligible for semaglutide across all current indications.

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Mediterranean Diet May Help Reduce Risk of Adverse Liver-Related Outcomes in MASLD

HCPLive

High adherence to the Mediterranean diet was linked to a lower risk of liver-related outcomes as measured by the Liver Risk score.

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Barry A. Borlaug, MD: Impact of Tirzepatide on Cardiorenal End-Organ Damage in HFpEF

HCPLive

Barry A. Borlaug, MD describes the beneficial effect of tirzepatide on circulatory pressure-volume overload and end-organ damage in patients with HFpEF and obesity.

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Reconditioned pacemakers worked as well as new ones

American Heart News - Heart News

Research Highlights: Pacemakers reconditioned with an FDA-approved protocol worked as well as new devices in a study of nearly 300 people in seven low- and middle-income countries. The study compared the function and safety of reconditioned pacemakers.

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NUDGE-FLU Analysis Finds History of Heart Attack Increases Effectiveness of CV Gain Frame Letter

HCPLive

Electronic messages highlighting cardiovascular benefits of flu shots increased vaccination rates by 1.8% in heart attack survivors.

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Email reminders improved flu shot rates in Denmark, notably among heart attack survivors

American Heart News - Heart News

Research Highlights: An electronic message to "nudge" patients to get a flu vaccine highlighting the cardiovascular benefits of flu shots improved vaccination rates among more than two million adults in three clinical trials in Denmark. The research.

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Shreena K. Gandhi, MBBS: Recognizing Fibromyalgia as a Continuous Variable, Trait Diagnosis

HCPLive

Gandhi discussed examining social security disability rates and how SSD criteria may clash with a trait disease like fibromyalgia.

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Phase 1 Study of AAV9.LAMP2B Gene Therapy in Danon Disease

The New England Journal of Medicine

In a study involving patients with Danon disease, AAV9.LAMP2B gene therapy appeared to be safe, increased cardiac LAMP2 expression, and was associated with clinical improvement over 24 to 54 months.

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Søren Andreas Just, MD, PhD: Developing AI to Mitigate Rheumatologist Shortages for Disease Assessment

HCPLive

Just discussed data from 2 studies demonstrating efficacy of AI assessment compared to clinician assessment.

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Sodium-Glucose Cotransporter-2 Inhibitor in Patients With Heart Failure and Mildly Reduced or Preserved Ejection Fraction

JAMA Cardiology

This cohort study evaluated adoption rates of sodium-glucose cotransporter-2 inhibitors at US hospitals for patients with heart failure and mildly reduced or preserved left ventribular ejection fraction.

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Two-medication combo pill lowered blood pressure among adults in India

American Heart News - Heart News

Research Highlights: A study of three pills that combined two types of blood-pressure-lowering medications into one pill found that all combinations worked equally well among adults in India. Results from the TOPSPIN trial found that any.

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Novel CRISPR-Cas9-Based Promising in ATTR Cardiomyopathy

Med Page Today

(MedPage Today) -- CHICAGO – A CRISPR-Cas9-based investigational therapy was linked with a drop in serum transthyretin (TTR) levels in patients with transthyretin amyloidosis with cardiomyopathy (ATTR-CM), according to phase I data. A single.

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Patients taking edoxoban after heart valve surgery had lower risk of stroke, blood clots

American Heart News - Heart News

Research Highlights: Edoxaban, a medication taken orally to prevent blood clots from forming, was found to be as effective and safe for stroke and blood clot prevention in patients after heart valve replacement surgery as warfarin, the current.

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Right ventricular function and anemia in heart failure with preserved ejection fraction

Frontiers in Cardiovascular Medicine

BackgroundAnemia is a common complication in patients with heart failure and is associated with left ventricular systolic dysfunction. However, its role in right ventricular (RV) function has not been evaluated.MethodsWe retrospectively analyzed the electronic medical data of 1,014 Heart Failure with Preserved Ejection Fraction (HFpEF) patients to evaluate the relationship between anemia and RV dysfunction in patients with HFpEF and whether this relationship is influenced by classical risk facto

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Minjee Kim, MD: Understanding Sleep’s Impact on Post-Liver Transplant Outcomes

HCPLive

Kim explains how poor sleep is linked to negative impacts on mental health, physical health, and frailty after liver transplantation.

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Association between weight-adjusted waist circumference index and myocardial infarction: results from the national health and nutrition examination survey, 1999–2014

Frontiers in Cardiovascular Medicine

BackgroundWeight-adjusted waist circumference index (WWI) is a novel index related to obesity and has been associated with the risk and prognosis of several diseases. The aim of the study was to determine the association between WWI and myocardial infarction.MethodsThe study analyzed cross-sectional data from 31,535 participants derived from the 1999–2014 National Health and Nutrition Examination Survey (NHANES) dataset.

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Ups, downs, and going with the flow of diagnosis

Heart Sisters

The ebbs and flows of diagnosis: 'Learning you have a serious medical condition might qualify as an immediate crushing ebb, but oddly enough, I felt instead an overwhelming flow of relief. These people were taking me seriously.

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Study Highlights Racial, Ethnic Disparities in Liver Transplant Waitlisting, Allocation

HCPLive

Compared with non-Hispanic White patients, racial/ethnic minority patients were more likely to be removed from the waitlist and not receive a transplant.

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Is DOAC a Viable Option After Bioprosthetic Valve Surgery Even in Sinus Rhythm?

Med Page Today

(MedPage Today) -- CHICAGO -- Edoxaban (Savaysa) appeared at least on par with warfarin for 12-week thromboembolic prophylaxis after bioprosthetic valve surgical implant in a Japanese trial with a population largely in sinus rhythm, but small.

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Understanding NUDGLE-FLU Data from AHA 2024, with Ankeet Bhatt, MD, MBA, ScM

HCPLive

Ankeet Bhatt, MD, MBA, ScM, provides additional insight into NUDGE-FLU data he presented at AHA 2024.

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AI Can Do Whole Echo Reports, Improve Efficiency

Med Page Today

(MedPage Today) -- CHICAGO -- Artificial intelligence (AI) assistance for echocardiography is becoming better validated and proving mettle for clinical use. AI-fed echocardiography videos were able to complete 18 tasks at once, classifying patients.

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Christian T. Ruff, MD, MPH: Abelacimab Cuts Bleeding Risk Versus Rivaroxaban

HCPLive

Christian. T. Ruff, MD, MPH describes an analysis of AZALEA-TIMI 71 demonstrating the substantial benefit of abelacimab on bleeding outcomes in patients on antiplatelet therapy.

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NUDGE-FLU and ZODIAC Findings Explore Electronic 'Nudges' and Decision-Support to Improve Patient Care

American College of Cardiology

Do electronic "nudges" or decision-support systems impact patient and clinician decision-making? Two separate studies presented at AHA 2024 explore answers to this question, specifically in the areas of flu vaccination rates and optimization of lipid-lowering therapies.

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Kris Kowdley, MD: Elafibranor Improves Long-Term Transplant-Free Survival in PBC

HCPLive

Kowdley explains how treatment with elafibranor (Iqirvo) improves transplant-free survival based on changes in GLOBE and UK-PBC prognostic scores.

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Routine Spironolactone in Acute Myocardial Infarction

American College of Cardiology

The goal of the CLEAR SYNERGY (OASIS 9) spironolactone trial was to determine the potential cardiovascular (CV) benefit of spironolactone following percutaneous coronary intervention (PCI) for ST-segment or large non–ST-segment elevation myocardial infarction (STEMI or NSTEMI, respectively) regardless of post-MI left ventricular ejection fraction (LVEF).

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ITCH-E: Pruritus Linked to Worse Health-Related Quality of Life in PBC

HCPLive

Patients with PBC and moderate/severe pruritus face a greater health-related quality of life burden and impaired activity than those with no/mild itch.

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ENBALV: Edoxaban vs. Warfarin Following Bioprosthetic Valve Surgery in Patients With Non-Valvular AFib

American College of Cardiology

Edoxaban was comparable to warfarin in preventing stroke or systemic embolism and intracardiac thrombus in patients with non-valvular atrial fibrillation (AFib) within three months after bioprosthetic valve surgery, based on preliminary findings from the ENBALV trial presented at AHA 2024.

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GLORIOUS: Exenatide Lacks Preventive Effect on Organ Injury in Cardiac Surgery

HCPLive

An IV infusion of exenatide during cardiac surgeries involving bypass did not significantly benefit mortality or organ injury compared with placebo.

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Highlights From the Circulation Family of Journals

Circulation

Circulation, Volume 150, Issue 21 , Page 1732-1736, November 19, 2024.

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TOPSPIN: Three Dual Combination Polypills Equally Effective at Controlling BP in Patients in India

American College of Cardiology

Three dual combinations of hypertension medications in one polypill – amlodipine and perindopril; perindopril and indapamide; or amlodipine and indapamide – were equally effective in reducing blood pressure (BP) in Indian adults to 140/90 mmHg or less.

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Correction to: 2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Circulation

Circulation, Volume 150, Issue 21 , Page e466-e466, November 19, 2024.

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Diffuse functional and structural abnormalities in fibrosis: Potential structural basis for sustaining atrial fibrillation

HeartRhythm

Structural remodeling has been associated with increased incidence of atrial fibrillation, but how fibrotic regions allow atrial fibrillation to be sustained remains unclear.