Wed.May 15, 2024

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Transcutaneous Pacing: Part 2

EMS 12-Lead

TCP in the ROSC Patient: False Electrical Capture at 75mA Josh Kimbrell, NRP @joshkimbre Judah Kreinbrook, EMT-P @JMedic2JDoc This is the second installment of a blog series showing how transcutaneous pacing (TCP) can be difficult and how you can improve your skills. We will be using redacted information from different cases where paramedics attempted TCP in the field.

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Evaluating Safety of Novel LDL Management Mechanism

HCPLive

Deepak Bhatt, MD, MPH, MBA, reviews the efficacy and safety data of inclisiran, highlighting its long-term effects and noting that injection site reactions are among the most prominent adverse reactions associated with this medication.

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The mechanosensory channel PIEZO1 functions upstream of angiopoietin/TIE/FOXO1 signaling in lymphatic development

Journal of Clinical Investigation - Cardiology

Lymphedema is a debilitating disease with no effective cure and affects an estimated 250 million individuals worldwide. Prior studies have identified mutations in piezo-type mechanosensitive ion channel component 1 (PIEZO1), angiopoietin 2 (ANGPT2), and tyrosine kinase with Ig-like and EGF-like domains 1 (TIE1) in patients with primary lymphedema. Here, we identified crosstalk between these molecules and showed that activation of the mechanosensory channel PIEZO1 in lymphatic endothelial cells (

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Two decades of studies suggest health benefits associated with plant-based diets

Science Daily - Heart Disease

Vegetarian and vegan diets are generally associated with better status on various medical factors linked to cardiovascular health and cancer risk, as well as lower risk of cardiovascular diseases, cancer, and death, according to a new review of 49 previously published papers.

Diet 117
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RNF4 sustains Myc-driven tumorigenesis by facilitating DNA replication

Journal of Clinical Investigation - Cardiology

The mammalian SUMO-targeted E3 ubiquitin ligase Rnf4 has been reported to act as a regulator of DNA repair, but the importance of RNF4 as a tumor suppressor has not been tested. Using a conditional-knockout mouse model, we deleted Rnf4 in the B cell lineage to test the importance of RNF4 for growth of somatic cells. Although Rnf4–conditional-knockout B cells exhibited substantial genomic instability, Rnf4 deletion caused no increase in tumor susceptibility.

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Trends Shaping the Cardiovascular Information Systems Market

DAIC

In the dynamic realm of healthcare technology, cardiovascular information systems (CVIS) stand at the forefront, facilitating streamlined operations, enhanced patient care and efficient data management within cardiovascular departments. According to a recent market report from Credence Research, the CVIS market is projected to surge from $1,197 M in 2023 to $2,387 by 2023 — a compound annual growth rate of 7.7%.

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The alanyl-tRNA synthetase AARS1 moonlights as a lactyltransferase to promote YAP signaling in gastric cancer

Journal of Clinical Investigation - Cardiology

Lactylation has been recently identified as a new type of posttranslational modification occurring widely on lysine residues of both histone and nonhistone proteins. The acetyltransferase p300 is thought to mediate protein lactylation, yet the cellular concentration of the proposed lactyl-donor, lactyl-coenzyme A, is about 1,000 times lower than that of acetyl-CoA, raising the question of whether p300 is a genuine lactyltransferase.

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Excess glucocorticoids inhibit murine bone turnover via modulating the immunometabolism of the skeletal microenvironment

Journal of Clinical Investigation - Cardiology

Elevated bone resorption and diminished bone formation have been recognized as the primary features of glucocorticoid-associated skeletal disorders. However, the direct effects of excess glucocorticoids on bone turnover remain unclear. Here, we explored the outcomes of exogenous glucocorticoid treatment on bone loss and delayed fracture healing in mice and found that reduced bone turnover was a dominant feature, resulting in a net loss of bone mass.

Outcomes 111
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Transcatheter Valve Replacement Outcomes Similar to Surgery in Long-Term Analysis

DAIC

Getty Images milla1cf Wed, 05/15/2024 - 19:10 May 15, 2024 — A new study demonstrated parity between a minimally invasive procedure to replace the aortic valve in the heart— transcatheter aortic valve replacement (TAVR)—and surgical aortic valve replacement (SAVR). In the meta-analysis of seven randomized trials, published in JSCAI and presented at the 2024 EuroPCR conference in Paris, France, researchers compared the outcomes of 7,785 patients undergoing TAVR (a procedure that delivers a n

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An astrocytic pH regulator that can repair the blood-brain barrier and reverse brain damage caused by ischemic stroke

Science Daily - Stroke

A recent study has found that an ion transporter protein that regulates the pH of specific brain cells can repair the blood-brain barrier and restore normal brain function after ischemic stroke. The study has revealed novel and specific therapeutic targets for ischemic stroke and related brain conditions for which no targeted treatments exist currently.

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FDA Announces Abbott Recall of HeartMate 3 Left Ventricular Assist System (LVAS) Implant Kit

DAIC

milla1cf Wed, 05/15/2024 - 08:50 May 15, 2024 — The U.S. Food and Drug Administration ( FDA ) announced that Abbott is recalling the HeartMate 3 LVAS by updating the instructions for use after complaint reviews identified blood leakage or air entering the seal interface between the left ventricular assist device (LVAD) inflow cannula and the titanium apical cuff.

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New cardiac research will save women's lives by improving detection of heart failure

Science Daily - Heart Disease

An important new study has advanced how heart failure is detected in women -- meaning more female patients can be diagnosed and at an earlier stage.

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Gender-affirming hormone therapy preserves skeletal maturation in young mice via the gut microbiome

Journal of Clinical Investigation - Cardiology

Gender-affirming hormone therapy (GAHT) is often prescribed to transgender (TG) adolescents to alleviate gender dysphoria, but the effect of GAHT on the growing skeleton is unclear. We found GAHT to improve trabecular bone structure via increased bone formation in young male mice and not to affect trabecular structure in female mice. GAHT modified gut microbiome composition in both male and female mice.

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New campaign aims to empower Asian American communities with lifesaving CPR skills

American Heart News - Heart News

Despite strides in cardiopulmonary resuscitation (CPR) training, consumer research from the American Heart Association reveals only 1 in 4 Asian American individuals are confident they could correctly perform Hands-Only CPR, compared with a comparable.

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Recognizing the physical and emotional toll that caring for a loved one with a chronic condition has on the caregiver

Medical Xpress - Cardiology

Living with a chronic medical condition after surviving a heart attack or stroke may come with additional health and personal care needs. Often survivors must rely on a family member or close friend to help. However, there's a growing body of scientific research that shows people who serve as unpaid caregivers may not be getting the care they need to live longer, healthier lives, according to the American Heart Association, celebrating 100 years of lifesaving service as the world's leading nonpr

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FDA Clears IND Application for CID-103 in Immune Thrombocytopenia

HCPLive

Announced on May 15, 2024, the IND application supports a phase 1/2 study of CID among adults with chronic ITP.

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New evidence for use of anti-inflammatory therapy for prevention of recurrent vascular events in stroke

Medical Xpress - Cardiology

In the international CONVINCE trial, presented today (15 May 2024) at the European Stroke Organization Conference (ESOC 2024), anti-inflammatory treatment with long-term colchicine did not reduce rates of recurrent stroke and cardiovascular events in patients with non-cardioembolic stroke in the primary intention-to-treat analysis.

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Pacemaker-Lead Dislodgement and Cardiac Perforation

The New England Journal of Medicine

A 96-year-old woman presented with a 1-day history of pleuritic chest pain 4 days after a pacemaker was implanted for complete heart block. Electrocardiography showed complete heart block.

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Infertility treatment found to double the risk of postpartum heart disease

Medical Xpress - Cardiology

A study by Rutgers Health experts of more than 31 million hospital records shows that infertility treatment patients were twice as likely as those who conceived naturally to be hospitalized with heart disease in the year after delivery.

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Intention to Treat: New Hope for a Common and Deadly Heart Condition — ITT Episode 30

The New England Journal of Medicine

This podcast episode considers a new treatment for hypertrophic cardiomyopathy, the world’s most common inherited heart condition, which most affected people don’t even realize they have.

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Cost, Efficiency and Outcomes of Pulsed Field Ablation versus Thermal Ablation for Atrial Fibrillation: A Real World Study

HeartRhythm

With the exponential growth of catheter ablation (CA) for atrial fibrillation (AF), there is increasing interest in associated healthcare costs. Pulsed field ablation (PFA) using a single-shot pentaspline multi-electrode catheter has been shown to be safe and effective for AF CA, but its cost efficiency compared to conventional thermal ablation modalities (cryoballoon [CB] or radiofrequency [RF]) has not been evaluated.

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Assessing Chlorthalidone, Hydrochlorothiazide Treatment for Cardiovascular Diseases, with Areef Ishani, MD, MS

HCPLive

Areef Ishani, MD, MS, discusses the results of the Diuretic Comparison Project (DCP), which compared chlorthalidone and hydrochlorothiazide for the treatment of cardiovascular diseases.

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STING activation reprograms the microenvironment to sensitize NF1-related malignant peripheral nerve sheath tumors for immunotherapy

Journal of Clinical Investigation - Cardiology

Neurofibromatosis type 1 (NF1) is caused by mutations in the NF1 gene that encodes neurofibromin, a RAS GTPase–activating protein. Inactivating NF1 mutations cause hyperactivation of RAS-mediated signaling, resulting in the development of multiple neoplasms, including malignant peripheral nerve sheath tumors (MPNSTs). MPNSTs are an aggressive tumor and the main cause of mortality in patients with NF1.

Cancer 69
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Insights from the NKF Spring Clinical Meeting, with Sylvia Rosas, MD, MSCE

HCPLive

Sylvia Rosas, MD, MSCE, discusses highlights from the National Kidney Foundation's Spring Clinical Meeting, including innovations in xenotransplantation, artificial intelligence, and the interplay between kidney, heart, and metabolic diseases.

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Lowering Blood Pressure in Stroke Patients in the Ambulance — A Bridge Too Close?

The New England Journal of Medicine

In The Prince, NiccolĂ² Machiavelli wrote, “[W]ith those hectic fevers, as the doctors say, … at their beginning [they] are easy to cure but difficult to recognize, but in the course of time… [they] become easy to recognize but difficult to cure.

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Clinical Quiz: Nutritional Assessment in CKD from KDOQI Guidelines

HCPLive

Check out this quiz on the NKF's KDOQI recommendations on nutrition in chronic kidney disease, with a focus on their guidance for nutritional assessments!

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Pathophysiology of cerebral small vessel disease: a journey through recent discoveries

Journal of Clinical Investigation - Cardiology

Cerebral small vessel disease (cSVD) encompasses a heterogeneous group of age-related small vessel pathologies that affect multiple regions. Disease manifestations range from lesions incidentally detected on neuroimaging (white matter hyperintensities, small deep infarcts, microbleeds, or enlarged perivascular spaces) to severe disability and cognitive impairment. cSVD accounts for approximately 25% of ischemic strokes and the vast majority of spontaneous intracerebral hemorrhage and is also the

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Infertility treatment doubles the risk of postpartum heart disease

Science Daily - Heart Disease

Researchers tie infertility treatment to a particular risk for hypertensive diseases.

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Time to split: biomarker trajectories in pediatric acute respiratory distress syndrome hint at underlying disease

Journal of Clinical Investigation - Cardiology

Pediatric acute respiratory distress syndrome (ARDS) is severe, noncardiac hypoxemic respiratory failure that carries a substantial risk of death. Given the complexity of this clinically defined syndrome and the repeated failure of therapeutic trials, there has been an effort to identify subphenotypes of ARDS that may share targetable mechanisms of disease.

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Insulin resistance, coronary artery lesion complexity and adverse cardiovascular outcomes in patients with acute coronary syndrome

Cardiovascular Diabetology

Insulin resistance (IR) is linked to both the complexity of coronary artery lesions and the prognosis of acute coronary syndrome (ACS). However, the precise extent of this correlation and its impact on adverse.

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Andexanet Shows Efficacy in Acute ICH With Factor Xa Inhibitors

Med Page Today

(MedPage Today) -- Treatment with the bleeding reversal agent andexanet (Andexxa) in people with acute intracerebral hemorrhage on factor Xa inhibitors led to less expansion of hematoma volume but was associated with thrombotic events, the ANNEXA.

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Blood pressure drugs more than double bone-fracture risk in nursing home patients

Medical Xpress - Cardiology

Records from nearly 30,000 nursing home residents indicate that blood pressure medications more than double the risk of life-threatening bone fractures, according to Rutgers Health research.

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Metabolic Dysfunction Increases Risk of Liver-Related Events After Achieving SVR

HCPLive

Results showed metabolic dysfunction was an independent predictor of liver-related events and hepatocellular carcinoma in patients with chronic HCV who achieved SVR.

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Hypersensitive blood vessels in Clarkson disease

Journal of Clinical Investigation - Cardiology

Idiopathic systemic capillary leak syndrome (ISCLS) is a rare, recurrent condition with dramatically increased blood vessel permeability and, therefore, induction of systemic edema, which may lead to organ damage and death. In this issue of the JCI, Ablooglu et al. showed that ISCLS vessels were hypersensitive to agents known to increase vascular permeability, using human biopsies, cell culture, and mouse models.

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The Epidemiology, Diagnosis of Resistant Hypertension, with Swanpil Hiremath, MD, MPH

HCPLive

Swanpil Hiremath, MD, MPH, explains the importance of 24-hour ambulatory blood pressure monitoring (ABPM) to rule out the possibility of white coat hypertension.

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What Is the Incidence of Statin-Induced Diabetes?

NEJM Journal Watch - Cardiology

A meta-analysis suggests that patients who take high-dose statins have about 1% higher risk annually for newly diagnosed diabetes.

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Benefits, Risks of Immunosuppressive Treatment for High-Risk IgA Nephropathy

HCPLive

Study results showed systemic corticosteroids induced greater remission rates alone than in combination with other immunosuppressive treatments but were linked to adverse events.

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