Mon.Aug 26, 2024

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COVID Vax Myocarditis Stays Mild With Good Prognosis Over a Year Later

Med Page Today

(MedPage Today) -- People with postvaccine myocarditis did not share the typical mid-term complications associated with conventional myocarditis, based on a population-based study from France. With 18-month follow-up of people who had been hospitalized.

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These areas have the US' highest cardiac death rate

Becker's Hospital Review - Cardiology

High-poverty rural regions in the Southern U.S. have the highest cardiovascular disease-associated death rate, according to a report published Aug. 16 in the Journal of Rural Health.

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Knowing you have a brain aneurysm may raise anxiety risk, other mental health conditions

American Heart News - Heart News

Research Highlights: People diagnosed with unruptured cerebral aneurysms (weakened areas in brain blood vessels) who are being monitored without treatment have a higher risk of developing mental illness compared to those who have not been diagnosed.

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Marked Cognitive Decline in Husbands After a Spouse's CVD Event?

Med Page Today

(MedPage Today) -- Incident cardiovascular disease (CVD) in one spouse was followed by the other developing dementia more often than expected in a large Japanese cohort study. In the study's predominantly male cohort of seniors, the dementia diagnosis.

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Epigastric and Right Upper Quadrant pain after eating spicy food

Dr. Smith's ECG Blog

A 60-something woman with no cardiac history presented with epigastric and right upper quadrant pain after eating spicy food. She had an ECG recorded at triage: What do you think? This was sent to me without any info while I was out and about, and I looked at it on my phone. I responded: "That is a tough one. V2 is very worrisome. But no other leads are.

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Trauma History Linked to Reduced Access to Liver Transplant in Women

HCPLive

A study found that women with trauma history have reduced liver transplant access compared to men, with gender disparities not driven by psychiatric symptoms.

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Adiposity modifies the association between heart failure risk and glucose metabolic disorder in older individuals: a community-based prospective cohort study

Cardiovascular Diabetology

Glucose metabolic disorder is associated with the risk of heart failure (HF). Adiposity is a comorbidity that is inextricably linked with abnormal glucose metabolism in older individuals. However, the effect o.

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Pericarditis for the ages: differential outcomes and therefore age-specific therapies?

Heart BMJ

Acute pericarditis (AP) is the second most common cardiac cause of chest pain, diagnosed when at least two of the following criteria are met: characteristic pleuritic chest pain, pericardial rub on auscultation, new typical ECG changes (such as widespread ST-elevation or PR-depression) and pericardial effusion on imaging. 1 Supporting evidence of elevated inflammatory biomarkers and findings of pericardial inflammation on cardiac magnetic resonance or CT also play critical roles in its evaluatio

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FDA Clears Omnipod 5 AID System for Type 2 Diabetes

HCPLive

FDA expands Omnipod 5 AID system for type 2 diabetes, marking the first AID system approved for both type 1 and type 2 diabetes management.

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FDA OKs removing aspirin requirement for Abbott heart pump

Becker's Hospital Review - Cardiology

"FDA approves label change for Abbott's HeartMate 3 heart pump, eliminating aspirin use in treatment plans. Study shows 40% fewer complications without aspirin.

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Dexcom Announces Availability, Pricing of Stelo—First OTC Glucose Sensor

HCPLive

Dexcom's Stelo, the first OTC glucose sensor, launches in the US on August 26, 2024, offering 15-day wear and HSA/FSA eligibility for as low as $89.99 per 2-pack.

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One in 7 Medicare beneficiaries with high body mass index may qualify for anti-obesity drug

Science Daily - Heart Disease

A new study estimates that 3.6 million Medicare beneficiaries are most likely to become eligible for semaglutide. The study also estimates eligibility and associated maximum costs if different definitions of cardiovascular risk were to be considered. If Medicare Part D narrowly defines cardiovascular disease, majority of patients would remain ineligible while new federal spending could still exceed $10 billion.

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Heat-Related Mortality Trends Worsened from 1999 to 2023

HCPLive

Heat-related mortality rates in the US notably grew between 1999 and 2023, particularly since 2016.

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ACC Practice Made Perfect: Building Your Brand

American College of Cardiology

In this episode, Drs. Kamala Tamirisa and Sophia Mercadante host Drs. Ankur Kalra and Payal Kohli for a discussion of how to build a brand for self and for the cardiology community – from a platform of connectivity to networking, sponsorship, and a space of unique purpose to reach other colleagues across the world and patients.

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Use of PRO in Atopic Dermatitis Clinical Practice

HCPLive

Jonathan Silverberg, MD, PhD, MPH, offers insights on the role of patient-reported outcomes in informing treatment decisions for patients with atopic dermatitis.

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Identifying metabotypes of insulin resistance severity in children with metabolic syndrome

Cardiovascular Diabetology

Insulin resistance is a frequent precursor of typical obesity and metabolic syndrome complications. However, accurate diagnosis remains elusive because of its pathophysiological complexity and heterogeneity. H.

Obesity 52
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House Dust Mite Allergen Immunotherapy Effective Among Children with Atopic Dermatitis

HCPLive

This analysis was conducted to evaluate the efficacy and safety results of AIT for patients with house dust mite allergies.

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Additive effect of metabolic dysfunction-associated fatty liver disease on left ventricular function and global strain in type 2 diabetes mellitus patients: a 3.0 T cardiac magnetic resonance feature tracking study

Cardiovascular Diabetology

Type 2 diabetes mellitus (T2DM) and metabolic-associated fatty liver disease (MAFLD) are both metabolic disorders that negatively impact the cardiovascular system. This study comprehensively analyzed the addit.

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Taha Qazi, MD: Clinical Considerations for GLP-1 RA Use Before Endoscopy

HCPLive

Qazi discusses a review of considerations for GLP-1 RA use in the context of endoscopic procedures due to their impact on gastric emptying and bowel motility.

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Pulmonary arterial hypertension in congenital heart disease

Heart BMJ

LEARNING OBJECTIVES Review the diagnostic pathway for pulmonary arterial hypertension (PAH) in congenital heart disease (CHD). Understand and interpret right heart catheterisation data in pulmonary hypertension related to CHD. Recognise the typical presentation of PAH in patients with CHD. Explore the treatment options for PAH-CHD. Review and understand the management of common emergencies in PAH-CHD.

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Cost-effectiveness of renal denervation is 'robust': Study

Becker's Hospital Review - Cardiology

Catheter-based, radiofrequency renal denervation is a cost-effective solution for patients with hypertension, according to a study published Aug. 13 in the Journal of the Society for Cardiovascular Angiography & Interventions.

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Age-stratified patterns in clinical presentation, treatment and outcomes in acute pericarditis: a retrospective cohort study

Heart BMJ

Background There are limited data on acute pericarditis according to different age groups. The aim of this study is to investigate the role of age-related features in clinical characteristics, management, and outcomes of acute pericarditis, with a focus on the geriatric population. Methods Patients with a first episode of acute pericarditis were consecutively enrolled between January 2014 and June 2022, and divided into four groups according to age (G1: 18–35 years; G2: 35–55 years;

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Why CineECG analysis is a different ECG analysis

CineECG

Over the past 100 years physicians have learned to interpret 12 lead ECG data following a strict routine: Rhythm, consistency, conduction times, heart axis check, Morphology checks (P wave, QRS, ST and T wave), compare with former ECG and conclusions. In this Blog we will detail why CineECG analysis is a different ECG analysis. Overall this approach is quantitative with the measuring times between intervals and segments as main characteristic.

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Differential effects of balloon pulmonary angioplasty on chronic thromboembolic pulmonary disease

Heart BMJ

Background Decreased diffusing capacity of the lungs for carbon monoxide (DLco) is associated with microvascular damage in chronic thromboembolic pulmonary hypertension (CTEPH). Balloon pulmonary angioplasty (BPA) is an effective treatment for CTEPH, but the efficacy of BPA in patients with CTEPH with low DLco remains unclear because BPA does not directly address microvascular damage.

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GLP-1 Receptor Agonists and Pre-Procedure Planning for Endoscopy

HCPLive

With the growing popularity of GLP-1 receptor agonists, understanding their impact on gastric emptying, bowel motility, and potential implications for endoscopy is essential.

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Prognostic value of plasma big endothelin-1 in patients with light chain cardiac amyloidosis

Heart BMJ

Background Light chain cardiac amyloidosis (AL-CA) is associated with a high incidence of mortality. Big endothelin-1 (ET-1), the precursor of endothelial-vasoconstrictive ET-1, is closely related to the concentration of bioactive ET-1. Association between big ET-1 and prognosis of AL-CA has not yet been documented. The purpose of this study was to evaluate the prognostic value of big ET-1 for poor outcomes in moderate to severe AL-CA.

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Taha Qazi, MD: Assessing Common Causes of Seronegative Villous Atrophy

HCPLive

Qazi reviews findings from a study exploring potential causes of seronegative villous atrophy, emphasizing the importance of maintaining a broad differential in diagnosis.

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Cardiac magnetic resonance for ventricular arrhythmias: a systematic review and meta-analysis

Heart BMJ

Background Cardiac magnetic resonance (CMR) allows comprehensive myocardial tissue characterisation, revealing areas of myocardial inflammation or fibrosis that may predispose to ventricular arrhythmias (VAs). With this study, we aimed to estimate the prevalence of structural heart disease (SHD) and decipher the prognostic implications of CMR in selected patients presenting with significant VAs.

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Semaglutide Treatment Effect in People With Obesity and HFpEF

American College of Cardiology

The goal of the STEP-HFpEF trial was to compare the safety and efficacy of semaglutide among patients with heart failure with preserved ejection fraction (HFpEF) and obesity.

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Low diffusing capacity for carbon monoxide in chronic thromboembolic pulmonary hypertension: a biomarker for microvascular disease?

Heart BMJ

Chronic thromboembolic pulmonary hypertension (CTEPH) is a complex pulmonary vascular disorder that involves major vessel and microvascular disease components. Fibrotic obstructions resulting from unresolved pulmonary emboli constitute the major vessel disease component. Major vessel disease is subject to mechanical treatments such as surgical pulmonary endarterectomy (PEA) and balloon pulmonary angioplasty (BPA).

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Taha Qazi, MD: Bleeding Risk with Early Versus Late ERCP Following Liver Transplant

HCPLive

Qazi reviews findings from a study exploring the safety of endoscopic retrograde cholangiopancreatography in the early versus late post-transplant period.

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PET Subendocardial Perfusion in Patients With Hypertension

American College of Cardiology

What is the relationship of subendocardial perfusion with cardiac injury, structure, and a composite of major adverse cardiovascular and cerebral events (MACCE) consisting of death, heart failure (HF) hospitalization, myocardial infarction, and stroke?

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Omalizumab Biosimilar Equivalent to Reference Drug in Children With Severe Allergic Asthma

HCPLive

There were no significant differences in the overall incidence of AEs and serious AEs.

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Left ventricular electrical delay predicts volumetric response to leadless Cardiac Resynchronization Therapy

HeartRhythm

Leadless left ventricular (LV) endocardial pacing is an emerging cardiac resynchronization therapy (CRT) technology. Predictors of response to leadless CRT are poorly understood. Implanting the LV endocardial pacing electrode in sites with increased electrical latency (Q-LV) may improve response rates.

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Incorporating Patient Preferences in the Treatment of Atopic Dermatitis

HCPLive

A panel of experts on atopic dermatitis discuss how patient preferences are taken into account when choosing between available treatments.

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Ventricular tachycardia ablation with pentaspline pulsed field technology in two patients with ischemic cardiomyopathy

Journal of Cardiovascular Electrophysiology

Abstract Introduction Due to its unique features, pulsed field ablation (PFA) could potentially overcome some limitations of current radiofrequency (RF) ventricular tachycardia (VT) ablation. However, data on the use of PFA in this setting are currently scarce. Methods Two patients with ischemic cardiomyopathy and previously failed RF VT ablations were treated with PFA.

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Injecting Drugs Often Leads to HCV Reinfection Which Reduces Over Time

HCPLive

A new study found hepatitis C virus reinfections may occur within 24 weeks of sustained virologic response after injecting drugs.

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