Wed.Apr 10, 2024

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Study Assuages Thyroid Cancer Fears With GLP-1 Receptor Agonists

Med Page Today

(MedPage Today) -- A Scandinavian cohort study suggested a popular class of diabetes drug did not put patients at an elevated risk for thyroid cancer, a longtime lingering concern with this drug class. Compared with DPP-4 inhibitors, patients.

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More than half a million global stroke deaths may be tied to climate change

Science Daily - Stroke

A changing climate may be linked to growing death and disability from stroke in regions around the world, according to a new study. Researchers found over three decades that non-optimal temperatures, those above or below temperatures associated with the lowest death rates, were increasingly linked to death and disability due to stroke. The study does not prove that climate change causes stroke.

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Shockwave Therapy Shows Benefit in Lower Limb Claudication

Med Page Today

(MedPage Today) -- Extracorporeal shockwave therapy may be effective for intermittent lower limb claudication in peripheral artery disease (PAD) patients unable to engage in supervised exercise or who experienced little benefit from that standard.

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Life After Change Cyber-attack: Without Payment for Claims, Physicians Struggle to Keep Practices Afloat

DAIC

Getty Images milla1cf Wed, 04/10/2024 - 13:54 April 10, 2024 — The American Medical Association ( AMA ) released informal survey findings (PDF) showing the ongoing, devastating impact of the Change Healthcare cyber-attack, which threatens the viability of physician practices across the country, and, according to respondents, has serious implications for patient care.

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Adverse Effects of Therapeutic Psilocybin Are “Tolerable” and Resolve in 48 Hours

HCPLive

Patients on psilocybin for depression or anxiety reported tolerable adverse events, including headache, nausea, anxiety, dizziness, and elevated blood pressure.

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Early Minimally Invasive Removal of Intracerebral Hemorrhage Shows Benefit

Med Page Today

(MedPage Today) -- In patients with acute intracerebral hemorrhage who had surgery within 24 hours, minimally invasive evacuation surgery combined with guideline-based medical management care yielded better functional outcomes at 180 days than.

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Older Patients with AMD, Glaucoma Exhibit Standard Equilibrium Function

HCPLive

Most patients with AMD and glaucoma demonstrated standard postural control and a lower fall risk than patients with vestibular disorders.

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Alkaline Water Reduced Pain, Joint Swelling in Patients with Gout

HCPLive

Alkaline water significantly reduced VAS pain scores among patients with gout.

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Treating gum disease after heart rhythm ablation reduces risk of AFib recurrence, study finds

Medical Xpress - Cardiology

Treating gum disease in the three months after a procedure to correct an irregular heartbeat known as atrial fibrillation (AFib) may lower oral inflammation and may reduce AFib recurrence, according to new research published today in the Journal of the American Heart Association.

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IJCS implements publication fee

International Journal of Cardiovascular Sciences

As of 04/01/2024, IJCS will implement a publication fee for the first author of the approved article according to the following conditions: If the first author, whether national or international, is not a member of SBC ; or If the first author is a member but is in arrears. The first author, whose SBC membership is current at the time of article approval, will be exempt from any payment.

Article 69
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Industry gifts may influence which cardiac device is used in common lifesaving procedure

Medical Xpress - Cardiology

Physicians who received payments from the manufacturer of a specific set of cardiac devices are more likely to use those devices, often during a common procedure to unblock coronary arteries, according to a research letter published in JAMA authored by researchers from the University of Pittsburgh, University of California, San Francisco, Yale University and the University of Connecticut.

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Revascularization enhances quality of life for patients with chronic limb threatening ischemia

Science Daily - Heart Disease

Over 200 million people around the world experience peripheral artery disease (PAD) -- a condition caused by the narrowing of the blood vessels from the heart to the lower limbs that leads to pain when walking -- and for roughly 1-in-10 this advances to chronic limb-threatening ischemia (CLTI), an advanced form of PAD. Those with CLTI often suffer severe pain even at rest, caused by fatty plaque buildup obstructing blood flow, typically to the leg or foot.

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Expert's Perspectives: Advancements in Cardiomyopathy at ACC.24

HCPLive

A trio of experts discuss their perspectives on the recent advancement in pharmacotherapy within the management of hypertrophic cardiomyopathy.

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Preventive ablation of ventricular tachycardia avoids shocks and hospitalization, finds clinical trial

Medical Xpress - Cardiology

The first randomized trial to investigate preventive ablation of a potential arrhythmogenic substrate associated with coronary chronic total occlusion (CTO) in patients at high risk of ventricular arrhythmias (VAs) reduces the risk of appropriate implantable cardioverter-defibrillator (ICD) therapy and unplanned hospitalization in patients with no previously recorded VAs.

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Treating gum disease after heart rhythm ablation reduced risk of AFib recurrence

American Heart News - Heart News

Research Highlights: Treating gum disease within three months after a heart procedure to correct an irregular heart rhythm, known as atrial fibrillation (AFib), may lower the chances of it reoccurring. Inflamed gums may predict AFib recurrence after.

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Updated guidelines in Canada to assess private and commercial drivers' fitness to drive

Medical Xpress - Cardiology

The Canadian Cardiovascular Society (CCS) Fitness to Drive Guidelines have been updated to provide the latest advice on driving restrictions for private and commercial drivers. Using the CCS Risk of Harm formula and available evidence, the Guidelines document the likelihood of sudden cardiac incapacitation and highlight acceptable risk thresholds, providing guidance on when it is and is not safe to allow individuals to resume driving.

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FFR-Guided Complete Revascularization Did Not Improve Outcomes in MI Patients

Med Page Today

(MedPage Today) -- ATLANTA -- Fractional flow reserve (FFR)-guided complete revascularization in patients with ST-segment elevation myocardial infarction (STEMI) and multivessel coronary artery disease did not result in better outcomes compared.

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Texas hospital 1st in nation to use new ablation system

Becker's Hospital Review - Cardiology

Austin, Texas-based St. David's Medical Center electrophysiologists were the first in the nation to use a novel pulsed field ablation system for patients with paroxysmal and persistent atrial fibrillation.

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Web App Could Improve Statin Therapy Without Need for Clincian Prescription

HCPLive

A study on a web app for nonprescription statin therapy shows high concordance with clinician assessment, with 84.5% of participants achieving LDL-C reduction of 20% or more.

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Advancements in durable mechanical circulatory support devices add years for heart failure patients

Medical Xpress - Cardiology

The same technology that enables a bullet train to travel at speeds up to 200 mph without touching its rails now keeps a failing heart pumping—and in the near future, it will do so via a wireless power connection. Mandeep R. Mehra, MD, FRCP described the cutting-edge heart pump and other advances in mechanical circulatory support (MCS) today at the Annual Meeting and Scientific Sessions of the International Society for Heart and Lung Transplantation (ISHLT) in Prague.

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Even Normal-Range Albuminuria May Increase Risk of CKD Progression, Kidney Failure

HCPLive

Findings call attention to the risk of complications in patients with CKD and UACR <30 mg/g, highlighting the dangers of elevated albuminuria even in the normoalbuminuric range.

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Cardiac Wire’s Top 8 Takeaways from ACC 2024

CardiacWire

The ACC 2024 meeting is now complete, after over 17,000 cardiology professionals converged in Atlanta to witness cardiovascular medicine evolve in front of their eyes. Among dozens of highlights, here are the Cardiac Wire’s eight biggest trends emerging from ACC24. Interventional Innovations – Interventional cardiology was the clear winner at ACC24, with numerous trials supporting an expanded role for interventional procedures across a wider range of conditions than we ever could have imag

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Semaglutide in Obesity-Related HFpEF: Pooled Analysis

American College of Cardiology

What are the effects of semaglutide across a broad range of outcomes in people with obesity-related heart failure with preserved ejection fraction (HFpEF) with and without diabetes, and consistency across key patient subgroups?

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HBV Viral Load, Surface Antigen Positivity Not Independently Associated with NAFLD

HCPLive

HBV DNA and HBsAg were not significantly associated with NAFLD in patients with treatment-naïve HBV, but age, BMI, comorbidities, and certain metabolic laboratory parameters were.

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Ballooning an obstructed prosthetic Aortic valve : Can be a real tense procedure!

Dr. S. Venkatesan MD

A 76-year-old woman with a history of double valve replacement (Aortic and mitral valves) for rheumatic heart disease, presented with acute dyspnea after a switch from Warfarin to LMWH before a planned bone marrow biopsy. The investigations revealed a stuck aortic prosthetic valve ,that showed a prohibitive gradient of more than 50 mmhg. Since, she refused further surgery, a rare and risky effort was made to balloon dilate the prosthetic valve leaflet, though it is not a standard approved modali

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Treatment options for isolated aortic valve insufficiency: a review

Frontiers in Cardiovascular Medicine

Aortic insufficiency (AI) is a valvular disease with increasing prevalence in older patients. The modern era provides numerous options for the management of AI which is explored here. Traditional interventions included aortic valve replacement with either mechanical or bioprosthetic aortic valves. While the former is known for its durability, it has grown out of favor due to the potential complications of anticoagulation.

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Intravascular Ultrasound (IVUS) for Coronary Intervention

All About Cardiovascular System and Disorders

Coronary Intravascular Ultrasound (IVUS) equipment consists of an IVUS catheter, pullback device and the imaging console. If lesion lengths have to be assessed, motorized pullback is required. For assessing lesion morphology a manual pullback can also be done. While manual pullback allows concentration on specific lesions, it may miss some lesions in between if the pullback is not steady.

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STS Early Career Journey Webinar: Transitioning to Your First Job

Society of Thoracic Surgeons - Early Career

Webinar STS Early Career Journey Webinar: Transitioning to Your First Job kchalko Wed, 04/10/2024 - 16:04 September 19, 2024 Registration details coming soon! Hear the pros and cons from surgeons who have transitioned from training to their first job at the same institution, and at a different institution. Panelists will also discuss what role your division chief plays during this important transition.

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Systematic review of cardiovascular neurocristopathy—contemporary insights and future perspectives

Frontiers in Cardiovascular Medicine

IntroductionNeural crest cells (NCCs) are multipotent and are attributed to the combination of complex multimodal gene regulatory mechanisms. Cardiac neural crest (CNC) cells, originating from the dorsal neural tube, are pivotal architects of the cardio-neuro-vascular domain, which orchestrates the embryogenesis of critical cardiac and vascular structures.

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The Latest Evidence on Atherosclerosis in Athletes

Physiologically Speaking

If you exercise, you’ll probably live longer than someone who doesn’t. But can you exercise too much? Athletes at all levels love to push themselves to the extremes. That’s why marathons, ultramarathons, Ironman triathlons, and other crazy endurance races have become so popular. Like anything — food, alcohol, work — exercise can also be overdone.

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Differentiating Between Cardiac and Non-Cardiac Chest Pain

All About Cardiovascular System and Disorders

It is not always possible to be certain about the origin of chest pain just by its characteristics as the variation between individuals is quite a bit. A medical opinion should be sought in case of any significant chest pain so that important ailment is not missed. There can be a lot of overlap between symptoms due to heart disease and disease of other nearby organs.

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GOLD Versus STAR: Comparing 2 COPD Severity Classification Systems

HCPLive

These data highlight the benefits and drawbacks of the STAR and GOLD severity classification systems for COPD patients.

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Eagle’s Eye View: Introducing ACC24

American College of Cardiology

In this special edition of Eagle’s Eye View, Dr. Eagle introduces you to ACC24 featuring valuable insights into practice-changing updates in care. The topics include late-breaking clinical trials and science focusing on new drugs and device therapies.

Article 56
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Patients with BMI Over 32 Respond Less to Hypoglossal Nerve Stimulation for OSA

HCPLive

A new study found patients with a BMI of 32 to 35 have lower odds of responding to the hypoglossal nerve stimulation for OSA compared to patients with a lower BMI.

BMI 52
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New mechanism discovered for life-threatening arrhythmias in Andersen-Tawil syndrome

Medical Xpress - Cardiology

A team at the Centro Nacional de Investigaciones Cardiovasculares (CNIC) has made a breakthrough discovery in the understanding of cardiac arrhythmias by unraveling the complexities of Andersen-Tawil syndrome (ATS), an extremely rare inherited cardiac disorder.

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Current Diagnostics May Misclassify Suspected Heparin-Induced Thrombocytopenia

HCPLive

When the current recommended diagnostic algorithm was used in clinical practice, antibody testing was required in half of patients with suspected HIT.

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Revascularization may enhance quality of life for patients with chronic limb threatening ischemia

Medical Xpress - Cardiology

A new study reveals diminished quality of life among patients with chronic limb-threatening ischemia, a severe form of peripheral artery disease, and emphasizes the benefits of revascularization on well-being.