Mon.Jan 29, 2024

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Ultra-processed foods and cardiovascular disease

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 30 January 2024; doi:10.1038/s41569-024-00990-7 In this Comment, we critically examine the association between the increasing consumption of ultra-processed foods and their negative effect on cardiovascular health. We explore the historical evolution of food processing, the Nova food classification and the epidemiological evidence, and highlight the need for urgent public health interventions.

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Some 'Choosing Wisely' Recs Protect Older Folks From Low-Value Care

Med Page Today

(MedPage Today) -- Getting clinicians to commit to the Choosing Wisely recommendations somewhat reduced low-value care for older adults in common scenarios, a cluster randomized trial found. After primary care clinicians committed in writing to.

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New evidence informs risk factors, diagnosis and care of patients with CVT stroke

American Heart News - Stroke News

DALLAS, January 29, 2024 — A new scientific statement from the American Heart Association emphasizes the need to increase patients’ and physicians’ awareness of cerebral venous thrombosis (CVT) to improve the recognition of this condition and initiate.

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Caution Raised for Post-TAVR Cardiac Surgeries

Med Page Today

(MedPage Today) -- SAN ANTONIO -- The early experience of patients needing cardiac surgery after transcatheter aortic valve replacement (TAVR) has surgeons raising the alarm about the excess risks of these challenging procedures, based on data.

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E-Cigarettes As Effective as Varenicline, More Effective Than Nicotine Gum in Helping to Quit Smoking

HCPLive

This new research may require additional follow up studies on potential harms, as 63% of those in this study’s electronic cigarette arm continue to use the product at 6 months.

Research 122
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Breakthrough Research Identifies Predictors of Venous Thromboembolism after Pulmonary Resection for Lung Cancer

DAIC

milla1cf Mon, 01/29/2024 - 14:26 January 29, 2024 — In patients who undergo pulmonary resection for lung cancer, a major potential postoperative complication is venous thromboembolism (VTE)—a condition that develops when a blood clot forms in a vein—which can lead to part of the clot breaking off and lodging in the lung, resulting in a pulmonary embolism (PE).

Cancer 116
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Reflecting on the 1964 Surgeon General Report with Viet Le, DMSc, PA-C

HCPLive

In recognition of 60 years since the historic contribution to modern understanding of the harmful effects of cigarette smoking, Albert Rizzo, MD, meets with the preventive cardiology expert to discuss the myriad of cascading effects delivered by the 1964 report.

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More Trending

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STS Announces Late-breaker Research to Be Presented at the 2024 Annual Meeting

DAIC

milla1cf Mon, 01/29/2024 - 11:00 January 29, 2024 — The Society of Thoracic Surgeons has released late-breaking research scheduled for presentation at the 2024 Annual Meeting taking place January 27 - 29 in San Antonio. The conference, healthcare’s leading scientific and educational convening specializing in cardiothoracic surgery, has a rich history of showcasing clinical trials with a strong foundation of detailed methodology and trusted data collection governed by ethical clinical principles.

Research 111
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Periodic Limb Movements During Sleep Linked to Cardiovascular Disease, Death

HCPLive

A new study found the periodic limb movement index, but not the apnea-hypopnea index, was linked to an increased risk of incident cardiovascular disease or death every 10 events per hour.

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Almost 50% of Patients Under 60 Years Choose TAVR Over Surgical Aortic Valve Replacement with Worse Outcomes

DAIC

Getty Images milla1cf Mon, 01/29/2024 - 14:24 January 29, 2024 — Despite national guidelines recommending surgical aortic valve replacement (SAVR) for patients under age 65 with severe aortic stenosis , many hospitals are still opting for a nonsurgical approach in patients under 60—possibly with poorer survival rates. In a study presented at The Society of Thoracic Surgeons’ 2024 Annual Meeting in San Antonio, Texas, researchers from the department of cardiac surgery in the Smidt Heart I

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Targeting Mental Health, Pain-Related Illnesses May Improve Outcomes in Difficult to Treat RA

HCPLive

The presence of mental health, pain-related illnesses, and metabolic diseases were significantly associated with the worsening of arthritis-related pain, severity, and disease activity.

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Trending Charts: A Look at DAIC's Highest Viewed Comparison Charts in 2023

DAIC

Did you know that Diagostic and Interventional Cardiology (DAIC) maintains more than 40 comparison charts of product specifications from various vendors, offering a side-by-side, apples-to-apples comparison when making purchasing decisions? These charts can save hours of research, and offer links back to the websites of each vendor for additional information.

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OPTIMISE-CKD: Dapagliflozin is Effective for Patients with CKD, Low Albuminuria

HCPLive

Results showed treatment with dapagliflozin 10 mg was associated with clinically meaningful attenuations in eGFR slope in patients with CKD and urinary albumin-to-creatinine ratio < 200 mg/g.

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Jennifer Romano, MD, Elected President of The Society of Thoracic Surgeons

DAIC

Jennifer C. Romano, MD milla1cf Mon, 01/29/2024 - 10:46 January 29, 2024 — Jennifer C. Romano, MD , a congenital heart surgeon at Congenital Heart Center/C. S. Mott Children's Hospital , and the Herbert Sloan Collegiate Professor of Cardiac Surgery at the University of Michigan Medical School, was elected president of The Society of Thoracic Surgeons at STS 2024 during the Society’s Business Meeting.

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Long-term cardiac follow-up of athletes infected with SARS-CoV-2 after resumption of elite-level sports

Heart BMJ

Objective Longitudinal consequences and potential interactions of COVID-19 and elite-level sports and exercise are unclear. Therefore, we determined the long-term detrimental cardiac effects of the interaction between SARS-CoV-2 infection and the highest level of sports and exercise. Methods This prospective controlled study included elite athletes from the Evaluation of Lifetime participation in Intensive Top-level sports and Exercise cohort.

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New Research Highlights Superior Long-Term Survival with Multi-Arterial Coronary Artery Bypass Grafting Over Single Arterial Grafting

DAIC

Getty Images milla1cf Mon, 01/29/2024 - 14:29 January 29, 2024 — A new study presented at The Society of Thoracic Surgeons’ 2024 Annual Meeting in San Antonio, Texas, examines the ongoing controversy surrounding the choice between multi-arterial grafting (MAG) and single arterial grafting (SAG) in coronary artery bypass grafting (CABG) for multivessel coronary revascularization.

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A 40-something with chest pain

Dr. Smith's ECG Blog

This was sent by Sam Ghali @EM_RESUS A 44 year old man presented with chest pain The tech came running with the ECG as the computer called "STEMI!" What do you think? Sam sent this to me and asked: "What do you think, Steve?" My answer: --Tough one! --But I'm going to stick my neck out and say "Not OMI" --STE in V2 has a near "saddleback" configuration, and that is a sign of false positive STE.

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Long-Term Durability of High- and Very High-Power Short-Duration PVI by Invasive Remapping: The HPSD Remap Study

Circulation: Arrhythmia and Electrophysiology

Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:High-power short-duration ablation has shown impressive efficacy and safety for pulmonary vein isolation (PVI); however, initial efficacy results with very high power short-duration ablation were discouraging. This study compared the long-term durability of PVI performed with a 90 versus 50 W power setting.METHODS:Patients were randomized 1:1 to undergo PVI with the QDOT catheter using a power setting of 90 or 50 W.

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Diagnosis and Management of Cerebral Venous Thrombosis: A Scientific Statement From the American Heart Association

Stroke Journal

Stroke, Ahead of Print. Cerebral venous thrombosis accounts for 0.5% to 3% of all strokes. The most vulnerable populations include young individuals, women of reproductive age, and patients with a prothrombotic state. The clinical presentation of cerebral venous thrombosis is diverse (eg, headaches, seizures), requiring a high level of clinical suspicion.

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SGLT2i Use Linked to Lower Risk of Nephrolithiasis in Patients With Type 2 Diabetes

HCPLive

Compared to glucagon-like peptide 1 receptor agonists and dipeptidyl peptidase 4 inhibitors, Use of sodium-glucose cotransporter 2 inhibitors was linked to a decreased risk of nephrolithiasis in patients with type 2 diabetes.

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55 top hospitals for cardiac care: Healthgrades

Becker's Hospital Review - Cardiology

Discover the top 55 hospitals for cardiac care in 13 states, as named by Healthgrades using Medicare patient outcome data.

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International Study ID's 13-Biomarker Panel for Predicting Cardiovascular Disease in Type 2 Diabetes

HCPLive

A systematic review of over 400 studies in type 2 diabetes reveals 13 biomarkers, including NT-proBNP and troponin-t, with potential to significantly enhance cardiovascular disease risk prediction.

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A Conversation on Lifestyle Factors for Optimizing Cardiovascular Health with Dr. Joseph Watso

Physiologically Speaking

Joseph Watso, PhD, is an Assistant Professor in the Department of Nutrition & Integrative Physiology at Florida State University. Joe directs the Cardiovascular & Applied Physiology (CAP) Laboratory which has the mission to advance knowledge on cardiovascular disease prevention and treatment strategies.

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Steps to Take Against Physician Burnout with Sue Padernacht, EdD, PCC

HCPLive

In this segment of Lungcast, guest Sue Padernacht went further into the topic of mental health and burnout among clinicians, highlighting some ways to address the situation.

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Comparison of analgesic effects of percutaneous and transthoracic intercostal nerve block in video-assisted thoracic surgery: a propensity score-matched study

Journal of Cardiothoracic Surgery

This study aimed to compare the analgesic efficacy of transthoracic intercostal nerve block (TINB) and percutaneous intercostal nerve block (PINB) for video-assisted thoracic surgery (VATS) using a retrospecti.

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Multi-Arterial Coronary Artery Bypass Grafting Benefits Long-Term Survival

HCPLive

In a 10-year follow-up study with over 1 million patients, multi-arterial grafting demonstrated superior long-term survival compared to single arterial grafting.

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Thromboembolic and bleeding events after valvular intervention in patients with atrial fibrillation

Open Heart

Aim To assess outcomes after cardiac surgery with biological valve replacement, valve repair or transcatheter aortic valve implantation (TAVI) in patients with atrial fibrillation (AF) in accordance with oral anticoagulant (OAC) treatment. Methods All patients in Sweden undergoing valvular intervention with AF were included. Associations between OAC exposure and cardiovascular (CV) events (composite of CV death, ischaemic stroke or systemic embolism) and major bleeding were investigated using Co

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Pediatric Cardiac Surgery Outcomes Not Linked to Procedure Volume

HCPLive

A real-world analysis in the United States suggests hospital volume may not be the lone predictor of outcomes in pediatric cardiac surgery.

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Outpatient care of adults with congenital heart disease in the UK: a qualitative appraisal of the clinician perspective

Open Heart

Objective This study aimed to explore clinicians’ perspectives of ambulatory care in adult congenital heart disease (ACHD). Methods Semistructured interviews were carried out remotely (Zoom) with a range of physicians providing ambulatory care to patients with ACHD across the UK. The chronic care model, thrive and candidacy frameworks were used to design prompt guides and subsequently develop themes.

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Single Substance Not Linked to Single Psychiatric Symptom in Adolescents

HCPLive

A new survey study of high schoolers found alcohol, cannabis, and nicotine were linked to significant, moderate dose-dependent associations with worse symptoms of depression, anxiety, ADHD, general mental health, as well as suicidal thoughts.

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Effect of ischaemic postconditioning on markers of myocardial injury in ST-elevation myocardial infarction: a meta-analysis

Open Heart

Objectives This study aimed to perform a meta-analysis of the short-term impact of ischaemic postconditioning (IPoC) on myocardial injury in ST elevation myocardial infarction (STEMI) using surrogate cardiac biomarkers. Methods Eligible studies were identified using several article databases. Randomised controlled trials published between 1 January 2000 and 1 December 2021 comparing IPoC to standard of therapy in STEMI patients were included in the search.

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Role of lipoprotein(a) concentrations in bioprosthetic aortic valve degeneration

Heart BMJ

Objectives Lipoprotein(a) (Lp(a)) is associated with an increased incidence of native aortic stenosis, which shares similar pathological mechanisms with bioprosthetic aortic valve (bAV) degeneration. However, evidence regarding the role of Lp(a) concentrations in bAV degeneration is lacking. This study aims to evaluate the association between Lp(a) concentrations and bAV degeneration.

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Emerging Treatments of Anhedonia in Patients with Major Depressive Disorder

HCPLive

Dr Andrew Cutler and Dr Greg Mattingly comment about emerging treatments to treat anhedonia and highlight lifestyle modifications that support the wellbeing of patients with Major Depressive Disorder.

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Joint British Society consensus recommendations for magnetic resonance imaging for patients with cardiac implantable electronic devices

Heart BMJ

Magnetic Resonance Imaging (MRI) is increasingly a fundamental component of the diagnostic pathway across a range of conditions. Historically, the presence of a cardiac implantable electronic device (CIED) has been a contraindication for MRI, however, development of MR Conditional devices that can be scanned under strict protocols has facilitated the provision of MRI for patients.

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Cooling Technique Frowned Upon in Aortic Arch Surgery

Med Page Today

(MedPage Today) -- SAN ANTONIO -- During aortic arch surgery, even short bouts of hypothermic circulatory arrest (HCA) were associated with neurocognitive and neuroimaging deficits after surgery regardless of the level of hypothermia applied.

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ACUSON Maple Ultrasound System Announced by Siemens Healthineers

Cassling

Powerful, cost-effective system configurable for all clinical needs AI-powered applications optimize efficiency Ideal for emerging markets and smaller healthcare centers Siemens Healthineers has introduced the ACUSON Maple , a powerful, versatile, and affordable ultrasound system that enables rapid diagnosis and assessment in all clinical settings. Artificial intelligence (AI)-powered features optimize everyday clinical performance for users of all skill levels.

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Clinical Management of Anhedonia and Communication with Patients

HCPLive

Dr Andrew Cutler and Dr Greg Mattingly review current understanding of anhedonia. They discuss how clinicians can better evaluate it by effectively and candidly communicating with patients about anhedonia.

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