Thu.Jan 18, 2024

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Subclasses of Steatotic Liver Disease Can Help Determine Prognosis

Med Page Today

(MedPage Today) -- The new nomenclature for classifying steatotic liver disease (SLD) can help clinicians determine distinct prognoses, with the integration of alcohol intake as an aid in risk stratification, according to an analysis of a prospective.

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MCO-010 Gene Therapy for Retinitis Pigmentosa Receives Regulatory Feedback

HCPLive

Both the FDA and EU regulators indicated visual acuity may serve as primary endpoint to evaluate MCO-010 in the treatment of low-vision retinitis pigmentosa patients.

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'Tootsie Roll' Introduced for Leaky Transcatheter Heart Valves

Med Page Today

(MedPage Today) -- Operators reported the initial success of a novel transcatheter technique for treating complex paravalvular leaks (PVLs) after transcatheter aortic valve replacement (TAVR) or transcatheter mitral valve replacement (TMVR) in.

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New York hospital performs 1st 'domino' heart transplant on babies

Becker's Hospital Review - Cardiology

New York City-based NewYork-Presbyterian Morgan Stanley Children's Hospital performed the first "domino" heart transplant on babies, according to an American Hospital Association report.

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American Heart Association New Policy Statement: Addressing Structural Racism Central to Reducing U.S. Cardiovascular Disease Disparities

DAIC

The American Heart Association has issued a new Policy Statement focused on the need to address structural racism as a central component to reducing cardiovascular disparities across the United States. Image courtesy: AHA christine.book Thu, 01/18/2024 - 13:33 January 18, 2024 — A new American Heart Association (AHA) policy statement examines the history of structural racism, and offers public policy considerations for several key social drivers of health disparities, including health care, heal

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Experiences of racism may contribute to the disproportionately high incidence of cardiovascular disease in Black women

Medical Xpress - Cardiology

Cardiovascular disease (CVD) is the leading cause of death in the United States. Black women have a disproportionally higher burden of coronary heart disease (CHD) and CHD-related mortality and earlier onset than women of other racial and ethnic groups.

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Injectable Angioplasty Balloon Catheter Transforms Peripheral Procedures, Users Report Reduced Equipment and Contrast Needs

DAIC

Dr. Rundback (second from left) and team from AIVS in West Orange, NJ. (Photo: Business Wire milla1cf Thu, 01/18/2024 - 14:05 January 18, 2024 — Summa Therapeutics, LLC announced that the first-in-man injectable angioplasty procedures for patients with below-knee peripheral arterial disease (PAD) were performed successfully using its Finesse Injectable balloon catheter platform.

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Abbott Announces First Global Procedures in a Clinical Trial of its Volt Pulsed Field Ablation System to Treat Patients with Abnormal Heart Rhythms

DAIC

milla1cf Thu, 01/18/2024 - 14:21 January 18, 2024 — Abbott announced the first global procedures have been conducted using the company's new Volt Pulsed Field Ablation (PFA) System to treat patients battling common abnormal heart rhythms such as atrial fibrillation (AFib). Over 30 patients were recently treated in Australia as part of Abbott's Volt CE Mark study, a pre-market, multi-center clinical study designed to evaluate the safety and effectiveness of Abbott's Volt PFA System.

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Renal Failure Risk Group Classification Predicts Kidney Dysfunction in IgAN

HCPLive

Renal failure risk group classification based on pathological findings from patients’ kidney biopsy, eGFR, and proteinuria was significantly associated with a composite 50% increase in serum creatinine.

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Use of sacubitril/valsartan early after CABG

Open Heart

Background Heart failure (HF) remains a major public health problem with a high mortality and morbidity worldwide. Currently, there is no optimal revascularisation strategy for patients with ischaemic cardiomyopathy despite suggestions that coronary artery bypass graft (CABG) may be superior to medical therapy in improving survival. However, CABG may be associated with substantial risk in HF subjects.

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CLEAR Outcomes Analysis Finds Bempedoic Acid Reduces Total Cardiovascular Events by 20%

HCPLive

In the CLEAR Outcomes trial, bempedoic acid was associated with a 20% reduction in relative risk for total cardiovascular events, with further analysis shining light on the effects of specific types of events.

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Prognostic value of right ventricular dyssynchrony in adults with repaired tetralogy of Fallot

Open Heart

Objective Residual sequelae after surgical repair of tetralogy of Fallot (rTOF) affect clinical outcome. We investigated the prognostic impact of right ventricular (RV) dyssynchrony in adults with rTOF years after the surgical repair. Methods Patients from the Swiss Adult Congenital HEart disease Registry were included. NT-proBNP levels, echocardiography, exercise testing and MRI data were collected.

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Impact of Sleep Disorders and Disturbed Sleep on Brain Health: A Scientific Statement From the American Heart Association

Stroke Journal

Stroke, Ahead of Print. Accumulating evidence supports a link between sleep disorders, disturbed sleep, and adverse brain health, ranging from stroke to subclinical cerebrovascular disease to cognitive outcomes, including the development of Alzheimer disease and Alzheimer disease–related dementias. Sleep disorders such as sleep-disordered breathing (eg, obstructive sleep apnea), and other sleep disturbances, as well, some of which are also considered sleep disorders (eg, insomnia, sleep fragment

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Lasting benefits seen for cardiac resynchronization therapy with defibrillator

Medical Xpress - Cardiology

Receipt of a cardiac-resynchronization therapy-defibrillator (CRT-D) offers long term benefit for patients with heart failure, reduced ejection fraction, and a widened QRS complex, according to a study published in the Jan. 18 issue of the New England Journal of Medicine.

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CBT-I, Trazodone Ineffective at Improving Insomnia for Patients on Hemodialysis

HCPLive

Investigators observed no change in Insomnia Severity Index scores from baseline to weeks 7 and 25 with CBT-1, trazodone, or placebo, suggesting these insomnia treatment options are not effective for patients undergoing hemodialysis.

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Economic evaluation of first-line cryoballoon ablation versus antiarrhythmic drug therapy for the treatment of paroxysmal atrial fibrillation from an English National Health Service perspective

Open Heart

Introduction Three recent randomised controlled trials have demonstrated that pulmonary vein isolation as an initial rhythm control strategy with cryoablation reduces atrial arrhythmia recurrence in patients with symptomatic paroxysmal atrial fibrillation (PAF) compared with antiarrhythmic drug (AAD) therapy. The aim of this study was to evaluate the cost-effectiveness of first-line cryoablation compared with first-line AADs for treating symptomatic PAF in an English National Health Service (NHS

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Application of adipose-derived stem cells in ischemic heart disease: theory, potency, and advantage

Frontiers in Cardiovascular Medicine

Adipose-derived mesenchymal stem cells (ASCs) represent an innovative candidate to treat ischemic heart disease (IHD) due to their abundance, renewable sources, minor invasiveness to obtain, and no ethical limitations. Compared with other mesenchymal stem cells, ASCs have demonstrated great advantages, especially in the commercialization of stem cell-based therapy.

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Air pollutants can affect cardiometabolic health even at low levels, but diet may mitigate the outcomes

Medical Xpress - Cardiology

Exposure to air pollutants, even at very low concentrations, was associated with adverse changes in cardiometabolic risk factors in a recent Finnish study. The main pollutant affecting these risk factors was particulate matter, which can be emitted from traffic and wood burning, among other sources. Interestingly, diet quality appeared to modify several associations of pollutants with cardiometabolic health.

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Sacubitril/valsartan attenuates atrial conduction disturbance and electrophysiological heterogeneity with ameliorating fibrosis in mice

Frontiers in Cardiovascular Medicine

Background Sacubitril/valsartan (SacVal) has been shown to improve the prognosis of heart failure; however, whether SacVal reduces the occurrence of atrial fibrillation (AF) in heart failure has not yet been elucidated. In this study, we aimed to determine whether SacVal is effective in reducing the occurrence of AF in heart failure and identify the underlying mechanism of its electrophysiological effect in mice.

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ACS management philosophy : A thought provocation

Dr. S. Venkatesan MD

Question A cath lab is an “ optional accessory ” in the management of Acute coronary syndrome (ACS). True or False ? Answer “ Without a CCU…you can never , treat any Acute coronary syndrome … while we can treat most ACSs successfully without a cath lab “ (If you still got the answer wrong …sorry, no comments) Best comment Accessory is ok , but it is “20% foolish ” to state cath-lab is optional, it should be mandatory.

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Improved stacking ensemble learning based on feature selection to accurately predict warfarin dose

Frontiers in Cardiovascular Medicine

Background With the rapid development of artificial intelligence, prediction of warfarin dose via machine learning has received more and more attention. Since the dose prediction involve both linear and nonlinear problems, traditional machine learning algorithms are ineffective to solve such problems at one time. Objective Based on the characteristics of clinical data of Chinese warfarin patients, an improved stacking ensemble learning can achieve higher prediction accuracy.

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Study Identifies Genetic Variants in African Ancestry Linked to Glaucoma Risk

HCPLive

A new study reports previously unknown inherited genetic variants that contribute to glaucoma risk among more than 11,000 people of African ancestry.

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Use of selective visceral angiography in surgical strategy planning for celiac artery aneurysm in the celiacomesenteric trunk

Journal of Cardiothoracic Surgery

The celiacomesenteric trunk (CMT) is a common duct of the celiac artery (CA) and the superior mesenteric artery originating from the aorta, which is an uncommon anatomical variant of visceral artery circulatio.

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Piperine Shows Potential Pharmacological Benefit for NAFLD, Early Cirrhosis

HCPLive

Consuming a 5mg piperine capsule once daily for 12 weeks was linked to several pharmacological improvements in patients with NAFLD.

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Association of HFA-PEFF score with clinical outcomes after catheter ablation for atrial fibrillation

Open Heart

Background The Heart Failure Association Pretest assessment, echocardiography and natriuretic peptide, functional testing and final aetiology (HFA-PEFF) score has been developed for diagnosing heart failure with preserved ejection fraction (HFpEF), which is frequently associated with atrial fibrillation (AF). We aimed to investigate whether preprocedural HFA-PEFF score could be used to predict clinical outcomes in patients with AF who underwent catheter ablation (CA).

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Biosimilars Quiz: Adalimumab Biosimilar ABP 501 Adherence, Switching Patterns

HCPLive

Test your knowledge of treatment persistence, adherence, and switching patterns of adalimumab biosimilar ABP 501 between adalimumab-naïve patients and adalimumab-experienced patients.

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Systematic Review of Penetrance in Genetic Hypertrophic Cardiomyopathy

American College of Cardiology

What is the prevalence and penetrance of sarcomeric genes in clinical studies with patients and families with hypertrophic cardiomyopathy (HCM) as compared with population-based studies of asymptomatic individuals?

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Resynchronization–Defibrillation Sustains Long-Term Survival Benefit in Heart Failure

HCPLive

An analysis of the RAFT trial showed patients with heart failure treated with CRT-D experienced continued survival benefits during a median of nearly 14 years of follow-up.

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ED Medications May Increase Risk of Death When Combined With Nitrate Medication

American College of Cardiology

Phosphodiesterase type 5 inhibitors (PDE5i) are a common medical treatment for erectile dysfunction (ED) in men with cardiovascular disease. However, a study published Jan. 15 in JACC suggests that patients are at higher risk for morbidity and mortality over time when PDE5is and nitrate medication are both prescribed.

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Martina J. Porter, MD: Adverse Events, Future Research on Lutikizumab for HS

HCPLive

In this segment of Porter’s interview, she delves further into the phase 2 findings on lutikizumab and discusses any adverse events and future research.

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Perceived Interpersonal Racism in Relation to Incident Coronary Heart Disease Among Black Women

Circulation

Circulation, Ahead of Print. BACKGROUND:Racism is highly prevalent in the United States. Few data exist about whether perceived interpersonal racism is associated with risk of coronary heart disease (CHD).METHODS:We followed 48 305 participants in the Black Women’s Health Study through biennial mailed and Internet-based health questionnaires from 1997, when they provided information on perceived interpersonal racism and were free of cardiovascular disease and cancer, until the end of 2019.

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Tofacitinib Improves Insulin Resistance in Patients with RA, Type 2 Diabetes

HCPLive

Improvements in insulin resistance were reported in patients with RA and type 2 diabetes treated with tofacitinib.

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Piezo1-Mediated Neurogenic Inflammatory Cascade Exacerbates Ventricular Remodeling After Myocardial Infarction

Circulation

Circulation, Ahead of Print. BACKGROUND:Heart failure is associated with a high rate of mortality and morbidity, and ventricular remodeling invariably precedes heart failure. Ventricular remodeling is fundamentally driven by mechanotransduction that is regulated by both the nervous system and the immune system. However, it remains unknown which key molecular factors govern the neuro/immune/cardio axis that underlies mechanotransduction during ventricular remodeling.

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Neal Bhatia, MD: Spotlighting Misconceptions, Approaches to Managing Actinic Keratosis

HCPLive

Bhatia discussed some of the major takeaways from his Winter Clinical presentation titled ‘What's New and Hot in AK Management.

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Novel Role for Cardiolipin as a Target of Therapy to Mitigate Myocardial Injury Caused by Venoarterial Extracorporeal Membrane Oxygenation

Circulation

Circulation, Ahead of Print. BACKGROUND:Cardiolipin is a mitochondrial-specific phospholipid that maintains integrity of the electron transport chain (ETC) and plays a central role in myocardial ischemia/reperfusion injury. Tafazzin is an enzyme that is required for cardiolipin maturation. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) use to provide hemodynamic support for acute myocardial infarction has grown exponentially, is associated with poor outcomes, and is under active clin

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Acute Promyelocytic Leukima in Pregnancy Presenting as DIC - A Case Report and Review of Literature

BMH Medical Journal

Acute promyelocytic leukemia is a unique subset of acute myeloid leukemias characterised by the proliferation of neoplastic promyelocytes bearing chromosomal translocation t (15;17). Although APML accounts for nearly 13% of acute myeloblastic leukemia cases, it usually affects young adults and hence increasing the possibility of its occurrence during pregnancy.

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Lower Rate of Major Bleeding in Very High-Risk Patients Undergoing Left Atrial Appendage Occlusion: A Propensity-Matched Comparison with Direct Oral Anticoagulation.

HeartRhythm

Long-term oral anticoagulation is the mainstay therapy for thromboembolic (TE) prevention in patients with atrial fibrillation (AF). However, left atrial appendage occlusion (LAAO) could be a safe alternative to direct oral anticoagulants (DOACs) in patients with a very high thromboembolic risk profile.Objective: to compare the safety and efficacy of LAAO versus DOACs among AF patients at very high stroke risk (CHA2DS2-VASc score ≥ 5).