Dr. Smith's ECG Blog

DECEMBER 5, 2023

Acute coronary syndrome in a pediatric patient? Written by Kirsten Morrissey, MD with edits by Bracey, Grauer, Meyers, and Smith An older teen was transferred from an outside hospital with elevated serum troponin and and ECG demonstrating ST elevations. The patient was obese and had a medical history of only recurrent tonsillitis status post tonsillectomy and adenoidectomy but was otherwise healthy and fully vaccinated.

Pediatrics 112

Pediatrics Pericarditis COVID-19 Congenital Heart Disease 112

NOVARAD

DECEMBER 5, 2023

In the past, CDs played a central role in the storage and dissemination of radiology images. The medical community was largely dependent on these physical media, a practice that while operational, was beset with obstacles related to storage, reach, and expenses. But as is characteristic of technology, transformation is constant. A migration toward more streamlined and economically viable options for handling and circulating these essential images is underway.

Technology 98

Technology Circulation 98

Dr. Smith's ECG Blog

DECEMBER 5, 2023

Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts AI app can do it for you. With explainability too.

STEMI 128

STEMI Webinar 128

Med Page Today

DECEMBER 5, 2023

(MedPage Today) -- ANAHEIM, Calif. -- Insurance coverage and out-of-pocket costs for GLP-1 receptor agonists pose serious barriers to patients prescribed these drugs for type 2 diabetes and other indications, two single-site studies showed.

Diabetes 97

Diabetes 97

JAMA Cardiology

DECEMBER 5, 2023

A patient in his mid-60s underwent bilateral orthotopic lung transplant and is later hospitalized for sepsis from pneumonia complicated by acute transplant rejection, without any cardiac symptoms. He develops severe acute respiratory distress syndrome requiring intubation and paralysis. Electrocardiography shows sudden ST-segment changes. What would you do next?

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Transplant Hospital 80

Cardiovascular Diabetology

DECEMBER 5, 2023

Insulin resistance is a pivotal risk factor for cardiovascular diseases, and the triglyceride-glucose (TyG) index is a well-established surrogate of insulin resistance. This study aimed to investigate the prog.

Risk Factors 79

Risk Factors Cardiovascular Disease Outcomes Research 79

JAMA Cardiology

DECEMBER 5, 2023

This cohort study investigates the association between removal of race stratification from the atherosclerotic cardiovascular pooled cohort risk equations and model performance.

Cardiovascular Disease 74

Cardiovascular Disease 74

Med Page Today

DECEMBER 5, 2023

(MedPage Today) -- Do people with a family history of cardiovascular disease have a particular need to consume more eicosapentaenoic/docosahexaenoic acids? (Circulation) A healthy vegan diet held a cardiometabolic advantage over omnivorous eating.

Diet 52

Diet Cardiovascular Disease Circulation 52

CTVS

DECEMBER 5, 2023

Thoracic Outlet Syndrome (TOS) is a condition our board certified vascular surgeons often see at the start of the new year when people are eager to get in shape and work out more. It is not uncommon, however, that we see this serious condition all year round in dedicated athletes.

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Med Page Today

DECEMBER 5, 2023

(MedPage Today) -- Early albuminuria reduction with finerenone (Kerendia) drove protection against chronic kidney disease (CKD) progression in people with type 2 diabetes, according to a post-hoc mediation analysis. In the pooled analysis using.

Kidney Disease 52

Kidney Disease Diabetes 52

HeartRhythm

DECEMBER 5, 2023

Since the first case of left bundle branch pacing (LBBP) was reported in 20171, it is rapidly developed into a promising pacing technique. Increasing evidence has demonstrated its feasibility, safety and clinical benefits, while ongoing clinical trials will more clearly show its role compared to currently available pacing modalities. Unlike the clear definition of His bundle pacing (HBP), the relatively large network of interlacing Purkinje fibers and abundant connections with the left ventricul

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Cardiovascular Diabetology

DECEMBER 5, 2023

Stress hyperglycemia ratio (SHR), associated with adverse outcomes in patients with ST-segment elevation myocardial infarction (STEMI), has several definitions. This study aims to assess the prognostic value o.

Myocardial Infarction 45

Myocardial Infarction STEMI Outcomes Research 45

HeartRhythm

DECEMBER 5, 2023

In patients with symptomatic obstructive hypertrophic cardiomyopathy, conventional septal reduction therapies including surgical myomectomy and alcohol septal ablation are not applicable to a significant proportion of patients due to their anatomical variations in the site of hypertrophy and availability of specialized centers, and limited septal branches, respectively, 1 and those procedures carry significant risks of heart block 2,3.

Ablation 45

Ablation Arrhythmia Cardiomyopathy 45

JAMA Cardiology

DECEMBER 5, 2023

This randomized clinical trial evaluates the feasibility and efficacy of an intensive telemonitoring strategy in the vulnerable period after a heart failure hospitalization.

Heart Failure 41

Heart Failure Hospital 41

Journal of the American Heart Association

DECEMBER 5, 2023

Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023.

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Nature Reviews - Cardiology

DECEMBER 5, 2023

Nature Reviews Cardiology, Published online: 06 December 2023; doi:10.1038/s41569-023-00976-x Mosaic loss of chromosome Y (mLOY) refers to the condition in male individuals in which a detectable fraction of cells lose the Y chromosome. Prevalent in haematopoietic cells, this common somatic mutation is associated with decreased longevity and an increased risk of age-related diseases, including cardiovascular disease.

Cardiovascular Disease 52

Cardiovascular Disease 52

Journal of the American Heart Association

DECEMBER 5, 2023

Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023. BackgroundThe health benefits of fruits are well established, but fruit juice has been more controversial. Fruit and juice are often ingested with other foods, which prompted our investigation to determine whether fruit consumed as juice may negate the beneficial effects of consuming whole fruit in people with cardiovascular disease.Methods and ResultsWe retrospectively analyzed data from a population‐based study

Cardiovascular Disease 49

Cardiovascular Disease Hospital 49

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 5, 2023

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:Canadian data suggest that patients of lower socioeconomic status with acute myocardial infarction receive less beneficial therapy and have worse clinical outcomes, raising questions regarding care disparities even in universal health care systems. We assessed the contemporary association of marginalization with clinical outcomes and health services use.METHODS:Using clinical and administrative databases in Ontario, Can

Myocardial Infarction 40

Myocardial Infarction Hospital Outcomes Risk Factors 40