Fri.Feb 02, 2024

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What is this ECG finding? Do you understand it before you hear the clinical context?

Dr. Smith's ECG Blog

Written by Pendell Meyers First try to interpret this ECG with no clinical context: The ECG shows an irregularly irregular rhythm, therefore almost certainly atrial fibrillation. After an initially narrow QRS, there is a very large abnormal extra wave at the end of the QRS complex. These are Osborn waves usually associated with hypothermia. There is also large T wave inversion and long QT.

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Neurons can feel the pulse in the brain, study shows

Medical Xpress - Cardiology

As opposed to the sensory perception of the external world, interoception is the sensing of internal body signals, which informs the brain about the state of the body. Rhythmic bodily processes such as breathing, the heartbeat, or the pulsing of the gut may help keep brain activity organized. Indeed, it seems that how we think and see the world is affected by our heartbeat.

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Obesity Associated With Renal Function Decline, Kidney Disease Risk

HCPLive

Obesity was linked to an increased risk of focal segmental glomerulosclerosis and hypertensive nephropathy, with further analysis revealing its impact on the risk of developing end-stage kidney disease.

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'Heart-on-a-chip' to test chemotherapies and other cancer drugs for heart toxicity

Medical Xpress - Cardiology

Chemotherapy can be toxic to heart cells. To help protect the hearts of cancer patients, Cedars-Sinai investigators have created a three-dimensional "heart-on-a-chip" to evaluate drug safety. In a study published in the journal Lab on a Chip, they show that the heart-on-a-chip, created using stem cells, accurately predicts the effects of drugs on human heart cells.

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Biosense Webster Study Supports Low and Zero Fluoroscopy Workflow as Safe, Effective Alternative to Conventional Catheter Ablation

DAIC

milla1cf Fri, 02/02/2024 - 17:02 February 2, 2024 — Biosense Webster, Inc. , a global leader in cardiac arrhythmia treatment and part of Johnson & Johnson MedTechi , revealed findings from a company-funded study of real-world data. Titled "Real-world Data Affirms Safety and Effectiveness of Low/Zero Fluoroscopy Atrial Fibrillation Ablation," the study was presented as a late-breaker at the 29th Annual International AF Symposium.

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Hypertension Before 40 Linked to Doubling of Stroke Risk in Black Women

HCPLive

Study presented at ISC 2024 suggests Black women with hypertension before age 35 face a 3-fold increase in risk of stroke while hypertension before 45 linked to doubling in stroke risk.

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First Transcatheter Tricuspid Regurgitation Treatment Approved

Med Page Today

(MedPage Today) -- The FDA approved the Evoque tricuspid valve replacement system as the first transcatheter treatment for tricuspid regurgitation (TR), Edwards Lifesciences announced. Evoque gained an indication for severe TR that is symptomatic.

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Video: What to do for a healthier heart

Medical Xpress - Cardiology

Heart disease is the leading cause of death in the U.S., according to the Centers for Disease Control and Prevention. Heart disease refers to a range of conditions, of which many can be prevented or treated by making healthy lifestyle choices.

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Edwards’ EVOQUE Valve Replacement System First Transcatheter Therapy to Earn FDA Approval for Tricuspid Valve

DAIC

Photo: Edwards Lifesciences milla1cf Fri, 02/02/2024 - 09:33 February 2, 2024 — Edwards Lifesciences Corporation announced the company’s EVOQUE tricuspid valve replacement system is the first transcatheter therapy to receive U.S. Food and Drug Administration (FDA) approval for the treatment of tricuspid regurgitation (TR). The EVOQUE system is indicated for the improvement of health status in patients with symptomatic severe TR despite optimal medical therapy (OMT), for whom tricuspid valve re

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Symptoms that may require a consultation with a cardiologist

Medical Xpress - Cardiology

As people age, many start to experience more aches and pains throughout their bodies. While many symptoms can be chalked up to the natural aging process, it's important to pay special attention to the cardiovascular system.

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American College of Cardiology (ACC) Program Set for Cardiac Oncology Conference, “Advancing the Cardiovascular Care of the Oncology Patient”

DAIC

The American College of Cardiology’s Cardiac Oncology Conference, “Advancing the Cardiovascular Care of the Oncology Patient,” will be held in Washington, D.C., Feb. 9-11, 2024. The event is offered as an interdisciplinary and interspecialty course to provide clinicians and researchers with the tools needed to improve the cardiovascular (CV) health of cancer patients in everyday practice.

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Health Effects of Extreme Heat, Wildfire Smoke Worse When Combined

Med Page Today

(MedPage Today) -- Extreme heat and wildfire smoke are independently harmful to the human body, but together their impact on cardiovascular and respiratory systems is more dangerous and affects some communities more than others. A study published.

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Latin Heart Rounds: Rounds on a Patient with Barlow’s Disease and Annular Disjunction

Society of Thoracic Surgeons - Congenital

Webinar Latin Heart Rounds: Rounds on a Patient with Barlow’s Disease and Annular Disjunction kchalko Fri, 02/02/2024 - 09:56 March 1, 2024 Image International experts from Latin America, Europe and the U.S. will provide up-to-date insights on the management of patients with Barlow’s disease with mitral valve prolapse and annular disjunction. The discussion will be based on a real patient undergoing mitral valve repair and having long-term follow-up for that condition.

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FDA Approves EVOQUE Tricuspid Valve Replacement System for Tricuspid Regurgitation

HCPLive

The FDA approval of Edwards Lifesciences EVOQUE tricuspid valve replacement system for treatment of symptomatic severe tricuspid regurgitation is the first of its kind for a transcatheter therapy.

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What will happen if you implement the Queen of Hearts in your Hospital?

Dr. Smith's ECG Blog

This case was sent by Dr. Jean-christophe Reiters, an interventionalist in Belgium. He has been following the blog for 4 years. He has now implemented the Queen of Hearts in his hospital. He wanted to share one of the first cases. A 55 year old with no previous cardiac history presented with 3 hours of chest pain. The pain was persistent and reportedly still present at the time of the ECG.

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Addressing the Challenge of Common Chronic Diseases — A View from the FDA

The New England Journal of Medicine

Collaboration between the FDA and other stakeholders could improve the way in which evidence is generated and interventions are developed and implemented to help address common chronic diseases.

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From the Member Sections | Navigating the Future: Congenital Heart Disease Care From Childhood to Adulthood

American College of Cardiology

February marks Congenital Heart Defect Awareness Week, an opportunity to reflect on the remarkable advancements in the care for congenital heart disease (CHD). Historically viewed with a grim outlook, CHD has journeyed from a potentially lethal condition to a chronic disease managed into adulthood.

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Association of plasma proteomics with incident coronary heart disease in individuals with and without type 2 diabetes: results from the population-based KORA study

Cardiovascular Diabetology

Coronary heart disease (CHD) is a major global health concern, especially among individuals with type 2 diabetes (T2D). Given the crucial role of proteins in various biological processes, this study aimed to e.

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Psychiatry Month in Review: January 2024

HCPLive

Our January 2024 psychiatry month in review includes studies finding associations with depression, anxiety, and anorexia nervosa, as well as a phase 3 study looking into long-term safety of olanzapine, samidorphan.

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Application of a modified clinical classification for pulmonary arterial hypertension associated with congenital heart disease in children: emphasis on atrial septal defects and transposition of the great arteries. An analysis from the TOPP registry

Frontiers in Cardiovascular Medicine

Aims A proportion of patients with pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD) do not fit in the current classification. We aimed to analyse the applicability of an adapted clinical classification of PAH-CHD to pediatric patients using the TOPP-1 registry (Tracking Outcomes and Practice in Pediatric Pulmonary Hypertension) and focus on atrial septal defects (ASD) and transposition of the great arteries (TGA).

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Dermatology Month in Review: January 2024

HCPLive

January’s Dermatology Month in Review features 2 major FDA decisions, positive results on a new assessment tool, an evaluation of climate change’s impact on eczema, and more.

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Physiology Friday #203: Does Periodized Carbohydrate Intake Improve Exercise Performance and Fat Oxidation?

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. What if your calendar was the key to living a longer, healthier life? Health and time have always been two sides of the same coin, but we haven’t had the technology to bridge them until now. Zeit Calendar (created by my friend Robby Wade ) seamlessly integrates health, fitness & longevity into your daily life.

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Antidepressants from SSRI or SNRI Classes Were Safe for Most Stroke Survivors

HCPLive

Although a new study found antidepressants from SSRI or SNRI did not increase the risk of hemorrhagic stroke or other serious bleeding in ischemic stroke survivors, the risk increased when taking antidepressants of other classes and anti-platelet medications.

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A Study of Inclisiran in Participants With Homozygous Familial Hypercholesterolemia–5

American College of Cardiology

The goal of the ORION-5 trial was to assess the safety and efficacy of inclisiran in lowering low-density lipoprotein cholesterol (LDL-C) among patients with homozygous familial hypercholesterolemia (HoFH).

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Quiz: ACR Clinical Guideline for the Treatment of Rheumatoid Arthritis

HCPLive

The 2021 ACR Guideline for the Treatment of Rheumatoid Arthritis provides updated recommendations for the pharmacologic management of RA.

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Revisiting an old relationship: the causal associations of the ApoB/ApoA1 ratio with cardiometabolic diseases and relative risk factors—a mendelian randomization analysis

Cardiovascular Diabetology

It has been confirmed that the ApoB/ApoA1 ratio is closely associated with the incidence of cardiometabolic diseases (CMD). However, due to uncontrolled confounding factors in observational studies, the causal.

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Presence of Diabetic Retinopathy Worsens Vision-Related Quality of Life

HCPLive

As diabetic retinopathy severity progresses, both vision-related and health-related scales show a significant deterioration in quality of life scores.

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Sirolimus-coated balloon in all-comer population of coronary artery disease patients: the EASTBOURNE DIABETES prospective registry

Cardiovascular Diabetology

The outcomes of percutaneous coronary intervention (PCI) in diabetic patients are still suboptimal, and it is unclear if diabetic patients might derive a benefit from the use of drug-coated balloons.

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Amblyopia Care Disparities Persist Amid Widespread Photoscreener Adoption

HCPLive

Vision screening rates for amblyopia showed substantial increase after photoscreening expansion, but patients who were Asian, Black, and Hispanic were less likely to be screened.

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Single arterial access technique for simultaneous dual mechanical circulatory support in cardiogenic shock

Journal of Cardiothoracic Surgery

Temporary mechanical circulatory support is a treatment of choice for patients in severe cardiogenic shock. Combining veno-arterial extracorporeal life support (ECLS) with devices that enable left ventricular.

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Patients with RA Surprised by Positive Impact of Exercise on Sleep

HCPLive

Four themes emerged from the data, including the positive impact of exercise on sleep, positive experiences of the exercise intervention, mental health benefits, and achieving empowerment and ownership during the exercise process.

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Tracheal resection anastomosis for rare tracheal inflammatory lesions mimicking malignancy: report of 2 cases

Journal of Cardiothoracic Surgery

Tumor-like lesions of the trachea are rare and challenging in diagnosis and management. Inflammatory myofibroblastoma, also known as Inflammatory pseudo tumors (IPTs), as well as Rosai Dorfman Disease (RDD) ar.

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Maternal Social Determinants of Health Impact Pediatric HCV Screening

HCPLive

Study results called attention to the negative impact of living in a rural residence and a highly dependent neighborhood on HCV screening by 2 years of age in children born to HCV RNA positive mothers.

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Asymptomatic esophageal perforation discovered after elective cardiac surgery: the importance of clinical awareness

Journal of Cardiothoracic Surgery

Transesophageal echocardiography (TEE) has become an indispensable part of cardiothoracic surgery at present and is considered to be a safe procedure, rarely associated with complications. However, TEE may cau.

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Valve Surgery Education in the Era of Transcatheter Therapies

Society of Thoracic Surgeons - Congenital

Webinar Valve Surgery Education in the Era of Transcatheter Therapies kchalko Fri, 02/02/2024 - 09:03 February 29, 2024 During the webinar, healthcare professionals, including surgeons, trainees, and interventional cardiologists, will gain a comprehensive understanding of the current state of valve surgery and the role of transcatheter therapies. The expert faculty will explore educational gaps in this space, with the goal of fostering knowledge-sharing and collaboration, ultimately improving pa

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Risk factors for prolonged postoperative ICU stay in the patients with Stanford type A aortic dissection

Journal of Cardiothoracic Surgery

To investigate the independent risk factors for postoperative prolonged ICU stay in patients with Stanford type A aortic dissection (TAAD) and assess the clinical outcomes of prolonged ICU stay.

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Do you practice any specific nutrition strategies around exercise?

Physiologically Speaking

How do you fuel before a workout? DO you fuel before a workout? What does your nutrition during and after a workout look like? Let’s get the conversation started.