Mon.Jan 13, 2025

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Revised Hyperfiltration Formula Incorporates Age-Related Renal Function Decline

HCPLive

The new definition uses both age and GFR without body surface area correction to determine the threshold value for hyperfiltration.

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Dementia Cases to Double in the U.S.

Med Page Today

(MedPage Today) -- Dementia cases in the U.S. are expected to double in the next four decades, a new analysis suggested. In a racially and geographically diverse sample, the lifetime risk of dementia was estimated at 42% (95% CI 41-43) with incidence.

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Variability in Pediatric Transplant Center Immunosuppression Practices Impact Rejection Rates

HCPLive

Pediatric liver transplant centers with greater within-center variability in induction type had higher rates of 1-year rejection.

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SGARBOSSA CRITERIA

ECG Guru

This ECG was sent to me by a friend, I don't know if he did it himself. The question was whether a heart attack can be recognized here. The patient is a 55-year-old man who has typical angina pectoris lasting more than 1 hour. What can you answer?

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OCU400 Improves 2-Year Vision in Retinitis Pigmentosa in Phase 1/2 Trial

HCPLive

All participants with RP treated with OCU400 gene therapy achieved vision improvement or preservation at 2 years of the Phase 1/2 trial.

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Brain connectome phenotype linked to cerebrovascular disease can track cognitive decline

Science Daily - Stroke

Researchers have uncovered novel insights into how brain function disruptions related to cerebrovascular disease (CeVD) interact with Alzheimer's disease (AD) pathology to impact neurodegeneration and cognition in older adults.

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A 50-something man with Chest pain at triage

Dr. Smith's ECG Blog

A 50-something male presented to triage with chest pain for one day. An ECG was recorded quickly before any further history or physical exam: What do you think? When I saw this (presented at a conference), I immediately thought it looked like Thype 1 Brugada phenocopy (in other words, Type 1 Brugada ECG pattern ). There is an rSR' in lead V1 without any spike of the R'-wave.

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Engineering extracellular vesicles for therapeutic delivery in ischaemic stroke

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 14 January 2025; doi:10.1038/s41569-025-01122-5 In this Tools of the Trade article, Birch describes how extracellular vesicles can be engineered to deliver therapeutic microRNAs for the treatment of ischaemic stroke.

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Comparative efficacy of different drugs in acute heart failure with renal dysfunction: a systematic review and network meta-analysis

Frontiers in Cardiovascular Medicine

ObjectiveThis network meta-analysis was to compare the efficacy of different drugs on cardiac function, renal function, and clinical outcomes in patients with acute heart failure (AHF) accompanied by renal dysfunction.MethodsPubMed, EMBASE, Cochrane Library, and Web of Science were searched to screen all clinical trials of AHF between January 1st 2001 and March 31th 2024.

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Diabetes Dialogue: The Evolving Role of Registered Dietitian Nutritionists in Obesity

HCPLive

Hosts are joined by a registered dietitian and practicing endocrinologist to discuss dietitians' role in managing patients receiving incretin therapies.

Obesity 59
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Conduction system pacing using electro-anatomical mapping-guided system vs. fluoroscopy: a systematic review, meta-analysis and economic evaluation

Frontiers in Cardiovascular Medicine

Electro-anatomical mapping (EAM) system has been shown as an alternative procedure to fluoroscopy for conduction system pacing (CSP) in patients with severe bradyarrhythmia, however its beneficial and harmful effects has not been assessed in a systematic review (SR). We sought to assess their safety, effectiveness and cost-effectiveness. A SR of the available scientific literature was conducted on the safety, effectiveness, and cost-effectiveness of CSP using EAM system vs. fluoroscopy in patien

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Patient Care Experiences Worsens After Private Equity Acquisition of Hospitals

HCPLive

In a recent study, participants reported worse patient care experience and staff responsiveness following the private equity acquisition of hospitals.

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Effective CRISPR modulation of complex non-coding RNA loci

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 14 January 2025; doi:10.1038/s41569-025-01117-2 In this Tools of the Trade article, Francesca Vacante and Andrew Baker describe a CRISPR-based approach to target the regulatory regions of non-coding RNAs.

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Mechanisms of inflammatory microenvironment formation in cardiometabolic diseases: molecular and cellular perspectives

Frontiers in Cardiovascular Medicine

Cardiometabolic diseases (CMD) are leading causes of death and disability worldwide, with complex pathophysiological mechanisms in which inflammation plays a crucial role. This review aims to elucidate the molecular and cellular mechanisms within the inflammatory microenvironment of atherosclerosis, hypertension and diabetic cardiomyopathy. In atherosclerosis, oxidized low-density lipoprotein (ox-LDL) and pro-inflammatory cytokines such as Interleukin-6 (IL-6) and Tumor Necrosis Factor-alpha (TN

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Study: Disparities in Peripheral Artery Disease Treatment Lead to Amputation

DAIC

tim.hodson Mon, 01/13/2025 - 16:24 A new studyreports persistent disparities in outcomes for people with peripheral artery disease (PAD) and its more severe form, chronic limb-threatening ischemia (CLTI) in the United States. The study, Racial, Socioeconomic, and Geographic Disparities in Preamputation Vascular Care for Patients With Chronic Limb-Threatening Ischemia ," followed patients in the year leading up to their amputation.

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ACC CardiaCast: Pulse Check: Palliative Care in Patients with Heart Disease: Serious Conversations in the Critical Care Trenches

American College of Cardiology

In this episode, Andrea Price, MS, AACC hosts Alex Tabone, PA-C, AACC, Alix Barnes, MD, and Sharon Dickinson, PA-C, FACC to share insights for serious conversations in the critical care trenches.

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Association between NT-proBNP levels and risk of atrial fibrillation: a systematic review and meta-analysis of cohort studies

Heart BMJ

Background and aims N-terminal pro-B-type natriuretic peptide (NT-proBNP) is a well-established biomarker in clinical practice, particularly for heart failure, but its role in predicting atrial fibrillation (AF) risk is not fully understood. This meta-analysis aimed to evaluate the association between NT-proBNP levels and AF incidence, and to explore the potential of NT-proBNP in enhancing AF risk prediction models.

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Cardiac resynchronization therapy via left bundle branch pacing in heart failure with complete left bundle branch block: is the defibrillator needed?

Frontiers in Cardiovascular Medicine

AimsThis retrospective cohort study aimed to investigate the efficacy of dual-chamber left Bundle branch pacing (LBBP) as an alternative therapy for heart failure patients with complete left bundle branch block (CLBBB) and indications for defibrillator with cardiac resynchronization therapy (CRT-D).Methods34 patients met inclusion criteria were enrolled in the study.

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CMS to cover implantable heart failure device

Becker's Hospital Review - Cardiology

"CMS proposes Medicare and Medicaid coverage for implantable pulmonary artery pressure sensors to manage heart failure. Final decision to be published on Jan.

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Optimal timing of pharmacoinvasive strategy and its impact on clinical and economic outcomes in patients with ST-elevation myocardial infarction: a real-world perspective

Frontiers in Cardiovascular Medicine

BackgroundThe pharmacoinvasive (PhI) strategy is the standard-of-care for ST-elevation myocardial infarction (STEMI) patients when primary percutaneous coronary intervention (pPCI) is unfeasible. Optimal timing for post-fibrinolytic PCI (lysis-PCI) remains elusive. Therefore, this study aimed to assess the clinical and economic impacts of early vs. delayed lysis-PCI in patients with STEMI.MethodsThis retrospective cohort study included 1,043 STEMI patients classified by lysis-PCI timing.

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Iowa hospital halts open-heart surgeries

Becker's Hospital Review - Cardiology

MercyOne Siouxland Medical Center in Sioux City, Iowa, has indefinitely paused its open-heart surgery program.

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Establishment and validation of a nomogram for coronary artery lesions in children with Kawasaki disease

Frontiers in Cardiovascular Medicine

BackgroundThe nomogram is a powerful and robust tool in disease risk prediction that summarizes complex variables into a visual model that is interpretable with a quantified risk probability. In the current study, a nomogram was developed to predict the occurrence of coronary artery lesions (CALs) among patients with Kawasaki disease (KD). This is especially valuable in the early identification of the risk of CALs, which will lead to proper diagnosis and treatment to reduce their associated comp

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Vanderbilt sets heart transplant world record

Becker's Hospital Review - Cardiology

"Vanderbilt Transplant Center sets world record with 174 heart transplants in 2024, including pediatric procedures.

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Prognostic implication of right ventricular-pulmonary artery coupling in valvular heart disease

Frontiers in Cardiovascular Medicine

Valvular heart disease (VHD) leading to inadequate hemodynamic circulation is a major cause of cardiovascular morbidity and mortality worldwide. Right ventricular-pulmonary artery (RVPA) coupling integrates the ability of RV contractility to adapt to increased pulmonary arterial afterload. If the right ventricle cannot adapt to the elevated afterload by increasing its contractile function, RV-PA uncoupling occurs.

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Women's Choice Award honors 465 hospitals for stroke care

Becker's Hospital Review - Cardiology

The Women's Choice Award released its annual list of best hospitals Dec. 15, recognizing nearly 1,500 facilities nationwide for exceptional women's healthcare.

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Intra-Arterial Lytics After Successful Stroke Thrombectomy Did Not Improve Outcomes

Med Page Today

(MedPage Today) -- For stroke patients undergoing mechanical thrombectomy, adjunctive intra-arterial thrombolytics fell short for further improving outcomes in two randomized trials. First, in POST-UK, there was a trend toward better odds of an.

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Most Dementia Patients Moved to Nursing Home within 5 Years of Diagnosis

HCPLive

A study found many people with dementia live approximately 1 third of their remaining life expectancy in nursing homes.

Nursing 52
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R3 Vascular Receives WGC IRB Approval for its ELITE-BTK Pivotal Trial of its Next Generation Bioresorbable Scaffold

DAIC

tim.hodson Mon, 01/13/2025 - 16:47 Jan. 13, 2025 R3 Vascular Inc., a medical device company dedicated totreating peripheral arterial disease (PAD), recently announceit received WCG Institutional Review Board (IRB) approval for the ELITE-BTK Pivotal Trial of its MAGNITUDEDrug Eluting Next Generation Bioresorbable Scaffold for Below-the-Knee Peripheral Arterial Disease (PAD).

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Iron Therapy Boosts Hemoglobin Levels in Deficient Patients with Obesity

HCPLive

A new study highlights notable obesity-associated disruptions of iron metabolism, with higher hemoglobin and serum ferritin levels in pre-obese and obese cohorts.

Obesity 52
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Advances of research in diabetic cardiomyopathy: diagnosis and the emerging application of sequencing

Frontiers in Cardiovascular Medicine

Diabetic cardiomyopathy (DCM) is one of the most prevalent and severe complications associated with diabetes mellitus (DM). The onset of DCM is insidious, with the symptoms being obvious only in the late stage. Consequently, the early diagnosis of DCM is a formidable challenge which significantly influences the treatment and prognosis of DCM. Thus, it becomes imperative to uncover innovative approaches to facilitate the prompt identification and diagnosis of DCM.

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Gout Flare State Definitions Help Describe Disease Burden

HCPLive

However, gout flare states of patient acceptable symptom state, low disease activity, or not achieving either were not associated with EQ-5D-3L or HAQ.

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Impact of comorbid constipation on the survival of patients with heart failure: a multicenter, prospective cohort study conducted in Japan

Frontiers in Cardiovascular Medicine

BackgroundConstipation frequently affects heart failure patients because of medication side effects and physiological effects of the condition. Although recent speculation suggests that comorbid constipation may affect cardiovascular disease onset and survival rates, this relationship remains unclear. We examined the effect of comorbid constipation on the survival of patients with heart failure.MethodsWe conducted a multicenter prospective cohort study (the Kochi YOSACOI study) of patients hospi

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Low RSV Exposure In Childrens’ First Year Does Not Reduce Asthma Care Needs

HCPLive

These findings on asthma healthcare utilization resulted from the lack of a winter peak in RSV during the first months of the COVID-19 pandemic.

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Identification of mitophagy-related key genes and their correlation with immune cell infiltration in acute myocardial infarction via bioinformatics analysis

Frontiers in Cardiovascular Medicine

BackgroundAcute myocardial infarction (AMI), a subset of acute coronary syndrome, remains the major cause of mortality worldwide. Mitochondrial dysfunction is critically involved in AMI progression, and mitophagy plays a vital role in eliminating damaged mitochondria. This study aimed to explore mitophagy-related biomarkers and their potential molecular basis in AMI.MethodsAMI datasets (GSE24519 and GSE34198) from the Gene Expression Omnibus database were combined and the batch effects were remo

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Emerging Therapies: a look at the current data: ALIGN

HCPLive

Panelists discuss how the ALIGN trial data inform the development and potential impact of emerging therapies for IgA nephropathy, particularly focusing on their efficacy in reducing proteinuria and addressing disease pathology.

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Newest AUC Provide Clinical Guidance on Cardiac Implantable Electronic Devices

American College of Cardiology

New multi-society Appropriate Use Criteria (AUC) published in JACC focus on cardiac implantable electronic devices (CIEDs), specifically implantable cardioverter-defibrillators (ICDs), cardiac resynchronization therapy (CRT), and pacing. The updated criteria address a broad spectrum of clinical scenarios and key areas where new data are available or new procedures and technologies have resulted in changes in practice since the original AUC on CIEDs were published in 2013.

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Emerging Therapies: a look at the current data: APPLAUSE

HCPLive

Panelists discuss how the ALIGN trial data inform the development and potential impact of emerging therapies for IgA nephropathy, particularly focusing on their efficacy in reducing proteinuria and addressing disease pathology.

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