Tue.Oct 01, 2024

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Quantifying variant contributions in cystic kidney disease using national-scale whole-genome sequencing

Journal of Clinical Investigation - Cardiology

BACKGROUND Cystic kidney disease (CyKD) is a predominantly familial disease in which gene discovery has been led by family-based and candidate gene studies, an approach that is susceptible to ascertainment and other biases.METHODS Using whole-genome sequencing data from 1,209 cases and 26,096 ancestry-matched controls participating in the 100,000 Genomes Project, we adopted hypothesis-free approaches to generate quantitative estimates of disease risk for each genetic contributor to CyKD, across

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Subclinical Atherosclerosis Burden Shapes All-Cause Mortality Risk

HCPLive

Subclinical atherosclerosis burden and its progression are independently linked to the risk of death from any cause in asymptomatic individuals.

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ECG Cases 51 – ECGs falsely labeled “normal”

ECG Cases

In this ECG Cases blog we look at 5 cases of ECGs falsely labeled 'normal'. Can you spot the critical abnormality? Written by Jesse McLaren; Peer Reviewed and edited by Anton Helman. October 2024 Five patients presented with ECGs labeled ‘normal’. Can you use systematic ECG interpretation to identify the [.] The post ECG Cases 51 – ECGs falsely labeled “normal” appeared first on Emergency Medicine Cases.

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VT in a Sick Patient? Paired with 2 old cases (see it at the bottom)

Dr. Smith's ECG Blog

== MY Comment , by K EN G RAUER, MD ( 8/30 /2024 ): == I was sent the ECG shown in Figure-1 — knowing only that the patient was being seen in the ED ( E mergency D epartment ). How would you interpret this tracing? Figure-1: The initial ECG in today's case. MY Initial Thoughts: In my experience — all-too-many emergency providers fail to appreciate the potential contribution that a brief ( 1-to-2 line ) history may convey when interpreting arrhythmias.

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Voxelotor for Sickle Cell Disease Recalled After Safety Concerns

HCPLive

Pfizer has announced the voluntary withdrawal of voxelotor in all markets after a report found the benefits do not outweigh the risks for sickle cell disease.

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Austin Thomas Erb

Conquering CHD

9.14.22-11.26.22 When we first learned that Austin would be admitted to Rocky Mountain Hospital for Children PICU for open heart surgery at 3 weeks old, we were nervous and anxious for what was ahead. However, nothing would truly prepare us for what the next 53 days would bring. The feeling of leaving your baby in the hands of another is daunting and emotional but we never doubted for one moment that the staff didn’t love him as if he was their own.

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Ruxolitinib Cream Offers Safe, Durable Option for Patients with Atopic Dermatitis

HCPLive

Ruxolitinib cream offers an effective nonsteroidal treatment for mild to moderate atopic dermatitis, with proven efficacy and safety for sensitive skin areas.

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Bimekizumab Improves Pain, Fatigue, and More in Active Psoriatic Arthritis Over Placebo

HCPLive

A greater portion of patients treated with bimekizumab achieved minimal clinically important differences than with placebo.

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Nominate a stroke hero today: 2025 Stroke Hero Awards open for submissions

American Heart News - Stroke News

DALLAS, Oct. 1, 2024 - Strokes can strike at any age, challenging survivors to overcome physical, emotional and cognitive changes. Nominations are open now for the 2025 Stroke Hero Awards from the American Stroke Association, a division of the.

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VR Headsets in Cath Lab; ICDs & Driving Rules; How Cardiologist Got to Space

Med Page Today

(MedPage Today) -- A look at the feasibility of coronary angiography and angioplasty procedures using the Meta Quest 3 virtual reality (VR) headset. (European Heart Journal) FDA approved flurpiridaz F-18 (Flyrcado), a radiotracer for positron.

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Autism-associated neuroligin 3 deficiency in medial septum causes social deficits and sleep loss in mice

Journal of Clinical Investigation - Cardiology

Patients with autism spectrum disorder (ASD) frequently experience sleep disturbance. Genetic mutations in the neuroligin 3 (NLG3) gene are highly correlative with ASD and sleep disturbance. However, the cellular and neural circuit bases of this correlation remain elusive. Here, we found that the conditional knockout of Nlg3 (Nlg3-CKO) in the medial septum (MS) impairs social memory and reduces sleep.

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Food Retention Risk Low for GLP-1 Users When Endoscopy Is Combined With Colonoscopy

Med Page Today

(MedPage Today) -- Patients on GLP-1 receptor agonists had a low risk of food retention when an esophagogastroduodenoscopy (EGD) was combined with a colonoscopy, a small retrospective study found. Among more than 200 adults in the analysis, there.

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Ciliary localization of GPR75 promotes fat accumulation in mice

Journal of Clinical Investigation - Cardiology

Obesity is a growing public health concern that affects the longevity and lifestyle of all human populations including children and older individuals. Diverse factors drive obesity, making it challenging to understand and treat. While recent studies highlight the importance of GPCR signaling for metabolism and fat accumulation, we lack a molecular description of how obesogenic signals accumulate and propagate in cells, tissues, and organs.

Obesity 105
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Amiodarone or Implantable Cardioverter-Defibrillator in Chagas Cardiomyopathy

JAMA Cardiology

This randomized clinical trial assesses whether cardioverter-defibrillator implantation is more effective than amiodarone therapy for the primary prevention of all-cause mortality and secondary prevention of sudden cardiac death, hospitalization for heart failure, and use of a pacemaker among patients with chronic Chagas cardiomyopathy.

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Steve Nissen, MD: Optimizing Lp(a) Management by Learning from Missteps with LDL-C

HCPLive

Steve Nissen, MD, discusses how the cardiology community needs to learn from previous mistakes in uptake of LDL-C lowering therapies as it approaches an age of Lp(a)-lowering agents.

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Hospitals with highest, lowest heart attack readmission rates

Becker's Hospital Review - Cardiology

Two Michigan hospitals had the highest excess readmission ratios for heart attack patients in the U.S. between July 1, 2019, and June 30, 2022, according to CMS data released July 31.

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UCLA Investigators Develop AI Model to Improve 3D Imaging for Disease Predictions

HCPLive

The AI model, SLIViT, improves accuracy and efficiency in interpreting 3D medical scans, outperforming traditional methods and reducing specialists' workload.

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Physiology Friday September in Review

Physiologically Speaking

Greetings! In case you missed it, here’s a short recap of the studies I covered in September in the Physiology Friday newsletter. Enjoy them for the first time or enjoy them again! As always, thanks for being a subscriber and a reader. It means the world. Physiologically Speaking is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

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Major Diagnostic Challenges for Pigmented Lesions, with Ashfaq Marghoob, MD

HCPLive

In this interview, Marghoob highlights some of the biggest diagnostic challenges faced by dermatologists and other providers when it comes to pigmented lesions.

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Neurosymptomatic HIV-1 CSF escape is associated with replication in CNS T cells and inflammation

Journal of Clinical Investigation - Cardiology

During antiretroviral therapy (ART), most people living with HIV-1 have undetectable HIV-1 RNA in their plasma. However, they occasionally present with new or progressive neurologic deficits and detectable HIV-1 RNA in the cerebrospinal fluid (CSF), a condition defined as neurosymptomatic HIV-1 CSF escape (NSE). We explored the source of neuropathogenesis and HIV-1 RNA in the CSF during NSE by characterizing HIV-1 populations and inflammatory biomarkers in CSF from 25 individuals with NSE.

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Denifanstat Receives Breakthrough Therapy Designation for Noncirrhotic MASH

HCPLive

The designation was based on positive data from the phase 2b FASCINATE trial of denifanstat in noncirrhotic MASH with moderate to advanced fibrosis.

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Distinct landscape and clinical implications of therapy-related clonal hematopoiesis

Journal of Clinical Investigation - Cardiology

Therapy-related clonal hematopoiesis (t-CH) is defined as clonal hematopoiesis detected in individuals previously treated with chemotherapy and/or radiation therapy. With the increased use of genetic analysis in oncological care, the detection of t-CH among cancer patients is becoming increasingly common. t-CH arises through the selective bottleneck imposed by chemotherapies and potentially through direct mutagenesis from chemotherapies, resulting in a distinct mutational landscape enriched with

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Conversion Practice Linked to Poor Mental Health Among Sexual, Gender Minority Adults

HCPLive

A study links conversion therapy with worse mental health, such as PTSD and depression, showing a need for legislative action and support for LGBTQ+ individuals.

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Ep 198 Understanding and Improving Culture in Emergency Medicine: Key Insights

ECG Cases

In this EM Cases podcast Anton chats with Dr. Peter Brindley and Dr. Leon Byker who have a deep interest in the Culture of Medicine to explore what culture in medicine is, why culture is so important, and then drive home 10 strategies to improving the culture in our departments emphasizing the importance of human connection, empathy, open communication, and a willingness to learn from mistakes in creating a positive and fulfilling work environment, so that we love our work, we love our departmen

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Hepatology Month in Review: September 2024

HCPLive

This month in review spotlights HCPLive’s coverage of the top hepatic pipeline news and research from September, covering hepatitis, PBC, MASH/MASLD, and more.

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Nomine hoy a un héroe del derrame cerebral: Ya está abierto el plazo de presentación de candidaturas para los Stroke Hero Awards 2025

American Heart News - Stroke News

DALLAS, 1 de octubre de 2024 - Los derrames cerebrales pueden producirse a cualquier edad, lo que obliga a los supervivientes a superar cambios físicos, emocionales y cognitivos. Ya está abierto el plazo de presentación de candidaturas para los.

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Top-ranked hospitals for angioplasty, by state

Becker's Hospital Review - Cardiology

"Discover which state has the most top-ranked hospitals for angioplasty in the U.S. according to the WebMD Choice Awards, in partnership with Medscape.

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For the FITs | High Cost of Heart Failure Treatment: Stories From the Frontline

American College of Cardiology

Guideline-directed medical therapy (GDMT) is essential for managing heart failure with reduced ejection fraction (HFrEF). The 2022 ACC/ AHA/HFSA guideline on the management of HF recommends using renin-angiotensin-aldosterone system inhibitors with a preference for angiotensin receptor-neprilysin inhibitors (ARNIs), beta-blockers, mineralocorticoid receptor antagonists, and sodium glucose cotransporter 2 (SGLT2) inhibitors to improve survival, symptoms, ventricular function and quality of life.

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Global Impact of Optimal Implementation of Guideline-Directed Medical Therapy in Heart Failure

JAMA Cardiology

This study examines the projected population-level benefit of optimal guideline-directed medical therapy use globally among patients with heart failure with reduced ejection fraction.

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Viral infection induces inflammatory signals that coordinate YAP regulation of dysplastic cells in lung alveoli

Journal of Clinical Investigation - Cardiology

Severe viral pneumonia can induce rapid expansion of KRT5+ basal-like cells in small airways and alveoli; this forms a scar-like structure that persists in the injured alveoli and impedes normal alveolar epithelium regeneration. In this study, we investigated the mechanism by which viral infection induced this remodeling response. Through comparing different lung-injury models, we demonstrated that infection induced strong IFN-γ signal–stimulated dysplastic KRT5+ cell formation.

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Image Analysis Software for Cardiovascular Disease Assessment Gets 510(k) FDA Clearance

DAIC

tim.hodson Tue, 10/01/2024 - 10:50 PHOTO CAPTION: The Elucid PlaqueIQ user interface is a fully interactive visualization of the patient’s coronary anatomy, showing specific plaque type and amount across various views to inform physician assessment of risk and patient-specific treatment pathway. The original CT image is preserved to provide further context.

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Single-cell multiomic analysis identifies macrophage subpopulations in promoting cardiac repair

Journal of Clinical Investigation - Cardiology

Cardiac mononuclear phagocytic cells (Cardiac MPCs) participate in maintaining homeostasis and orchestrating cardiac responses upon injury. However, the function of specific MPC subtypes and the related cell fate commitment mechanisms remain elusive in regenerative and nonregenerative hearts due to their cellular heterogeneities. Using spatiotemporal single-cell epigenomic analysis of cardiac MPCs in regenerative (P1) and nonregenerative (P10) mouse hearts after injury, we found that P1 hearts a

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Use of artificial intelligence-powered ECG to differentiate between cardiac and pulmonary pathologies in patients with acute dyspnoea in the emergency department

Open Heart

Background Acute dyspnoea is common in acute care settings. However, identifying the origin of dyspnoea in the emergency department (ED) is often challenging. We aimed to investigate whether our artificial intelligence (AI)-powered ECG analysis reliably distinguishes between the causes of dyspnoea and evaluate its potential as a clinical triage tool for comparing conventional heart failure diagnostic processes using natriuretic peptides.

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The senescence-associated secretome of Hedgehog-deficient hepatocytes drives MASLD progression

Journal of Clinical Investigation - Cardiology

The burden of senescent hepatocytes correlates with the severity of metabolic dysfunction–associated steatotic liver disease (MASLD), but the mechanisms driving senescence and how it exacerbates MASLD are poorly understood. Hepatocytes experience lipotoxicity and become senescent when Smoothened (Smo) is deleted to disrupt Hedgehog signaling. We aimed to determine whether the secretomes of Smo-deficient hepatocytes perpetuate senescence to drive MASLD progression.

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Long-term outcomes of ischaemia with no obstructive coronary artery disease (INOCA): a systematic review and meta-analysis

Open Heart

Background The prognosis of myocardial ischaemia with no obstructive coronary artery disease (INOCA) and its underlying vasomotor disorders, vasospastic angina (VSA) and microvascular angina (MVA), is not well defined. The aim of this study was to perform a systematic review and meta-analysis of studies evaluating the long-term prognosis of patients with INOCA.

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Exploring Oral Systemic Therapies for Plaque Psoriasis: Efficacy, Safety, and Clinical Considerations

HCPLive

Lauren Miller, MPAS, PA-C; Jayme M. Heim, MSN FNP-BC, and Kirk Gautier, PA-C, discuss recent advancements in plaque psoriasis treatment, focusing on novel oral systemic therapies like the TYK-2 inhibitor deucravacitinib and its clinical trial data, to inform therapeutic decisions for this systemic disease.

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Long-term effects of left atrial appendage isolation in surgical ablation of atrial fibrillation based on lesion set: a multi-centre propensity-score weighted study

Open Heart

Background This present study aimed to investigate the impact of left atrial appendage (LAA) isolation on adverse clinical outcomes, with a further stratified analysis by biatrial (BA) and left atrial lesion sets, in patients with atrial fibrillation (AF) undergoing surgical ablation (SA) concurrent with mitral valve (MV) surgery. Methods We evaluated 875 patients (aged 65.1±12.0 years) who underwent SA of AF concomitant to MV surgery, excluding those with mechanical prostheses requiring li