March, 2022

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Amrita University launches wearable health monitoring device

Mobi Health News - ECG

The non-prick device can measure blood glucose and monitor blood pressure without pressure cuffs.

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Changes in heart failure management and long-term mortality over 10 years: observational study

Open Heart

Objectives To estimate the long-term survival of two cohorts of people diagnosed with heart failure 10 years apart and to assess differences in patient characteristics, clinical guideline compliance and survival by diagnosis setting. Methods Data for patients aged 18 and over with a new diagnosis of heart failure in the Clinical Practice Research Datalink in 2001–2002 (5966 patients in 156 practices) and 2011–2012 (12 827 patients in 331 practices).

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Ep 167 Myocarditis – A Diagnostic Challenge

ECG Cases

Why does myocarditis often present a diagnostic challenge? What are the range of ECG findings in myocarditis? Does a negative high sensitivity troponin or CRP rule out myocarditis? What is the role of PoCUS in the diagnosis and prognosis of myocarditis? When should we consider myocarditis or pericarditis in patients with recent COVID-19 infection or COVID mRNA vaccination, and which of these patients require workups?

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Understanding this pathognomonic ECG would have greatly benefitted the patient.

Dr. Smith's ECG Blog

Written by Pendell Meyers Interpret this ECG first without context. You don't need context yet because this ECG is nearly pathognomonic. After having learned about benign T wave inversion pattern years ago on this blog, and having seen many cases on this blog and in my practice since then, I instantly recognize this as BTWI, a fairly common normal variant.

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New STAT Scores, New Patients, New CHSD: The Upgrade Webinar

Society of Thoracic Surgeons - Adult Cardiac

Webinar New STAT Scores, New Patients, New CHSD: The Upgrade Webinar kchalko Tue, 03/08/2022 - 12:49 March 17, 2022 The Congenital Heart Surgery Database (CHSD) continues to undergo improvements to enhance quality of care for patients. In this webinar for CHSD participants, the panel discusses the forthcoming upgrade to version 6.22 and implementation of new STAT scores.

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Introducing New Technology to an Institution

Society of Thoracic Surgeons - Technology

Blog Introducing New Technology to an Institution jbagley Wed, 03/02/2022 - 11:15 Innovation and new technology are essential to the progress of any specialty. Within cardiothoracic surgery, the development of cardiopulmonary bypass in the 1950s was critical for shaping our field with new operations and improved patient outcomes. Emerging technologies remain a staple of the specialty and early career surgeons play an important role in the process.

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Implementing telehealth during a pandemic: key takeaways for cardiac care.

iRythm Technologies

How to provide remote cardiac monitoring during the COVID-19 pandemic, this article offers guidance for implementing telehealth.

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ECG Cases 29 Misdiagnosis from Lead Misplacement, Artifact and Lead Reversal

ECG Cases

In this ECG Cases blog we review 10 cases of possible artifact, lead reversal and lead misplacement. Can you spot the abnormalities and avoid the misdiagnosis? The post ECG Cases 29 Misdiagnosis from Lead Misplacement, Artifact and Lead Reversal appeared first on Emergency Medicine Cases.

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Clopidogrel Monotherapy After 1 to 2 Months of DAPT vs 12 Months of DAPT in Acute Coronary Syndrome

JAMA Cardiology

This randomized clinical trial evaluates whether 1 to 2 months of dual antiplatelet therapy (DAPT) followed by clopidogrel monotherapy is noninferior to 12 months of DAPT with aspirin and clopidogrel for patients with acute coronary syndromes.

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Image-based ECG algorithm improves access to care in remote settings

Medical Xpress - ECG

Researchers at the Yale Cardiovascular Data Science (CarDS) Lab have developed an artificial intelligence (AI)-based model for clinical diagnosis that can use electrocardiogram (ECG) images, regardless of format or layout, to diagnose multiple heart rhythm and conduction disorders.

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Lessons from Shane Warne’s death – A cardiologist’s perspective

Dr. Sanjay Gupta

As a doctor and cardiologist, I see heart attacks and death on a daily basis and after a while one gets used to it and it feels like nothing can shock anymore. However, I was completely shocked yesterday when I heard about Shane Warne’s death from a suspected heart attack. Firstly he was only 52. Secondly he was a world class athlete only a few years ago.

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ECMO May Offer Sickest COVID Patients Chance for ‘Exceptional Survival’

Society of Thoracic Surgeons - Critical Care

Press Release ECMO May Offer Sickest COVID Patients Chance for ‘Exceptional Survival’ March 10, 2022 jbagley Wed, 03/02/2022 - 11:45 Patient selection and management strategies help improve outcomes CHICAGO (March 10, 2022)—Some patients with severe COVID-19 who are treated with extracorporeal membrane oxygenation (ECMO) may experience significant lung recovery and return to normal lives with “meaningful” long-term outcomes, according to research published online today in The Annals of Thoracic

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Cardiac and obstetric outcomes in pregnant women with heart disease: appraisal of the 2018 mWHO classification

Open Heart

Objective To appraise the application of the 2018 European Society of Cardiology-adapted modified WHO (mWHO) classification to pregnant women with heart disease managed at our maternal–fetal medicine referral centre and to assess whether the lack of a multidisciplinary Pregnancy Heart team has influenced their outcomes. Methods A retrospective cohort study including all pregnancies with heart disease managed at our centre between June 2011 and December 2020.

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Ep 166 Pericarditis and Cardiac Tamponade

ECG Cases

Why should pericarditis be considered a diagnosis of exclusion? Which clinical features are most useful in the diagnosis of pericarditis? What are the most common pitfalls in the ECG interpretation? What are the best ways to differentiate the ECG of pericarditis from that of MI and early repolarization? How is uncomplicated viral pericarditis treated differently compared to pericarditis with other etiologies?

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More Vigilant Cardiac Care Today Leads to Fewer Costs Tomorrow

The Beat Blog

Cardiovascular diseases (CVD) affect nearly half of all American adults, and in addition to their impact on health outcomes, they have significant economic implications. 17% of all annual healthcare costs in the U.S. are associated with these conditions, the largest across all disease categories. In 2018, cardiovascular outcomes researcher Dr. Leslee Shaw and her collaborators published “10-Year Resource Utilization and Costs for Cardiovascular Care.

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Ferulic acid and berberine, via Sirt1 and AMPK, may act as cell cleansing promoters of healthy longevity

Open Heart

Ferulic acid, a bacterial metabolite of anthocyanins, seems likely to be a primary mediator of the health benefits associated with anthocyanin-rich diets, and has long been employed in Chinese cardiovascular medicine. In rodent studies, it has exerted wide-ranging antioxidant and anti-inflammatory effects, the molecular basis of which remains rather obscure.

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Young endurance training starting age in non-elite athletes is associated with higher proximal aortic distensibility

Open Heart

Objective Decreased proximal aortic distensibility (AD) is known to significantly predict all-cause mortality and cardiovascular events among individuals without overt cardiovascular disease. This cross-sectional study investigated the association of endurance training (ET) parameters, namely, ET starting age, ET years and yearly ET volume with AD in non-elite endurance athletes.

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Medication-taking for secondary prevention of acute myocardial infarction: a thematic meta-synthesis of patient experiences

Open Heart

Objective To collate existing qualitative research examining patients’ medication-taking experiences in secondary prevention of acute myocardial infarction (AMI) and produce new knowledge, a systematic review and meta-synthesis of patient qualitative studies was conducted. Method A systematic review found nine reports suitable for inclusion. Themes found by the report authors and report characteristic data were extracted.

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Prevalence and haemodynamic profiles of pulmonary hypertension in cardiac amyloidosis

Open Heart

Objectives While cardiac amyloidosis (CA) classically involves the left ventricle (LV), less is known about its impact on the right ventricle (RV) and pulmonary vasculature. We performed a retrospective analysis to identify the prevalence and types of pulmonary hypertension (PH) profiles in CA and to determine haemodynamic and cardiovascular magnetic resonance (CMR) predictors of major adverse cardiovascular events (MACE).

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EM Quick Hits 36 – Surviving Sepsis, Angle Closure Glaucoma, Bougies, Frostbite, Hot/Altered Patient, Central Cord Syndrome

ECG Cases

In this month's EM Quick Hits podcast: Brit Long on Surving Sepsis Campaign -2021 Updates, Nour Khatib on rural medicine case - angle closure glaucoma, Reuben Strayer on bougie vs endotracheal tube and stylet on first-attempt intubation, Justin Hensley on management of frostbite, Sarah Foohey on the hot and altered patient, and Andrew Petrosoniak on central cord syndrome.

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External validation of the GRACE risk score and the risk-treatment paradox in patients with acute coronary syndrome

Open Heart

Objectives To validate the Global Registry of Acute Coronary Events (GRACE) risk score and examine the extent and impact of the risk–treatment paradox in contemporary patients with acute coronary syndrome (ACS). Methods Data from 5015 patients with ACS enrolled in the FORCE-ACS registry between January 2015 and December 2019 were used for model validation.

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Interoperator reliability of an on-site machine learning-based prototype to estimate CT angiography-derived fractional flow reserve

Open Heart

Background Advances in CT and machine learning have enabled on-site non-invasive assessment of fractional flow reserve (FFR CT ). Purpose To assess the interoperator and intraoperator variability of coronary CT angiography-derived FFR CT using a machine learning-based postprocessing prototype. Materials and methods We included 60 symptomatic patients who underwent coronary CT angiography.

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Coenzyme Q10 deficiency can be expected to compromise Sirt1 activity

Open Heart

For reasons that remain unclear, endogenous synthesis and tissue levels of coenzyme Q10 (CoQ10) tend to decline with increasing age in at least some tissues. When CoQ10 levels are sufficiently low, this compromises the efficiency of the mitochondrial electron transport chain, such that production of superoxide by site 2 increases and the rate of adenosine triphosphate production declines.

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Acute myocarditis caused by COVID-19 disease and following COVID-19 vaccination

Open Heart

Myocarditis and pericarditis are inflammatory conditions of the heart that present a range of symptoms, often including chest pain, fatigue, breathlessness and palpitations that may be irregular due to cardiac rhythm disturbances. Myocarditis has been proposed to account for a fraction of cardiac injury among patients infected with SARS-CoV-2 and associated systemic inflammation; and it might be one of the reasons for the high mortality seen in COVID-19 patients.

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The Management of Chronic Disease

Dr. Sanjay Gupta

I wanted to tell you a story about a patient who recently contacted me for advice. This particular lady was in her 50s in a very prestigious and high powered post and completely fit and well. She was married, had a daughter in Australia and had a wonderful social life with hiking with her girlfriends. Around Xmas time in 2020, she developed a flu-like illness and after that she started noticing that she was getting breathless on very modest levels of exertion.

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Heart Failure – Does Testosterone Hold the Key?

Dr. Sanjay Gupta

One of the reasons I wanted to start this channel was because of my frustration at how limited we were when it came to treating heart disease patients. Of course one of the reasons for this is that we simply don’t know enough but another reason was that medicine as a whole has become very defensive. Offer the patient only those therapies which are recommended by clinical guidelines because that is medicolegally defensible.

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What do heart tests tell us?

Dr. Sanjay Gupta

Broadly speaking there are 3 things that can go wrong with the heart. The heart is a pump and that pump may be faulty either due to congenital problem or an acquired problem. If the pump is in any way defective then not as much blood comes out of the heart and the body and all our vital organs will get less blood than they should and this could lead to harm.