Ken Grauer, MD

AUGUST 29, 2024

The ECG in Figure-1 was obtained from an 80-year old woman — who presented to the ED ( E mergency D epartment ) — with a several hour history of "palpitations" and CP ( C hest P ain ). She was hemodynamically stable at the time ECG #1 was recorded. QUESTIONS: The ECG in Figure-1 was seen by a number of physicians — the majority of whom thought the rhythm was some form of SVT ( S upra V entricular T achycardia ) with LBBB ( L eft B undle B ranch B lock ) aberration.

Blog 138

Blog Chest Pain Tachycardia Heart Disease 138

Med Page Today

AUGUST 30, 2024

(MedPage Today) -- LONDON -- The clinical benefits of semaglutide (Wegovy) went beyond expectations in the SELECT trial, given the reductions in non-cardiovascular and infectious disease deaths observed. Among people with overweight or obesity.

Obesity 143

Obesity 143

Medical Xpress - Cardiology

AUGUST 20, 2024

Cleveland Clinic researchers have made a significant discovery about how the gut microbiome interacts with cells to cause cardiovascular disease. The study published in Nature Communications found that phenylacetylglutamine (PAG), produced by gut bacteria as a waste product, then absorbed and formed in the liver, interacts with previously undiscovered locations on beta-2 adrenergic receptors on heart cells once it enters the circulation.

Heart Disease 132

Heart Disease Cardiovascular Disease Circulation Research 132

Cardiovascular Diabetology

AUGUST 23, 2024

Diabetic kidney disease (DKD) is associated with a higher risk of cardiovascular disease (CVD). Pentoxifylline (PTF), a nonselective phosphodiesterase inhibitor with anti-inflammatory, antiproliferative, and a.

Kidney Disease 129

Kidney Disease Diabetes Atherosclerosis Cardiovascular Disease 129

Journal of Clinical Investigation - Cardiology

AUGUST 1, 2024

Recently developed antimigraine therapeutics targeting calcitonin gene–related peptide (CGRP) signaling are effective, though their sites of activity remain elusive. Notably, the lymphatic vasculature is responsive to CGRP signaling, but whether meningeal lymphatic vessels (MLVs) contribute to migraine pathophysiology is unknown. Mice with lymphatic vasculature deficient in the CGRP receptor (CalcrliLEC mice) treated with nitroglycerin-mediated (NTG-mediated) chronic migraine exhibit reduced pai

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HCPLive

AUGUST 21, 2024

Care for dialysis patients often focuses on kidney health, but experts and a patient stress the need for interdisciplinary care that also addresses sleep health.

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Ken Grauer, MD

AUGUST 16, 2024

The ECG in Figure-1 was obtained from a man in his 40s — who presented to the ED ( E mergency D epartment ) because of CP ( C hest P ain ) and shortness of breath. QUESTIONS: In view of the above history — How would YOU interpret the ECG in Figure-1 ? Based on the history and the patient's initial ECG — the cath lab was activated. Do you agree? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ).

Blog 131

Blog Tachycardia Cardiogenic Shock Pulmonary 131

Science Daily - Heart Disease

AUGUST 7, 2024

Lab-grown organs are a long-time 'holy grail' of organ engineering that has yet to be achieved, but new research has brought that goal a big step closer to reality using a new 3D-printing method called co-SWIFT. co-SWIFT prints branching networks of double-layered vessels that are infused with smooth muscle cells and endothelial cells into living human cardiac tissue, and can even replicate patient-specific vascular structures,indicating that it could one day be used for personalized medicine.

Research 127

Research 127

Becker's Hospital Review - Cardiology

AUGUST 26, 2024

High-poverty rural regions in the Southern U.S. have the highest cardiovascular disease-associated death rate, according to a report published Aug. 16 in the Journal of Rural Health.

Cardiovascular Disease 119

Cardiovascular Disease 119

Science Daily - Stroke

AUGUST 13, 2024

A computer algorithm has achieved a 98% accuracy in predicting different diseases by analyzing the color of the human tongue. The proposed imaging system can diagnose diabetes, stroke, anemia, asthma, liver and gallbladder conditions, COVID-19, and a range of vascular and gastrointestinal issues, according to new research.

COVID-19 123

COVID-19 Diabetes Research Strokes 123

HCPLive

AUGUST 9, 2024

The FDA approved epinephrine nasal spray (Neffy) for the emergency treatment of allergic reactions, including anaphylaxis, in adult and pediatric patients who weigh at least 30 kg.

Pediatrics 122

Pediatrics 122

American Heart News - Heart News

AUGUST 14, 2024

Research Highlights: Adults in white-collar jobs in Canada with high job strain and for whom significant efforts are met with low rewards (such as low salary or recognition) may face a 97% increased risk for developing the irregular heart rhythm.

Heart Rhythm 122

Heart Rhythm Research 122

Med Page Today

AUGUST 29, 2024

(MedPage Today) -- Some terms commonly used to describe observations seen on ultrasound during first-trimester pregnancies are outdated and should be replaced with more descriptive language, a multisociety panel of ob/gyns, radiologists, and emergency.

Ultrasound 141

Ultrasound 141

Nature Reviews - Cardiology

AUGUST 6, 2024

Nature Reviews Cardiology, Published online: 07 August 2024; doi:10.1038/s41569-024-01064-4 In this Review, Ghofrani and colleagues discuss the mechanisms underlying the development of pulmonary arterial hypertension, provide an overview of approved therapies and describe the predominantly non-vasodilatory drugs that are currently being tested in clinical trials.

Pulmonary 123

Pulmonary Hypertension 123

Becker's Hospital Review - Cardiology

AUGUST 27, 2024

GLP-1s reduced mortality and complications from cardiovascular events, according to a study published Aug. 22 in Diabetes, Obesity and Metabolism: A Journal of Pharmacology and Therapeutics.

Pharmacology 113

Pharmacology Obesity Diabetes 113

Cardiology Update

AUGUST 4, 2024

Despite proven benefits in reducing morbidity and mortality, many heart failure (HF) patients do not receive optimal guideline-directed medical therapy (GDMT). The 2021 European Society of Cardiology guidelines recommend guideline-directed medical therapy (GDMT) for patients with HF with reduced ejection fraction (HFrEF). This includes beta-blockers, ACE inhibitors, ARBs, ARNIs, MRAs, and SGLT2 inhibitors.

Heart Failure 119

Heart Failure ACE Inhibitor COVID-19 Quality of Life 119

HCPLive

AUGUST 24, 2024

In this systematic review and meta-analysis, the investigators highlighted topical roflumilast’s success in clinical milestones such as IGA and PASI score success.

Plaque 122

Plaque 122

Science Daily - Heart Disease

AUGUST 27, 2024

A new project has found that people living in neighborhoods where the number of trees and shrubs was more than doubled showed lower levels of a blood marker of inflammation than those living outside the planted areas. General inflammation is an important risk indicator for heart disease and other chronic diseases.

Chronic Disease 110

Chronic Disease Heart Disease 110

Med Page Today

AUGUST 16, 2024

(MedPage Today) -- Herpes zoster (shingles) was tied to an elevated risk of subjective cognitive decline, an analysis of 150,000 U.S. healthcare professionals showed. "In three large independent cohorts, herpes zoster was associated with an approximately.

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ECG Cases

AUGUST 19, 2024

We over-admit low risk acute heart failure patients and under-admit high risk heart failure patients. In this podcast we discuss the diagnostic accuracy of various clinical features, lab tests and imaging modalities for acute heart failure, the 3 validated risk stratification tools and a simple approach to PoCUS for the diagnosis and prognostication of acute heart failure in the ED to improve our diagnostic accuracy and disposition decisions for patients with acute heart failure.

Heart Failure 113

Heart Failure 113

Becker's Hospital Review - Cardiology

AUGUST 19, 2024

Benzodiazepine class insomnia drugs were associated with an increased risk of cardiovascular disease, according to a study published Aug. 7 in the European Journal of Preventive Cardiology.

Cardiovascular Disease 114

Cardiovascular Disease 114

Medical Xpress - Cardiology

AUGUST 20, 2024

Researchers from Brigham and Women's Hospital have used artificial intelligence tools to accelerate the understanding of the risk of specific cardiac arrhythmias when various parts of the heart are exposed to different thresholds of radiation as part of a treatment plan for lung cancer.

Cancer 111

Cancer Arrhythmia Hospital Research 111

HCPLive

AUGUST 12, 2024

Mora and Sadreameli join Lungcast to provide a back-to-school health blueprint, including topics like rescue inhalers, vaccination, vaping and air quality.

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Science Daily - Heart Disease

AUGUST 22, 2024

The researchers looked at data from 4,286 people -- out of a total of 17,605 from the landmark Semaglutide and Cardiovascular Outcomes (SELECT) trial who were randomly assigned either semaglutide or a placebo -- who were followed up over an average of more than three years.

Heart Failure 108

Heart Failure Research Outcomes 108

Med Page Today

AUGUST 5, 2024

(MedPage Today) -- PHILADELPHIA -- Coffee and tea intake were associated with long-term cognitive changes in older adults, two prospective studies presented at the Alzheimer's Association International Conference (AAIC) suggested. Among 6,001.

Dementia 145

Dementia 145

Cardiovascular Diabetology

AUGUST 11, 2024

We evaluated the prevalence of “heart stress” (HS) based on NT-proBNP cut-points proposed by the 2023 Consensus of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) in asymptomati.

Blood Pressure 111

Blood Pressure Heart Failure Hypertension Diabetes 111

Dr. Smith's ECG Blog

AUGUST 26, 2024

A 60-something woman with no cardiac history presented with epigastric and right upper quadrant pain after eating spicy food. She had an ECG recorded at triage: What do you think? This was sent to me without any info while I was out and about, and I looked at it on my phone. I responded: "That is a tough one. V2 is very worrisome. But no other leads are.

Myocardial Infarction 108

Myocardial Infarction Critical Care Echocardiogram Ischemia 108

Becker's Hospital Review - Cardiology

AUGUST 2, 2024

Discover the groundbreaking work of Boston Children's cardiac surgeons as they perform the first elective partial heart transplant on a 4-year-old boy

Heart Transplant 118

Heart Transplant Transplant 118

HCPLive

AUGUST 5, 2024

In a "secret shopper" study, investigators posing as Medicaid enrollees found many clinicians in Medicaid provider directories do not accept Medicaid insurance.

Medicaid 122

Medicaid 122

Science Daily - Heart Disease

AUGUST 30, 2024

The appropriate duration of beta-blocker treatment after a heart attack (a myocardial infarction [MI]) is unknown in patients who do not need to take beta-blockers for another reason. In the ABYSS trial, the cardiovascular safety of interrupting beta-blocker could not be shown in comparison with beta-blocker continuation and beta-blocker interruption did not improve quality of life.

Heart Attack 103

Heart Attack Heart attacks Quality of Life Myocardial Infarction 103

Med Page Today

AUGUST 15, 2024

(MedPage Today) -- Sitagliptin (Januvia) saw the greatest drop in price among the list of 10 drugs whose new prices were announced Thursday under Medicare's drug price negotiation program. The price negotiation program was passed in 2022 as part.

Medicare 142

Medicare 142

Dr. Paddy Barrett

AUGUST 30, 2024

Most people do not know that sleep is a key factor when it comes to good cardiovascular health. Because of this, sleep is pushed to the bottom of the list of priorities for addressing cardiovascular health. In my view, this is a terrible idea. Here is why. Get Sleep Right. Get Everything Else Right. There is a multitude of factors that will determine your cardiovascular risk.

Heart Disease 97

Heart Disease Dementia Obesity Heart Attack 97

Dr. Smith's ECG Blog

AUGUST 2, 2024

Written by Willy Frick A 50 year old man with no medical history presented with acute onset substernal chest pain. His ECG is shown below. Pretty obvious anterior current of injury. This was a machine read STEMI positive OMI. Readers of this blog can easily appreciate the hyperacute T waves in the precordium, clearest in V1-V4. What would you guess is the culprit artery?

STEMI 112

STEMI Ischemia Blog Chest Pain 112

Heart Sisters

AUGUST 11, 2024

The American Heart Association's recent overview of women's cardiac care feels like an emotional roller coaster ride - from despair to anger and then maybe - just maybe - even hope for our future.

Heart Disease 106

Heart Disease 106

HCPLive

AUGUST 5, 2024

On August 05, 2024, less than a month prior to its presentation at ESC 24, Bayter has announced topline data from the FINEARTS-HF trial indicating finerenone met the primary endpoint.

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Science Daily - Heart Disease

AUGUST 12, 2024

Patients with a common heart arrhythmia called Atrial Fibrillation could benefit from future treatments that target inefficiencies in heart cell metabolism, according to a new article.

Arrhythmia 103

Arrhythmia Atrial Fibrillation Article 103

Med Page Today

AUGUST 12, 2024

(MedPage Today) -- An anti-inflammatory diet was tied to a lower risk for dementia in people ages 60 and older with cardiometabolic diseases, U.K. Biobank data showed. Among people with cardiometabolic diseases including type 2 diabetes, heart.

Dementia 137

Dementia Diet Diabetes 137