Ken Grauer, MD
DECEMBER 8, 2023
== CLICK HERE — for a V ideo presentation of this case! (22:3 0 min. ) Below are slides used in my video presentation. For full discussion of this case — See ECG Blog #292 — == The 2 ECGs shown in Figure-1 were obtained from a man in his 30s — who presented to the ED ( E mergency D epartment ) with chest pain that began several hours earlier. ECG #2 was recorded 1 hour after ECG #1.
Med Page Today
DECEMBER 6, 2023
(MedPage Today) -- About one in five healthy people ages 50 and older had an organ that was aging at an accelerated rate, which may increase mortality and signal organ-specific disease, a study of nearly 5,700 people suggested. In an analysis.
Dr. Smith's ECG Blog
DECEMBER 5, 2023
Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts AI app can do it for you. With explainability too.
American Heart News - Heart News
DECEMBER 6, 2023
Research Highlights: A study of married or partnered, middle-aged and older heterosexual couples in the U.S., England, China and India found that in 20% to 47% of the couples, both spouses/partners had high blood pressure. The prevalence of both.
Dr. Malcolm Kendrick
DECEMBER 8, 2023
8th December 2023 Nothing can simply be ‘good enough’. Before beginning this blog, I thought I would introduce you to the first two laws of regulation ‘ regulation-omics’ : I know that many of the things that are obliterating productivity in the NHS are happening in all health care services, everywhere. A couple of blogs back I mentioned a US study which looked at all the guidelines primary care practitioners (PCPs) are now required to follow.
Med Page Today
DECEMBER 8, 2023
(MedPage Today) -- Consensus recommendations for spontaneous coronary artery dissection (SCAD) have been applied inconsistently despite increasing awareness of this condition, according to a meta-analysis. Observational studies showed significant.
Dr. Smith's ECG Blog
DECEMBER 5, 2023
Acute coronary syndrome in a pediatric patient? Written by Kirsten Morrissey, MD with edits by Bracey, Grauer, Meyers, and Smith An older teen was transferred from an outside hospital with elevated serum troponin and and ECG demonstrating ST elevations. The patient was obese and had a medical history of only recurrent tonsillitis status post tonsillectomy and adenoidectomy but was otherwise healthy and fully vaccinated.
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Open Heart
DECEMBER 6, 2023
Aim The first expert consensus documents on management of patients with spontaneous coronary artery dissection (SCAD) were published in 2018. Worldwide quality of care, as measured by adherence to these recommendations, has not been systematically reviewed. We aim to review the proportion of patients with SCAD receiving consensus recommendations globally, regionally and, determine differences in practice before and after 2018.
Med Page Today
DECEMBER 8, 2023
(MedPage Today) -- Pharmacovigilance is needed to identify, monitor, and prevent cardiovascular adverse events (CV-AEs) associated with new agents for breast cancer and to reduce the risk of cardiotoxicity for the growing number of survivors, according.
Dr. Smith's ECG Blog
DECEMBER 7, 2023
Written by Willy Frick The OMI paradigm has taught me that any diagnosis of NSTEMI is cause for immediate evaluation. "A patient just arrived as a transfer for NSTEMI." I quickly reviewed the patient’s records and saw that she was a 53 year old woman with a history of BMI 40, but no other identifiable risk factors for coronary artery disease. Her first hsTnI at the referring facility was undetectable.
Cardiology Update
DECEMBER 3, 2023
Dr. Chadi Alraies discusses highlights from the American Heart Association (AHA) Scientific Sessions 2023, which were held in Philadelphia, Pennsylvania (PA), on November 11-13, 2023. There were many important developments in presented in key clinical trial presentations and publications stemming from the AHA Scientific Sessions 2023. Learn more about AHA 2023 highlights.
Open Heart
DECEMBER 7, 2023
Objective This study aimed to investigate the association between heart failure (HF) severity measured based on brain natriuretic peptide (BNP) levels and future bleeding events after percutaneous coronary intervention (PCI). Background The Academic Research Consortium for High Bleeding Risk presents a bleeding risk assessment for antithrombotic therapy in patients after PCI.
Med Page Today
DECEMBER 6, 2023
(MedPage Today) -- A Janus kinase (JAK) inhibitor helped preserve beta-cell function in people with recent-onset type 1 diabetes, the phase II BANDIT trial found. Meeting the study's primary endpoint, daily baricitinib (Olumiant) maintained a.
NOVARAD
DECEMBER 5, 2023
In the past, CDs played a central role in the storage and dissemination of radiology images. The medical community was largely dependent on these physical media, a practice that while operational, was beset with obstacles related to storage, reach, and expenses. But as is characteristic of technology, transformation is constant. A migration toward more streamlined and economically viable options for handling and circulating these essential images is underway.
Physiologically Speaking
DECEMBER 6, 2023
“Eat food. Not too much. Mostly plants.” This quippy dietary advice comes from author Michael Pollan in his book “In Defense of Food.” Most people would agree with the first two imperatives but not the last. Indeed, one of the most controversial topics in health and nutrition is whether one should include or exclude — or at the very least limit — animal foods from their diet.
Open Heart
DECEMBER 7, 2023
Objectives Prognostic impact of lung ultrasound-derived B-lines (LUS-BL) in heart failure with mildly reduced left ventricular ejection fraction (HFmrEF) patients remains elusive. We evaluated the correlation between LUS-BL and prognosis in HFmrEF patients. Methods This is a subgroup analysis based on our previously published retrospective study with 1691 HFmrEF patients.
Med Page Today
DECEMBER 6, 2023
(MedPage Today) -- WASHINGTON -- Heart transplant patient Eddie Garcia was "feeling like a million bucks" one day in the summer of 2021. He had just gotten back from a 3-mile walk, something he couldn't do prior to his transplant in 2020 -.
Circulation
DECEMBER 7, 2023
Circulation, Ahead of Print. Resistance training not only can improve or maintain muscle mass and strength, but also has favorable physiological and clinical effects on cardiovascular disease and risk factors. This scientific statement is an update of the previous (2007) American Heart Association scientific statement regarding resistance training and cardiovascular disease.
JAMA Cardiology
DECEMBER 5, 2023
A patient in his mid-60s underwent bilateral orthotopic lung transplant and is later hospitalized for sepsis from pneumonia complicated by acute transplant rejection, without any cardiac symptoms. He develops severe acute respiratory distress syndrome requiring intubation and paralysis. Electrocardiography shows sudden ST-segment changes. What would you do next?
Open Heart
DECEMBER 6, 2023
Objectives Vasospastic angina (VSA) is a complex coronary vasomotor disorder associated with an increased risk of myocardial infarction and sudden death. Despite considerable advances in understanding VSA pathophysiology, the interplay between genetic and environmental factors remains elusive. Accordingly, we aimed to determine the familial VSA risk among first-degree relatives of affected individuals.
Med Page Today
DECEMBER 4, 2023
(MedPage Today) -- ANAHEIM, Calif. -- A pharmacist-led intervention using notes in the electronic health record (EHR) proved effective for convincing primary care providers to switch veterans with diabetes and cardiovascular disease (CVD) to.
Circulation
DECEMBER 7, 2023
Circulation, Ahead of Print. BACKGROUND:Sodium-glucose cotransporter 2 inhibitors reduce the risk of worsening heart failure (HF) and cardiovascular death in patients with HF irrespective of left ventricular ejection fraction. It is important to determine whether therapies for HF improve symptoms and functional capacity.METHODS:The DETERMINE (Dapagliflozin Effect on Exercise Capacity Using a 6-Minute Walk Test in Patients With Heart Failure) double-blind, placebo-controlled, multicenter trials a
Cardiovascular Diabetology
DECEMBER 5, 2023
Insulin resistance is a pivotal risk factor for cardiovascular diseases, and the triglyceride-glucose (TyG) index is a well-established surrogate of insulin resistance. This study aimed to investigate the prog.
Stroke Journal
DECEMBER 8, 2023
Stroke, Ahead of Print. BACKGROUND:Therapeutic-induced hypertension treatment (iHTN) is helpful for alleviating early neurological deterioration (END) in acute small vessel occlusive stroke. We examined the time parameters related to iHTN effectiveness in these patients.METHODS:We retrospectively reviewed patients with acute small vessel occlusive stroke who underwent iHTN for END, defined as an increase of ≥2 points in total National Institutes of Health Stroke Scale (NIHSS) score or ≥1 point i
Med Page Today
DECEMBER 4, 2023
(MedPage Today) -- The link between childhood blood pressure (BP) and adult atherosclerosis appeared stable going all the way back to infancy, suggesting that efforts to prevent arterial thickening may be beneficial starting at the earliest life.
Circulation
DECEMBER 4, 2023
Circulation, Ahead of Print. BACKGROUND:It is unknown whether dietary intake of polyunsaturated fatty acids (PUFA) modifies the cardiovascular disease (CVD) risk associated with a family history of CVD. We assessed interactions between biomarkers of low PUFA intake and a family history in relation to long-term CVD risk in a large consortium.METHODS:Blood and tissue PUFA data from 40 885 CVD-free adults were assessed.
ECG Weekly Workout
DECEMBER 3, 2023
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Becker's Hospital Review - Cardiology
DECEMBER 7, 2023
A Weill Cornell Medicine and NewYork-Presbyterian study found removing race information from cardiovascular risk calculators did not affect patients' risk scores.
Med Page Today
DECEMBER 6, 2023
(MedPage Today) -- ANAHEIM, Calif. -- Some patients may be taking aspirin inappropriately, two single-center retrospective studies found. In the first study, conducted at general medicine units at an academic medical center, 93 of 225 patients.
Circulation
DECEMBER 4, 2023
Circulation, Ahead of Print. The American Heart Association sponsored the first iteration of a scientific statement that addressed all aspects of cardiovascular implantable electronic device infection in 2010. Major advances in the prevention, diagnosis, and management of these infections have occurred since then, necessitating a scientific statement update.
Journal of the American Heart Association
DECEMBER 6, 2023
Journal of the American Heart Association, Ahead of Print. BackgroundHealth concordance within couples presents a promising opportunity to design interventions for disease management, including hypertension. We compared the concordance of prevalent hypertension within middle‐aged and older heterosexual couples in the United States, England, China, and India.Methods and ResultsCross‐sectional dyadic data on heterosexual couples were used from contemporaneous waves of the HRS (US Health and Retire
The New England Journal of Medicine
DECEMBER 6, 2023
This podcast episode examines the need for and promise of xenotransplantation, considering first the plight of patients and then the progress being made by researchers.
Med Page Today
DECEMBER 5, 2023
(MedPage Today) -- ANAHEIM, Calif. -- Insurance coverage and out-of-pocket costs for GLP-1 receptor agonists pose serious barriers to patients prescribed these drugs for type 2 diabetes and other indications, two single-site studies showed.
Hypertension Journal
DECEMBER 4, 2023
Hypertension, Ahead of Print. Background:Hypertensive disorders of pregnancy (HDP) are associated with long-term maternal risks for cardiovascular disease for reasons that remain incompletely understood.Methods:The HCHS/SOL (Hispanic Community Health Study/Study of Latinos), a multi-center community-based cohort of Hispanic/Latino adults recruited 2008 to 2011, was used to evaluate the associations of history of de novo HDP (gestational hypertension, preeclampsia, eclampsia) with echocardiograph
Science Daily - Heart Disease
DECEMBER 4, 2023
A new endovascular catheter, recently approved by the U.S. Food and Drug Administration (FDA), is paving the way to more effective and safe treatment for acute pulmonary embolism. Already shown to be effective for reducing blockages in lung arteries, new research shows that this catheter also reduces blockages in the smaller segmental pulmonary artery branches.
Nature Reviews - Cardiology
DECEMBER 6, 2023
Nature Reviews Cardiology, Published online: 07 December 2023; doi:10.1038/s41569-023-00978-9 Representation of Black patients in cardiovascular clinical trials remains dismally low, reflective of systemic and structural barriers, which can lead to missed opportunities to meet community-identified needs, understand responses to medical therapies and improve cardiovascular care.
Med Page Today
DECEMBER 7, 2023
(MedPage Today) -- Taking glucagon-like peptide 1 (GLP-1) receptor agonists for type 2 diabetes was associated with greater reductions in colorectal cancer (CRC) risk compared with several other diabetes medication classes, a nationwide cohort.
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