Sat.Aug 19, 2023 - Fri.Aug 25, 2023

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Cassling Adds New Role, Hires Brian Bradfield as Chief Operating Officer

Cassling

Bradfield joins a leadership team dedicated to strengthening community healthcare across the country and touching 350 million patient lives by the end of the decade. Omaha, Neb. (August 25, 2023) — Cassling, an imaging and therapeutic technology, services and solutions vendor, welcomes Brian Bradfield as Chief Operating Officer. As COO of Cassling, Brian Bradfield will be responsible for ensuring the organization’s service, operations and strategy are in constant alignment with customers’ needs

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75 year old dialysis patient with nausea, vomiting and lightheadedness

Dr. Smith's ECG Blog

Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal disease was sent to the ED after dialysis for three days of nausea, vomiting, loose stool, lightheadedness and fatigue. RR18 sat 99% HR 90 BP 90/60, afebrile. Below is the 15 lead ECG. What do you think? There’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression and normal voltages.

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Ep 186 Traumatic Dental Emergencies

ECG Cases

In this part 2 of our 2-part podcast series on dental emergencies we cover traumatic dental emergencies. Dental trauma is common and often associated with facial trauma. In this episode Dr. Chris Nash and Dr. Richard Ngo answer questions like: at what age is it safe to attempt reimplantation of an avulsed tooth in the ED? What are the 3 most time-sensitive dental trauma emergencies?

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Cluster of slightly unhealthy traits linked with earlier heart attack and stroke

Science Daily - Stroke

Middle-aged adults with three or more unhealthy traits including slightly high waist circumference, blood pressure, cholesterol and glucose have heart attacks and strokes two years earlier than their peers, according to new research.

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Association between implanted cardioverter-defibrillators and mortality for patients with left ventricular ejection fraction between 30% and 35%

Open Heart

Background Consensus guidelines support the use of implanted cardioverter-defibrillators (ICD) for primary prevention of sudden cardiac death in patients with either non-ischaemic or ischaemic cardiomyopathy with left ventricular ejection fraction (LVEF) ≤35%. However, evidence from trials for efficacy specifically for patients with LVEF near 35% is weak.

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Debunking Myths About Cardiac Health and Heart Diseases

Wellnest

Introduction One of the biggest causes of death worldwide continues to be cardiovascular disease. Unfortunately, there are numerous myths and misconceptions surrounding cardiac health that can lead to misinformation and, ultimately, jeopardize our well-being. In this blog, we will unravel some of the most common myths about cardiac health and heart diseases while providing accurate and evidence-based information to promote a healthy lifestyle.

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APOE4 & Cardiovascular Risk

Dr. Paddy Barrett

Being a carrier of the APOE4 gene variant is associated with higher rates of the most common type of dementia, late-onset dementia. There are three primary variants of APOE - APOE2, APOE3 & APOE4. Everyone has two separate copies. One inherited from either parent. As a result, there are six different possible combinations. APOE 2/2, 2/3, 2/4, 3/3, 3/4, 4/4.

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Antiplatelet therapy and long-term mortality in patients with myocardial injury after non-cardiac surgery

Open Heart

Backgrounds Myocardial injury after non-cardiac surgery (MINS) has recently been accepted as a common complication associated with increased mortality. However, little is known about the treatment of MINS. The aim of this study was to investigate an association between antiplatelet therapy and long-term mortality after MINS. Methods From 2010 to 2019, patients with MINS, defined as having a peak high-sensitivity troponin I higher than 40 ng/L within 30 days after non-cardiac surgery, were screen

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Convergent Procedure to Treat Atrial Fibrillation

CTVS

It is estimated that more than 12 million people in the United States will have Atrial Fibrillation, or AFib in 2030. It is one of the most commonly diagnosed heart conditions and is characterized by an irregular heartbeat or rhythm, known as arrhythmia. If left untreated, this erratic heartbeat can disrupt blood flow and lead to serious life-threatening issues like stroke or heart failure.

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Podcast CAMP 2023 Tickets on Sale Now

ECG Cases

Podcast CAMP 2023 tickets are on sale now through podcastcamp.org. Podcast CAMP the only online comprehensive course dedicated to medical education podcast production – by podcasters – for podcasters. Whether you’re a beginner or a seasoned pro, this interactive, small-group, hands-on immersive experience with Anton Helman will help you not only sharpen your technical podcasting skills, but give you valuable knowledge, tips and tricks to produce your own high quality educational and impactful po

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90 years man gets a successful Beating Heart Bypass Surgery

Dr. Prateek Bhatnagar

In a very rare surgery, renowned heart surgeon Dr. Prateek Bhatnagar has successfully done a quadruple bypass surgery on a 90 years old man, hailing from Raipur. The bypass surgery was done on the beating heart using total arterial revascularisation. No cuts were made on the legs. The bypass operation was done without open heart surgery, without any cuts on heart and without stopping the heart.

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Long-term outcomes among stable post-acute myocardial infarction patients living in rural versus urban areas: insights from the prospective, observational TIGRIS registry

Open Heart

Background Insights on the differences in clinical outcomes, quality of life (QoL) and health resource utilisation (HRU) with different levels of care available to post-acute myocardial infarction (AMI) populations in rural and urban settings are limited. Methods The long-Term rIsk, clinical manaGement, and healthcare Resource utilisation of stable coronary artery dISease (TIGRIS), a prospective, observational registry, enrolled 8452 patients aged ≥50 years 1–3 years post-AMI from Ju

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What I wish I knew back then: “Stop apologizing for needing help!”

Heart Sisters

Before being sent home from the Emergency Department, I apologized for "making a fuss over nothing" to the Emergency staff who had just misdiagnosed my heart attack. Why do women tend to do that?

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Association of epicardial and intramyocardial fat with ventricular arrhythmias

HeartRhythm

Among patients with ischemic cardiomyopathy (ICM) and nonischemic cardiomyopathy (NICM), myocardial fibrosis is associated with an increased risk for ventricular arrhythmia (VA). Growing evidence suggests that myocardial fat contributes to ventricular arrhythmogenesis. However, little is known about the volume and distribution of epicardial adipose tissue and intramyocardial fat and their relationship with VAs.

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Relating Lipoprotein(a) Concentrations to Cardiovascular Event Risk After Acute Coronary Syndrome: A Comparison of Three Tests

Circulation

Circulation, Ahead of Print. Background:Lipoprotein(a) is a risk factor for cardiovascular events and modifies the benefit of pcsk9 inhibitors (pcsk9i). Lipoprotein(a) concentration can be measured with immunoassays reporting mass or molar concentration or a reference measurement system employing mass spectrometry. Whether the relationships between lipoprotein(a) concentrations and cardiovascular events in a high-risk cohort differ across lipoprotein(a) methods is unknown.

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Half as many AF patients dying of heart attacks and strokes in the UK now

Science Daily - Stroke

Patients living with one of the UK's most common heart rhythm conditions are 50% less likely to die from a heart attack or stroke than they were at the start of the millennium, analysis of 70,000 newly diagnosed AF patients' health records has shown.

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Clinical Scales in Aneurysm Rupture Prediction

Stroke: Vascular and Interventional Neurology

Stroke: Vascular and Interventional Neurology, Ahead of Print. The rate of incidentally discovered unruptured intracranial aneurysms has increased with the broad availability of neuroimaging. The determination of the risk of rupture of brain aneurysms is challenging. Several clinical scales for aneurysm rupture prediction have been developed. The most common scales are PHASES, ELAPSS, and UIATS.

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Significance of left posterior extension of early repolarization in patients with J-wave syndrome

HeartRhythm

J waves in the inferior or lateral leads are characteristic electrocardiographic (ECG) changes in patients with early repolarization syndrome (ERS). However, the presence of J waves in the left posterior region has not yet been evaluated.

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An alternative method of indexation in aortic stenosis: height-adjusted effective orifice area

Cardiovascular Ultrasound

Although indexing effective orifice area (EOA) by body surface area (BSA) is recommended, this method has several disadvantages, since it corrects by acquired fatty tissue. Our aim was to analyze the value of.

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Keep fit to avoid heart rhythm disorder and stroke

Science Daily - Stroke

A study in more than 15,000 people has found that physical fitness is linked with a lower likelihood of developing atrial fibrillation and stroke. Atrial fibrillation is the most common heart rhythm disorder, affecting more than 40 million people worldwide. It is estimated that one in three Europeans will develop atrial fibrillation in their lifetime.

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Middle Meningeal Artery Embolization for Chronic Subdural Hematoma: A Review of Established and Emerging Embolic Agents

Stroke: Vascular and Interventional Neurology

Stroke: Vascular and Interventional Neurology, Ahead of Print. Middle meningeal artery embolization is an increasingly common procedure involved in the treatment of chronic subdural hematoma (cSDH) that can be an adjuvant intervention or an alternative to traditional medical or surgical therapies. Our review aims to summarize the mechanism, properties, and available clinical data for current and investigative embolic agents used for the treatment of cSDH.

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Selective blockade of interleukin 6 trans-signaling depresses atrial fibrillation

HeartRhythm

Atrial fibrillation (AF) has been accepted as an inflammatory atrial myopathy. Interleukin 6 (IL-6)–dependent inflammatory signaling pathways take context-dependent effects on cardiovascular diseases. IL-6 trans-signaling is predominantly pro-inflammatory. However, its effect on AF is unclear.

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?v Integrin Affinity/Specificity and Antiangiogenesis Effect of a Novel Tetraaza Cyclic Peptide Derivative, SU015, in Various Species: Retraction

Journal of Cardiovascular Pharmacology

No abstract available

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2024 Lung Transplant Symposium

Society of Thoracic Surgeons - Allied Health

2024 Lung Transplant Symposium kchalko Thu, 08/24/2023 - 11:35 Scroll to top About the Course The 2024 Lung Transplant Symposium: Surgical and Medical Insights for Transplant Assessment and Management , presented as a pre-conference activity on Friday, January 26, will provide insight to best-practice approaches for surgical and medical care of lung transplant patients, from assessment as candidates though post-surgical care as recipients.

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Anterior Circulation Thrombectomy in Patients With Low National Institutes of Health Stroke Scale Score: Analysis of the National Inpatient Sample

Stroke: Vascular and Interventional Neurology

Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDPrior studies have shown benefit for endovascular therapy (EVT) in patients with large‐vessel occlusion and severe deficits, as captured by the National Institutes of Health Stroke Scale. However the benefit of EVT in patients with National Institutes of Health Stroke Scale score <6 is unclear.METHODSWe queried the National Inpatient Sample (2018–2020) for patients with a large‐vessel occlusion of the internal caroti

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Atrioventricular nodal ablation is an effective management strategy for atrial fibrillation in patients with hypertrophic cardiomyopathy

HeartRhythm

Atrial fibrillation (AF) is common in patients with hypertrophic cardiomyopathy (HCM) and can be challenging to manage. Atrioventricular nodal (AVN) ablation may be an effective management strategy for AF in these patients.

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Erythropoietic response after intravenous iron in patients with heart failure and reduced ejection fraction with and without background treatment with sodium–glucose cotransporter 2 inhibitors

European Journal of Heart Failure

Retrospective analysis of the erythropoietic response after IV iron treatment in HFrEF patients in SGLT2i users and nonusers. CKD, chronic kidney disease; HFrEF, heart failure with reduced ejection fraction; Hb, hemoglobin; Htc, hematocrit; Fe - Intravenous iron; Sat, saturation; SGLT2i - sodium-glucose co-transporter 2 inhibitor. Aims Intravenous (IV) iron increases haemoglobin/haematocrit and improves outcomes in patients with heart failure with reduced ejection fraction (HFrEF) and iron defic

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Abandon one, get away mostly free, abandon two.

HeartRhythm

With the broadened use and extended longevity of implantable devices, lead abandonment has become increasingly prevalent. There is currently a lack of long-term data regarding abandoned leads, as most extraction databases do not address the issue because abandoned leads are not extracted. One study looked specifically at defibrillator leads and the incidence and reasons for extraction but did not compare the risks of abandoned leads to a matched cohort.1,2 Other studies tend to look at patients

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Novel Tenzing 7 Delivery Catheter for Thrombectomy in Acute Stroke: A Clinical Multicenter Experience

Stroke: Vascular and Interventional Neurology

Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. BackgroundPreliminary in vitro and early clinical experience of the Tenzing 7 delivery catheter demonstrated high success rates of aspiration catheter intracranial delivery with minimal complications. This study aimed to examine the efficacy, safety, and efficiency of the Tenzing 7 delivery catheter to deliver therapeutic devices in aspiration mechanical thrombectomy for acute ischemic strokes using clinical exp

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