Open Heart

SEPTEMBER 14, 2022

Background The burden of valvular heart disease (VHD) has increased significantly among ageing populations, yet remains poorly understood in the present-day context of percutaneous and surgical interventions. Objective To define the incidence, clinical correlates and associated mortality of VHD in the UK Biobank cohort. Methods We interrogated data collected in the UK Biobank between 1 January 2000 and 30 June 2020.

Coronary Artery Disease 52

Coronary Artery Disease Bicuspid/Mitral Atrial Fibrillation Aortic 52

Dr. Malcolm Kendrick

SEPTEMBER 14, 2022

14th September 2022 Some of you may remember COVID19. We had an epidemic, or a pandemic, or … choose whatever word you like best. The legacy of it still hangs about in many strange, disconnected actions. My last flight in late August, on Lufthansa, required me to wear a mask. The connecting flight with Swissair, did not. No mask was required whilst waiting at Munich airport or being transported to and from the planes in a crowded bus.

COVID-19 52

COVID-19 Certification Research 52

ECG Cases

SEPTEMBER 13, 2022

Takotsubo Syndrome is usually triggered by an emotional or physical stress leading to acute catecholaminergic myocardial stunning. The initial ST elevation phase of Takotsubo Syndrome mimics Occlusion MI, can not be distinguished by patient factors or POCUS findings, and requires immediate angiogram. The subsequent phase of Takotsubo Syndrome has T wave inversion in an apical distribution, which can mimic reperfusion, but often has very deep T wave inversions and a very long QT interval.

STEMI 52

STEMI 52

Open Heart

SEPTEMBER 13, 2022

Introduction This prospective pharmacodynamic nutraceutical study assessed the effect of a 1-week trial of 30 g/day of 65% cocoa (dark chocolate) ( Theobroma cacao L.) consumption intervention on platelet reactivity. Methods Patients with stable coronary artery disease (CAD) (n=20) who were on maintenance dual antiplatelet therapy of aspirin (ASA) 81 mg/day and clopidogrel 75 mg/day were recruited.

Coronary Artery Disease 52

Coronary Artery Disease 52

ECG Cases

SEPTEMBER 13, 2022

In this EM Quick Hits podcast: Salim Rezaie on venous thromboembolism recurrence in subsegmental pulmonary embolism, Andrew Petrosoniak on pain management in the polytrauma, Nour Khatib on a rural EM case on management of near-drowning patient, Sara Reid delivers a polio primer, Anand Swaminathan on head-up CPR. The post EM Quick Hits 42 – Subsegmental PE, Trauma Analgesia, Drowning, Polio, Head-up CPR appeared first on Emergency Medicine Cases.

Embolism 52

Embolism Pulmonary 52

Open Heart

SEPTEMBER 14, 2022

Aims To describe the use of warfarin and direct oral anticoagulants (DOACs) in patients with atrial fibrillation (AF) and chronic kidney disease (CKD), to evaluate changes in renal function over time and predictors of rapid decline, and to describe time in therapeutic range (TTR) and predictors of poor TTR among patients on warfarin. Methods and results Using data from AuriculA, the Swedish oral anticoagulation registry, patients with AF on warfarin or DOAC were identified between 2013 and 2018

Kidney Disease 52

Kidney Disease Atrial Fibrillation Heart Failure Diabetes 52

Open Heart

SEPTEMBER 13, 2022

Objective To examine sex differences in prevalence, volume and distribution of vascular brain lesions on MRI among patients with atrial fibrillation (AF). Methods In this cross-sectional analysis, we included 1743 patients with AF (27% women) from the multicentre Swiss Atrial Fibrillation study (SWISS-AF) with available baseline brain MRI. We compared presence and total volume of large non-cortical or cortical infarcts (LNCCIs), small non-cortical infarcts, microbleeds (MB) and white matter hype

Atrial Fibrillation 52

Atrial Fibrillation Risk Factors 52