Sat.Dec 30, 2023 - Fri.Jan 05, 2024

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ECG Blog #411 — Is it Wenckebach?

Ken Grauer, MD

How would YOU interpret the tracing in Figure-1 — that was sent to me without additional information? QUESTIONS: What is the rhythm? Is there AV dissociation? If so — WHY? Clinically — HOW would you approach interpretation of this tracing in optimal time -efficient fashion? Figure-1: The initial ECG in today's case. KEY Clinical Point: If I was the medical provider charged with the care of the patient whose ECG is shown in Figure-1 — I would approach this tracing in the following sequential stag

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Cardiovascular autonomic dysfunction in post-COVID-19 syndrome: a major health-care burden

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 02 January 2024; doi:10.1038/s41569-023-00962-3 Cardiovascular autonomic dysfunction (CVAD) is a malfunction of the autonomic control of circulatory homeostasis and is an important component of post-COVID-19 syndrome. In this Review, Fedorowski and colleagues define the major forms of CVAD (including postural orthostatic tachycardia syndrome), and discuss the aetiology, diagnosis and management of post-COVID-19 syndrome-associated CVAD.

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How Cardiac Arrest Became a Household Topic After Damar Hamlin's Collapse

Med Page Today

(MedPage Today) -- In January, we reported on Damar Hamlin's collapse during a televised football game. In this report, we follow up on the resulting public interest on sudden cardiac arrest that made Hamlin the most searched person of 2023. During.

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Researchers identify circulating proteins linked to preeclampsia and other hypertensive disorders of pregnancy

Medical Xpress - Cardiology

Preeclampsia and other hypertensive disorders of pregnancy—which are characterized by high blood pressure with or without organ dysfunction during the second half of pregnancy—carry considerable short- and long-term risks for both the mother and child. Treatment options (other than expedited delivery) remain limited.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva Health Inc.

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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Amal Mattu’s ECG Case of the Week – January 1, 2024

ECG Weekly Workout

HPI: A 50-year-old man decides to get “his life in order” for the new year. He quits smoking, decides to eat healthier and exercise more, and to be more compliant with his blood pressure medications. A week into the new year he wakes up feeling weak and achy with nausea and vomiting. He is lightheaded when sitting or standing and has trouble getting out of bed.

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Atherosclerotic plaque stabilization and regression: a review of clinical evidence

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 04 January 2024; doi:10.1038/s41569-023-00979-8 In this Review, Sarraju and Nissen summarize the clinical trial evidence for coronary atherosclerotic plaque stabilization and regression with plasma LDL-cholesterol-lowering therapy and other treatments. Invasive and non-invasive imaging modalities used to assess plaque burden and composition are discussed.

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More Trending

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Midlife Cognitive Problems Tied to Sleep Disruptions Earlier in Life

Med Page Today

(MedPage Today) -- People who had fragmented sleep in their 30s and 40s were more likely to have worse cognition a decade later, longitudinal data showed. Those in the highest versus the lowest tertile of the sleep fragmentation index had over.

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Hearing Loss Linked with Increased Risk of Dementia

HCPLive

In a new study, hearing loss was significantly associated with a 7% higher risk of dementia, while hearing aids were shown to reduce such risks.

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RNA-binding proteins in cardiovascular biology and disease: the beat goes on

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 02 January 2024; doi:10.1038/s41569-023-00958-z In this Review, the authors discuss the latest insights on RNA-binding proteins and RNA biology and appraise them in the context of cardiovascular research, summarizing the progress in our understanding of the involvement of RNA-binding proteins in cardiac biology and disease.

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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think? The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs.

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Maternal Type 1 Diabetes an Outsized Red Flag for Child Heart Defect Risk

Med Page Today

(MedPage Today) -- Maternal type 1 diabetes (T1D) emerged as the larger contributor to the child's risk of congenital heart defect (CHD) when considering maternal diabetes and weight status together, a Finnish population-based cohort study found.

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The Cumulative Burden of LDL-C

HCPLive

Expert cardiologists discuss the cumulative burden of an elevated cholesterol over time.

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Physiology Friday #199: High-Intensity Interval Training Reduces Coronary Artery Plaque

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. This newsletter is brought to you by Examine.com — the best place on the internet for health and nutrition information — and my new eBook, “VO2 Max Essentials.” Details can be found at the end of the post! Physiologically Speaking is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.

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Henry Ford Health Cardiologists Publish Case Series Study on Heart Valve Procedure

DAIC

Study investigators Drs. Pedro Engel-Gonzalez and Gennaro Giustino from Henry Ford Health. Image courtesy of Hentry Ford Health milla1cf Thu, 01/04/2024 - 10:55 January 4, 2024 — Findings from a published case series research letter by the Henry Ford Health Structural Heart Disease team show that severe mitral stenosis, due to a build-up of calcium deposits in the mitral valve common in elderly patients, can be safely and successfully treated using Intravascular lithotripsy (IVL)-enabled percuta

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Mortality Reaches 20% for Hospitalized Patients With High-Risk Pulmonary Embolism

Med Page Today

(MedPage Today) -- Mortality rates were high among patients with high-risk pulmonary embolism (PE), with the worst outcomes in those with hemodynamic collapse, according to a retrospective analysis of the Pulmonary Embolism Response Team (PERT.

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Mindfulness-Oriented Recovery, Methadone Treatment Linked to Less Drug Use

HCPLive

Mindfulness-Oriented Recovery Enhancement plus methadone treatment is a promising treatment option for patients with opioid use disorder, having been significantly associated with less return to drug use and methadone treatment dropout, a new study found.

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Cardiologists publish case series study on heart valve procedure

Medical Xpress - Cardiology

Findings from a published case series research letter by the Henry Ford Health Structural Heart Disease team show that severe mitral stenosis, due to a build-up of calcium deposits in the mitral valve common in elderly patients, can be safely and successfully treated using Intravascular lithotripsy (IVL)-enabled percutaneous balloon mitral valvuloplasty.

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EM Cases Best of 2023 Top 10

ECG Cases

Based on a blend of number of listens, feedback from listeners, website visits and personal faves, EM Cases Best of 2023 Top 10. The post EM Cases Best of 2023 Top 10 appeared first on Emergency Medicine Cases.

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Here Are the Top Diets for 2024

Med Page Today

(MedPage Today) -- It's the season for resolutions -- and the annual "Best Diets" rankings from U.S. News & World Report. For 2024, the Mediterranean diet once again took the top spot for best overall diet. With its emphasis on intake of.

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Mechanism of Action of Nonstatin Therapies

HCPLive

Dr Kohli gives an overview of the mechanisms of action of non-statin agents for the management of hyperlipidemia.

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Healthy omega-3 fats may slow deadly pulmonary fibrosis

Science Daily - Heart Disease

Higher levels of omega-3, the healthy fat found in fish and nuts, were associated with better lung function and longer transplant-free survival.

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Thrombotic microangiopathy following systemic AAV administration is dependent on anti-capsid antibodies

Journal of Clinical Investigation - Cardiology

BACKGROUND Systemic administration of adeno-associated virus (AAV) can trigger life-threatening inflammatory responses, including thrombotic microangiopathy (TMA), acute kidney injury due to atypical hemolytic uremic syndrome–like complement activation, immune-mediated myocardial inflammation, and hepatic toxicity.METHODS We describe the kinetics of immune activation following systemic AAV serotype 9 (AAV9) administration in 38 individuals following 2 distinct prophylactic immunomodulation regim

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Donated Heart Valves Still Growing a Year After World's 1st Partial Heart Transplant

Med Page Today

(MedPage Today) -- The newborn that received the world's first partial heart transplant in 2022 continued to do well a year later, according to a case report from the transplant team. Born with type A2 persistent truncus arteriosus and irreparable.

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Study Examines Factors Impacting Health-Related Quality of Life in Male Patients with Gout

HCPLive

Various factors related to demographics, psychosocial behavior variables, and clinical characteristics were linked to health-related quality of life in patients with gout.

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Physical Examination as a Helpful Aid in Decision-Making in Challenging ECGs

Dr. Smith's ECG Blog

This was contributed by Co-editor Emre Aslanger, an interventional cardiologist in Turkey. @AslangerE A 65-year-old gentleman presented to the emergency department after experiencing two recent ICD shocks in the preceding hours. His medical history includes hypertension, a decade-long battle with diabetes, ischemic heart disease, a coronary bypass graft surgery ten years ago, a diagnosis of congestive heart failure for the last five years, and a prior ICD implantation five years ago.

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CDKL5 regulates p62-mediated selective autophagy and confers protection against neurotropic viruses

Journal of Clinical Investigation - Cardiology

Virophagy, the selective autophagosomal engulfment and lysosomal degradation of viral components, is crucial for neuronal cell survival and antiviral immunity. However, the mechanisms leading to viral antigen recognition and capture by autophagic machinery remain poorly understood. Here, we identified cyclin-dependent kinase–like 5 (CDKL5), known to function in neurodevelopment, as an essential regulator of virophagy.

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Top Cardiology Conferences in 2024

Cardiology Update

As we step into 2024, the field of cardiology continues to offer exciting opportunities for knowledge exchange and networking at in-person conferences. Here is a preview of the upcoming cardiology conferences planned for 2024. 1. ESC Acute CardioVascular Care (ACVC) Date: March 8-10, 2024 Location: Athens, Greece Overview: ACVC offers the latest science, networking, and simulation workshops for managing acute and critical cardiovascular conditions.

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Significant Rate of Patients Experience Complications Post-Lung Cancer Screening

HCPLive

A new analysis suggests up to 3 in 10 patients who have an abnormal CT scan experience complications in follow-up procedures.

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This two-step screening process could reduce diabetic heart failure

Becker's Hospital Review - Cardiology

Dallas-based UT Southwestern Medical Center researchers found a two-step screening protocol combining clinical risk assessment with biomarker testing that can identify which patients with Type 2 diabetes need medication to prevent heart failure.

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Hypertension's hidden hand: Pressure-driven foam cell formation revealed as key driver of arterial disease

Science Daily - Heart Disease

A new study unlocks the secrets of how high blood pressure (hypertension) fuels the progression of arterial disease.

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GLP-1 receptor agonists-SGLT-2 inhibitors combination therapy and cardiovascular events after acute myocardial infarction: an observational study in patients with type 2 diabetes

Cardiovascular Diabetology

Few studies explored the effect of the combination of glucose sodium-cotransporter-2 inhibitors (SGLT-2i) and glucagon-like peptide-1 receptor agonists (GLP-1RA) on the incidence of cardiovascular events in pa.

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FDA Accepts Biologics License Application for Ustekinumab Biosimilar DMB-3115

HCPLive

BLA submission was based on data from phase 3 clinical trials in which DMB-3115 showed no clinically meaningful differences compared with the reference product for the treatment of plaque psoriasis.

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Florida cardiologists extract heart tumor with catheter

Becker's Hospital Review - Cardiology

HCA Florida Largo Hospital cardiologists were the first in the state to successfully remove a tumor from inside a patient's heart without open heart surgery.

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2023 in Review: A Look at the Year's Top 10 Topics

DAIC

As the Diagnostic and Interventional Cardiology (DAIC) team welcomes in the New Year, we also have taken a few moments to reflect back on the Top 10 most read content from 2023. 1. A Dietary Supplement Leads to Remarkable Regression in Atherosclerotic Lesions 2. Medtronic Creates History with FDA Approval of its Novel PulseSelect Pulsed Field Ablation System to Treat Atrial Fibrillation 3.

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World's first partial heart transplant proves successful in first year

Medical Xpress - Cardiology

The world's first partial heart transplant has achieved what researchers have spent more than a year hoping for—functioning valves and arteries that grow along with the young patient, as hypothesized by the pioneering team behind the procedure at Duke Health.

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Young Adults, Adolescents Discontinue ADHD Medication More Than Children

HCPLive

Young adults aged 18 – 19 are the age range who discontinues ADHD medication the most, according to a new study.

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