Ken Grauer, MD

DECEMBER 23, 2023

The ECG in Figure-1 — was obtained from a patient with palpitations. The patient was hemodynamically stable in association with this rhythm. QUESTIONS: What is the rhythm in Figure-1 ? — How certain are you of your answer? — Why is QRS morphology changing ? Figure-1: The initial ECG in today's case. My Interpretation of the ECG in Figure-1: Since the patient is hemodynamically stable — there is time for systematic assessment of the rhythm.

Blog 177

Blog Tachycardia Tricuspid Atrial Flutter 177

Med Page Today

DECEMBER 26, 2023

(MedPage Today) -- Four new risk factors for young-onset dementia were identified in the prospective U.K. Biobank study. Orthostatic hypotension, vitamin D deficiency, high C-reactive protein (CRP) levels, and social isolation emerged as new risk.

Risk Factors 142

Risk Factors Dementia 142

Medical Xpress - Cardiology

DECEMBER 27, 2023

Sequence variants that protect against pericarditis have been discovered at a genomic locus encoding interleukin-1 immune cytokines. A newly approved drug treatment for pericarditis inhibits these cytokines, according to a new study.

Pericarditis 136

Pericarditis 136

Dr. Smith's ECG Blog

DECEMBER 24, 2023

Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Here is her triage ECG: What do you think? Atrial flutter with 2:1 conduction. The atrial flutter rate is approximately 200 bpm, with 2:1 AV conduction resulting in ventricular rate almost exactly 100 bpm.

Atrial Flutter 125

Atrial Flutter Blog Aortic Aortic valve 125

Ken Grauer, MD

DECEMBER 29, 2023

QUESTION: HOW would YOU interpret the ECG in Figure-1 — if no clinical information was provided? Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). = The H ISTORY in T oday's C ASE: The patient in today's case is a teenager who presented to the ED ( E mergency D epartment ) in cardiac arrest after electrocution.

Blog 153

Blog Cardiac Arrest Ischemia Hospital 153

Med Page Today

DECEMBER 26, 2023

(MedPage Today) -- An intensive food-as-medicine program didn't improve glycemic control in adults with type 2 diabetes any better than usual care in a randomized clinical trial. After 6 months, both groups had a similar drop in HbA1c -- 1.5.

Diabetes 131

Diabetes 131

Dr. Malcolm Kendrick

DECEMBER 28, 2023

29th December 2023 The underlying forces In the last few blogs, I have been writing about the proliferation of guidelines, targets, and regulatory work in the NHS. Hopefully I have managed to give you a sense of how much time and effort these pile on to everyday work. Time and effort which eats away at clinical time, erodes morale and drives down productivity.

Hospital 116

Hospital Blog Blood Pressure Inpatient 116

Medical Xpress - Cardiology

DECEMBER 27, 2023

Hunter Medical Research Institute and University of Newcastle researcher Professor Murray Cairns, along with his Precision Medicine team, have discovered a way of predicting who will respond to blood pressure treatments to lower sodium in the body. Their findings were published this week in Circulation.

Blood Pressure 107

Blood Pressure Hypertension Research Circulation 107

Med Page Today

DECEMBER 27, 2023

(MedPage Today) -- The benefit of dual antiplatelet therapy (DAPT) for a minor ischemic stroke seems to apply outside the 24-hour time window and minimal stroke symptoms for which the treatment is currently recommended, based on results from the.

Stroke 126

Stroke Strokes 126

NOVARAD

DECEMBER 28, 2023

Healthcare organizations are always looking for ways to save time and money while providing quality patient care. As innovative technology emerges, new secure image-sharing technology that maximizes time and reduces costs has taken the forefront of data mobility.

Technology 105

Technology Innovation Patient Care 105

DAIC

DECEMBER 27, 2023

milla1cf Wed, 12/27/2023 - 20:11 December 27, 2023 — Butterfly Network, Inc. , a digital health company transforming care through the power of portable, semiconductor-based ultrasound technology and intuitive software, and Mendaera , a Silicon Valley-based company developing technology to help healthcare providers more easily and confidently perform procedures through the power of medical robotics, today announced an agreement to commercialize a novel robotic system that is Powered by Butterf

Ultrasound 111

Ultrasound Technology Patient Care Research 111

ECG Guru

DECEMBER 23, 2023

The Patient: A 60-year-old man at work. He experienced a sudden onset of substernal chest pain, nausea & vomiting, and dizziness. He states the pain is a 5 on 1-10 scale. No cardiac history or current medications. The ECGs: The first ECG , taken at 12:30:05, shows a sinus rhythm with ventricular bigeminy. In some leads, you can see the sinus P waves hidden in the beginnings of the PVCs, so we know the underlying sinus rhythm is about 82 bpm.

STEMI 105

STEMI Chest Pain 105

Med Page Today

DECEMBER 24, 2023

(MedPage Today) -- Living with diabetes, Carlton "PeeWee" Gautney Jr. relied on a digital device about the size of a deck of playing cards to pump insulin into his bloodstream. The pump, manufactured by device maker Medtronic, connected plastic.

Diabetes 122

Diabetes 122

HCPLive

DECEMBER 23, 2023

After participants with autism wore biosensors tracking physiological signals, a logistic regression predicted aggressive behaviors 3 minutes before it happened.

Physiology 111

Physiology 111

DAIC

DECEMBER 27, 2023

Richard Kitsis, MD milla1cf Wed, 12/27/2023 - 20:39 December 27, 2023 — The Ohio State University Wexner Medical Center ’s Heart and Vascular Center has named Richard Kitsis, MD , professor of medicine and cell biology at the Albert Einstein College of Medicine in New York City, as recipient of the 2023 Jay and Jeanie Schottenstein Prize in Cardiovascular Sciences.

Heart Attack 111

Heart Attack Heart attacks Research Myocardial Infarction 111

JAMA Cardiology

DECEMBER 26, 2023

This secondary analysis of the Safety, Tolerability, and Efficacy of Rapid Optimization, Helped by N-Terminal Pro–Brain Natriuretic Peptide Testing of Heart Failure Therapies (STRONG-HF) randomized clinical trial investigates what variables are associated with success in uptitration of guideline-directed medical therapy after hospital discharge for an acute heart failure admission.

Heart Failure 103

Heart Failure Hospital 103

Med Page Today

DECEMBER 29, 2023

(MedPage Today) -- Breathing machines with adaptive servo-ventilation (ASV) did not improve survival or other clinical outcomes in patients with heart failure (HF) and reduced ejection fraction and sleep-disordered breathing, the phase III ADVENT.

Outcomes 115

Outcomes Heart Failure 115

HCPLive

DECEMBER 26, 2023

Stacie Bell, PhD, emphasizes the importance of collaborative or multidisciplinary care in patients with SLE.

122

122

DAIC

DECEMBER 27, 2023

milla1cf Wed, 12/27/2023 - 20:31 December 27, 2023 — Stereotaxis , a pioneer in surgical robotics for minimally invasive endovascular intervention, and Baptist Health Lexington , a leading health provider in Kentucky, announced that physicians have built upon their two-decades of leadership in robotic heart care with the successful treatment of first patients using the newest advancement in the technology, the Genesis Robotic Magnetic Navigation (RMN) System.

Technology 105

Technology Heart Disease Heart Rhythm Arrhythmia 105

Heart Sisters

DECEMBER 24, 2023

I had the impression throughout the past year that it's clearly unusual for the British Medical Journal (BMJ) to invite a heart patient (who is not a doctor, a researcher or an academic) to write an Editorial for BMJ Open Heart - but it's just been published!!

Heart Failure 89

Heart Failure Academic Research 89

Med Page Today

DECEMBER 29, 2023

(MedPage Today) -- Some links may require registration or subscription. Please note that in observance of the upcoming holiday, Morning Break will not publish on New Year's Day and will resume Tuesday, January 2. Sen. Bernie Sanders (I-Vt.), 82.

105

105

HCPLive

DECEMBER 24, 2023

Stacie Bell, PhD, highlights the lasting effects of childhood adversities in patients with pediatric lupus.

Pediatrics 111

Pediatrics 111

Medical Xpress - Cardiology

DECEMBER 29, 2023

A strong, rhythmic pulse is a lifelong companion for those with a healthy heart. But for about 1% of babies born in the U.S. every year, developmental heart problems compromise that steady beat.

89

89

Dr. Paddy Barrett

DECEMBER 26, 2023

New Year. New You. At this time every year, billions of people likely begin their health journey. Rather than just aiming to get ‘Healthy’ this year, how about setting clear targets for improvement that are highly correlated to positive health outcomes? Here are five powerful metrics you can assess in the New Year to see where you stack up and where you might need to make some improvements.

Coronary Artery Disease 81

Coronary Artery Disease Plaque Heart Attack Heart attacks 81

Med Page Today

DECEMBER 28, 2023

(MedPage Today) -- Factor XIa inhibitor milvexian did not provide meaningful secondary prevention over dual antiplatelet therapy for stroke survivors, the phase II trial AXIOMATIC-SSP found. In patients with recent ischemic stroke or transient.

Stroke 98

Stroke Strokes 98

Dr. Smith's ECG Blog

DECEMBER 26, 2023

I was reading ECGs on the system and saw this one, and instantly knew the probable ECG diagnosis: What do you think? I went to the patient's chart: Elderly woman with stuttering chest pain and SOB, and dizziness. What do you think now? This is a very typical ECG for Hypertrophic Cardiomyopathy. I sent it to our EKG Nerdz group and Jesse McLaren replied: "Apical HOCM" It reminded me of many other cases I have seen, such as this one: Left Bundle Branch Block with Less Than 1 mm of Concordant ST El

Chest Pain 114

Chest Pain Cardiomyopathy Blog AFIB 114

HCPLive

DECEMBER 29, 2023

Hosts discuss what they consider the most significant or relevant updates in the ADA's Standards of Care—2024, with a focus on new recommendations for glycemic management, bone health, immunizations, and weight management.

Diabetes 78

Diabetes 78

Medical Xpress - Cardiology

DECEMBER 27, 2023

It's never too late for an expectant mom to adopt healthy habits for her baby and herself.

110

110

Med Page Today

DECEMBER 26, 2023

(MedPage Today) -- Magnesium's hemostatic effects in intracerebral hemorrhage were supported by reduced hematoma expansion in FAST-MAG participants who achieved higher serum magnesium levels with magnesium treatment. (Stroke) The American Society.

Hemorrhage 96

Hemorrhage Ablation Stroke Strokes 96

Journal of the American Heart Association

DECEMBER 29, 2023

Journal of the American Heart Association, Ahead of Print. BackgroundThe widely used Bentall procedure is the criterion standard treatment for aortic root pathology. Studies comparing the long‐term outcomes of bioprosthetic and mechanical valves in patients undergoing the Bentall procedure are limited.Methods and ResultsPatients who underwent the Bentall procedure with a bioprosthetic or mechanical valve between 2001 and 2018 were identified from Taiwan's National Health Insurance Research Datab

Aortic valve 81

Aortic valve Aortic Outcomes Hospital 81

HCPLive

DECEMBER 27, 2023

On December 27, 2023, Cytokinetics announced positive topline results from the phase 3 SEQUOIA-HCM trial evaluating aficamten in patients with symptomatic obstructive hypertrophic cardiomyopathy

Cardiomyopathy 78

Cardiomyopathy 78

Medical Xpress - Cardiology

DECEMBER 29, 2023

Antithrombotic agents (blood thinners), which prevent blood clots from forming, are widely used to prevent thromboembolic events such as ischemic stroke and myocardial infarction. This benefit of antithrombotic agents is not so rarely overshadowed by the drawback of an increased risk of bleeding complications, such as intracranial and gastrointestinal bleeding.

Blood Clot 78

Blood Clot Myocardial Infarction Stroke Strokes 78

Dr. Smith's ECG Blog

DECEMBER 29, 2023

Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to the arms and associated with shortness of breath. It was ongoing on arrival in the emergency department. Below is the old ECG (on top) and then new ECG (on bottom). What do you think? There is normal sinus rhythm, normal conduction, normal axis, and tall precordial voltages with J waves from early repolarization.

Chest Pain 73

Chest Pain STEMI Myocardial Infarction Electrocardiogram 73

Journal of the American Heart Association

DECEMBER 29, 2023

Journal of the American Heart Association, Ahead of Print. BackgroundEvidence guiding the pre‐hematopoietic stem cell transplantation (HSCT) cardiovascular evaluation is limited. We sought to derive and validate a pre‐HSCT score for the cardiovascular risk stratification of HSCT candidates.Methods and ResultsWe leveraged the CARE‐BMT (Cardiovascular Registry in Bone Marrow Transplantation) study, a contemporary multicenter observational study of adult patients who underwent autologous or allogen

Transplant 79

Transplant Peripheral Arterial Disease Coronary Artery Disease Myocardial Infarction 79

Circulation: Cardiovascular Interventions

DECEMBER 28, 2023

Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:A high permanent pacemaker implantation (PPI) risk remains a concern of self-expandable transcatheter aortic valve implantation, despite the continued improvements in implantation methodology. We aimed to assess the impact of real-time direct visualization of the membranous septum using transjugular intracardiac echocardiography (ICE) during transcatheter aortic valve implantation on reducing the rates of conduction disturbanc

Aortic valve 76

Aortic valve Aortic Cardiovascular Interventions Pacemaker 76

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 26, 2023

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Prompt initiation of bystander cardiopulmonary resuscitation (CPR) is critical to survival for out-of-hospital cardiac arrest (OHCA). However, the association between delays in bystander CPR and OHCA survival is poorly understood.Methods:In this observational study using a nationally representative US registry, we identified patients who received bystander CPR from a layperson for a witnessed OHCA from 2013 to 2021.

Cardiac Arrest 76

Cardiac Arrest Hospital Circulation Outcomes 76

Physiologically Speaking

DECEMBER 27, 2023

The quest to determine whether plant-based diets surpass omnivorous diets in their heart healthfulness has been ongoing for decades, yielding inconclusive results despite dedicated research endeavors. The throng of epidemiological evidence hasn’t helped either — one week “butter is back” and the next, red meat is giving us diabetes.

Diet 67

Diet Cardiovascular Disease Research Diabetes 67