Ken Grauer, MD

SEPTEMBER 8, 2023

The ECG in Figure-1 — was obtained from an older man with a history of prior infarction and coronary bypass surgery. How would you interpret this tracing? Clinical implications? Figure-1: The ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). MY Thoughts on the ECG in Figure-1: The rhythm in ECG #1 is sinus at ~65/minute — with an upright P wave in lead II, and a constant and normal PR interval (ie, not more than 0.21 second in duration ).

Blog 121

Blog Pacemaker Heart Disease Research 121

Dr. Smith's ECG Blog

SEPTEMBER 3, 2023

This was sent by anonymous The patient is a 55-year-old male who presented to the emergency department after approximately 3 to 4 days of intermittent central boring chest pain initially responsive to nitroglycerin, but is now more constant and not responsive to nitroglycerin. It is unknown when this pain recurred and became constant. More past history: hypertension, tobacco use, coronary artery disease with two vessel PCI to the right coronary artery and circumflex artery several years prior.

Chest Pain 130

Chest Pain Defibrillator STEMI Coronary Artery Disease 130

Science Daily - Heart Disease

SEPTEMBER 7, 2023

An analysis of electronic health records for more than 60,000 adults in the United States found that systolic, or top-number, blood pressure rose slightly during the winter compared to summer months. The health records were of adults being treated for high blood pressure from 2018 to 2023 at six health care centers of varying sizes located in the southeast and midwestern United States.

Blood Pressure 74

Blood Pressure 74

Cassling

SEPTEMBER 8, 2023

With the need to fill radiology roles with top talent — and to do so fast — hospitals are in a position where they need to step up their recruitment efforts and take action. A report from KaufmanHall found that 98% of hospital and health system leaders raised starting salaries and minimum wage while 84% introduced signing bonuses as part of their recruitment strategy.

Radiologic Technologist 52

Radiologic Technologist Technology Soft Skills Innovation 52

Society of Thoracic Surgeons - Early Career

SEPTEMBER 7, 2023

Blog The STS Leadership Institute: A Year of Growth KCummings Thu, 09/07/2023 - 12:57 Surgeon “The whole of life is but a moment of time” - Plutarch Professional Growth Image Dr. Hassan A. Tetteh, retired U.S. Navy captain and assoc. prof. of surgery, Uniformed Services University of the Health Sciences Dr. Michael Mack delivered the opening keynote, “The Totality of Life: You’re More than Just a Surgeon," to STS Leadership Institute participants in April 2022.

Transplant 52

Transplant Academic Blog 52

Dr. Smith's ECG Blog

SEPTEMBER 8, 2023

Submitted by anonymous, edited by Jesse McLaren The first person "I" and "me" is this anonymous sender. A 50 year old presented to the emergency department of a remote rural community (where the nearest cath lab is a plane ride away) with one hour of mild chest pain radiating to the back and jaw, and an ECG labeled ‘normal’ by the computer interpretation.

Chest Pain 128

Chest Pain Blog STEMI 128

American Heart News - Stroke News

SEPTEMBER 7, 2023

Research Highlights: Community health centers participating in the National Hypertension Control Initiative (NHCI) that introduced self-measured blood pressure interventions to their patients — including individuals from Black, Hispanic and American.

Blood Pressure 52

Blood Pressure Hypertension Research 52

Dr. Prateek Bhatnagar

SEPTEMBER 6, 2023

A quadruple coronary bypass surgery using only arterial grafts and without any cuts on legs was performed successfully last week by renowned heart surgeon Dr. Prateek Bhatnagar Director Cardiac Surgery, on a 50 years man after stents placed in his left main coronary artery at Delhi just 3 months back, had blocked. Mr. Hemant, a resident of Delhi NCR, had developed chest pain (angina).

Stents 52

Stents Stent Open-Heart Surgery Chest Pain 52

Dr. Smith's ECG Blog

SEPTEMBER 5, 2023

A 60-something awoke with 10/10 crushing chest pain. He walked in to triage. Here is the ECG: Computer interpretation: Normal ECG Interventionalist after doing PCI: SUBTLE STT CHANGES IN LIMB LEADS To me, this first ECG is diagnostic of inferior OMI. I sent this ECG to the Queen of Hearts (PMcardio OMI), and here is the verdict: YOU TOO CAN HAVE THE PM Cardio AI BOT!!

Chest Pain 80

Chest Pain STEMI Stents Stent 80

American Heart News - Stroke News

SEPTEMBER 7, 2023

Research Highlights: More than half of adults (55%) with uncontrolled blood pressure who enrolled in a digital monitoring program that connected patients with clinical advice and included a bilingual app paired with at-home blood pressure monitors had.

Blood Pressure 52

Blood Pressure Research 52

Cassling

SEPTEMBER 5, 2023

Committed, hard worker, team player – these are the exact words a company hopes to hear when describing an employee, and just a few of the adjectives used to describe Cassling Field Service Engineer (FSE) Dan Zampogna. After 20 years, Dan continues to wow his managers, peers and customers with his willingness to lend a hand and “go the extra mile” to get things done.

Blog 52

Blog 52

Open Heart

SEPTEMBER 4, 2023

Introduction Severe aortic stenosis is a major cause of morbidity and mortality. The existing treatment pathway for transcatheter aortic valve implantation (TAVI) traditionally relies on tertiary Heart Valve Centre workup. However, this has been associated with delays to treatment, in breach of British Cardiovascular Intervention Society targets. A novel pathway with emphasis on comprehensive patient workup at a local centre, alongside close collaboration with a Heart Valve Centre, may help redu

Heart Valves 52

Heart Valves Aortic valve Aortic Outpatient 52

AMS Cardiology

SEPTEMBER 3, 2023

During the colder months, it can be challenging to maintain an active lifestyle and prioritize cardiovascular health. Staying motivated is crucial, especially for older individuals who want to improve their heart health. Below we’ll explore several ways to stay active and incorporate exercise into your daily routine even when the weather gets cold.

Exercise 52

Exercise Chest Pain Diet Education 52

American Heart News - Stroke News

SEPTEMBER 7, 2023

Research Highlights: An analysis of electronic health records for more than 60,000 adults in the United States found that systolic, or top-number, blood pressure rose slightly during the winter compared to summer months. The health records were of.

Blood Pressure 52

Blood Pressure Research 52

Conquering CHD

SEPTEMBER 3, 2023

Dear friends and community, As we celebrate ten years of Conquering CHD, it also marks my 18th year as an advocate for congenital heart disease. I am entering into a new season of life as our youngest son has successfully transitioned to managing his CHD care and is off to college this fall. It is time to pass the torch to Carissa Ostrom as Executive Director and Karen Grossich as Outreach Director.

Congenital Heart Disease 52

Congenital Heart Disease Congenital Research Heart Disease 52

Heart Sisters

SEPTEMBER 3, 2023

Two-thirds of clinical research on heart disease is still done on white middle-aged men. Will this new grant fund a solution to an alarming gender gap?

Heart Disease 52

Heart Disease Research Heart Attack Heart attacks 52

HeartRhythm

SEPTEMBER 8, 2023

Left bundle branch block (LBBB) pattern on the electrocardiogram includes patients with both complete conduction block in the His-Purkinje system as well as nonspecific left ventricular conduction delay without discrete block.

Aortic valve 40

Aortic valve Electrocardiogram Aortic 40

Science Daily - Heart Disease

SEPTEMBER 7, 2023

An analysis of data from a long-running study of more than 11,000 adults from four diverse communities in the United States has found that adults who had high blood pressure while both seated upright and lying supine (flat on their backs) had a higher risk of heart disease, stroke, heart failure or premature death compared to adults without high blood pressure while upright and supine.

Blood Pressure 40

Blood Pressure Heart Failure Heart Disease Stroke 40

Journal of Cardiovascular Electrophysiology

SEPTEMBER 7, 2023

Abstract Introduction Premature ventricular complexes (PVCs) are the most common ventricular arrhythmia that are encountered in the clinical practice. Recent data suggests that high PVC burden may lead to the development of PVC-induced cardiomyopathy (PVC-CM) even in patients without structural heart disease. Treatment for effective suppression of PVCs, can reverse PVC-CM.

Cardiomyopathy 40

Cardiomyopathy Pharmacology Coronary Artery Disease Ablation 40

Hypertension Journal

SEPTEMBER 7, 2023

Hypertension, Ahead of Print. Salt sensitivity concerns blood pressure alterations after a change in salt intake (sodium chloride). The heart is a pump, and vessels are tubes; sodium can affect both. A high salt intake increases cardiac output, promotes vascular dysfunction and capillary rarefaction, and chronically leads to increased systemic vascular resistance.

Blood Pressure 40

Blood Pressure Hypertension 40

HeartRhythm

SEPTEMBER 8, 2023

Atrial fibrillation (AF) stands as the most prevalent cardiovascular disease, posing significant risks of stroke, heart failure (HF), and other complications that contribute to morbidity and mortality. While traditional research on AF has primarily focused on electrophysiological components such as ionic currents and Ca2+ handling system, treatment strategies have mainly revolved around the rate-limiting β-blockers and Ca2+ channel blockers or rhythm-control methods such as cardioversion, antiar

Atrial Fibrillation 40

Atrial Fibrillation Electrophysiology Heart Failure Cardiovascular Disease 40

Circulation: Genomic and Precision Medicine

SEPTEMBER 7, 2023

Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 462-469, October 1, 2023. BACKGROUND:Familial hypercholesterolemia (FH) is a common but underdiagnosed genetic disorder characterized by high low-density lipoprotein cholesterol levels and premature cardiovascular disease. Current sequencing methods to diagnose FH are expensive and time-consuming.

Cholesterol 40

Cholesterol Cardiovascular Disease Circulation 40

Science Daily - Heart Disease

SEPTEMBER 6, 2023

The treadmill exercise test with electrocardiogram (ECG), also known as an exercise stress test, is one of the most familiar tests in medicine. While exercise testing typically is focused on diagnosing coronary artery disease, a recent study finds that exercise test abnormalities, such as low functional aerobic capacity, predicted non-cardiovascular causes of death such as cancer in addition to cardiovascular-related deaths.

Coronary Artery Disease 40

Coronary Artery Disease Exercise Electrocardiogram Cancer 40

Hypertension Journal

SEPTEMBER 7, 2023

Hypertension, Ahead of Print. Background:The mechanisms by which salt increases blood pressure in people with salt sensitivity remain unclear. Our previous studies found that high sodium enters antigen-presenting cells (APCs) via the epithelial sodium channel and leads to the production of isolevuglandins and hypertension. In the current mechanistic clinical study, we hypothesized that epithelial sodium channel–dependent isolevuglandin-adduct formation in APCs is regulated by epoxyeicosatrienoic

Hypertension 40

Hypertension Blood Pressure Inpatient 40

Journal of Cardiovascular Pharmacology

SEPTEMBER 4, 2023

Inflammation is an important contributor to excess cardiovascular risk and progressive renal injury in people with CKD. Dysregulation of the innate and adaptive immune system is accelerated by CKD and results in increased systemic inflammation, a heightened local vascular inflammatory response leading to accelerated atherosclerosis, and dysfunction of the cardiac and renal endothelium and microcirculation.

Kidney Disease 40

Kidney Disease Transplant Atherosclerosis Biomarkers 40

Science Daily - Stroke

SEPTEMBER 5, 2023

Researchers have discovered a new avenue of cell death in Alzheimer's disease and vascular dementia. The study reveals for the first time that a form of cell death known as ferroptosis -- caused by a buildup of iron in cells -- destroys microglia cells in cases of Alzheimer's and vascular dementia.

Dementia 40

Dementia Research 40

HeartRhythm

SEPTEMBER 4, 2023

Left bundle branch pacing (LBBP) is an increasingly popular physiological pacing strategy for its advantage in left ventricular (LV) function through maintaining or restoring LV electrical and mechanical synchrony.1 However, LBBP can result in right bundle branch block (RBBB) and subsequent negative effects on right ventricular (RV) function. Notably, the simultaneous capture of the tip and ring electrode in LBBP could correct this iatrogenic RBBB and realize better electrical synchrony.2 Clinic

Physiology 40

Physiology 40

Hypertension Journal

SEPTEMBER 6, 2023

Hypertension, Ahead of Print. Excess dietary salt (NaCl) intake is strongly correlated with cardiovascular disease and is a major contributing factor to the pathogenesis of hypertension. NaCl-sensitive hypertension is a multisystem disorder that involves renal dysfunction, vascular abnormalities, and neurogenically-mediated increases in peripheral resistance.

Physiology 40

Physiology Blood Pressure Hypertension Cardiovascular Disease 40

Circulation: Genomic and Precision Medicine

SEPTEMBER 6, 2023

Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 493-495, October 1, 2023.

Cardiomyopathy 40

Cardiomyopathy Circulation 40

Journal of Cardiovascular Pharmacology

SEPTEMBER 7, 2023

No abstract available

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40

HeartRhythm

SEPTEMBER 4, 2023

Myocardial calcium (Ca2+) signaling plays a crucial role in contractile function and membrane electrophysiology. An abnormal myocardial Ca2+ transient is linked to heart failure and ventricular arrhythmias. At the subcellular level, the synchronous release of Ca2+ sparks from sarcoplasmic Ca2+ release units determines the configuration and amplitude of the global Ca2+ transient.

Heart Failure 40

Heart Failure Arrhythmia Electrophysiology Cardiomyopathy 40

Hypertension Journal

SEPTEMBER 6, 2023

Hypertension, Volume 80, Issue 12 , Page 2547-2555, December 1, 2023. BACKGROUND:Although blood pressure variability (BPV) is reported to be associated with cardiovascular prognoses, it has not been established whether ambulatory BPV (ABPV; ie, short-term 24-hour BPV) or home BPV (HBPV; day-to-day BPV) is a superior clinical marker.METHODS:We analyzed the associations of ABPV and HBPV with cardiovascular prognoses and biomarkers in 1314 hypertensive outpatients who underwent both home and ambula

Blood Pressure 40

Blood Pressure Biomarkers Outpatient Hypertension 40

Circulation: Genomic and Precision Medicine

SEPTEMBER 6, 2023

Circulation: Genomic and Precision Medicine, Volume 16, Issue 5 , Page 421-430, October 1, 2023. Background:Variants in theDMDgene, that encodes the cytoskeletal protein, dystrophin, cause a severe form of dilated cardiomyopathy (DCM) associated with high rates of heart failure, heart transplantation, and ventricular arrhythmias. Improved early detection of individuals at risk is needed.Methods:Genetic testing of 40 male probands with a potential X-linked genetic cause of primary DCM was underta

Cardiomyopathy 40

Cardiomyopathy Heart Transplant Transplant Heart Failure 40

Journal of Cardiovascular Pharmacology

SEPTEMBER 7, 2023

This study aimed to compare the cost-effectiveness of the new quadruple therapy regimen of adding sodium-glucose–linked transporter 2 (SGLT2) inhibitors, with standard treatment for patients with heart failure (HF) in China. From the payer's perspective, the dates of cardiovascular event recurrences were extracted from a meta-analysis including six trials, combined with the treatment cost for patients with HF in China to construct a Markov model.

Heart Failure 40

Heart Failure Outcomes Article 40

HeartRhythm

SEPTEMBER 4, 2023

Over the course of several decades, the transvenous implantable cardioverter-defibrillator (TV-ICD) has grown to become a safe and effective treatment for the prevention of sudden cardiac death. During this time, there have been numerous iterative refinements to the system and implant technique. Generator sizes have decreased while preserving long battery life, owing in part to advancements in battery technology.

Defibrillator 40

Defibrillator Sudden Cardiac Death Technology 40

HeartRhythm

SEPTEMBER 4, 2023

Over the past years, patients with tetralogy of Fallot (TOF) have experienced numerous improvements in different treatment modalities consisting of a mixture of surgical procedures, transcatheter interventions including ablation therapy, and implantable cardioverter-defibrillator implantation procedures. However, progress in these therapeutic options have also introduced novel clinical hurdles.

Defibrillator 40

Defibrillator Tachycardia Pulmonary Ablation 40

HeartRhythm

SEPTEMBER 6, 2023

Although studies have shown that an increased resting heart rate measured randomly at a single point of the day has been associated with adverse cardiovascular outcomes, the utility of continuous monitoring of nighttime heart rate (NTHR) has remained largely uninvestigated.

Defibrillator 40

Defibrillator Outcomes 40