Sat.Nov 09, 2024 - Fri.Nov 15, 2024

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ECG Blog #456 — Acute MI or Something Else?

Ken Grauer, MD

Today's case was contributed by Dr. Magnus Nossen ( from Fredrikstad, Norway ). Dr. Nossen was at his computer — reviewing ECGs from patients recently admitted to his group's hospital service. He came across the ECG shown in Figure-1 — obtained from a woman in her 70s who was admitted to the hospital for new CP ( C hest P ain ). QUESTION: How would YOU interpret the ECG in Figure-1 ?

Blog 165
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Primary care professionals key to helping people achieve & maintain heart health

American Heart News - Heart News

Statement Highlights: A new scientific statement outlines the role of primary care professionals in helping their patients achieve Life's Essential 8, the key measures for improving and maintaining cardiovascular health defined by the American Heart.

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Cholesterol may not be the only lipid involved in trans fat-driven cardiovascular disease

Medical Xpress - Cardiology

Excess cholesterol is known to form artery-clogging plaques that can lead to stroke, arterial disease, heart attack, and more, making it the focus of many heart health campaigns. Fortunately, this attention to cholesterol has prompted the development of cholesterol-lowering drugs called statins and lifestyle interventions like dietary and exercise regimens.

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Stroke Risk Is Changing With the Climate

Med Page Today

(MedPage Today) -- The world endured its hottest summer on record in 2024, and the transition to fall brought devastation from multiple hurricanes in the U.S. The growing effects of climate change are widespread and becoming more severe. Now, new.

Strokes 124
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ECG Blog #455 — VT Until Proven Otherwise?

Ken Grauer, MD

I was asked to interpret the ECG in Figure-1 — told only that this 30-ish year old man had a history of having undergone a number of operations for CHD ( C ongenital H eart D isease ) as a child. QUESTIONS: In Figure-1 — Is the rhythm VT — or — SVT with aberrant conduction — or — potentially neither of these possibilities? IF told that this patient was hypotensive in association with the rhythm in Figure-1 — Does It Matter what the specific etiology of this rhythm is?

Blog 164
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AI-powered tool may offer quick, no-contact blood pressure and diabetes screening

American Heart News - Heart News

Research Highlights: A preliminary study combining a patent-applied, AI-powered algorithm with a high-speed, 5-to 30-second video of skin on the face and the palm of the hand detected if someone had high blood pressure as well as using a blood.

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Lactate reprograms glioblastoma immunity through CBX3-regulated histone lactylation

Journal of Clinical Investigation - Cardiology

Glioblastoma (GBM), an aggressive brain malignancy with a cellular hierarchy dominated by GBM stem cells (GSCs), evades antitumor immunity through mechanisms that remain incompletely understood. Like most cancers, GBMs undergo metabolic reprogramming toward glycolysis to generate lactate. Here, we show that lactate production by patient-derived GSCs and microglia/macrophages induces tumor cell epigenetic reprogramming through histone lactylation, an activating modification that leads to immunosu

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Sitting too long can harm heart health, even for active people

Science Daily - Heart Disease

More time spent sitting, reclining or lying down during the day may increase the risk of cardiovascular disease (CVD) and death, according to a new study. More than roughly 10-and-a-half hours of sedentary behavior per day was significantly linked with future heart failure (HF) and cardiovascular (CV) death, even among people meeting recommended levels of exercise.

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Unexplained changes in cholesterol may help identify older adults at risk for dementia

American Heart News - Heart News

Research Highlights: A study of older adults in Australia and the U.S. indicates that cholesterol levels that fluctuate significantly from year to year without a change in medication may someday help to identify those with a higher risk of developing.

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Prehospital Cath Lab Activation. What happened when the medics and patient arrived at this Academic ED?

Dr. Smith's ECG Blog

This was texted to me by a paramedic while I was out running one day: "54 yo male chest pain started at 1pm. History of diabetes type II and stent placement in 2018. I’m seeing hyperacute T waves III, aVF, down sloping depression I and aVL. Thoughts?" What do you think? I responded: "Definite inferior OMI. And Right Ventricular. Activated the Cath Lab.

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New Rescuer Guidelines Tackle Rise of Drowning Deaths in U.S.

Med Page Today

(MedPage Today) -- Mouth-to-mouth CPR with chest compressions are still the priority when rescuing victims of drowning, according to a focused update of American resuscitation and emergency cardiovascular guidelines. The American Heart Association.

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Hospitals with highest, lowest readmission rates for coronary bypass

Becker's Hospital Review - Cardiology

Tyler, Texas-based Christus Mother Frances Hospital had the lowest unplanned readmission rate for coronary artery bypass graft surgery in the U.S. between July 1, 2020, and July 30, 2023, according to CMS data released Oct. 30.

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Updated guidance reaffirms CPR with breaths essential for cardiac arrest following drowning

American Heart News - Heart News

Updated Guideline Highlights: The American Heart Association and the American Academy of Pediatrics update recommendations for untrained lay rescuers and trained rescuers resuscitating adults and children who have drowned. One important update is the.

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Protein in soy may reduce the risk of heart failure by affecting gut bacteria

Medical Xpress - Cardiology

A research team from the Nagoya University Graduate School of Medicine has discovered a promising way to slow the progression of heart failure in mice. They fed mice a diet rich in the soybean protein, β-conglycinin (β-CG), which can support heart health by influencing gut bacteria. Their analysis revealed that the soybean protein rich diet increased the production of the short-chain fatty acids (SCFAs) in the intestine that play a role in protecting the heart.

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Inching Toward a Blood Test for Hypertrophic Cardiomyopathy

Med Page Today

(MedPage Today) -- A small panel of circulating biomarkers may reliably distinguish hypertrophic cardiomyopathy (HCM) from similar conditions that cause left ventricular hypertrophy (LVH), researchers found. From proteomic profiling of nearly.

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On the Pulse of Gene Therapy: Continuing Progress in Cardiovascular Disease

HCPLive

HCPLive takes a look at one of the newer fields investigating gene therapy, which has been enabled by trials and approvals in hematology, ophthalmology, and other spaces.

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Bystander CPR up to 10 minutes after cardiac arrest may protect brain function

American Heart News - Heart News

This news release contains updated information and data not included in the abstract. Research Highlights: The sooner a lay rescuer (bystander) starts cardiopulmonary resuscitation (CPR) on a person having a cardiac arrest at home or in public, up to.

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Ep 199 Trauma Airway and Airway Trauma

ECG Cases

In this EM Cases main episode podcast, we tackle the complexities of trauma airway management, including direct trauma to the airway. We discuss indications and timing of intubation, penetrating neck trauma, the head injured patient, the agitated patients and the soiled airway. The critical question is: when should we deviate from, delay or modify RSI, and how do we navigate the unique challenges presented by trauma airways and airway trauma?

Education 111
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Frailty Tied to Future Dementia

Med Page Today

(MedPage Today) -- Frailty -- a measure of health deficits in multiple body systems -- was tied to future risk of dementia, longitudinal data from four cohorts showed. Across nearly 30,000 older adults in the U.S. and the U.K., frailty was.

Dementia 111
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IL-18 Levels Associated With Long COVID Risk in People With Rheumatic Diseases

HCPLive

IL-18 levels were consistently lower across participants with different SARDs, remission status, and COVID-19 disease characteristics.

COVID-19 126
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Cardiac arrest survival improved since COVID-19 pandemic waned, still lower than prior years

American Heart News - Heart News

This news release contains updated information and data not included in the abstract. Research Highlights: U.S. survival rates from out-of-hospital cardiac arrests fell significantly at the beginning of the COVID-19 pandemic in 2020 and only slightly.

COVID-19 111
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The effect of cardiac rehabilitation prescription on medication complications and ET-1, WMSI in elderly patients with coronary heart disease

Journal of Cardiothoracic Surgery

To explore the effects of cardiac rehabilitation prescriptions on medication complications, Endothelin 1 (ET-1), and Wall Motion Score Index (WMSI) in elderly patients with coronary heart disease.

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5 Most-Cited Takeaways From the 19th Annual Cardiometabolic Health Congress (CMHC) 

Cardiometabolic Health Congress

With the holiday season approaching and fall in full swing, it’s the perfect time to reaffirm our commitment to delivering excellent care, improving patient outcomes, and making the most of every available resource. What better way to join the fall festivities than by spotlighting key insights in cardiorenal metabolic medicine, primary prevention, and quality of life improvements shared at this year’s biggest U.S. cardiometabolic health CME/CE conference: the 19th Annual CMHC.

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Study Finds Most Children with Hep C have Developmental Disorder, Learning Difficulty

HCPLive

Research presented at NASPGHAN 2024 found most children with chronic hepatitis C had neurodevelopmental disorders, highlighting the need for proactive care.

Research 119
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Heart disease could hit up to 28 years sooner for people with CKM syndrome

American Heart News - Heart News

Research Highlights: Scientists conducted a simulation study to estimate the impact of cardiovascular-kidney-metabolic (CKM) syndrome on cardiovascular disease (CVD) risk prediction. The study found that adults with chronic kidney disease would have.

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LncRNA CASC9 facilitates papillary thyroid cancer development and doxorubicin resistance via miR-28-3p/BCL-2 axis and PI3K/AKT signaling pathway

Journal of Cardiothoracic Surgery

Papillary thyroid cancer (PTC) is a malignant tumor that poses a serious threat to human health. LncRNA CASC9 serves as an oncogene in numerous tumors. The purpose of this study was to explore the mechanism of.

Cancer 105
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Bystander CPR up to 10 minutes after cardiac arrest may protect brain function

Science Daily - Heart Disease

The sooner a lay rescuer (bystander) starts cardiopulmonary resuscitation (CPR) on a person having a cardiac arrest at home or in public, up to 10 minutes after the arrest, the better the chances of survival and brain protection, according to an analysis of nearly 200,000 out-of-hospital cardiac arrest cases in the U.S. from 2013 to 2022.

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Kara Margolis, MD: Long-Term Impact of Maternal Microbiota on Infant Gut-Brain Health

HCPLive

At NASPGHAN, HCPLive spoke with Margolis about her team’s study on the link between maternal SSRI exposure and an infant’s development of gut-brain interaction disorders.

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Deaths from cardiovascular disease increased among younger U.S adults in rural areas

American Heart News - Heart News

Research Highlights: An analysis of death certificate data for more than 11 million U.S. adults from 2010 to 2022 found that cardiovascular disease death rates increased by about 21% for adults ages 25-64 living in rural areas, however, the rates.

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National outcomes for dementia patients undergoing cardiac surgery in a pre-structural era

Journal of Cardiothoracic Surgery

With an aging population and higher prevalence of dementia, there is a paucity of data regarding dementia patients undergoing cardiovascular surgery. We examined the nationwide trends and outcomes of cardiovas.

Dementia 105
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A Mother’s Battle with Lung Cancer and the Importance of Early Detection

CTVS

This Thanksgiving, 39-year-old Cherith Satterfield has much to be grateful for as she gathers with her family. The wife, mother of five, three grown and two at home, was unexpectedly diagnosed with a rare, aggressive form of lung cancer earlier this year. For Cherith, the journey has been a powerful reminder to take your health seriously.

Cancer 98
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Children Who Contracted COVID-19 Twice as Likely to Develop IBS, Study Finds

HCPLive

NASPGHAN 2024 data suggests children and adolescents with a history of COVID-19 were twice as likely to develop IBS during the follow-up period.

COVID-19 119
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Heart disease more common in past redlined areas linked to limited access to healthy foods

American Heart News - Heart News

Research Highlights: Heart disease, Type 2 diabetes, high blood pressure and obesity were more common and linked to reduced access to healthy food among people who lived in neighborhoods previously subjected to structural racism-based policies that.

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Genetic study links heart shape to cardiovascular disease

Medical Xpress - Cardiology

A new, multinational study has revealed that the shape of the human heart, influenced by genetic factors, could serve as a valuable predictor for cardiovascular disease risk.

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Higher BP Linked to Faster Visual Field Progression in Glaucoma

Med Page Today

(MedPage Today) -- Higher mean blood pressure (BP) levels were associated with faster rates of visual field progression in patients with glaucoma, according to a retrospective cohort study. Among 985 patients, the interaction terms of higher mean.

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Hidradenitis Suppurativa-Related Stigmatization Linked to Duration, Itch, Depression

HCPLive

This analysis highlighted links between depression, stigmatization, anxiety, and health- and disease-related variables among individuals with HS in Europe.

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Fear of another heart attack may be a major source of ongoing stress for survivors

American Heart News - Heart News

Research Highlights: Fear of another heart attack was a significant ongoing contributor to how heart attack survivors perceive their health, according to a new study. While anxiety and depression are recognized as common conditions after a heart.