Sat.Jan 18, 2025 - Fri.Jan 24, 2025

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APCU 18 A systematic review: barriers hindering patients participation in cardiac rehabilitation programs

Open Heart

Introduction Cardiac rehabilitation (CR) programs are essential for the recovery and secondary prevention of cardiovascular diseases. Despite the proven benefits of such programs, participation and completion rates remain suboptimal. This systematic review aims to identify literatures that systematically analyse and synthesize the factors and barriers influencing patients’ participation in cardiac rehabilitation programs.

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Associations between physical activity and heart disease among middle-aged and older Chinese adults

Frontiers in Cardiovascular Medicine

ObjectiveTo quantify the risk of heart diseases (HD) and determine the relationship between physical activity (PA) dimensions and HD among Chinese middle-aged and older individuals.MethodsUsing data from the China Health and Retirement Longitudinal Study (CHARLS, 2018), 16,927 participants were included in this study. Multivariate logistic regression was performed to determine the association between HD risk and PA dimensions, including volume, intensity, frequency, and duration.

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Light-activated ink developed to remotely control cardiac tissue to repair the heart

Medical Xpress - Cardiology

Researchers from Mass General Brigham and collaborating institutions have developed a non-invasive approach to manipulate cardiac tissue activity by using light to stimulate an innovative ink incorporated into bioprinted tissue. Their goal is to develop a technique that can be used to repair the heart. Their findings in preclinical models, published in Science Advances, show the transformative potential of non-invasive therapeutic methods to control electrically active tissues.

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Researchers make breakthrough in bioprinting functional human heart tissue

Science Daily - Heart Disease

Researchers have developed a way of bioprinting tissues that change shape as a result of cell-generated forces, in the same way that it happens in biological tissues during organ development. The breakthrough science focused on replicating heart tissues, bringing research closer to generating functional, bioprinted organs, which would have broad applications in disease modelling, drug screening and regenerative medicine.

Research 129
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Bridging Innovation & Patient Care: The Growing Role of AI

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

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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APCU 25 Revitalizing hearts: the transformative effects of cardiac rehabilitation on coronary risk factors

Open Heart

Introduction Cardiovascular rehabilitation (CR) is a crucial intervention in secondary prevention, aimed at stabilizing clinical conditions and reducing future cardiovascular events. CR is a class 1 recommendation for all patients with coronary artery disease (CAD). Objective This study evaluates the impact of CR on modifying coronary risk factors in patients who underwent Coronary Artery Bypass Grafting (CABG) or received non-surgical interventions like medical therapy or percutaneous coronary

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Surgeon Preference Impacts Survival Outcomes Analyses for CABG Patients

DAIC

tim.hodson Fri, 01/24/2025 - 11:51 Jan. 24, 2025 In-patients undergoing coronary artery bypass grafting (CABG), a novel analysis evaluating surgeon preference for multi- versus single-arterial grafting may help explain the differing results between prior retrospective analyses and randomized controlled trials regarding long-term survival. A study presented at The Society of Thoracic Surgeons 61st Annual Meeting explores findings in more than a million U.S.

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Remote patient monitoring in heart failure: A comprehensive meta‐analysis of effective programme components for hospitalization and mortality reduction

European Journal of Heart Failure

Remote patient monitoring in heart failure (HF). Abstract Aims Methods of non-invasive remote patient monitoring (RPM) for heart failure (HF) remain diverse. Understanding factors that influence the effectiveness of RPM on HF-related and all-cause hospitalizations, mortality, and emergency department visits is crucial for developing successful RPM interventions.

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Emergency interventions for cardiogenic shock due to decompensated aortic stenosis: a systematic review and meta-analysis

Open Heart

Background Cardiogenic shock (CS) induced by severe aortic stenosis (AS) is a life-threatening condition with high mortality. Despite advancements in emergency interventions, the optimal treatment approach remains uncertain. Aim This study aimed to systematically review and analyse the existing evidence on outcomes of emergency transcatheter aortic valve implantation (eTAVI) and emergency balloon aortic valvuloplasty (eBAV) in CS patients.

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Study Shows Abelacimab Significantly Reduced Bleeding vs. Standard DOAC

DAIC

tim.hodson Fri, 01/24/2025 - 11:03 Jan. 22, 2025 Anthos Therapeutics, Inc., aclinical-stage biopharmaceutical company developing therapies to treatcardiovascular metabolic diseases, founded by Blackstone Life Sciences, has published the results of the landmark AZALEA-TIMI 71 study in the January 23 issue of the New England Journal of Medicine (NEJM).

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Causal relationship between immune cells and risk of heart failure: evidence from a Mendelian randomization study

Frontiers in Cardiovascular Medicine

BackgroundHeart failure (HF) is a clinical syndrome resulting from structural damage or dysfunction of the heart. Previous investigations have highlighted the critical involvement of immune cells in the progression of heart failure, with distinct roles attributed to different types of immune cells. The objective of the current research was to explore the potential connections between immune characteristics and the development of HF, as well as to ascertain the nature of the causality between the

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Fatty muscles raise the risk of serious heart disease regardless of overall body weight

Science Daily - Heart Disease

People with pockets of fat hidden inside their muscles are at a higher risk of dying or being hospitalized from a heart attack or heart failure, regardless of their body mass index, according to new research. This 'intermuscular' fat is highly prized in beef steaks for cooking. However, little is known about this type of body fat in humans, and its impact on health.

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APCU 14 Outcome predictors in patients with peripartum cardiomyopathy: a systematic review

Open Heart

Introduction Peripartum cardiomyopathy (PPCM) is a cardiovascular condition that occurs during late pregnancy or within five months postpartum, often leading to poor clinical outcomes. The global incidence of PPCM is estimated to range from 1 in 100 to 1 in 20,000 live births, depending on the population and geographic region. Identifying predictors of poor clinical outcomes in PPCM is essential for optimizing care management and improving the prognosis of affected patients.

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The Potential Risks of GLP-1s

CardiacWire

Although GLP-1s have proven to significantly help with weight loss and cardiometabolic disorders, a new Nature Medicine study shed light on the drugs potential side-effects. GLP-1s have skyrocketed in popularity due to their weight loss impact, while their potential heart benefits could make GLP-1s a common cardiology drug. However, little is known about the long-term risks of this wonder drug class due to its relatively short time on the market and a lack of studies on the topic.

Obesity 59
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Predicting the risk of heart failure after acute myocardial infarction using an interpretable machine learning model

Frontiers in Cardiovascular Medicine

Background Early prediction of heart failure (HF) after acute myocardial infarction (AMI) is essential for personalized treatment. We aimed to use interpretable machine learning (ML) methods to develop a risk prediction model for HF in AMI patients.MethodsWe retrospectively included patients initially with AMI who received percutaneous coronary intervention (PCI) in our hospital from November 2016 to February 2020.

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GOLD 2025 Report: Lung Microbiome and Chest CT Imaging in COPD

HCPLive

Panelists discuss how dysbiosis of the lung microbiome can exacerbate chronic obstructive pulmonary disease (COPD) through increased inflammation and altered immune responses. In contrast, chest CT imaging is indicated for patients with severe COPD, suspected comorbidities, surgical planning, or unexplained symptoms despite standard treatment. These factors highlight the complexity of COPD management.

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APCU 12 The diagnostic journey of cardiac myxoma: from stroke to coronary intervention

Open Heart

Introduction Myxomas are the most frequent type of benign tumour of the heart, typically found in the left atrium. We present a case of myxoma with cardioembolic stroke coexisting with coronary artery disease. Case Presentation 39-year-old man, active smoker with bilateral sensorineural hearing loss, and dyslipidaemia presented with dizziness. After initial treatment failed, CT brain and perfusion scan revealed left cerebellar infarct and right parietal haemorrhage.

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ECG Blog #466 — Do You See What I See?

Ken Grauer, MD

I was sent the ECG in Figure-1 without clinical information. I interpreted the rhythm as AFib ( A trial F ibrillation ). QUESTION: Do you see anything else? Figure-1: The initial ECG in today's case. Take another LOOK. To facilitate description I've numbered the beats in Figure-2. Figure-2: I've numbered the beats from Figure-1. Confession: I initially looked at this tracing too quickly.

Blog 95
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What have we learnt from histology about the efficacy of coronary imaging modalities in assessing plaque composition?

Frontiers in Cardiovascular Medicine

Accurate evaluation of coronary artery pathology is essential for risk stratification and tailoring appropriate treatment. Intravascular imaging was introduced for this purpose 40 years ago enabling for the first time in vivo plaque characterization. Since then, several studies have evaluated the efficacy of the existing intravascular imaging modalities in assessing plaque pathology and composition and their potential in guiding intervention and predicting vulnerable plaques.

Plaque 52
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Physiology Friday #254: Fueling for Performance and Health: Lessons from a Recent Low-Carb vs. High-Carb Study in Athletes

Physiologically Speaking

Greetings! Welcome to the Physiology Friday newsletter. Details about the sponsors of this newsletter including FSTFUEL electrolytes, Examine.com , and my book “VO2 Max Essentials ” can be found at the end of the post. You can find more products I’m affiliated with on my website. Physiologically Speaking is a reader-supported publication.

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APCU 08 Knowledge on hypertension among adult hypertensive patients in Sabah heart centre

Open Heart

Introduction Hypertension is a major risk factor for cardiovascular disease. World Health Organization (WHO) stated that hypertension affects 1.28 billion of the population globally, with high prevalence in Malaysia. Effective management is crucial for reducing complications, yet inadequate patients’ knowledge may hinder treatment adherence. Therefore, this study aimed to assess the level of knowledge on hypertension and its relationship with socio-demographic characteristics among adult h

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CABG or PCI ? : Think beyond revascularisation guidelines & the evidence base

Dr. S. Venkatesan MD

Wars and scientific debates do not end that easily. Parallel to the Vietnam war days of 1970s to the current Ukraine-Russia conflict of 2025, one silent academic war is going on, in the conflict-ridden corridors of cardiology and cardiac surgery. (The CASS study of 1970s to the ORBITA era of 2025) Any amount of scientific literature, debates, guidelines, failed to tick the right choice of revascularisation in chronic CAD.

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Pulmonary vein stenosis or occlusion resulting from radiofrequency ablation of atrial fibrillation can be mistakenly diagnosed as pneumonia: a case report

Frontiers in Cardiovascular Medicine

The increased use of radiofrequency ablation (RFA) for atrial fibrillation (AF) has led to a rise in cases of pulmonary vein stenosis or occlusion (PVS/O) as a complication. While this occurrence was once rare, the growing number of patients undergoing this procedure has made it more prevalent. The actual frequency of pulmonary vein (PV) occlusion remains a topic of debate.

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

OMI Manifesto About Resources Teaching Images Lectures + Podcasts Rules + Equations OMI Literature Timeline OMI Facts and References The OMI Quizzes OMI Pocket Guide Cardiac CATH Guide QTc Calculator Lead Reversals-Artifact Neuroprotective CPR OMI AI: The Queen of Hearts Sunday, January 19, 2025 Case from Cortland Ashbrook in FB Messenger Posted by Steve Smith at 10:36 AM Email This BlogThis!

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APCU 26 Striking LDL targets: a year-long real-world evaluation of cardiovascular risk reduction at hospital Pulau Pinang

Open Heart

Introduction Atherosclerotic Cardiovascular Disease (ASCVD) remains a leading cause of global cardiovascular mortality, responsible for 80% of related deaths. Lowering low-density lipoprotein cholesterol (LDL-C) is crucial in mitigating atherosclerotic plaque progression and reducing ASCVD incidence. Objective The primary objective of this study is to assess the effectiveness of the Cardiovascular Risk Reduction Clinic (CRRC) at Hospital Pulau Pinang in achieving risk-based LDL-C targets in pati

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Interventions for adult congenital heart disease

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 20 January 2025; doi:10.1038/s41569-025-01118-1 The past 20 years have witnessed remarkable progress in the evolution of transcatheter procedures for the treatment of adult patients with congenital heart disease. In this Review, Rods-Cabau and colleagues provide a comprehensive overview of the available transcatheter interventions for these patients, focusing on their current indications and associated outcomes.

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An approach to fluoroless radiofrequency atrial fibrillation ablation

Frontiers in Cardiovascular Medicine

Atrial fibrillation is the most prevalent arrhythmia with a lifetime risk of nearly 30%. It can be associated with reduced quality of life and complications such as heart failure and stroke. Pulmonary vein isolation (PVI) is the most effective treatment for rhythm control. It has initially been performed with fluoroscopic catheter guiding. The advent of three-dimensional (3D) electro-anatomical mapping has significantly reduced the need for fluoroscopy.

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Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI?

Dr. Smith's ECG Blog

I was reading ECGs on the system and saw all of these, from one patient. I read them without clinical context and looked at the clinical context later. A 70-something dialysis patient presented and coronary disease had missed dialysis and then presented with acute onset of shortness of breath. He denied chest pain. There was mild hypoxia prehospital, lowest saturation 90%, On arrival, BP was 140/84, pulse 122, O2sat 100% and the patient had increased work of breathing.

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APCU 02 Factors affecting the outcome of thrombolysis in patients with acute ST-elevation myocardial infarction

Open Heart

Introduction ST-Elevation Myocardial Infarction (STEMI) accounted for 43.3% of Acute Coronary Syndromes (ACS) in Malaysia in 2019. Malaysia uses thrombolysis, specifically streptokinase, for acute STEMI reperfusion, even though Primary Percutaneous Coronary Intervention (PPCI) is the gold standard. This study investigates thrombolysis results and Primary Percutaneous Coronary Intervention (MACE) risk variables.

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Hemolysis After Pulsed-Field Ablation of Atrial Fibrillation

HeartRhythm

Pulsed-field ablation (PFA) offers notable advantages in atrial fibrillation (AF) ablation by selectively targeting cardiomyocytes via an irreversible electroporation mechanism, thereby minimizing damage to surrounding tissues. Although clinical studies demonstrate that PFA is both safe and effective, PFA-mediated hemolysis and potential acute kidney injury (AKI) development have been recently reported.

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Association between red cell distribution width—albumin ratio and all-cause mortality in intensive care unit patients with heart failure

Frontiers in Cardiovascular Medicine

AimThe association between red cell distribution widthalbumin ratio (RAR) and the risk of all-cause mortality in intensive care unit (ICU) patients with heart failure remains uncertain. This study aimed to investigate this association.MethodsClinical data from MIMIC- (version 2.2) database was utilized for the analysis of ICU patients with heart failure.

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Should we wait for troponin when the ECG does not show "diagnostic" ST Elevation?

Dr. Smith's ECG Blog

Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD) presented with acute substernal chest pressure with diaphoresis which woke him from sleep just after midnight. He said it felt like "someone ripped [his] heart out." Ominous. While walking into the ED, the patient had an episode of "dizziness" causing him to fall onto his stomach.

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Pregnancy and cardiovascular outcomes among patients post Fontan surgery: a 25-year single-centre retrospective cohort study

Open Heart

Introduction Data on the characteristics and outcomes of pregnancy and among patients with Fontan physiology are limited. We aimed to evaluate the immediate and long-term outcomes among these patients who were followed at our centre. Methods We included adult patients who had undergone Fontan surgery for congenital heart disease and were pregnant between 1994 and 2021.

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Trust the coronaries : There are benign forms of ACS too !

Dr. S. Venkatesan MD

ACS is one of the sinister diagnoses made at medical ER. The fear comes built in with the diagnosis often amplified by young felllows on call (& often times by senior consultants as well) It may appear real, from a clinical angle, but trust, when we deal with the whole gamut of so-called ACS (other than STEMI), there is indeed a benign face in many of them.

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Motivational interviewing intervention for the management of hypertension: a meta-analysis

Frontiers in Cardiovascular Medicine

BackgroundImproving medication compliance and self-efficacy in hypertensive patients is of significant importance for their prognosis. This meta-analysis aimed to assess the role of motivational interviewing in reducing systolic and diastolic blood pressure, self-efficacy, quality of life and medication adherence in hypertensive patients.MethodsTwo authors searched PubMed, Cochrane Library, Clinicaltrials, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical

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Abelacimab Stops Bleeding, But Stroke Impact Uncertain

CardiacWire

Fully published results from Athos Therapeutics AZALEA-TIMI 71 trial for its novel Factor XI inhibitor abelacimab, confirming the drugs lower bleeding risks, but leaving researchers uncertain about its ability to prevent stroke in AFib patients. Current guidelines recommend direct-acting oral anticoagulants (DOACs) for AF because they reduce ischemic stroke with a lower risk of brain hemorrhage.

Strokes 59
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APCU 36 Preliminary finding of ORCUS: a home-based cardiac rehabilitation application for stable ischaemic heart disease

Open Heart

Introduction Cardiac rehabilitation is a structured program provided to patients with major cardiovascular diseases, shown to enhance functional capacity, reduce morbidity and mortality rate worldwide. However, in Malaysia, the availability of such programs is limited due to disparities in healthcare access. This led to our objective of testing a newly developed AI-based home health monitoring cardiac rehabilitation application (ORCUS) designed to improve patients’ functional status.