Sat.May 10, 2025 - Fri.May 16, 2025

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Acute kidney injury triggers hypoxemia by lung intravascular neutrophil retention that reduces capillary blood flow

Journal of Clinical Investigation - Cardiology

Sterile acute kidney injury (AKI) is common in the clinic and frequently associated with unexplained hypoxemia that does not improve with dialysis. AKI induces remote lung inflammation with neutrophil recruitment in mice and humans, but which cellular cues establish neutrophilic inflammation and how it contributes to hypoxemia is not known. Here we report that AKI induced rapid intravascular neutrophil retention in lung alveolar capillaries without extravasation into tissue or alveoli, causing h

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Maternal Avocado Intake Tied to 44% Drop in Infant Food Allergy Risk

HCPLive

New research reveals that maternal avocado consumption during pregnancy significantly reduces the risk of infant food allergies.

Research 114
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What's the Deal With Seed Oils?

Med Page Today

(MedPage Today) -- Steak 'n Shake recently announced it plans to transition from seed oils to butter and beef tallow -- a move they referred to as "RFK'ing the fries." Many other restaurants plan to follow suit due to growing populist criticism.

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Seek medical advice before attempting water-only fasting diets, experts warn

Science Daily - Heart Disease

Experts are urging people, especially those with existing heart or vascular conditions, to seek medical advice before attempting to lose weight using water-only fasting diets.

Diet 113
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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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Erythrocyte-derived extracellular vesicles induce endothelial dysfunction through arginase-1 and oxidative stress in type 2 diabetes

Journal of Clinical Investigation - Cardiology

Red blood cells (RBCs) induce endothelial dysfunction in type 2 diabetes (T2D), but the mechanism by which RBCs communicate with the endothelium is unknown. This study tested the hypothesis that extracellular vesicles (EVs) secreted by RBCs act as mediators of endothelial dysfunction in T2D. Despite a lower production of EVs derived from RBCs of T2D patients (T2D RBC-EVs), their uptake by endothelial cells was greater than that of EVs derived from RBCs of healthy individuals (H RBC-EVs).

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Study Finds Underuse of Allergy Treatments in Teens with Pollen Allergic Rhinitis

HCPLive

A study shows that many children with pollen allergies face ongoing symptoms into adulthood, highlighting the need for better management.

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Albuminuria and cardiovascular outcomes in early-stage chronic kidney disease

Heart BMJ

Chronic kidney disease (CKD) represents a significant global health priority, affecting approximately 844 million adults (10% of the world population). 1 Beyond its implication for kidney health, CKD is inherently linked to cardiovascular disease (CVD), which is the leading cause of morbidity and mortality in this population. 2 The interplay between CKD and CVD is well documented, with mechanisms including shared risk factors, metabolic disturbances and systemic inflammation. 2 Albuminuria, a ma

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Reactivation of CTLA4-expressing T cells accelerates resolution of lung fibrosis in a humanized mouse model

Journal of Clinical Investigation - Cardiology

Tissue regenerative responses involve complex interactions between resident structural and immune cells. Recent reports indicate that accumulation of senescent cells during injury repair contributes to pathological tissue fibrosis. Using tissue-based spatial transcriptomics and proteomics, we identified upregulation of the immune checkpoint protein, cytotoxic T lymphocyteassociated protein 4 (CTLA4), on CD8+ T cells adjacent to regions of active fibrogenesis in human idiopathic pulmonary fibrosi

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Study Identifies Association Between Psoriasis, Sleep Disorders in National Cohort

HCPLive

In this analysis, investigators looked at the extent to which psoriasis severity correlates with patients risk of developing sleep disorders.

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Backup Drug Gains Footing for Resistant Hypertension

Med Page Today

(MedPage Today) -- A diuretic was able to match spironolactone for blood pressure (BP) lowering in people with resistant hypertension, a small randomized trial showed. Home-measured systolic blood pressure (SBP) was similarly reduced at 12 weeks.

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Could a mini-stroke leave lasting fatigue?

Science Daily - Stroke

A transient ischemic attack, also known as a mini-stroke, is typically defined as a temporary blockage of blood flow to the brain that causes symptoms that go away within a day, but a new study finds that people who have this type of stroke may also have prolonged fatigue lasting up to one year.

Stroke 78
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Endothelial dysfunction in patients with type 2 diabetes: the truth is in the blood

Journal of Clinical Investigation - Cardiology

Endothelial dysfunction remains a cornerstone of diabetic vascular complications. RBCs emerge as pivotal players in endothelial dysfunction, yet the underlying mechanisms remain elusive. In this issue of the JCI, Collado et al. show that the detrimental action of RBCs on the endothelium is mediated by extracellular vesicles (EVs). EVs derived from RBCs (RBC-EVs) of patients with diabetes were taken up by the endothelium and were able to impair endothelium-dependent relaxation via an EV-mediated

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IgE, Skin Prick Test Show Limited Diagnostic Utility for Pediatric Shrimp Allergy

HCPLive

Skin prick test showed limited symptom correlation and shrimp-specific IgE demonstrated greater diagnostic value than tropomyosin-specific IgE.

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Can Lamin Dilated Cardiomyopathy Be Identified Earlier?

American College of Cardiology

Cardiovascular magnetic resonance (CMR) imaging was able to detect longer myocardial T2, higher extracellular volume (ECV) fraction and worse myocardial dynamics, including impaired strain, before significant decline in left ventricular (LV) systolic function in carriers of LMNA (Lamin) dilated cardiomyopathy (DCM).

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Women with infertility history at greater risk of cardiovascular disease after assisted conception

Medical Xpress - Cardiology

Women who experience infertility are more likely to develop heart and blood vessel conditions later in life, with younger women and those who undergo fertility treatments at a greater risk. The findings, presented at the first Joint Congress between the European Society of Pediatric Endocrinology (ESPE) and the European Society of Endocrinology (ESE), highlight the importance of considering a woman's reproductive history when assessing her long-term heart health.

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Scientists film the heart forming in 3D earlier than ever before

Science Daily - Heart Disease

Researchers have identified the origin of cardiac cells using 3D images of a heart forming in real-time, inside a living mouse embryo.

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Large US Study Links Elevated Lp(a) to Recurrent ASCVD Events

HCPLive

Elevated lipoprotein(a) levels significantly increase the risk of recurrent cardiovascular events, highlighting the need for effective LDL-C-lowering therapies.

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Bacterial vaginosis associates with dysfunctional T cells and altered soluble immune factors in the cervicovaginal tract

Journal of Clinical Investigation - Cardiology

BACKGROUND Bacterial vaginosis (BV) is a dysbiosis of the vaginal microbiome that is prevalent among reproductive-age females worldwide. Adverse health outcomes associated with BV include an increased risk of sexually acquired HIV, yet the immunological mechanisms underlying this association are not well understood.METHODS To investigate BV-driven changes to cervicovaginal tract (CVT) and circulating T cell phenotypes, Kinga Study participants with or without BV provided vaginal tract (VT) and e

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Cardiovascular Magnetic Resonance for Quantification of Mitral Regurgitation

American College of Cardiology

Assessment of mitral regurgitation (MR) has traditionally been performed with echocardiography. However, echocardiography has known limitations including the lack of a single reliable parameter of severity, high inter- and intraobserver variability, and discordance between echocardiographic parameters in a given patient.

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Echocardiographic imaging in patients with conduction system pacing

Cardiovascular Ultrasound

Conduction system pacing (CSP), encompassing His-bundle pacing (HBP) and left bundle branch area pacing (LBBAP), revolutionizes cardiac pacing, allowing a more physiological left ventricular activation than co.

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Iron Deficiency Anemia Significantly Increases Ischemic Stroke Risk in Young Adults

HCPLive

A study reveals a significant link between iron deficiency anemia and increased ischemic stroke risk in young adults, highlighting urgent screening needs.

Stroke 82
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Disease classification, diagnostic challenges, and evolving clinical trial design in MASLD

Journal of Clinical Investigation - Cardiology

Metabolic dysfunctionassociated steatotic liver disease (MASLD) diagnosis and management have evolved rapidly alongside the increasing prevalence of obesity and related complications. Hepatology has expanded its focus beyond late-stage cirrhosis and portal hypertension to earlier, complex MASLD cases in younger patients, necessitating closer collaboration with endocrinology.

Obesity 61
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Age-specific prognosis of acute and steady minor elevations in cardiac troponin among non-acute myocardial infarction inpatients: a large real-world cohort study

Heart BMJ

Background The upper reference limit of normal (ULN) of cardiac troponin (cTn) for older adults can be higher than for young adults, while the same ULN is used for both older and young adults in the current clinical practice. Methods In this multicentre longitudinal cohort study, non-acute myocardial infarction (non-AMI) inpatients with at least two cTn concentrations hospitalised between 2013 and 2022 in the Tianjin Health and Medical Data Platform were included.

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Diagnostic value and clinical impact of cardiac magnetic resonance imaging in patients after sudden cardiac arrest: a retrospective study

Open Heart

Introduction Cardiac MRI (CMRI) is an important investigation in cases of unclear cause of sudden cardiac arrest (SCA). It demonstrates diagnostic utility in assessing reversibility and tissue scar burden and ultimately aids in further treatment planning. Methods A retrospective analysis of all adult patients referred for CMRI after SCA between 2007 and 2022 by local intensive care units in our institution was performed.

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2025 State of the Air: Dangers of the Air We Breathe with George Thurston, ScD

HCPLive

This months Lungcast features a discussion on the ALAs State of the Air report and how worsening air conditions affect people across the nation.

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Mutant prion protein enhances NMDA receptor activity, activates PKC, and triggers rapid excitotoxicity in mice

Journal of Clinical Investigation - Cardiology

Neuronal hyperexcitability precedes synapse loss in certain neurodegenerative diseases, yet the synaptic membrane interactions and downstream signaling events remain unclear. The disordered amino terminus of the prion protein (PrPC) has been implicated in aberrant signaling in prion and Alzheimers disease. To disrupt neuronal interactions and signaling linked to the amino terminus, we CRISPR-engineered a knockin mouse expressing mutant PrPC (G92N), generating an N-linked glycosylation site betwe

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Prognostic impact of albuminuria in early-stage chronic kidney disease on cardiovascular outcomes: a cohort study

Heart BMJ

Background The impact of early-stage chronic kidney disease (CKD) on cardiovascular outcomes, particularly when albuminuria is present, remains unclear. This study examined the associations between early CKD (stages 1 and 2) with and without albuminuria and the incidence of major adverse cardiovascular events (MACEs), heart failure (HF) and all-cause mortality.

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Association between time-varying weighted hemoglobin and all-cause mortality in patients with acute myocardial infarction-related cardiogenic shock

Frontiers in Cardiovascular Medicine

Background and aimsAnemia has been implicated in prognosis across ischemic heart diseases. This study aimed to investigate the association between time-weighted average hemoglobin (TWA-Hb) and all-cause mortality in patients with acute myocardial infarction-related cardiogenic shock (AMI-CS).Methods and resultsWe conducted a retrospective analysis of 765 patients diagnosed with AMI-CS using data from the MIMIC-IV database (20082019).

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The First 4 Visits When Treating Spongiotic Dermatitis, With Matthew Zirwas, MD

HCPLive

Zirwas outlines a 4-visit approach to diagnosing spongiotic dermatitis, helping dermatologists manage uncertain rashes more effectively.

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Targeting legumain-mediated cell-cell interaction sensitizes glioblastoma to immunotherapy in preclinical models

Journal of Clinical Investigation - Cardiology

Tumor-associated macrophages (TAMs) are the most prominent immune cell population in the glioblastoma (GBM) tumor microenvironment and play critical roles in promoting tumor progression and immunosuppression. Here we identified that TAM-derived legumain (LGMN) exhibited a dual role in regulating the biology of TAMs and GBM cells. LGMN promoted macrophage infiltration in a cell-autonomous manner by activating the GSK3/STAT3 pathway.

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Road to Boston Training Log | Race Recap!

Physiologically Speaking

Thank you all for following this journey through to the end. It still blows my mind that tens of thousands of people (some strangers, some friends) returned weekly to read about my training for the Boston Marathon. I sincerely hope something I shared has helped you train smarter or harder—whether for Boston or otherwise. That’s really the goal!

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OCT-based diagnosis, management, and predictors of recurrent stent failure: a cohort study

Frontiers in Cardiovascular Medicine

BackgroundStent failure (SF) is a complication of percutaneous coronary intervention (PCI).ObjectivesThis study aimed to assess the relationship of the optical coherence tomography (OCT) determined cause of SF with time since stent implantation, treatment, and outcome.MethodsThis retrospective study included patients who underwent an OCT evaluation for SF from January 2013 to July 2023.

Stent 52
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Study Highlights Facts About Anaphylaxis Induced by Goat's and Sheep's Milk

HCPLive

These data compare the characteristics and trends of anaphylaxis caused by goat and sheeps milk allergies with those of cows milk and peanut allergy.

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Asparagine endopeptidase cleaves apolipoprotein A1 and accelerates pathogenesis of atherosclerosis

Journal of Clinical Investigation - Cardiology

Atherosclerosis is a slowly progressing inflammatory disease characterized with cholesterol disorder and intimal plaques. Asparagine endopeptidase (AEP) is an endolysosomal protease that is activated under acidic conditions and is elevated substantially in both plasma and plaques of patients with atherosclerosis. However, how AEP accelerates atherosclerosis development remains incompletely understood, especially from the view of cholesterol metabolism.

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Revisiting the Open Vein Hypothesis to Reduce the Postthrombotic Syndrome: Implications for Multidisciplinary Care and Research: A Scientific Statement From the American Heart Association

Circulation

Circulation, Ahead of Print. The open vein hypothesis postulates that early thrombus clearance and restoration of venous blood flow may prevent postthrombotic syndrome after proximal deep vein thrombosis. Since its proposal several decades ago, new insights from basic and clinical studies have motivated a re-evaluation and refinement of this hypothesis.

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Exploring the role of the atherogenic index of plasma as a mediator between body roundness Index and cardiovascular events in older adults: a NHANES-based study

Frontiers in Cardiovascular Medicine

BackgroundThe rising incidence of cardiovascular diseases (CVD) in the elderly highlights the need for effective preventive strategies. Recent studies suggest that obesity, through metabolic factors, contributes to the development of CVD. This study aims to explore how body roundness index (BRI) levels affect the occurrence of CVD using data from the National Health and Nutrition Examination Survey (NHANES) (20032016), to better understand the role of obesity in CVD prevention and management.Met

Obesity 52