Sat.May 25, 2024 - Fri.May 31, 2024

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ECG Blog #432 — "Should I Shock this Patient?"

Ken Grauer, MD

I was sent the ECG in Figure-1 — without the benefit of any history. Is this VT? What is the 1st thing — that YOU would do? Figure-1: I was sent this ECG without any history. Is this VT? MY Thoughts on Today’s CASE: As tempting as it might be to reach for the defibrillator on seeing the ECG shown in Figure-1 — My initial reaction was different. At 1st glance , my impression from seeing ECG #1 — was that the rhythm is very fast and irregular — with a highly variable QRS morphology — and, without

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Young-Onset Dementia Tied to Preeclampsia

Med Page Today

(MedPage Today) -- Preeclampsia raised the risk of young-onset dementia, a prospective study of nearly 2 million women in France showed. Compared with pregnancies without hypertensive disorders, preeclampsia more than doubled the risk of dementia.

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Ep 195 Management of Subarachnoid Hemorrhage

ECG Cases

Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Mortality in SAH patients can be up to 30% even without neurological deficit. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. In this second part of our 2-part podcast series on subarachnoid hemorrhage with Dr.

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Heart healthy behaviors may help reverse rapid cell aging

American Heart News - Heart News

Research Highlights: The benefits gained from better heart health may be related to a process involved in the aging of the body and its cells, researchers found in a study of more than 5,000 adults with a mean age of 56 years. People with rapid cell.

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Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Dr. Smith's ECG Blog

Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria, and the final cardiology interpretation was “ST and T wave abnormality, consider anterior ischemia”. But are there any other signs of Occlusion MI? There’s only minimal ST elevation in III, which does not meet STEMI criteria of 1mm in two contiguous leads.

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Don't Miss a Beat: Semaglutide and the Future of Kidney Disease, with Brendon Neuen, MBBS, PhD

HCPLive

Brendon Neuen, MBBS, PhD, joins the podcast to discuss the latest updates in nephrology, including the landmark FLOW trial.

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High Price of Popular Diabetes Drugs Deprives Low-Income People of Effective Options

Med Page Today

(MedPage Today) -- For the past year and a half, Tandra Cooper Harris and her husband, Marcus, who both have diabetes, have struggled to fill their prescriptions for the medications they need to control their blood sugar. Without semaglutide.

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Wide complex tachycardia, resistant to cardioversion. Some fascinating features here.

Dr. Smith's ECG Blog

An elderly dialysis patient presented with chest pain. She has poor LV function. Previous echo 4 months ago (confirmed with ED bedside echo): The estimated left ventricular ejection fraction is 30%. Severely decreased LV function. Regional wall motion abnormality-inferior, inferolateral, septum, anterolateral, anterior and apex, lateral. Here is her ECG: Regular Wide Complex Tachycardia.

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Anemia Diagnostic Tests Infrequent, Linked to Low Treatment Rates in CKD

HCPLive

Diagnostic tests for anemia etiology are infrequently ordered, leading to a significant majority of patients with CKD receiving inadequate treatment.

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In RA, Poorly Controlled Pain Portends Even More Serious Problems

Med Page Today

(MedPage Today) -- Hospitalization and death were markedly more common among rheumatoid arthritis (RA) patients experiencing more pain and worse self-assessed health, analysis of a prospective Australian registry showed. With 806 RA patients stratified.

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Fatherhood's hidden heart health toll

Science Daily - Heart Disease

Heart disease is the leading cause of death among men, and being a father may put men at an even greater risk of poor heart health later in life, reports a new study. The study of 2,814 men between the ages of 45 and 84 found cardiovascular health in older age was worse for fathers compared to non-fathers. Study participants' heart health was rated based on their diet, physical activity, smoking habits, weight, blood pressure, and level of lipids and glucose in their blood.

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Quiz post: two patients with chest pain. Do either, both, or neither have OMI?

Dr. Smith's ECG Blog

Written by Pendell Meyers Two patients with acute chest pain. Do either, neither, or both have OMI and need reperfusion? Patient 1: Patient 2: Patient 1: A man in his 40s with minimal medical history presented with acute chest pain radiating to his R shoulder. Triage ECG: Click here to sign up for Queen of Hearts Access Three serial troponins were all undetectable.

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Redefining IBD Care: Intestinal Ultrasound’s Emerging Role in Treat-to-Target Strategies

HCPLive

In honor of World Digestive Health Day, this feature examines the growth of intestinal ultrasound in IBD care in the US and how it aligns with STRIDE-II guidance.

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Penn Presbyterian Medical Center Becomes First Hospital in the Northeast to Adopt Advanced Robotic Technology for Heart Treatment

DAIC

milla1cf Thu, 05/30/2024 - 10:31 May 30, 2024 — Stereotaxis , a pioneer in surgical robotics for minimally invasive endovascular intervention, announced the successful treatment of the first heart rhythm patients by Penn Presbyterian Medical Center (PPMC) utilizing the advanced Genesis Robotic Magnetic Navigation System. PPMC, part of the University of Pennsylvania Health System, renowned for advanced clinical research, innovation, and compassionate patient care, stands at the forefront as the

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Former Surgeon General's Exorbitant ED Bill: Impact of 'Cover Your Ass' Care

Med Page Today

(MedPage Today) -- In this exclusive video interview, Jeremy Faust, MD, editor-in-chief of MedPage Today, and Jerome Adams, MD, MPH, discuss Adams' recent emergency department (ED) bill and the many factors that can lead to a patient's "financial.

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Heart healthy behaviors may help reverse rapid cell aging

Science Daily - Heart Disease

The benefits gained with higher lifestyle scores may be associated with the positive influence of heart disease risk factors on the aging of the body and its cells, finds a new study in the Journal of the American Heart Association

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Anemia Increases Risk of End-Stage Kidney Disease in IgA Nephropathy

HCPLive

An analysis of more than 800 IgAN patients treated from 2002-2021 provides an overview of factors associated with anmeia as well as its impact on pgronosis.

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AI-Powered Ultrasound Device Enhances Cardiac Monitoring for Chemotherapy Patients

DAIC

milla1cf Thu, 05/30/2024 - 10:22 May 30, 2024 — A recent study published in the European Heart Journal highlights the significant enhancements that the Kosmos ultrasound system, developed by EchoNous , brings to cardiac evaluations for chemotherapy patients. This AI-powered device enables even non-expert ultrasound users, such as junior oncologists and nurses, to accurately and swiftly assess left ventricular ejection fraction (LVEF), a crucial indicator of heart health and a critical measure

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Survey: how women (and our doctors) respond to early cardiac symptoms

Heart Sisters

Female heart patients would love to believe that all cardiologists are "extremely well prepared" to assess our cardiovascular risks - but is that true?

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Metabolic remodelling in atrial fibrillation: manifestations, mechanisms and clinical implications

Nature Reviews - Cardiology

Nature Reviews Cardiology, Published online: 30 May 2024; doi:10.1038/s41569-024-01038-6 In this Review, the authors describe the changes in metabolism that predispose individuals to developing atrial fibrillation (AF) and highlight the potential of available and emerging therapeutic strategies that target metabolic remodelling to treat AF.

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Pegcetacoplan Offers Potential Benefit in Post-Transplant C3G, IC-MPGN

HCPLive

The phase 2 NOBLE trial shows pegcetacoplan reduces disease activity in post-transplant C3G and IC-MPGN, with benefits persisting through the 40-week double-blind period.

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Heart Failure Patients Who Do Yoga Have Stronger Hearts and Can be More Active

DAIC

milla1cf Tue, 05/28/2024 - 07:00 May 28, 2024 — Yoga focused on breathing, meditation, and relaxation is linked with symptom improvement in patients with heart failure, according to research presented at Heart Failure 2024 , a scientific congress of the European Society of Cardiology (ESC). 1 “Patients who practiced yoga on top of taking their medications felt better, were able to do more, and had stronger hearts than those who only took drugs for their heart failure,” said study author Dr.

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Challenges and opportunities in patients with adult congenital heart disease, a narrative review

Frontiers in Cardiovascular Medicine

Adult congenital heart disease Pregnancy Transition of care Challenges heart failure.

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Cause of heart failure may differ for women and men

Science Daily - Heart Disease

A mouse study of heart failure with preserved ejection fraction (HFpEF) found male-female differences at the cellular level. The findings could have implications for how HFpEF is treated in women compared to men.

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Bessel van der Kolk, MD: The Future of MDMA Assisted Therapy in PTSD

HCPLive

Van der Kolk discusses the long-term outlook of MDMA in patients with PTSD and what further outcomes he'd like to see explored in the space.

Outcomes 110
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American College of Cardiology Announces Care of the Athletic Heart

DAIC

milla1cf Fri, 05/31/2024 - 07:00 May 31, 2024 — In the United States there are over 8 million active athletes. Given the rapid expansion of sports cardiology, cardiovascular care teams must understand contemporary care and practice management strategies for all athletes—from the elite to the exercise enthusiast. The ACC Care of the Athletic Heart conference , taking place in Washington, on June 6-8, aims to provide clinicians with guideline-driven, practical, cardiovascular care strategies to im

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EuroPCR 2024 Highlights

Cardiology Update

EuroPCR is the annual official congress of the European Association of Percutaneous Cardiovascular Interventions (EACPI). EuroPCR 2024 was held 14-17 May in Paris, France. In this episode Dr. Chadi Alraies discusses the top 10 sessions from EuroPCR 2024. For more cardiology research news join our newsletter or follow us on Twitter , Facebook , LinkedIn or Instagram.

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Triglycerides Down With ANGPTL3 RNA Interference Agent

Med Page Today

(MedPage Today) -- An RNA interference therapy, targeting ANGPTL3 in the liver, drastically reduced fasting triglycerides in people with mixed hyperlipidemia, the ARCHES-2 trial showed. Used atop usual statins and other medications, zodasiran.

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ALIGN Study: Atrasentan Shows Significant Benefit on Proteinuria in IgAN at 36 Weeks

HCPLive

Atrasentan significantly reduces proteinuria in patients with IgA nephropathy, showing a 36.1% reduction compared to placebo at 36 weeks.

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InfoBionic.Ai and HBox.ai Ink Partnership to Offer the First AI-Driven "Cardiology Clinic of the Future"

DAIC

milla1cf Fri, 05/31/2024 - 06:00 May 31, 2024 — InfoBionic.ai and HBox.ai announced a groundbreaking partnership that brings together the leading AI-driven technology platforms from both companies to offer the first comprehensive cardiovascular care solution for the "Cardiology Clinic of the Future." HBox.ai, known for its unique "Virtual Clinic in a Clinic" model, provides an AI-driven technology platform and services enabling cardiology practices to offer virtual care services to their pa

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Association of stress hyperglycemia ratio with left ventricular function and microvascular obstruction in patients with ST-segment elevation myocardial infarction: a 3.0 T cardiac magnetic resonance study

Cardiovascular Diabetology

Stress hyperglycemia, which is associated with poor prognosis in patients with acute myocardial infarction (AMI), can be determined using the stress hyperglycemia ratio (SHR). Impaired left ventricular functio.

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Do GLP-1 Agonists Slow Progression of Renal Disease in Patients with Type 2 Diabetes?

NEJM Journal Watch - Cardiology

In a randomized trial, semaglutide accomplished this goal, but its clinical benefit was driven largely by fewer cardiovascular-related deaths.

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New Psychedelic CPT Codes: Paving the Way for a New Age of Psychiatric Care

HCPLive

The new psychedelic CPT codes, effective January 1, 2024, could impact MDMA if approved. The FDA's Psychopharmacologic Drugs Advisory Committee will discuss MDMA on June 4.

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Johnson and Johnson Completes Acquisition of Shockwave Medical

DAIC

Getty Images milla1cf Fri, 05/31/2024 - 09:43 May 31, 2024 — Johnson & Johnson announced it has completed its acquisition of Shockwave Medical. Shockwave is now part of Johnson & Johnson and will operate as a business unit within Johnson & Johnson MedTech. Joaquin Duato , Chairman and Chief Executive Officer of Johnson & Johnson, said, “Through Innovative Medicine and MedTech, Johnson & Johnson is transforming the trajectory of cardiovascular disease, one of the leading causes of death globally.

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Tirzepatide Sheds Pounds in Chinese Adults With BMI as Low as 24

Med Page Today

(MedPage Today) -- Tirzepatide (Zepbound) was effective at reducing body weight in Chinese adults with lower cutoffs for overweight or obesity, the SURMOUNT-CN trial reported. In the study of 210 adults without diabetes, participants on tirzepatide.

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Access Ends Tonight

Dr. Paddy Barrett

I met a friend of mine from the Middle East a few weeks ago. He has been reading this newsletter for over a year. He said he loves it. He doesn't read every article but reads most of them. He’s busy. We all are. When we were out for dinner, he asked me for the main things he needed to know about preventing heart disease. What causes heart disease?

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SGLT2 Inhibitors Can Improve Anemia in Patients with CKD

HCPLive

Data from ERA 24 builds on previous research examining the effect of SGLT2 inhibitors on hemoglobin levels among patients with chronic kidney disease.