Sat.Apr 20, 2024 - Fri.Apr 26, 2024

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ECG Blog #426 — Are STEMI Criteria Met?

Ken Grauer, MD

The ECG in Figure-1 — was obtained from a 70-ish year old man with episodic CP ( C hest P ain ) over the previous 2-3 days , being awakened from sleep now for a more severe CP episode. QUESTIONS: In view of this history — How would YOU interpret this ECG? Should you activate the cath lab? Figure-1: The initial ECG in today's case. MY Initial Thoughts on Today's CASE: Although it is difficult from the brief history we are given, to determine the true onset of whatever might be happening — the pat

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COVID Vaccine Study Finds Small Signal of Seizure Risk in Young Kids

Med Page Today

(MedPage Today) -- Only myocarditis/pericarditis and seizures occurred at higher rates in adolescents and children vaccinated for COVID-19 when compared with historical rates of those outcomes, according to an analysis of safety data from the FDA.

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Stroke incidence increases with diabetic retinopathy severity and macular edema in type 1 diabetes

Cardiovascular Diabetology

As the retina is suggested to mirror the brain, we hypothesized that diabetic retinopathy and macular edema are indicative of stroke risk in type 1 diabetes and sought to assess this association in individuals.

Diabetes 122
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Cardiologist burnout rising: 7 things to know

Becker's Hospital Review - Cardiology

Burnout among cardiologists has risen by 2% since last year, with 66% reporting they have felt burned out for at least 13 months, compared to 64% in 2023, a recent Medscape report found.

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ECG Blog #427 — To Cath this Elderly Patient?

Ken Grauer, MD

The ECG in Figure-1 — was obtained on the scene by EMS ( E mergency M edical S ervices ). The patient was a man in his 90s, who ~1 hour earlier, noted the onset of severe CP ( C hest P ain ). He was hemodynamically stable — but clearly distressed with a sense of “impending doom” at the time ECG #1 was recorded. Despite the patient’s age — he was independent, lived alone, had good mental function — and had family support.

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Neurotechnology Development Must Be Slow and Steady

Med Page Today

(MedPage Today) -- Through my work as a neuroscientist who designs neural implants to monitor the injured brain after severe traumatic brain injuries, stroke, and brain cancers, it has become very clear to me that my field needs to communicate.

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Using stem cell-derived heart muscle cells to advance heart regenerative therapy

Science Daily - Heart Disease

Regenerative heart therapies involve transplanting cardiac muscle cells into damaged areas of the heart to recover lost function. However, the risk of arrhythmias following this procedure is reportedly high. In a recent study, researchers tested a novel approach that involves injecting 'cardiac spheroids,' cultured from human stem cells, directly into damaged ventricles.

More Trending

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New Study Reveals 65 and Older Population Lowered Blood Pressure, Cholesterol, and Weight Using Mobile Technology

DAIC

milla1cf Wed, 04/24/2024 - 19:01 April 24, 2024 — Hello Heart , a digital leader in preventive heart health, today announced results from its latest study observing the benefits of scalable, accessible digital health tools for a growing senior population. Presented at the American College of Cardiology 2024 Conference , study results showed an overwhelming majority of seniors aged 65 and over reduced their blood pressure (BP), cholesterol, and weight over a six month period while managing it

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More Cases of Asthma, COPD, Hypertension After Military Burn Pit Exposure

Med Page Today

(MedPage Today) -- Prolonged deployment to military bases with open burn pits was associated with increased risks for certain respiratory and cardiovascular diseases, according to a retrospective cohort study using Veterans Health Administration.

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Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.

Dr. Smith's ECG Blog

A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. It is a ssociated with mild dyspnea on exertion. At times the pain does go to his left neck. It was present on arrival at triage but then resolved before bed placement in the ED.

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Ketone body levels and its associations with cardiac markers following an acute myocardial infarction: a post hoc analysis of the EMMY trial

Cardiovascular Diabetology

Sodium-glucose co-transporter 2 inhibitors (SGLT2i) have been suggested to exert cardioprotective effects in patients with heart failure, possibly by improving the metabolism of ketone bodies in the myocardium.

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Atlantic Health System’s Morristown Medical Center Treats First Patient in New Jersey with Edwards’ EVOQUE Tricuspid Valve Replacement

DAIC

milla1cf Thu, 04/25/2024 - 17:21 April 25, 2024 — Atlantic Health System ’s Morristown Medical Center treated the first patient in New Jersey using Edwards Lifesciences EVOQUE tricuspid valve replacement, the first transcatheter therapy to receive U.S. Food and Drug Administration ( FDA ) approval for the treatment of tricuspid regurgitation (TR).

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Too Ill for Typical Transplants, Woman Gets a Pig Kidney and Heart Pump Instead

Med Page Today

(MedPage Today) -- A 54-year-old New Jersey woman has become the first-ever patient to undergo combined mechanical heart pump and gene-edited pig kidney transplant surgery, doctors announced. The patient, Lisa Pisano, had heart failure and end.

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Postpartum Hepatitis Flare Risk Increases After Discontinuation of Antiviral Therapy

HCPLive

Tenofovir disoproxil fumarate was safe and effective for preventing mother-to-child transmission of HBV, but discontinuation was linked to postpartum hepatitis flares.

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Black and Hispanic people in the United States growing more confident learning and performing CPR

American Heart News - Heart News

DALLAS, April 22, 2024 — More Black and Hispanic people in the U.S. feel confident performing Cardiopulmonary Resuscitation (CPR). A 2023 American Heart Association survey found that 44% of Black Americans now feel confident in performing.

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Could Statins Be The Next Breakthrough HFpEF Treatment?

CardiacWire

A new JAMA study suggests that statins might have a massive impact on HFpEF care, even among patients who don’t have atherosclerosis. Statins are one of the most-prescribed drug classes in the world, but there’s still little data on their heart failure benefits, especially for HFpEF patients. The two major RCTs evaluating statins as a heart failure treatment (CORONA and GISSI-HF) didn’t show significant benefits, although they mainly focused on HFrEF patients.

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FDA Announces Recall of Heart Pumps Linked to Deaths and Injuries

Med Page Today

(MedPage Today) -- A pair of heart devices linked to hundreds of injuries and at least 14 deaths has received the FDA's most serious recall, the agency announced Monday. The HeartMate 3 is considered the safest mechanical heart pump of its kind.

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Assessing Headaches in Hospitalized Patients, with Stephanie Nahas, MD, MSEd

HCPLive

Nahas reviews key highlights from her session at ACP, emphasizing the importance of reviewing patient history and considering what other factors may be causing headaches.

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Good heart health in middle age may preserve brain function among Black women as they age

American Heart News - Heart News

Research Highlights: Middle-aged Black women with better heart health were less likely to show a decline in mental function compared with middle-aged Black women with worse heart health. In this study, heart health was unrelated to cognitive decline.

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Take the OMI Quiz and Test yourself against the Queen of Hearts

Dr. Smith's ECG Blog

Quiz The PM Cardio Queen of Hearts AI model for ECG interpretation from Powerful Medical is still in its early days. Do you think you can outperform the toddler version of the AI model? Version 2.0 will soon be available with four times the training data. The QoH groups ECGs into OMI and NOT OMI. Each category is subdivided into three levels of confidence.

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Is Industry Influence Driving LVAD Use by Cardiologists?

Med Page Today

(MedPage Today) -- As physicians, our patients and their caregivers expect that we base clinical decisions about disease management and treatment on the best available evidence, following guidelines and recommendations based on randomized clinical.

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Medtronic Launches the Avalus Ultra Valve Engineered for Ease of Use at Implant and Lifetime Patient Management

DAIC

milla1cf Tue, 04/23/2024 - 15:53 April 23, 2024 — Medtronic plc, a global leader in healthcare technology, today announced the launch of its latest innovation in cardiac surgery, the Avalus Ultra valve. This next-generation surgical aortic tissue valve is designed to facilitate ease of use at implant and lifetime patient management. It’s an excellent choice for cardiac surgeons and their patients seeking an aortic valve solution that can be fit for the future, right from the start.

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Association between diabetes mellitus and primary restenosis following endovascular treatment: a comprehensive meta-analysis of randomized controlled trials

Cardiovascular Diabetology

Diabetes mellitus (DM) is thought to be closely related to arterial stenotic or occlusive disease caused by atherosclerosis. However, there is still no definitive clinical evidence to confirm that patients wit.

Diabetes 106
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Larry Ereshefsky, PharmD: Brilaroxazine Improves Schizophrenia Symptoms

HCPLive

Larry Ereshefsky, PharmD, discussed the effects of brilaroxazine on inflammatory cytokines and neuroinflammation and how this can impact future schizophrenia treatment.

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Warning Letters Safely Lowered Antipsychotic Prescribing in Dementia

Med Page Today

(MedPage Today) -- Overprescribing warning letters modestly cut the use of antipsychotic medications without apparent repercussion in people with dementia, a secondary analysis of a randomized trial indicated. Compared with primary care physicians.

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Atrial Fibrillation’s Downstream Consequences

CardiacWire

A BMJ study out of Denmark provided alarming new insights into atrial fibrillation’s impact on patients’ future cardiovascular health, while highlighting the need to improve post-AFib heart failure and stroke prevention. The researchers analyzed 2000-2022 data from 3.5M Danish people who didn’t have AFib at baseline (45-95yrs, 48yr avg, 51.7% women), including 362k people who experienced AFib during the study period: Lifetime AFib risk was 27.7% overall, increasing from 24.2% in 2000-2010 to 30.

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EM Quick Hits 56 – Nitroglycerin in SCAPE, REBOA, Diverticulitis Imaging, CRAO, Penicillin Allergy, Physician Personality

ECG Cases

In this month's EM Quick Hits podcast: Justin Morgenstern on the first RCT of high dose nitroglycerin in SCAPE, Andrew Neill on Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) indications and evidence, Brit Long on indications for CT in suspected diverticulitis, Tahara Bhate on Central Retinal Artery Occlusion (CRAO) and diagnostic error, Matthew McArthur on penicillin allergy labels, myths and penicillin challenges, and Susan Lu on how ED physician personality influences patie

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FDA Approves Over-the-Counter Naloxone Nasal Spray for Opioid Overdose

HCPLive

FDA approves the generic equivalent of Narcan HCI Nasal Spray—naloxone hydrochloride (Naloxone HCI)—for an emergency treatment option for an opioid overdose.

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Dementia May Be Underdiagnosed in States With Motor Vehicle Reporting Mandates

Med Page Today

(MedPage Today) -- Mandating clinicians to report drivers with dementia may be associated with missed or delayed dementia diagnoses, a cross-sectional study of primary care providers suggested. Clinicians in states that required them to report.

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CIARTIC Move Self-Driving Mobile C-arm Cleared by FDA

Cassling

Automates repositioning during surgery Has potential to address staff shortages and work overload in operating rooms Can be moved effortlessly thanks to its fully motorized chassis and touch-sense handles Siemens Healthineers has announced the Food and Drug Administration (FDA) clearance of the CIARTIC Move , a mobile C-arm with self-driving capabilities.

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Associations between cardiometabolic indices and the risk of diabetic kidney disease in patients with type 2 diabetes

Cardiovascular Diabetology

This study was designed to assess the associations between emerging cardiometabolic indices—the atherogenic index of plasma (AIP), the stress hyperglycemia ratio (SHR), the triglyceride-glucose (TyG) index, an.

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Audrey Chun, MD: Recommendations on Statins, Connecting Dementia to Hearing Loss

HCPLive

Chun spoke in this interview segment about more recommendations for internal medicine physicians to give older adults related to aging, dementia, and statin use.

Dementia 105
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Ozempic Hiatus Before Surgery: Is a Weeklong Pause Really Needed?

Med Page Today

(MedPage Today) -- Continued use of a glucagon-like peptide 1 (GLP-1) receptor agonist leading up to surgery may not increase the risk for regurgitation and pulmonary aspiration during operations after all, an analysis of insurance claims data.

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Latin Heart Rounds: Rounds on a Patient with Prosthetic Aortic Endocarditis

Society of Thoracic Surgeons - Congenital

Webinar Latin Heart Rounds: Rounds on a Patient with Prosthetic Aortic Endocarditis cgolden Thu, 04/25/2024 - 14:46 May 31, 2024 Webinar Link: Register for Free An international panel of experts will provide up-to-date insight on the management of patients with prosthetic aortic endocarditis. The discussion is based on a real patient presented by an early career surgeon.

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DAIC Webinars Available On-Demand

DAIC

tim.hodson Fri, 04/26/2024 - 10:50 Did you know that you have instant access to the latest webinars from Diagnostic and Interventional Cardiology? DAIC's webinars are available on-demand by clicking here. The most recent webinar topics include: Contrast Management in Modern PCI Improving Patient Outcomes and Reducing Contrast Utilization in the Cath Lab How to Transform Imaging with Behavioral Science Imaging Trends: Designing Cardiac Training Programs Through Innovation These webinars are spons

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Nurse-Led Gout Care Linked to Better Medication Adherence

HCPLive

Among the nurse-led cohort, 83% of patients with gout achieved target p-urate levels and 98% continued treatment with urate lowering therapy.

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Does Ejection Fraction Make or Break Afib Ablation in Heart Failure Patients?

Med Page Today

(MedPage Today) -- The efficacy of catheter ablation for heart failure (HF) patients with atrial fibrillation (Afib or AF) hinged on the phenotype of disease, researchers reported based on a meta-analysis. Compared with conventional rate or rhythm.

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