Sat.Jun 07, 2025 - Fri.Jun 13, 2025

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Site-Level Variability in STEMI Care in the US

JAMA Cardiology

This cross-sectional study investigates the magnitude of variability in the patterns of care in patients with ST-elevation myocardial infarction (STEMI) by hospital performance, location, or primary percutaneous coronary intervention volume and the association of these patterns with outcomes.

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Considerations of Intraoperative Transesophageal Echocardiography During Adult Cardiac Surgery: A Scientific Statement From the American Heart Association

Circulation

Circulation, Ahead of Print. Intraoperative transesophageal echocardiography is used with increasing frequency in cardiac surgery for monitoring and diagnostic purposes. Recent data have shown the impact of improved outcomes in patients undergoing cardiac surgery and the use of intraoperative transesophageal echocardiography in managing complex surgical decisions.

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Development and validation of a new predictive model for in-hospital postoperative major adverse cardiovascular and cerebrovascular events after general anesthesia in nonagenarians undergoing non-cardiac surgery

Frontiers in Cardiovascular Medicine

BackgroundMajor adverse cardiac and cerebrovascular events (MACCE) following noncardiac surgery are the main cause of perioperative mortality. However, there are few evidence-based prediction models available for predicting the risk of MACCE. We aimed to analyze the risk factors of MACCE in patients aged 90 and older and to construct a prediction model, ultimately leading to the development of a nomogram.MethodsThis review study included clinical data from 872 patients aged 90 and older who unde

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Leveraging SGLT2 Inhibitors, GLP-1 RAs in Heart Failure, with Jose Lopez, MD

HCPLive

News Media Podcasts State Of Sciences - Presentations Videos Webinars Multimedia Series CURE Connections® Insights Medcast Peer Exchange Peers & Perspectives Special Report Conferences Conference Coverage Conference Listing Partners CME/CE Resources Digital Supplements Interactive Tools Live Events Press Release Publications Sponsored Advisory Board Subscribe Choose Specialty Allergy Allergy Allergy Allergy Biosimilars Cardiology Cardiology Cardiology Cardiology Cardiology Cardiology Cardiol

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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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FDA Approves a New BP Triple Polypill

CardiacWire

Bringing a more effective BP therapy to the U.S. market, the FDA approved George Medicines’ triple therapy polypill called Widaplik for patients with hypertension, making it the first of its kind to go to market in the U.S. The AHA estimates that more than 122M adults have high blood pressure in the U.S., and nearly 40% aren’t aware of it. George’s Widaplik contains the ARB telmisartan, calcium-channel blocker amlodipine, and diuretic indapamide, combining the three for effective BP management.

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Inpatient Outcomes for Patients With Peripheral Artery Disease Hospitalized for Acute Myocardial Infarction

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundPatients with both peripheral artery disease (PAD) and coronary artery disease are at heightened risk for adverse cardiovascular outcomes. Although long‐term risk has been well documented, contemporary in‐hospital outcomes for patients with PAD presenting with acute myocardial infarction (AMI) are less well characterized.MethodsWe analyzed 493 740 AMI hospitalizations from 670 US sites in the NCDR (National Cardiovascular Data

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Depression Linked to Poor Cardiovascular Outcomes in Spontaneous Coronary Artery Dissection

HCPLive

News Media Podcasts State Of Sciences - Presentations Videos Webinars Multimedia Series CURE Connections® Insights Medcast Peer Exchange Peers & Perspectives Special Report Conferences Conference Coverage Conference Listing Partners CME/CE Resources Digital Supplements Interactive Tools Live Events Press Release Publications Sponsored Advisory Board Subscribe Choose Specialty Allergy Allergy Allergy Allergy Biosimilars Cardiology Cardiology Cardiology Cardiology Cardiology Cardiology Cardiol

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Automated Vessel Occlusion Software in Acute Ischemic Stroke: Pearls and Pitfalls

Stroke Journal

Stroke, Ahead of Print. Software programs leveraging artificial intelligence to detect vessel occlusions are now widely available to aid in stroke triage. Given their proprietary use, there is a surprising lack of information regarding how the software works, who is using the software, and their performance in an unbiased real-world setting. In this educational review of automated vessel occlusion software, we discuss emerging evidence of their utility, underlying algorithms, real-world diagnost

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Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Patients With 3‐Vessel Coronary Artery Disease and Diabetes

Journal of the American Heart Association

Journal of the American Heart Association, Ahead of Print. BackgroundCoronary artery bypass grafting (CABG) has been associated with reduced mortality, myocardial infarction, and repeat revascularization compared with percutaneous coronary intervention (PCI) for patients with 3‐vessel coronary artery disease (CAD) and diabetes. The majority of previous studies have been limited to follow‐up of <10 years.

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Nomogram for predicting the 28-day mortality risk of patients with subendocardial infarction

Frontiers in Cardiovascular Medicine

BackgroundSubendocardial myocardial infarction (SEMI) represents a more severe form of myocardial infarction. Currently, there lacks a comprehensive clinical index for predicting mortality in cases of subendocardial myocardial infarction. The objective of our study was to develop and evaluate a nomogram for predicting the 28-day risk of mortality among patients with SEMI.MethodsPatients diagnosed with subendocardial infarction were identified from the MIMIC-III database based on ICD-9 codes.

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FDA Grants Breakthrough Device Designation for HeartSciences' AI-ECG Algorithm

DAIC

tim.hodson Thu, 06/12/2025 - 16:19 June 04, 2025 — HeartSciences Inc. has announced that the U.S. Food and Drug Administration has granted Breakthrough Device designation for its Aortic Stenosis (“AS”) ECG algorithm. Aortic Stenosis is one of the most serious and common heart valve diseases, often progressing silently and leading to severe, life-threatening outcomes if left undetected.

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Prognostic implications of iron deficiency in patients with atrial fibrillation, with and without chronic heart failure

Heart BMJ

Background Iron deficiency (ID) is common in patients with atrial fibrillation/flutter (AF), but its prognostic implications and optimal diagnostic criteria, particularly in those with and without heart failure (HF), remain unclear. This study assessed the associations between different ID definitions and clinical outcomes in patients with AF. Methods This Danish nationwide cohort study included 10 834 patients with AF who underwent iron studies between 2008 and 2019, stratified by HF status.

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Challenges in Managing Resistant Hypertension

HCPLive

A panelist discusses how spironolactone is typically the first fourth medication added for resistant hypertension but has limitations in patients with kidney disease or electrolyte issues, necessitating alternative strategies like renal denervation and highlighting the need for multiple treatment approaches to avoid polypharmacy-related adherence problems.

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Single center experience with surgically implanted Melody and Sapien 3 valves in the mitral position in young children

Frontiers in Cardiovascular Medicine

ObjectivesMitral valve replacement in young children is a challenging situation due to limited options. In this study, we aimed to present the results of our patients who underwent mitral valve replacement using Melody (Medtronic Inc) and Sapien 3 (Edwards Inc) valves.MethodsWe performed a total of 18 mitral valve replacements at Phoenix Children's between 2017 and 2024.

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How Third-Party Remote Monitoring May Redefine Outcomes for Cardiac Device Patients

DAIC

As healthcare systems continue to shift toward value-based care and proactive disease management, remote monitoring has become a cornerstone of chronic care delivery —especially in cardiology. Among patients with implantable cardioverter-defibrillators (ICDs) and cardiac resynchronization therapy devices (CRT-Ds), real-time monitoring offers the promise of earlier intervention, reduced hospitalizations and better quality of life.

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The Impact of frailty on the effectiveness of intensive blood pressure control for patients with type 2 diabetes: a secondary analysis of a randomised controlled trial

Heart BMJ

Background Frailty is an independent risk factor for cardiovascular events. It is uncertain whether frailty modifies the efficacy of intensive blood pressure (BP) control among participants with type 2 diabetes mellitus(T2DM). Methods The Action to Control Cardiovascular Risk in Diabetes Blood Pressure (ACCORD BP) trial, a two-by-two factorial trial, examined the effects of systolic BP (<120 vs <140 mm Hg) and glycaemic control on cardiovascular events in T2DM.

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Online education on atrial fibrillation can enhance clinical guideline use by more than 50%

Medical Xpress - Cardiology

An international study has shown that targeted online education on atrial fibrillation (AF) for health professionals can improve guideline-adherent care. This cluster-randomized controlled trial, published in Nature Medicine this week, was designed to test if structured online AF education for health professionals could improve the care that individual patients receive.

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Evaluation of perivascular fat density and residual false lumen formation following TEVAR in Stanford type B aortic dissection

Frontiers in Cardiovascular Medicine

ObjectiveThis study aims to investigate the role of perivascular adipose tissue (PVAT) attenuation in predicting residual false lumen formation following thoracic endovascular aortic repair (TEVAR) in patients with Stanford Type B aortic dissection (TBAD). The focus is on the association between PVAT attenuation (HUΔand HUratio) and postoperative outcomes, particularly the development of residual false lumen.MethodsA retrospective analysis was conducted on 132 patients who underwent TEVAR for TB

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Direct Comparison of Two Commercially Available Pulsed Field Ablation Systems for Atrial Fibrillation; Procedure Characteristics and Acute Outcomes

Journal of Cardiovascular Electrophysiology

ABSTRACT Background There are few comparative studies on the everyday clinical outcomes of commercially available pulsed field ablation (PFA) systems for atrial fibrillation (AF). Objective This study evaluates the acute efficacy and safety outcomes of the FARAPULSE™ (pentaspline catheter) and PulseSelect™ (circular catheter) system. Methods International, multicenter, registry on patients with paroxysmal or persistent AF, undergoing a first ablation using either PFA system between January 29th,

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ACE inhibitors reduce the risk of myocardial fibrosis post-cardiac injury: a systematic review

The British Journal of Cardiology

Myocardial fibrosis is a common pathological process associated with various cardiovascular diseases, contributing to adverse cardiac remodelling and increased morbidity. Angiotensin-converting enzyme inhibitors (ACEi) have been widely used for myocardial protection in high-risk patients. However, there are no clear recommendations for their use for the prevention of fibrosis after myocardial injury.

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Simultaneously visualizing electrical and calcium dynamics in patient iPSC-derived heart muscle cells

Medical Xpress - Cardiology

Researchers have developed a novel method for simultaneously recording action potentials (APs)—temporary changes in electrical potential when cells become excited—and calcium transients—calcium fluctuations that drive muscle contraction—in single cardiomyocytes (heart muscle cells) derived from iPS cells.

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Characteristics and risk profile of the over fifty adult congenital heart surgical population, a retrospective cohort

Frontiers in Cardiovascular Medicine

IntroductionThe surgical and medical management of aging patients with adult congenital heart disease (ACHD) continues to innovate to meet the evolving needs of this unique patient population, leading to improved life expectancy and quality of life. However, the ACHD population is characterized by high morbidity and mortality. With this study, we aim to describe patient characteristics and surgical outcomes for the over fifty ACHD cardiac surgical cohort, focusing on risk factors for mortality a

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Polypill Approved for Hypertension, Including as Initial Therapy

Med Page Today

(MedPage Today) -- The FDA approved a polypill containing telmisartan, amlodipine, and indapamide, known as Widaplik, for the treatment of hypertension in adults, including as initial treatment. This marks the first time that a triple combination.

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Prompt Identification of the Location of Gap Conduction in the Mitral Isthmus Following Vein of Marshall Ethanol Infusion and Endocardial Ablation

Circulation: Arrhythmia and Electrophysiology

Circulation: Arrhythmia and Electrophysiology, Ahead of Print. BACKGROUND:Mitral isthmus (MI) gap conduction is common despite ethanol infusion into the vein of Marshall (EI-VOM) and endocardial ablation of the MI. This study aimed to investigate the characteristics of electrograms of the distal coronary sinus (CSd) to guide the identification of the gap location in the MI.METHODS:A total of 187 patients who underwent EI-VOM and MI ablation were included in the study.

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Hybrid biomaterial shows how aging in the heart could be reversed

Medical Xpress - Cardiology

A new lab-grown material has revealed that some of the effects of aging in the heart may be slowed and even reversed. The discovery could open the door to therapies that rejuvenate the heart by changing its cellular environment, rather than focusing on the heart cells themselves.

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Impact of cardiac rehabilitation and treatment compliance after ST-segment elevation myocardial infarction (STEMI) in France, the STOP SCA+ study

Frontiers in Cardiovascular Medicine

IntroductionAcute ST-elevation myocardial infarction (STEMI) is a frequent and serious presentation of acute coronary syndrome. The STOP-SCA+ study aimed to (i) describe 1-year compliance to secondary prevention cardiac tri-therapy and (ii) identify factors associated with negative outcomes 1 year after STEMI, particularly the impact of compliance and rehabilitation care.MethodsPatients who were >18 years old and hospitalized for STEMI in five interventional cardiac centers with the same cardiac

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Hypertrophic Cardiomyopathy with dehydration and chest pain

Dr. Smith's ECG Blog

A middle-aged man with a history of HOCM presented with 24 hours of chest pain, still active. He stated that he had been dehydrated for a day as well. The pain was not at all severe, and localized to the left sternal border, without radiation. The patient was in no distress and had normal vital signs. Here is his presentation ECG: What do you think?

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Clinical service organisation for adults with atrial fibrillation: Cochrane systematic review and meta-analysis

European Journal of Cardiovascular Nursing

Abstract Aim To assess the effects of organised clinical service delivery models for AF on all-cause mortality and hospitalisation, as well as cardiovascular outcomes, thromboembolic events, bleeding complications, quality of life, symptom burden, healthcare costs, and length of hospital stay. Methods and Results A systematic search was conducted across several databases, including Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, and CINAHL, and clinical trial registrie

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CR in HF: impact of frailty and mobility on proportion of inpatients eligible for CR referral at the point of discharge

The British Journal of Cardiology

Cardiac rehabilitation (ExCR) is an essential, evidence-based part of the management of people with chronic heart failure (CHF), but research indicates it is underused. This retrospective audit explores the eligibility of heart failure inpatients for ExCR, according to the European Society of Cardiology (ESC) consensus statement, and the impact of frailty on referral rates.

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Familial hypercholesterolaemia with early-onset coronary artery disease and recurrent in-stent restenosis associated with the LDLR gene c.428G>A mutation: a case report

Frontiers in Cardiovascular Medicine

BackgroundFamilial hypercholesterolaemia (FH) is characterised by significantly elevated low-density lipoprotein cholesterol (LDL-C) levels and early-onset coronary artery disease. Additionally, clopidogrel resistance is observed in approximately 30%–50% of individuals globally. Among FH patients with early-onset coronary artery disease, inadequate LDL-C management and suboptimal antiplatelet therapy after stent implantation are key factors contributing to recurrent in-stent restenosis (ISR).Cas

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6 Year Follow-Up of Balloon-Expandable Versus Self-Expanding Transcatheter Aortic Valves: A Propensity-Matched Analysis

The American Journal of Cardiology

Publication date: Available online 8 June 2025 Source: The American Journal of Cardiology Author(s): Zade Bihag, Jay Patel, Jeff F. Mather, Robert Hagberg, Jawad Haider, Talhat Azemi, Immad Sadiq, Mohiuddin Cheema, Bryan Piccirillo, Sheelagh Pousatis, Priyesh Thakurathi, David Yaffee, Sabet W. Hashim, Raymond G.

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Plasma Proteomics Reveals Dysregulated Pathways Across the Spectrum LMNA Cardiomyopathy

Circulation: Genomic and Precision Medicine

Circulation: Genomic and Precision Medicine, Ahead of Print. BACKGROUND:Pathogenic variants in thelamin A/C(LMNA) gene cause an aggressive form of dilated cardiomyopathy (DCM), marked by higher rates of advanced conduction disease, malignant ventricular tachyarrhythmias, and advanced heart failure compared with other causes of nonischemic cardiomyopathy.

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Boosting exercise performance in heart failure patients

Medical Xpress - Cardiology

Heating the lower limbs before exercise has been found to significantly improve endurance in individuals with heart failure.

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Rapid-onset postoperative acute kidney injury is associated with mortality in patients with postcardiotomy cardiogenic shock

Frontiers in Cardiovascular Medicine

BackgroundPost-cardiotomy cardiogenic shock (PCCS) is a serious condition that necessitates veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Although acute kidney injury (AKI) often complicates PCCS, its specific effects on patient outcomes remain unclear. This study seeks to evaluate the impact of AKI on 90-day mortality.MethodsThis retrospective study included 91 patients with postoperative cardiogenic shock requiring venoarterial extracorporeal membrane oxygenation following cardi

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Enlicitide Reduces LDL-C in People With Hyperlipidemia, HeFH, Against Placebo and Non-Statins

HCPLive

Phase 3 trials show enlicitide decanoate significantly lowers LDL cholesterol, offering a promising oral treatment for hyperlipidemia and cardiovascular risk.

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Continuing evaluation of atrial fibrillation detection after cryptogenic stroke: 2-year findings from a multicentre study with Confirm Rx ICM

Open Heart

Background The detection of atrial fibrillation (AF) after a cryptogenic stroke (CS) carries important therapeutic implications. In this study, we aimed to accurately assess the incidence of AF among CS subjects by using an insertable cardiac monitor (ICM). Methods A prospective, single-arm, multicentre registry was conducted to identify AF in 155 CS subjects using the Confirm Rx ICM (Abbott, California, USA) across 20 global sites.