Mar 30, 2018 This Week in Cardiology

Dr. John Mandrola discusses heart failure care, methamphetamine, AF ablation, lead extraction, and myocardial injury after noncardiac surgery in this week's podcast.
Source: Medscape Cardiology Podcast - Category: Cardiology Authors: Source Type: podcasts

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The risk of sudden cardiac death (SCD) appears to be higher among heart failure patients who also have HIV infection, according to new findings.Reuters Health Information
Source: Medscape Hiv-Aids Headlines - Category: Infectious Diseases Tags: Cardiology News Source Type: news
The trial failed to hit the primary endpoints of cardiovascular death or worsening heart failure, but the serelaxin story may not be dead, according to the trial's PI.Medscape Medical News
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Cardiology News Source Type: news
AbstractRecent large clinical trials on sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide-1 (GLP-1) receptor agonists, with the aim of verifying cardiovascular safety, have revealed that these medications have a preventative advantage on adverse cardiovascular outcomes, including worsening of heart failure and deterioration of nephropathy, in patients with type 2 diabetes (T2D). These observed benefits do not seem to correlate with the glucose-lowering effect, and the underlying mechanism is being intensively investigated. Given the results from recent studies, the American Diabetes Association (A...
Source: Diabetes Therapy - Category: Endocrinology Source Type: research
Authors: Friedrichs K, Rudolph V Abstract Percutaneous mitral valve repair with the MitraClip in the COAPT study significantly reduced overall mortality and hospitalization in patients with at least moderate to severe mitral valve regurgitation, in comparison to guideline-compliant drug treatment alone. Consequently, the assumption that secondary mitral regurgitation is more a consequence than the cause of systolic heart failure needs to be revised; however, data from the simultaneously published MITRA-FR study showed no prognostic benefits for patients with advanced heart failure and severely enlarged left ventric...
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
Insomnia may raise the risk of cardiovascular disease, heart failure and stroke. For the study, the researchers looked at data from multiple studies for 1.3 million people with and without heart disease and stroke.
Source: Health News - - Category: Consumer Health News Source Type: news
Blunt traumatic aortic injuries are typically seen in the younger population and are most frequently related to motor vehicle collisions. Increasingly, endovascular stenting for treatment is being used because of the decreased mortality rate, decreased incidence of postoperative paralysis, and decreased need for systemic heparinization in patients with significant concomitant injuries compared with open repair. Because of the age of these patients, lifelong surveillance has been emphasized as the morphology of the aorta can change over time, and the aortic diameter changes with volume resuscitation.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2019 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
Spontaneous arteriovenous fistula secondary to ruptured iliac artery aneurysm into iliac vein is a rare complication. Even remote is the resultant acute hepatic and renal insufficiency due to high-output congestive heart failure. Only a few case reports exist in the literature with descriptions of open repair. Prompt management is warranted; however, the traditional open procedure is fraught with significant complications. Here we describe a case highlighting the organ dysfunction that resolved with an iliac branch endoprosthesis device after an emergent repair in challenging anatomy.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Abstract from the 2019 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
Founded in 2001, Brooklyn Park-based medtech startup CVRx Inc. has raised hundreds of million of dollars in investor capital, but it hadn't been able to sell its heart-failure device in the U.S. Until now. CVRx announced late last week that the FDA had approved the Barostim Neo, CVRx's pacemaker-esque implantable device. It's been available in Europe for years. The Barostim Neo uses neuromodulation therapy, which means it stimulates the nervous system by using an electrode placed on th e neck's…
Source: Health Care:Biotechnology headlines - Category: Biotechnology Authors: Source Type: news
CONCLUSIONS: A transition from the anesthesia to the ICU service for transporting ICU patients to the OR did not change turnover times but resulted in more on-time starts and high compliance with preoperative checklist documentation. PMID: 31425206 [PubMed - in process]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
This study investigated the hypothesis that, in patients with isolated left ventricular diastolic dysfunction, higher grade diastolic dysfunction was associated with greater risk of major adverse cardiovascular events (MACEs) after surgery. METHODS: This was a retrospective cohort study. Data of adult patients with isolated echocardiographic diastolic dysfunction (ejection fraction, ≥50%) who underwent noncardiac surgery from January 1, 2015 to December 31, 2015 were collected. The primary end point was the occurrence of postoperative MACEs during hospital stay, which included acute myocardial infarction, congestiv...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
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