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The Connection Between Diabetes and Heart Arrhythmias
The human heart beats roughly 3 billion times during the course of an average lifetime. Every single time it beats, blood is drawn into its two upper chambers, held there briefly by a network of valves, and then pumped out forcefully through its two lower chambers. This drawing-and-pumping action ensures that about six liters of freshly oxygenated blood leaves the heart and enters the bloodstream every minute—a volume that can rise to more than 35 liters per minute when someone is exercising. [time-brightcove not-tgx=”true”] But none of that can happen unless the heart’s complicated machinery&md...
Source: TIME: Health - July 25, 2023 Category: Consumer Health News Authors: Markham Heid Tags: Uncategorized healthscienceclimate Source Type: news

Discharge prescription patterns for antiplatelet and statin therapy following carotid endarterectomy: an analysis of the vascular quality initiative
Conclusions Although statin use has substantially improved following CEA, more than half of individuals not on a statin preprocedure remained this way at discharge. In addition, DAPT at discharge was frequent, a quarter of whom were on SAPT preprocedure. Further efforts are needed to improve rates of new statin prescriptions, ensure appropriate APT intensity at discharge and determine how different discharge APT regimens impact outcomes.
Source: BMJ Open - July 25, 2023 Category: General Medicine Authors: Eppler, M., Singh, N., Ding, L., Magee, G., Garg, P. Tags: Open access, Cardiovascular medicine Source Type: research

Correction to: Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association
Circulation. 2023 Jul 25;148(4):e4. doi: 10.1161/CIR.0000000000001167. Epub 2023 Jul 24.NO ABSTRACTPMID:37486999 | DOI:10.1161/CIR.0000000000001167
Source: Circulation - July 24, 2023 Category: Cardiology Source Type: research

Can Patent Foramen Ovales Cause Problems?
Discussion During fetal development, the heart primum and secundum septa grow and overlap leaving a small but important channel between the two atria. The foramen ovale is a flap valve moving blood from the right atrium into the left atrium directly and bypassing the high pressure pulmonary system. After birth and breathing air, the neonate’s lungs open up and the pulmonary vascular resistance decreases. The left atrium now has a relatively higher pressure than the right atria, and therefore pressure on the flap valve closes the foramen ovale. Usually within 6-12 months, the fusion of the primum and secundum of the f...
Source: PediatricEducation.org - July 24, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Risk of cardioembolic ischemic events and relation to atrial fibrillation/flutter in patients with arrhythmogenic cardiomyopathy during a long-term follow-up
This study sought to determine the occurrence of cardioembolic ischemic events (CIEs) in ACM patients and to identify clinical and imaging predictors of CIEs.
Source: International Journal of Cardiology - July 21, 2023 Category: Cardiology Authors: Elisabetta Toso, Francesca De Lio, Pier Paolo Bocchino, Claudia Raineri, Francesco Fioravanti, Elena Maria Richiardi, Gianluca Marcelli, Tania Sacco, Carla Giustetto, Fiorenzo Gaita Source Type: research

Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes: a dose-response meta-analysis of large prospective studies
Conclusions Inverse non-linear dose–response associations suggest substantial protection against a range of chronic disease outcomes from small increases in non-occupational physical activity in inactive adults. PROSPERO registration number CRD42018095481.
Source: British Journal of Sports Medicine - July 20, 2023 Category: Sports Medicine Authors: Garcia, L., Pearce, M., Abbas, A., Mok, A., Strain, T., Ali, S., Crippa, A., Dempsey, P. C., Golubic, R., Kelly, P., Laird, Y., McNamara, E., Moore, S., de Sa, T. H., Smith, A. D., Wijndaele, K., Woodcock, J., Brage, S. Tags: Open access, BJSM Reviews with MCQs, BJSM Systematic review Source Type: research

Weekend warriors: save your workouts till Saturday? No need to worry!
A five-year study has revealed that regular and weekend-only exercise give similar cardiovascular health benefitsName:Weekend warriors.Age:The term “weekend warrior” probably came out of the US, where, after the second world war, national guard reservists were seen as having it easy compared with regular soldiers on active duty.Continue reading...
Source: Guardian Unlimited Science - July 19, 2023 Category: Science Tags: Health & wellbeing Life and style Medical research Science Fitness Men Women Running Heart disease Heart attack Stroke Source Type: news

Association of underlying untreated cardiovascular risk factors with mortality and functional outcome in ischaemic stroke patients
Stroke is the third leading cause of death after ischaemic heart disease (IHD) and pneumonia in Malaysia.1 Aziz et al. reported that Malaysia's prevalence of ischaemic stroke had increased from 42.8 to 118.7 in 100,000 from 2010 to 2014. The report showed that 8-11% of ischaemic stroke patients died within 30 days while 56-61% survived with significant disability in Malaysia.2 Our previous study showed that patients with ischaemic stroke in Malaysia were younger, but the mortality rate was higher than in other countries.
Source: Journal of Stroke and Cerebrovascular Diseases - July 19, 2023 Category: Neurology Authors: Teck Long King, Lee Len Tiong, Zariah Abdul  Aziz, Wan Chung Law Source Type: research

People who cram week ’s exercise into two days still reap heart benefits – study
‘Weekend warriors’ have similarly low risk of heart disease and stroke as those who spread out their physical activityPeople who fit an entire week ’s recommended exercise into a couple of days have a similarly low risk of heart disease and stroke as those who spread out their physical activity, researchers say.The results from a major study on “weekend warriors” against more regular exercisers suggest that even when people are too busy to exercise in the working week, making up for the inactivity at the weekend can still improve cardiovascular health.Continue reading...
Source: Guardian Unlimited Science - July 18, 2023 Category: Science Authors: Ian Sample Science editor Tags: Health Heart attack Society Medical research Science Fitness Heart disease Source Type: news

Mets-IR as a predictor of cardiovascular events in the middle-aged and elderly population and mediator role of blood lipids
Conclusionets-IR is associated with an increased risk of cardiovascular disease/stroke/cardiac issues, with LDL-C mediating these relationships. Improving insulin sensitivity and lipid regulation may be essential and effective preventive measures for cardiovascular events.
Source: Frontiers in Endocrinology - July 17, 2023 Category: Endocrinology Source Type: research

First-line diuretics versus other classes of antihypertensive drugs for hypertension
CONCLUSIONS: When used as first-line agents for the treatment of hypertension, thiazides and thiazide-like drugs likely do not change total mortality and likely decrease some morbidity outcomes such as cardiovascular events and withdrawals due to adverse effects, when compared to beta-blockers, calcium channel blockers, ACE inhibitors, and alpha-blockers.PMID:37439548 | DOI:10.1002/14651858.CD008161.pub3
Source: Cochrane Database of Systematic Reviews - July 13, 2023 Category: General Medicine Authors: Marcia Reinhart Lorri Puil Douglas M Salzwedel James M Wright Source Type: research

Systemic immune-inflammation index as a predictor of prognosis after carotid artery stenting compared with C-reactive protein
This study was a single-center retrospective investigation. Overall, 129 patients who underwent CAS were categorized into tertiles based on their SII levels. We primarily investigated the long-term major adverse cardiac and cerebrovascular events (MACCE) and secondarily the in-hospital and long-term stroke incidence, as well as all-cause death. ResultsThe in-hospital stroke rate tended to increase with a rise in SII (P = 0.13). Over the 5-year follow-up period, the Kaplan –Meier overall incidence of MACCE was 9.3%, 16.3%, and 39.5% in the lowest to highest tertiles, respectively (log-rank trend test,P647) was a predictor...
Source: PLoS One - July 13, 2023 Category: Biomedical Science Authors: Shuji Morikawa Source Type: research

Low-Dose Combination Pills for Management of Hypertension
Hypertension (HTN) is the most common modifiable chronic disease that significantly increases cardiovascular morbidity and mortality.1 Antihypertensive treatment reduces incidence of coronary heart disease and stroke and prolongs life.1 Improving blood pressure (BP) control is a key strategy to decrease the burden of cardiovascular disease. Despite availability of very effective BP-lowering therapy, HTN remains uncontrolled in nearly 50% of American adults.2 In the majority of patients, a single-agent drug therapy is not sufficient for adequate reduction of BP, and more than half of patients need at least 2 antihypertensiv...
Source: The Journal for Nurse Practitioners - July 13, 2023 Category: Nursing Authors: Irina Benenson Tags: Prescription Pad Source Type: research