Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

His-optimized CRT improves electrical resynchronization in advanced HF patients

His-optimized cardiac resynchronization therapy successfully narrowed QRS duration, improved left ventricular (LV) ejection fraction and heightened functionality in 27 patients with advanced heart failure (HF), according to a study published in Circulation: Arrhythmia and Electrophysiology.

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Now that it’s guideline-endorsed, how should clinicians use CAC testing?

“Rather than bringing in many additional statin candidates, this testing should serve as a decision aid to ‘de-risk’ certain patients and distinguish those who may benefit from preventive pharmacologic therapies," Johns Hopkins researchers wrote in the Annals of Internal Medicine.

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Andexanet holds up as antidote for factor Xa inhibitors

Andexanet alfa (Andexxa), the only FDA-approved reversal agent for factor Xa inhibitors, was successful in mitigating bleeding events associated with that class of anticoagulants, researchers reported Feb. 7 in the New England Journal of Medicine.

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Oral antibiotics on par with IV delivery for endocarditis

A Danish study of 400 patients with infective endocarditis has concluded oral delivery of antibiotics to treat the disease yields similar safety and efficiency as administering the drugs intravenously.

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Almost 25% of HFrEF patients prescribed drugs that could worsen their condition

Nearly a quarter of adults living with heart failure with reduced ejection fraction (HFrEF) are prescribed at least one pharmaceutical that could exacerbate their condition, according to a study published in the American Journal of Cardiology Feb. 10.

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Discharge heart rate shows promise for predicting post-AMI mortality

An elevated heart rate upon hospital admission has been repeatedly linked to an increased risk of mortality for acute MI patients (AMI), making admission heart rate a key component of risk-stratification equations. But researchers recently found a patient’s heart rate at discharge was an even more powerful predictor of death over three years of follow-up.

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High-risk HPV raises women’s risk for heart disease

High-risk strains of human papillomavirus (HPV)—ones that have been linked to anogenital and oral cancers—might also increase a woman’s risk for developing cardiovascular disease, research out of Seoul, South Korea, suggests.

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MIT researchers swap diabetic needles for oral insulin delivery

A capsule no bigger than a blueberry could be the future of insulin delivery for type 1 diabetics, according to researchers at MIT.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.