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.   

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AHA.18: What needs to change to improve CHD outcomes in kids

Under the United Nations’ Sustainable Development Goals, a blueprint for global well-being penned in 2015, officials aim to end all preventable deaths in newborns and children under 5 by 2030. And to Jackie Boucher, MS, BS, president of Children’s HealthLink in Minneapolis, that means better understanding congenital heart disease (CHD).

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Mini pacemakers could cut time, costs for pediatric heart procedures

A miniature pacemaker developed for use in infants and those with limited vascular access has passed a proof-of-concept simulation and is entering its second phase of testing, researchers from Children’s National Health System in Washington, D.C., have reported.

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3rd blood pressure drug recalled due to cancer concerns

A third blood pressure drug has been recalled over a carcinogenic impurity, the FDA announced Nov. 8.

Study paves way for larger trial on ventricular unloading before PCI

The Door-to-Unload pilot study concluded without any “prohibitive safety signals,” researchers reported at the American Heart Association 2018 Scientific Sessions, clearing the path for a larger trial to test the hypothesis that ventricular unloading prior to PCI with the Impella CP heart pump can reduce reperfusion injury.

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Algorithm leans on patient-reported variables to predict mortality

A machine learning algorithm that predicts five-year mortality among patients with atherosclerotic cardiovascular disease (ASCVD) makes the case that patient responses to questionnaires can be just as informative in risk stratification as clinical characteristics and lab measurements.

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Study shows discord between AFib patients, physicians in anticoagulant prescribing

When approached again, about a quarter of patients with atrial fibrillation (AFib) not taking anticoagulants due to physician-cited “patient refusal” said they would consider taking the drugs, according to preliminary research presented at the American Heart Association’s Scientific Sessions in Chicago.

AHA.18: TRED-HF exposes danger of stopping drug treatment for dilated cardiomyopathy

Among patients with restored ventricular function who were taken off their heart failure medications, 44 percent relapsed within eight weeks. Researchers said the trial indicates most of these patients should remain on their treatments indefinitely.

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AHA.18: Sacubitril-valsartan combo shows promise for acute decompensated HF

Sacubitril-valsartan therapy was associated with greater reductions in N-terminal pro-B-type natriuretic peptide (NT-proBNP) than enalapril among patients hospitalized with acute decompensated heart failure, according to research presented Nov. 11 at the American Heart Association’s Scientific Sessions and published online simultaneously in the New England Journal of Medicine.

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.