Articles tagged with Cardiology
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Automated external defibrillators (AEDs) in private homes show effectiveness in improving patient outcomes for those with shockable rhythms during cardiac arrest. However, considering the rarity of cardiac arrest at home and current AED pricing, general purchase is not deemed cost-effective.
A cohort study found that night light exposure was a significant risk factor for developing cardiovascular diseases among adults over 40. Avoiding light at night may be a useful strategy for reducing the risks of cardiovascular diseases.
Researchers at Gladstone Institutes discover a gene called HMGN1 that disrupts DNA packaging and regulation, leading to heart malformations in people with Down syndrome. Removing the extra copy of HMGN1 from mice with Down syndrome prevents heart defects, paving the way for potential treatments.
A large national cohort study found associations between adverse pregnancy outcomes and increased risk of atrial fibrillation up to 46 years later. Women with these outcomes require early preventive actions and long-term clinical follow-up.
A recent study published in the European Heart Journal found that female bodybuilders are at a high risk of sudden cardiac death, with a mortality rate 20 times higher than amateur athletes. The study also revealed a significant proportion of deaths from suicide and homicide.
A study found that preexisting hyperlipidemia in pregnancy is associated with heightened risks of obstetric complications and early cardiovascular events postpartum. Women with high cholesterol are at increased risk of arrhythmias, acute coronary syndrome, gestational diabetes, and labor delivery complications.
A landmark study analyzed health data from over 600,000 patients across 10 countries to assess patient risk for non-ST-elevation acute coronary syndrome (NSTE-ACS). The AI-powered model GRACE 3.0 predicts risk more accurately and guides personalized treatment decisions.
A study of 5,794 adults found that different types of depression are associated with varying levels of risk for cardiometabolic diseases. Those with atypical/energy-related symptoms were more likely to develop Type-2 diabetes, while those with melancholic symptoms were at higher risk for cardiovascular disease.
Dr. Amit Khera, a leading expert in preventive cardiology, will receive the 2025 Chairman’s Award for his groundbreaking clinical studies and contributions to the field of cardiovascular risk assessment. He is recognized for his tireless efforts to strengthen the American Heart Association's Scientific Sessions.
Researchers use AI, omics, and systems biology to design targeted drugs for cardiovascular disease pathways. The tools could transform heart drug development and save lives, but global health policy leadership is urgently needed.
A new review in Frontiers in Science calls for a fundamental shift in how heart drugs are discovered and tested using AI, omics, and big data. This approach could drive the development of personalized treatments for cardiovascular disease, which currently relies on broad-brush treatments that don't account for individual variability.
The SCAI position statement highlights the advantages of intracardiac echocardiography (ICE) in improving safety, efficiency, and patient access for structural heart interventions. ICE offers real-time, high-resolution imaging without general anesthesia, streamlining procedures and reducing complications.
A study by the American College of Cardiology reveals that heart disease mortality is on the rise in California, with low-income communities bearing a disproportionate burden. The study found significant disparities in cardiovascular disease burden across counties, with high rates of hypertension, obesity, and diabetes associated with ...
The American College of Cardiology has selected three outstanding abstract presentations as Abstract Award winners. The conference brings together leading experts to examine emerging trends and evidence-based strategies in heart disease prevention and management.
The FDA has approved AD-NP1 for human clinical trials, a monoclonal antibody that targets cellular metabolism to promote tissue repair of multiple organs. Funded by the National Institutes of Health and other sources, AD-NP1 has shown efficacy in mice and monkeys, and may benefit various organs beyond the heart after acute injury.
Dr. Emelia Benjamin will receive the award for her sustained record of excellence in teaching and mentoring early- and mid-career clinicians and researchers. Her research focuses on atrial fibrillation, mobile health, inflammation, and chronic pain.
A new analysis found that virtual reality effectively reduced anxiety during coronary angiography and had more stable vital signs than standard care. VR was superior to standard care in reducing anxiety and associated with significantly lower changes in heart rate and blood pressure.
A repeated cross-sectional study shows that cardiometabolic risk factors in Spanish children have improved over the last 30 years, with decreases in excess weight, lipid parameters, and blood pressure. The study provides valuable insights into the evolution of cardiometabolic risk in children.
A higher cumulative cardiovascular health score in young adulthood is associated with reduced risk of cardiovascular disease and kidney events in midlife. The study emphasizes the importance of early life prevention efforts.
The Society for Cardiovascular Angiography & Interventions calls for Medicaid payment parity, fairer valuation of CHD procedures, and new compensation models to support care for children and adults with congenital heart disease. This policy statement aims to improve outcomes by addressing economic inequities in the healthcare system.
A study of 676 patients who experienced out-of-hospital cardiac arrest found that neurological outcomes were similar regardless of socioeconomic background. However, lower-income areas had lower bystander CPR rates, suggesting disparities in pre-hospital care.
Research presented at the European Emergency Medicine Congress finds that doctors and nurses are more accurate than AI in triaging patients in emergency departments. While AI showed some promise in flagging critical cases, its overall accuracy was lower than clinicians' across most metrics.
The latest Global Burden of Disease study reveals a significant increase in cardiovascular disease (CVD) burden worldwide, with CVD causing one in three deaths globally. The report estimates that 79.6% of all CVD deaths are attributable to modifiable risk factors, which has increased globally by 97.4 million since 1990.
A binational study found nearly 6 in 10 US adults and 3 in 10 Japanese adults discontinued semaglutide within 12 months of treatment. Patients with established cardiovascular disease and chronic kidney disease had higher discontinuation rates, highlighting the need for alternative treatments.
The SCAI Door to Lactate Clearance Cardiogenic Shock Initiative aims to improve outcomes in cardiogenic shock by using lactate clearance as a practical solution. Measuring lactate at diagnosis and every 2-3 hours can guide early management decisions.
A new clinical guideline has been issued for 18F-flurpiridaz PET myocardial perfusion imaging, providing recommendations for patient selection, imaging protocols, and interpretation of results. The guideline aims to enhance diagnostic accuracy and optimize resource utilization for the evaluation of coronary artery disease.
New research shows that music therapy significantly decreases heart rate, systolic blood pressure, and patient-ventilator asynchronies for patients admitted to the cardiac intensive care unit (ICU). Music therapy is a safe, low-cost, non-pharmacological intervention that complements conventional treatments.
A major report published by the European Society of Cardiology outlines expert recommendations for diagnosing, treating, and preventing COVID-19-related cardiovascular effects. The report emphasizes the importance of vaccination, cardiac rehabilitation programs, and equal access to services.
A systematic review and meta-analysis of 18 trials found GLP-1 RAs significantly improved glycemic and weight outcomes in children and adolescents with type 2 diabetes or obesity. However, gastrointestinal adverse effects warrant attention in long-term management.
The new lab, led by Dr. Annapoorna Kini, will focus on leveraging AI in interventional cardiology, from procedural to educational aspects. The lab aims to optimize complex treatment decisions and improve patient outcomes through AI-powered insights.
Immediate complete revascularisation was not noninferior to staged complete revascularisation in patients with STEMI and multivessel disease. Patients with signs of heart failure showed more harm from immediate complete revascularisation.
A new study published in Lancet found that evolocumab, a PCSK9 inhibitor, did not improve vein graft disease rates after coronary artery bypass surgery. The treatment substantially lowered LDL-C levels but had no effect on early saphenous vein graft failure.
A new study found that dual antiplatelet therapy did not reduce the risk of major adverse cardiovascular events and actually increased the risk of major bleeding in patients with acute coronary syndrome who underwent coronary artery bypass grafting. The 12-month trial results showed no significant difference between DAPT and aspirin al...
A new study found that reducing dual antiplatelet therapy duration after coronary artery bypass grafting (CABG) improves graft patency while decreasing bleeding risk. Patients who received de-escalated DAPT had similar ischemic benefits and better bleeding safety compared to those on longer DAPT periods.
A recent trial found that shorter durations of dual antiplatelet therapy (DAPT) after a heart attack showed equivalent efficacy in reducing recurrent events, with a lower risk of major bleeding. The study suggests limiting DAPT duration to 3 months may be safer for patients.
A randomized trial found that intravenous cangrelor provided immediate and effective platelet inhibition without increasing major bleeding, improving outcomes for patients with cardiogenic shock. The study's results suggest that IV cangrelor could represent a major advancement in treating this life-threatening condition.
A randomized controlled trial demonstrated the safety of reconditioned pacemakers, with noninferior procedure-related infection rates compared to new devices. The study, led by Doctor Thomas Crawford, used a comprehensive protocol for cleaning and testing, and gained FDA approval for export to countries with permission.
A new study published in JAMA found that routine H. pylori screening did not significantly reduce the risk of upper gastrointestinal bleeding in patients hospitalised for myocardial infarction. However, subgroup analyses showed lower risk ratios for patients with mild and moderate anaemia.
Adding aspirin to long-term anticoagulation therapy increased the risk of cardiovascular events, death, and major bleeding in patients with chronic coronary syndrome who required anticoagulation. The AQUATIC trial found that aspirin significantly increased all-cause mortality and major cardiovascular events in this high-risk population.
Atrial fibrillation treatment with biomarker-based risk scores does not improve clinical outcomes compared to usual guideline-based care. The study found no benefit in reducing stroke or death rates, despite changes in medication use.
In a randomized trial, patients with acute MI who received one month of dual antiplatelet therapy (DAPT) had noninferior cardiovascular and cerebrovascular event rates when switching to P2Y12 inhibitor monotherapy. This switch reduced bleeding risk while maintaining ischaemic event protection.
A new trial found that P2Y12 inhibitor monotherapy may reduce bleeding while preventing recurrent ischaemic events compared to 12 months of DAPT. However, the study failed to demonstrate noninferiority for death and ischaemic events between P2Y12 inhibitor monotherapy and dual antiplatelet therapy.
A new trial found sacubitril/valsartan to be superior to enalapril for heart failure patients with Chagas disease, driven by a significant reduction in NT-proBNP levels. The study provides evidence for a pharmacological treatment specifically for this high-risk population.
Two trials found that drug-coated balloons and stents did not reduce the risk of amputation or improve quality of life compared to uncoated devices. Target vessel reinterventions were reduced in the first year, but differences disappeared with longer follow-up.
A study found that home-based hypertension care led to significant reductions in systolic blood pressure and improved hypertension control in rural South Africa. The intervention included technology-supported interventions and community health workers, resulting in over 80% of patients achieving hypertension control.
A recent trial found that discontinuing oral anticoagulation (OAC) therapy after successful ablation of atrial fibrillation resulted in a lower risk of stroke, systemic embolism, or major bleeding. No significant difference was observed in the incidence of ischemic stroke or systemic embolism between groups.
New research suggests that standard antiplatelet therapy after complex stenting does not provide a significant clinical benefit, while increasing the risk of bleeding complications. The study's findings challenge the notion that more aggressive antiplatelet therapy is always better for high-risk patients.
A randomized trial found that routine coronary computed tomography (CCT)-based follow-up did not reduce death, myocardial infarction, unstable angina, or stent thrombosis after percutaneous coronary intervention (PCI) for left main coronary artery disease. Spontaneous MI was reduced in the CCT arm compared to the control arm.
A recent study has found that ivabradine, a medication used to treat angina and heart failure, was ineffective in preventing myocardial injury (MINS) after noncardiac surgery. In the trial, patients who received ivabradine had a higher risk of MINS compared to those who took a placebo.
A recent study has found that surgical left atrial appendage occlusion does not reduce the risk of ischaemic stroke, transient ischaemic attack, or cardiovascular mortality in high-risk non-atrial fibrillation patients after valvular surgery. In contrast, there may be a slight benefit for high-risk patients with CHA₂DS₂VASc ≥3.
In a randomized trial, pulsed field ablation (PFA) showed comparable efficacy to radiofrequency ablation (RFA) for treating symptomatic paroxysmal atrial fibrillation in patients resistant to antiarrhythmic drugs. PFA also had a shorter procedure time and fewer complications.
Researchers found that digital twin-guided ablation significantly improved arrhythmia-free survival compared to standard PVI alone in patients with persistent AF. The personalized approach precisely targeted individual mechanisms underlying AF, without compromising safety or extending procedure time.
The updated guidelines focus on a woman's autonomy to make reproductive choices about high-risk pregnancies. They recommend personalized pregnancy-related risk assessment and thorough exploration of maternal preferences as part of the shared decision-making process. The guidance aims to reduce maternal mortality and morbidity by provid...
The POTCAST trial found that increasing potassium levels to the high-normal range significantly reduced the risk of sustained ventricular tachycardia, ICD therapy, unplanned hospitalizations, and all-cause mortality. This benefit was observed across various subgroups, including those with ischemic heart disease and heart failure.
Vericiguat, a guanylate cyclase stimulator, did not meet its primary endpoint of reducing cardiovascular mortality in patients with heart failure and reduced ejection fraction. However, it lowered the risk of cardiovascular death, which translated to fewer all-cause deaths.
A meta-analysis of four trials found that beta-blocker therapy significantly reduced all-cause mortality, new myocardial infarction, and heart failure in patients with mild left ventricular ejection fraction reduction after a heart attack. The study showed a 25% relative reduction in the composite endpoint
The new guidelines introduce a unifying term for inflammatory myopericardial syndrome and provide easy-to-use flow charts to support medical professionals in diagnosing and treating myocarditis and pericarditis. The recommendations also prioritize patient return to work and exercise, aiming to improve clinical outcomes.
Researchers found no reduction in total mortality, cardiac death, or sudden cardiac death among patients with these high-risk profiles. ICD therapy added to standard medical treatment failed to improve survival outcomes.
The European Society of Cardiology has published a new update to its guidelines for managing lipid levels in patients to reduce cardiovascular risk. The guidance recommends the use of new cardiovascular risk prediction algorithms, SCORE2 and SCORE2-OP, to help clinicians treat patients with the right medications. Statins are also recom...
The European Society of Cardiology recommends systematically screening for mental health symptoms during cardiovascular care and assessing cardiovascular risk in those with mental health conditions. People living with both conditions have worse health outcomes due to the interplay between mental health and cardiovascular disease.