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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Risk factors fail to explain higher rates of sudden cardiac death in blacks

Even after adjusting for cardiovascular, behavioral and socioeconomic factors, black adults remain twice as likely to die from sudden cardiac death (SCD) as whites, suggests a study published in the Journal of the American College of Cardiology.

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Competitive sports appear safe for young athletes with ICDs

There were no serious adverse events related to competition in a study of 129 young athletes with implantable cardioverter defibrillators (ICDs), providing reassurance that moderate-to-intense physical activity in this population may be safer than previously thought.

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Study: Depressed patients see up to 7-fold higher risk for AFib

Individuals with clinical depression could face a more than seven-fold increased risk of atrial fibrillation (AF), especially in the earliest stages of their diagnosis, a population study out of Denmark suggests.

Radial access PCI, proper dosing could cut bleeding rates for frail MI patients

People who are frail and older than 65 are at a 50 percent increased risk of major bleeding during hospitalizations for heart attack compared to nonfrail patients, according to research published Nov. 19 in JACC: Cardiovascular Interventions.

PCI guided by intravascular ultrasound linked to long-term advantages

The use of intravascular ultrasound (IVUS) to guide PCI leads to further improvements in event-free survival between one and two years post-procedure, according to a report from the ADAPT-DES study published in Circulation: Cardiovascular Interventions.

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Risk of major stroke lower after transfemoral TAVR than SAVR

The risk of major stroke was higher in the 30 days following surgical aortic valve replacement (SAVR) compared to transfemoral TAVR, according to a propensity-matched analysis from the PARTNER trials published Nov. 12 in the Journal of the American College of Cardiology.

SGLT2 inhibitors tied to ketoacidosis, limb amputation in diabetics

An observational study of nearly 35,000 Scandinavian patients with type 2 diabetes (T2D) has found sodium-glucose cotransporter 2 (SGLT2) inhibitors, a class of prescription drugs approved by the FDA to lower blood sugar in adults with T2D, may almost double patients’ risks of lower limb amputation and diabetic ketoacidosis compared to glucagon-like peptide 1 (GLP1) receptor agonists.

Statin, antiplatelet prescriptions lag for PAD patients at risk of stroke

Heart patients with symptoms of peripheral artery disease (PAD) continue to see low rates of prescriptions for antiplatelets, statins and ACE inhibitors, despite those drugs’ potential to prevent against major events like stroke, according to research published Nov. 15 in Stroke.