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.   

Base excess trumps lactate levels in predicting mortality after heart surgery

A low measure of base excess (BE) upon admission to the ICU following cardiac surgery was independently predictive of ICU mortality—more so than increased lactate levels, researchers reported in PLOS One.
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Cardiologist highlights potential harms of Apple Watch’s EKG function

“The people most in need of it, those who might benefit from tests and distance monitoring, are the least likely to get (the Apple Watch),” Aaron E. Carroll, MD, wrote in the New York Times. “If we truly believed this was a medical test beneficial to the general population, insurance should pay for it."

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Study debunks sudden cardiac arrest being more common during the workweek

The long-held belief that sudden cardiac arrests (SCAs) occur most commonly on weekday mornings has been debunked by a team in Portland, Oregon, whose recent study of more than 1,500 SCA victims failed to identify any peak windows during which heart patients were prone to sudden cardiac death.

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Study IDs predictors of mortality in asymptomatic aortic stenosis

Asymptomatic patients with severe aortic stenosis are at greater risk of all-cause and cardiovascular mortality if they have higher peak aortic jet velocities or left ventricular ejection fractions (LVEFs) below 60 percent, researchers reported Oct. 3 in JAMA Cardiology.

Gender gap observed in early TAVI era closing

The considerable survival advantage observed in female patients undergoing transcatheter aortic valve implantation (TAVI) during the procedure’s earlier years has diminished in the contemporary TAVI era, according to research out of Petah Tikva, Israel, meaning men and women are seeing similar outcomes post-procedure.

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Appetite suppressant lorcaserin shrinks probability of incident diabetes

Lorcaserin, an appetite suppressant approved for chronic weight management in 2012, reduced overweight patients’ risk for developing type 2 diabetes (T2D) and improved remission of hyperglycemia in a study of more than 12,000 Massachusetts residents, researchers reported.

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3 days of home BP monitoring enough to confirm hypertension diagnosis

Three days’ worth of home blood pressure monitoring (HBPM) data is enough to confirm a diagnosis of clinical hypertension and initiate treatment, according to research published in the Journal of the American Heart Association.

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Southern diet singled out as top factor for racial gap in hypertension

Adherence to a “Southern diet” may be the biggest driver of racial disparities in hypertension rates among black and white adults in the U.S., according to a prospective cohort study published Oct. 2 in JAMA.