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Mashup Score: 21Shortness of breath as a diagnostic factor for acute coronary syndrome in male and female callers to out-of-hours primary care - 18 hour(s) ago
Objective Chest discomfort and shortness of breath (SOB) are key symptoms in patients with acute coronary syndrome (ACS). It is, however, unknown whether SOB is valuable for recognising ACS during telephone triage in the out-of-hours primary care (OHS-PC) setting. Methods A cross-sectional study performed in the Netherlands. Telephone triage conversations were analysed of callers with chest discomfort who contacted the OHS-PC between 2014 and 2017, comparing patients with SOB with those who did not report SOB. We determine the relation between SOB and (1) High urgency allocation, (2) ACS and (3) ACS or other life-threatening diseases. Results Of the 2195 callers with chest discomfort, 1096 (49.9%) reported SOB (43.7% men, 56.3% women). In total, 15.3% men (13.2% in those with SOB) and 8.4% women (9.2% in those with SOB) appeared to have ACS. SOB compared with no SOB was associated with high urgency allocation (75.9% vs 60.8%, OR: 2.03; 95%âCI 1.69 to 2.44, multivariable OR (mOR): 2.03;
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 16Augmenting reality in echocardiography - 2 day(s) ago
Echocardiography is a vital first-line imaging tool for the diagnosis and management of many cardiovascular diseases. Its availability and low cost have encouraged widespread use by clinicians for the diagnosis and management of patients with heart failure.1 Visual estimation is widely used to assess ejection fraction (EF), the percentage of blood the left ventricle pumps out during a contraction. Accurately determining the EF in patients with heart failure is crucial for the implementation of timely guideline-directed medical treatment. There is a substantial need for high-fidelity determination of EF in emergency settings. However, there is high interobserver variability with visual estimation methods, which can be compounded by inadequate quality of capture and lack of specialised training in both obtaining and interpreting echocardiograms in these settings.2 The work presented by Choi et al 3 represents an important advance in reducing the burden of time and cost constraints in mea
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 10Cost-effectiveness of ultra-low-dose quadruple combination therapy for high blood pressure | Heart Podcast - 3 day(s) ago
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Emily Atkins from The George Institute in Sydney, Australia. They discuss the use of low-dose combination medications for treating hypertension. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to published paper: https://heart.bmj.com/content/early/2023/07/25/heartjnl-2022-322300 and https://www.sciencedirect.com/science/article/pii/S014067362101922X?via%3Dihub
Source: heartbmj.podbean.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 1
The UK National Institute for Health and Care Excellence (NICE) guidance for hypertension management has recently been updated. This review article summaries the main recommendations in NICE guidelines, and compares them with the American and European guidelines. NICE and the European Society of Cardiology (ESC) recommend diagnosing hypertension at a higher level than the American College of Cardiology/American Heart Association (ACC/AHA). NICE treats to less stringent targets than both the ACC/AHA and the ESC, while using similar, although non-combination pill based, treatment regimens.
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 2Augmenting reality in echocardiography - 4 day(s) ago
Echocardiography is a vital first-line imaging tool for the diagnosis and management of many cardiovascular diseases. Its availability and low cost have encouraged widespread use by clinicians for the diagnosis and management of patients with heart failure.1 Visual estimation is widely used to assess ejection fraction (EF), the percentage of blood the left ventricle pumps out during a contraction. Accurately determining the EF in patients with heart failure is crucial for the implementation of timely guideline-directed medical treatment. There is a substantial need for high-fidelity determination of EF in emergency settings. However, there is high interobserver variability with visual estimation methods, which can be compounded by inadequate quality of capture and lack of specialised training in both obtaining and interpreting echocardiograms in these settings.2 The work presented by Choi et al 3 represents an important advance in reducing the burden of time and cost constraints in mea
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 2Augmenting reality in echocardiography - 6 day(s) ago
Echocardiography is a vital first-line imaging tool for the diagnosis and management of many cardiovascular diseases. Its availability and low cost have encouraged widespread use by clinicians for the diagnosis and management of patients with heart failure.1 Visual estimation is widely used to assess ejection fraction (EF), the percentage of blood the left ventricle pumps out during a contraction. Accurately determining the EF in patients with heart failure is crucial for the implementation of timely guideline-directed medical treatment. There is a substantial need for high-fidelity determination of EF in emergency settings. However, there is high interobserver variability with visual estimation methods, which can be compounded by inadequate quality of capture and lack of specialised training in both obtaining and interpreting echocardiograms in these settings.2 The work presented by Choi et al 3 represents an important advance in reducing the burden of time and cost constraints in mea
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 3Cardiovascular sequelae of trastuzumab and anthracycline in long-term survivors of breast cancer - 7 day(s) ago
Objectives Long-term follow-up of patients treated with trastuzumab largely focuses on those with reduced left ventricular ejection fraction (LVEF) on treatment completion. This study sought to evaluate the prevalence of cardiovascular risk factors, overt cardiovascular disease and cardiac imaging abnormalities using cardiac magnetic resonance (CMR), in participants with normal LVEF on completion of trastuzumab±anthracycline therapy at least 5 years previously. Methods Participants with human epidermal growth factor receptor 2-positive breast cancer treated with trastuzumab±anthracycline â„5 years previously were identified from a clinical database. All participants had normal LVEF prior to, and on completion of, treatment. Participants underwent clinical cardiovascular evaluation, ECG, cardiac biomarker evaluation and CMR. Left ventricular systolic dysfunction (LVSD) was defined as LVEF <50%. Results Forty participants were recruited between 15 March 2021 and 19 July 2022. Median time
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 3Cardiovascular sequelae of trastuzumab and anthracycline in long-term survivors of breast cancer - 7 day(s) ago
Objectives Long-term follow-up of patients treated with trastuzumab largely focuses on those with reduced left ventricular ejection fraction (LVEF) on treatment completion. This study sought to evaluate the prevalence of cardiovascular risk factors, overt cardiovascular disease and cardiac imaging abnormalities using cardiac magnetic resonance (CMR), in participants with normal LVEF on completion of trastuzumab±anthracycline therapy at least 5 years previously. Methods Participants with human epidermal growth factor receptor 2-positive breast cancer treated with trastuzumab±anthracycline â„5 years previously were identified from a clinical database. All participants had normal LVEF prior to, and on completion of, treatment. Participants underwent clinical cardiovascular evaluation, ECG, cardiac biomarker evaluation and CMR. Left ventricular systolic dysfunction (LVSD) was defined as LVEF <50%. Results Forty participants were recruited between 15 March 2021 and 19 July 2022. Median time
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 2Rationale and design of the United Kingdom Heart Failure with Preserved Ejection Fraction Registry - 9 day(s) ago
Objective Heart failure with preserved ejection fraction (HFpEF) is a common heterogeneous syndrome that remains imprecisely defined and consequently has limited treatment options and poor outcomes. Methods The UK Heart Failure with Preserved Ejection Fraction Registry (UK HFpEF) is a prospective data-enabled cohort and platform study. The study will develop a large, highly characterised cohort of patients with HFpEF. A biobank will be established. Deep clinical phenotyping, imaging, multiomics and centrally held national electronic health record data will be integrated at scale, in order to reclassify HFpEF into distinct subgroups, improve understanding of disease mechanisms and identify new biological pathways and molecular targets. Together, these will form the basis for developing diagnostics and targeted therapeutics specific to subgroups. It will be a platform for more effective and efficient trials, focusing on subgroups in whom targeted interventions are expected to be effectiv
Source: heart.bmj.comCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 7Using smartwatches to measure VO2 max - is it helpful in ACHD patients? | Heart Podcast - 10 day(s) ago
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Tomio Tran from Seattle. They discuss his paper about how well smartwatches measure peak oxygen consumption compared to CPET in ACHD subjects. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts – it’s really helpful. Link to published paper:https://heart.bmj.com/content/110/5/353Â
Source: heartbmj.podbean.comCategories: General Medicine News, Cardiology News and JournTweet
Shortness of breath as a diagnostic factor for acute coronary syndrome in male and female callers to out-of-hours primary care đ„ đ„ https://t.co/Cl2Jg6dZC7 https://t.co/iSmm6xgj9e