Daily Archives: April 4, 2022
#ACC22 – 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure.
4 Apr, 2022 | 01:42h | UTCACC Guideline Hub: Heart Failure
Executive Summary: 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
News Release: ACC, AHA, HFSA Issue Heart Failure Guideline – American Heart Association
Key Perspectives: 2022 AHA/ACC/HFSA Heart Failure Guideline
Slide Set Download: 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure
Commentary on Twitter
New ACC/AHA/HFSA clinical guideline provides patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with #HeartFailure.
Get the details in #JACC: https://t.co/zfbKMXxDNf#ClinicalGuidelines #HFrEF #CardioTwitter pic.twitter.com/hrvTj4TQUm
— JACC Journals (@JACCJournals) April 1, 2022
#ACC22 – RCT: Treatment for mild chronic hypertension during pregnancy is associated with better pregnancy outcomes than a strategy of reserving treatment only for severe hypertension.
4 Apr, 2022 | 01:34h | UTCTreatment for Mild Chronic Hypertension during Pregnancy – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries:
Treating chronic hypertension in early pregnancy benefits parents, babies – NIH News Releases
CHAP: Better Blood Pressure Control, Better Pregnancy Outcomes – TCTMD
Commentary on Twitter
In pregnant women with mild chronic hypertension, targeting a blood pressure of < 140/90 mm Hg was associated with better pregnancy outcomes than a strategy of reserving treatment only for severe hypertension. #ACC22 https://t.co/fDrqa8uQiO pic.twitter.com/9KvogjnKcc
— NEJM (@NEJM) April 2, 2022
#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.
4 Apr, 2022 | 01:37h | UTCTranexamic Acid in Patients Undergoing Noncardiac Surgery – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries:
POISE-3: Tranexamic Acid Stems Bleeding During Noncardiac Surgery – TCTMD
Commentaries on Twitter
HOT OFF THE PRESS:POISE-3 Tranexamic Acid
Incidence of composite bleeding outcome significantly lower with tranexamic acid vs placebo; between-group difference in composite CV outcome was small, but noninferiority of tranexamic acid was not established.https://t.co/FyuBliD0Mr— Steven Cohn, MD (@preopconsult) April 2, 2022
Among patients undergoing noncardiac surgery, the incidence of the composite bleeding outcome was significantly lower with tranexamic acid than with placebo. #ACC22 https://t.co/cYIQhE7YCD pic.twitter.com/l0QKgpEqnG
— NEJM (@NEJM) April 2, 2022
POISE-3 trial results showed a single dose of tranexamic acid before & after surgery significantly ⬇️ severe bleeding risk in pts undergoing noncardiac surgery compared w/ placebo. Findings could have global ? impact, researchers said. https://t.co/LratgyadtE #ACC22 #cvSurg pic.twitter.com/HXlcp6bb0M
— American College of Cardiology (@ACCinTouch) April 2, 2022
WHO Strategic preparedness, readiness and response plan to end the global Covid-19 emergency in 2022.
4 Apr, 2022 | 01:44h | UTC
Commentary on Twitter (thread – click for more)
"WHO is releasing updated Strategic Preparedness, Readiness & Response Plan for #COVID19. This is our 3rd strategic plan for COVID-19, & it could & should be our last. It lays out 3️⃣ possible scenarios for how the pandemic could evolve this year"-@DrTedros https://t.co/ryb0QdlTqG
— World Health Organization (WHO) (@WHO) March 30, 2022
Safety, tolerability and viral kinetics during SARS-CoV-2 human challenge (deliberately infecting individuals in a controlled environment) in young adults.
4 Apr, 2022 | 01:27h | UTCCommentaries:
Understanding COVID-19 through human challenge models – Nature Medicine
First human challenge study of Covid-19 yields valuable insights about how we get sick – CNN
First Human Challenge Trial Shows How COVID-19 Strikes – HealthDay
Related:
Scientists deliberately gave people COVID — here’s what they learnt.
World’s first coronavirus “Human Challenge” study receives ethics approval in the UK (several texts on the subject)
Commentary on Twitter
In the first #SARSCoV2 challenge study in humans, healthy adults were intranasally inoculated with virus and monitored for productive infection, symptoms, virus kinetics, antibody response and safety in a controlled setting @ChrisChiuLab #COVID19 https://t.co/b3H2ftaSFf
— Nature Medicine (@NatureMedicine) March 31, 2022
Researchers generate the first complete, gapless sequence of a human genome.
4 Apr, 2022 | 01:30h | UTCNews Release: Researchers generate the first complete, gapless sequence of a human genome – NIH News Releases
Original Study: The complete sequence of a human genome – Science
Commentaries:
Scientists sequence the complete human genome for the first time – CNN
First complete gap-free human genome sequence published – The Guardian
Scientists finally finish decoding entire human genome – Associated Press
#ACC22 – RCT: Among ambulatory patients with heart failure, a dietary intervention to reduce sodium intake did not reduce clinical events.
4 Apr, 2022 | 01:32h | UTCReduction of dietary sodium to less than 100 mmol in heart failure (SODIUM-HF): an international, open-label, randomised, controlled trial – The Lancet (free registration required)
Commentaries:
SODIUM-HF: No Impact of Dietary Salt Restriction on Death or Hospitalization – TCTMD
Commentary on Twitter
Nutritional counseling/strictly limiting sodium intake didn’t significantly reduce MACE in #HeartFailure patients in 6️⃣ countries, but did modestly improve QOL according to results of SODIUM-HF trial presented at #ACC22. https://t.co/ESjiy6g8a7 #ACCIntl #cvPrev #CardioNutrition pic.twitter.com/CjK6CfWNXg
— American College of Cardiology (@ACCinTouch) April 2, 2022
Randomized, comparative effectiveness study: 3 at-home visual acuity tests validated through comparison with in-office visual acuity measurements, supporting their potential use in teleophthalmology care.
4 Apr, 2022 | 01:17h | UTCValidation of Home Visual Acuity Tests for Telehealth in the COVID-19 Era – JAMA Ophthalmology (free for a limited period)
Commentaries:
Valid but Undervalued – JAMA Ophthalmology (free for a limited period)
At-Home Visual Acuity Tests Valid Versus In-Office Testing – HealthDay
RCT: Higher dose primaquine more effective for preventing relapse of Plasmodium vivax Malaria compared to standard dose.
4 Apr, 2022 | 01:25h | UTC
Commentaries on Twitter
To prevent relapse of Plasmodium vivax malaria, primaquine at a total dose of 7.0 mg per kilogram had higher efficacy than a total dose of 3.5 mg per kilogram. https://t.co/qIu27ruhKP pic.twitter.com/HdTNhqB0J1
— NEJM (@NEJM) April 1, 2022
In most of the Americas, recommended primaquine-based therapy for P. vivax malaria has moderate efficacy for preventing relapse. Whether higher-dose primaquine might reduce recurrence is unknown. New research findings are summarized in a short video. https://t.co/aFt9gNGg0m pic.twitter.com/oiAkLMgPIJ
— NEJM (@NEJM) April 2, 2022
Two new studies show vaccination provides additional protection after Covid-19 infection.
4 Apr, 2022 | 01:16h | UTCCommentaries:
Vaccines offer substantial extra protection after COVID-19 infection – CIDRAP
Had COVID? Getting Vaccine Boosts Resilience Even More, Studies Show – HealthDay
Related:
Commentary on Twitter (thread – click for more)
THREAD | New studies in @TheLancetInfDis confirm #COVID19 vaccines provide extra protection for those with immunity from previous infection, especially against severe disease ⤵️
(Cases of reinfection from omicron variants not included)
— The Lancet (@TheLancet) April 1, 2022
#ACC22 [Not published yet] – RCT: Mavacamten reduces the need for surgical intervention in patients with obstructive hypertrophic cardiomyopathy.
4 Apr, 2022 | 01:13h | UTCCommentaries:
Mavacamten Slashes Need for Septal Reduction in Obstructive HCM: VALOR-HCM – TCTMD
Commentary on Twitter
ICYMI: The VALOR-HCM trial at #ACC22 showed that mavacamten improved symptoms & significantly reduced eligibility for needing septal reduction therapy (SRT) among symptomatic patients with obstructive #cvHCM. Check out the Trial Summary here: https://t.co/fXVp8H0bw5 @DLBHATTMD pic.twitter.com/f0gPp9dNX8
— American College of Cardiology (@ACCinTouch) April 2, 2022
Single-arm cohort study: percutaneous intramyocardial septal radiofrequency ablation in patients with drug-refractory hypertrophic obstructive cardiomyopathy.
4 Apr, 2022 | 01:10h | UTCPercutaneous Intramyocardial Septal Radiofrequency Ablation in Patients With Drug-Refractory Hypertrophic Obstructive Cardiomyopathy – JAMA Cardiology (free for a limited period)
Invited Commentary: Septal Reduction Strategies in Hypertrophic Cardiomyopathy—The Scalpel, Catheter, or Wire? – JAMA Cardiology (free for a limited period)
Video: Percutaneous Intramyocardial Septal Radiofrequency Ablation
Commentary on Twitter
In this cohort study, percutaneous intramyocardial septal radiofrequency ablation was associated with a durable reduction in peak left ventricular outflow tract gradients. Medium-term follow-up saw improvement in symptoms with low morbidity and mortality. https://t.co/DiyLHPR0Bw
— JAMA Cardiology (@JAMACardio) April 1, 2022
#ACC22 – RCT: Diltiazem did not significantly improve coronary vasomotor dysfunction in angina and nonobstructive coronary arteries.
4 Apr, 2022 | 01:09h | UTCEfficacy of Diltiazem to improve coronary vasomotor dysfunction in angina and nonobstructive coronary arteries (ANOCA): Results of the EDIT-CMD randomized clinical trial – JACC: Cardiovascular Imaging (link to abstract – $ for full-text)
Commentaries:
In ANOCA, Diltiazem Fails to Improve Vasomotor Function: EDIT-CMD – TCTMD
Commentary on Twitter
#ACC22 #JACCIMG SimPub: In this first performed RCT in pts w/ ANOCA, authors show that 6 weeks therapy w/ #diltiazem didn't substantially improve CVDys, symptoms or #QoL when compared w/ placebo, but did ⬇️ prevalence of epicardial spasm. https://t.co/An8v4JHkl4 #CardioTwitter pic.twitter.com/D0fRG0PewG
— JACC Journals (@JACCJournals) April 2, 2022
ACG Guideline: Diagnosis and management of Barrett’s esophagus.
4 Apr, 2022 | 01:07h | UTC
ESPEN micronutrient guideline.
4 Apr, 2022 | 01:00h | UTCESPEN micronutrient guideline – Clinical Nutrition
BSR guideline on management of pediatric, adolescent and adult patients with idiopathic inflammatory myopathy.
4 Apr, 2022 | 01:05h | UTC
WHO launches global initiative to tackle deadly insect-borne ‘arboviruses’.
4 Apr, 2022 | 00:57h | UTCWHO launches Global Initiative to Tackle Deadly Insect-Borne ‘Arboviruses’ – Health Policy Watch
WHO’s training for caregivers of children with autism goes online.
4 Apr, 2022 | 00:59h | UTCNews Release: WHO’s training for caregivers of children with autism goes online – World Health Organization
Online Course: WHO eLearning Caregiver Skills Training for Families of Children with Developmental Delays or Disabilities – OpenWHO
RCT: Pembrolizumab vs. placebo as adjuvant therapy in completely resected stage IIB or IIC melanoma.
4 Apr, 2022 | 00:56h | UTCPembrolizumab versus placebo as adjuvant therapy in completely resected stage IIB or IIC melanoma (KEYNOTE-716): a randomised, double-blind, phase 3 trial – The Lancet (link to abstract – $ for full-text)
Building an evidence standards framework for artificial intelligence-enabled digital health technologies.
4 Apr, 2022 | 00:52h | UTC
Registry-based cohort study | recurrent mitral regurgitation after MitraClip: predictive factors, morphology, and clinical implication.
4 Apr, 2022 | 00:55h | UTC
Commentary on Twitter
Residual MR is a predictive factor for recurrent MR in both primary and secondary MR treated with #MitraClip. What predictive factors are different for the two? #AHAJournals #Cardiotwitter #ACCFIT #structuralheart #mitravalvehttps://t.co/gTkiOytNeu pic.twitter.com/HafPkyxNQ6
— CircInterventions (@CircIntv) March 25, 2022
Before-and-after study: Antimicrobial stewardship in high-risk febrile neutropenia patients reduced carbapenem and glycopeptide use and was associated with improved clinical outcomes.
4 Apr, 2022 | 00:49h | UTCRelated:
Management of febrile neutropaenia: ESMO Clinical Practice Guidelines – Annals of Oncology
Commentary from the author on Twitter (thread – click for more)
? Our new study "Antimicrobial stewardship in high-risk febrile neutropenia patients." is now out in #ARIC !?
Find our open access paper here: https://t.co/2fFoHfpEzi
And some data bellow ⬇️ (1/10) pic.twitter.com/kg4pYQs9HD
— Adrien Contejean (@AdrienContejean) March 29, 2022
Guidelines for diagnosing incidental solitary bone lesions on CT and MRI in adults: bone reporting and data system (Bone-RADS).
4 Apr, 2022 | 00:45h | UTC
Commentary on Twitter (article and images under a http://creativecommons.org/licenses/by-nc/4.0/)
Bone RADS- White Paper from @SkeletalRadiol
Want to know how to handle bone lesions? Take a look – open access:https://t.co/mBUFzgJiCf@cychang1414 @ahlawat_shivani @HillaryGarnerMD@mbucknor @Radsdoc82 @behrangamini @IKhodarahmi @JimWuMSK
Apologies couldn't find all authors pic.twitter.com/hL8r04uK40— Adam Singer, MD (@AdamSingerMD) April 1, 2022
Systematic review: there is insufficient evidence that therapeutic drug monitoring improves outcomes during treatment with penicillins.
4 Apr, 2022 | 00:47h | UTC
M-A: Global estimates of diabetic retinopathy prevalence and progression in pregnant women with preexisting diabetes.
4 Apr, 2022 | 00:42h | UTCGlobal Estimates of Diabetic Retinopathy Prevalence and Progression in Pregnant Women With Preexisting Diabetes: A Systematic Review and Meta-analysis – JAMA Ophthalmology (free for a limited period)
Invited Commentary: Diabetic Retinopathy in Pregnancy – JAMA Ophthalmology (free for a limited period)
Commentary on Twitter
In this study, higher #diabeticretinopathy (DR) prevalences were found in pregnant women with pre-existing #diabetes compared w non-pregnant women. Women with T2D compared w T1D were not noted to have a different risk of DR progression during pregnancy. https://t.co/lfTi9kIBTj
— JAMAOphthalmology (@JAMAOphth) April 1, 2022