TACT Academy for Clinical Training’s Post

Artificial intelligence has the potential to bring significant advancements to the field of cardiology.  This has become increasingly evident as artificial intelligence tools can not only identify and prevent heart diseases but also aid in patient examinations and complete treatment. This will help ensure that patients in low-income countries in Africa have access to affordable diagnostic tools for heart diseases.

In JAMA, we determine how common the newly defined cardio-kidney-metabolic (#CKM) syndrome is We use the nationally representative #NHANES data and find: ⭐ Almost 90% of Americans have at least one CKM risk factor ⭐ Young adults (<45 years) have much higher rates of CKM than expected ⭐ CKM health has not improved from 2011 to 2020 ⭐ Significant race and ethnicity disparities were observed Our findings suggest urgent need for #public #health interventions to improve #heart, #kidney, and #metabolic disease Full article: https://lnkd.in/dPrJNZm9 Tweetorial: https://lnkd.in/dsUfKWQ4 Special thanks to amazing mentor Muthu Vaduganathan & co-author #John Ostrominski Brigham and Women's Hospital, Harvard Medical School #AHA #Cardiology #JAMA #CKM Syndrome

Ahead of print Anxiety and depression can adversely affect the prognosis following cardiovascular diseases (CVDs) and may be associated with resistance to hypertension (HT) treatment. A better understanding of the complex biological substratum of resistant HT complicated by depression and anxiety is crucial for designing future primary care strategies. To evaluate the relationship between anxiety and depression and resistant HT, which will help to look at resistant HT from a broader perspective and aid the development of new strategies for diagnosis and treatment. https://lnkd.in/d_HcDFvn

Walk for your health! A meta-analysis published in the Journal of the American College of Cardiology has quantified the ideal number of daily steps for reducing mortality risk. Researchers analyzed data from 111,309 individuals across 12 studies and found that health benefits begin at just 2,517 steps per day, with optimal benefits at about 8,800 steps daily. Interestingly, the study also found that step intensity (cadence) provided additional health benefits beyond total volume.  https://lnkd.in/ey3MEMQa Previous research has shown that, beyond walking more, sitting less is also important. One meta-analysis involving 18 studies and over 800,000 subjects found that those who sat the most had a 2-fold higher risk of diabetes, a 2.5-fold higher risk of heart disease, a 90% higher risk of death from heart disease, and a 50% higher risk of death from all causes when compared to those that sat the least. https://lnkd.in/eJrvESxM I’ve talked about the subject for a long time and in multiple posts in the past. So do your daily steps, and try to never sit more than 1h at a time, you might well be amazed by the results! #walkforyourhealth #preventivemedicine #lifestylemedicine #stayshealthy #alwayskeepmoving

Have you ever thought that people with an inherited bleeding disorder could develop thrombotic cardiovascular disease? Hemophilia management significantly increased life expectancy in the last decades. People with hemophilia were expected to die due to bleedings at their 30s, during the first half of the XX century and in many countries where modern treatment is not available. After the introduction of home treatment and prophylaxis, life expectation is almost similar to non-hemophilia counterparts. And then, risk factors for thrombotic cardiovascular disease were identified… Here you can find one publication describing Brazilian people with hemophilia. We evaluated the 10-year risk of developing cardiovascular disease by the Framingham Risk Score, as suggested by the Brazilian Cardiology Association. We hope the same participants will be contacted in the near future and describe what has changed and what happened. What about your patients? #hemofilia #hemophilia #haemophilia #hemophilie https://lnkd.in/d7Pi98_2

Atrial fibrillation is likely more common than we thought. Not only is this complicated by the potential for asymptomatic presentation, but also because many of the risk-associated comorbidities present with overlapping symptoms. Finally, it is important to note that the monitors used to detect arrhythmias are not all the same. You can learn more about that by looking at the Camelot Study here: https://lnkd.in/eGc53cru https://lnkd.in/eeDeip-v

𝗟𝗶𝗻𝗸𝗶𝗻𝗴 𝗚𝗲𝘀𝘁𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗗𝗶𝗮𝗯𝗲𝘁𝗲𝘀 𝘁𝗼 𝗜𝗻𝗰𝗿𝗲𝗮𝘀𝗲𝗱 𝗖𝗩𝗗 𝗥𝗶𝘀𝗸 𝗶𝗻 𝗠𝗼𝘁𝗵𝗲𝗿𝘀 𝗮𝗻𝗱 𝗢𝗳𝗳𝘀𝗽𝗿𝗶𝗻𝗴: 𝗜𝗻𝘀𝗶𝗴𝗵𝘁𝘀 𝗳𝗿𝗼𝗺 𝗮 𝗦𝘆𝘀𝘁𝗲𝗺𝗮𝘁𝗶𝗰 𝗥𝗲𝘃𝗶𝗲𝘄 𝗮𝗻𝗱 𝗠𝗲𝘁𝗮-𝗔𝗻𝗮𝗹𝘆𝘀𝗶𝘀 In a recent systematic review and meta-analysis published on Cardiovascular Diabetology, under BMC and led by the #GloW Team, unveiled significant findings on the relationship between gestational diabetes mellitus (GDM) and cardiovascular diseases (CVDs), in both mothers and offspring. It was found that women with GDM and children born to mothers with GDM are 46% and 31% respectively more likely to develop CVDs compared to those without GDM. Assistant Professor Ling-Jun Li, the senior and corresponding author of the study, emphasizes the importance of public health interventions to assess CVD risk in the field of GDM. She states, “Our study presents substantial evidence on the enduring risk that GDM poses on CVD development across both mother and offspring populations. These findings underscore the need to adopt early preventive strategies to prevent the development of future CVDs in GDM-complicated pregnancies." Please read the full manuscript at: https://lnkd.in/drs_tEgD #CVD #GestationalDiabetes #GDM

In July, a systematic review with meta-analysis was published in BMC Public Health titled “Physical activity is associated with lower mortality in adults with obesity: a systematic review with meta-analysis". Researchers examined the effect of physical activity levels on mortality in adults with obesity. The main outcomes of mortality included all-cause mortality, cardiovascular and cancer mortality, reported by hazard ratios or relative risk. The following results were found in active individuals compared to insufficiently active individuals: - 21% lower risk of all-cause mortality - 24% lower risk of cardiovascular mortality - No statistically significant results for risk of cancer mortality (however, there was a hazard ratio of 0.91 based on two studies). The results supported an association between moderate to high levels of physical activity and all-cause and cardiovascular disease mortality. Keep up to date on childhood obesity-related research and news in our monthly newsletter! https://lnkd.in/ewGBV5e3 #NCCOR #NCOAM #PhysicalActivity https://lnkd.in/e6YAx5UA

A recent study published in the JAHA — Journal of the American Heart Association investigated the effects of high #lpa alone and when combined with other SMuRFs on the risk of having a first #heartattack. SMuRFs is a cute acronym for something that is not cute at all, namely standard modifiable risk factors for heart disease, including #hypertension, #diabetes, #smoking, and #dyslipidemia. This study examined > 6,000 patients who were free of cardiovascular disease at baseline and followed them for a median of 8.8 years. Some highlights are below. • High Lp(a) was defined as > 90th percentile and low Lp(a) was defined as < 51st percentile • An increasing number of SMuRFs was associated with an increased risk of having a first heart attack during the study period • There was about a 3-fold risk of a first heart attack in those with high Lp(a) vs those with low Lp(a) for any given number of SMuRFs • The risk for high Lp(a) was equivalent to having 2 SMuRFs • Most importantly, the absolute risk added by high Lp(a) was greater in those with more SMuRFs than in those with fewer SMuRFs This last point is important because it suggests managing other risk factors in those with high Lp(a) may decrease absolute risk quite a bit and should be undertaken aggressively. This paper has some limitations, which the authors discuss, including measuring risk factors only at baseline and using absolute cut points for things like dyslipidemia rather than continuous variables. However, for people like me with high Lp(a), it is another push to aggressively control all modifiable risk factors even if you have no history or signs or symptoms of heart disease. Link to article in comments. #prevention #cardiovasculardisease #coronaryarterydisease #lipidology

Regular eye examinations are not only important for maintaining good vision, but also serve as a window into your overall health. Optometrists and ophthalmologists can spot various signs and symptoms in your eyes that may indicate underlying health conditions before they have even been diagnosed. Some common general health conditions that can be detected during an eye examination include: Diabetes Hypertension (high blood pressure)  High Cholesterol Autoimmune Disease Thyroid Disease Neurological Conditions Some Cancers  Cardiovascular Disease #nexuseyecare #norwest #blacktown #ophthalmology #eyecare