Progression of Rheumatic Heart Disease: A Case of Failed Secondary Prevention.

Recurrent acute rheumatic fever in patients who have completed secondary antibiotic prophylaxis is exceedingly rare. This paper presents a case of recurrent acute rheumatic fever with progressive rheumatic heart disease in a middle-aged woman requiring emergent surgical valvular repair and an additional course of secondary antibiotic prophylaxis.

Acute Pancreatitis in a Patient Taking Semaglutide.

The Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes (SUSTAIN-6) trial showed that semaglutide, a glucagon-like peptide-1 receptor agonist (GLP-1 RA), is effective in managing type 2 diabetes by stimulating insulin secretion and promoting weight loss. Though recent evidence suggests no increased risk of acute pancreatitis (AP) with subcutaneous semaglutide use, some studies report an increase in pancreatic inflammation with GLP-1 RAs. We present a case of AP in a patient recently started on subcutaneous semaglutide for type 2 diabetes.

Stroke risk in radial versus femoral approach in coronary intervention: an updated systematic review and meta-analysis.

Aim: Peri-cardiac catheterization (CC) stroke is associated with increased morbidity and mortality. Little is known about any potential difference in stroke risk between transradial (TR) and transfemoral (TF) approaches. We explored this question through a systematic review and meta-analysis.