16 results match your criteria: "1 Department of Medicine Columbia University Irving Medical Center New York NY.[Affiliation]"

Article Synopsis
  • A study was conducted on heart failure (HF) risk factors among American Indian communities, revealing a lack of existing research in this area despite high diabetes and cardiovascular issues.
  • The study analyzed data from 3,059 participants, identifying key predictors of HF over time, including age, smoking, kidney damage, and history of heart attacks, with strong predictive performance indicated.
  • The findings highlight that diabetes control and kidney damage indicators are significant in determining HF risks, which could help improve risk prediction and management in these communities.
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Randomized Trials of Renal Denervation for Uncontrolled Hypertension: An Updated Meta-Analysis.

J Am Heart Assoc

August 2024

Division of Cardiovascular Medicine, Department of Medicine Henry Ford Health Detroit MI.

Article Synopsis
  • A meta-analysis was conducted to evaluate the effectiveness and safety of catheter-based renal denervation (RDN) in patients with uncontrolled hypertension, including those on and off antihypertensive medications.
  • The analysis included 15 randomized trials with a total of 2,581 patients, showing significant reductions in blood pressure for both groups, with larger decreases observed in those not taking medications.
  • RDN was found to be effective in lowering blood pressure while also demonstrating a good safety profile, confirming its potential as a treatment option for uncontrolled hypertension.
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Article Synopsis
  • Research shows that better rest-activity rhythms (RARs) can lower the risk of cardiovascular disease (CVD) and related health issues like hypertension and obesity.
  • Participants with more consistent and active daily patterns had significantly lower odds of prevalent CVD and obesity.
  • The study highlights the importance of stable sleep-wake routines, with earlier and restful sleep periods linked to better cardiovascular health outcomes.
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Background: Venous thromboembolism (VTE) affects >1.2 million Americans annually. Although the clinical outcomes and economic burdens of VTE have been well described, the impact of VTE on patients' health status has yet to be summarized.

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Background Insufficient sleep is associated with increased cardiovascular disease risk, but causality is unclear. We investigated the impact of prolonged mild sleep restriction (SR) on lipid and inflammatory profiles. Methods and Results Seventy-eight participants (56 women [12 postmenopausal]; age, 34.

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Article Synopsis
  • The study examined the prevalence and types of organ damage related to hypertension in patients who arrive at the emergency department (ED) during hypertensive emergencies.
  • Out of 15 studies with 4,370 patients, it was found that 0.5% of all ED patients and 35.9% of those with hypertensive crisis experienced emergencies.
  • The most common complications included ischemic stroke and pulmonary edema, with a notable in-hospital mortality rate of 9.9% among hypertensive emergency patients.
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  • Transthyretin amyloid cardiomyopathy (ATTR-CM) is a significant cause of heart failure in older adults, often linked to a specific genetic variant (pV142I) primarily found in individuals of West African descent.
  • The SCAN-MP study aims to determine how prevalent ATTR-CM is in older Black and Caribbean Hispanic patients with heart failure, using noninvasive imaging techniques.
  • This study is the largest of its kind focusing on cardiac amyloidosis in these populations and could lead to better treatment strategies using the approved drug tafamidis.
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Article Synopsis
  • * Researchers analyzed data from the Multi-Ethnic Study of Atherosclerosis (MESA) Sleep Study, involving 1920 participants, to create new CVH scores that factor in various sleep characteristics linked to cardiovascular disease (CVD).
  • * Findings indicate that higher scores on the revised CVH measures, particularly those that include sleep health, were associated with significantly lower odds of prevalent and incident CVD among older adults, suggesting sleep is an important factor in cardiovascular health.
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Background Sedentary behavior is associated with cardiovascular disease, but its association with incident atrial fibrillation is not well studied. Our aim was to measure the association between objectively measured sedentary behavior and incident atrial fibrillation. Methods and Results Sedentary behavior was measured by a triaxial accelerometer worn on a belt for 1 week.

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Background Sleep variability and social jetlag are associated with adverse cardiometabolic outcomes via circadian disruption. Variable eating patterns also lead to circadian disruption, but associations with cardiometabolic health are unknown. Methods and Results Women (n=115, mean age: 33±12 years) completed a 1-week food record using the Automated Self-Administered 24-Hour Dietary Assessment Tool at baseline and 1 year.

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Background We sought to assess the impact and predictors of coronavirus disease 2019 (COVID-19) infection and severity in a cohort of patients with congenital heart disease (CHD) at a large CHD center in New York City. Methods and Results We performed a retrospective review of all individuals with CHD followed at Columbia University Irving Medical Center who were diagnosed with COVID-19 between March 1, 2020 and July 1, 2020. The primary end point was moderate/severe response to COVID-19 infection defined as (1) death during COVID-19 infection; or (2) need for hospitalization and/or respiratory support secondary to COVID-19 infection.

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Article Synopsis
  • Cardiovascular issues are common in COVID-19 patients and significantly increase the risk of death; diagnostic studies might help identify those at higher risk.
  • An analysis of 887 COVID-19 patients revealed that 63% survived without mechanical ventilation, while 23% died; notable ECG findings included atrial fibrillation in 5% and ST-T wave changes in 38%.
  • Factors like elevated cardiac troponin levels, older age, and specific heart rhythm abnormalities (like AF/AFL) were linked to a higher mortality rate, emphasizing the need for targeted cardiac assessments at admission.*
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Hepatocellular carcinoma (HCC) has a strong racial and ethnic association, with Hispanic patients having a higher incidence and mortality. However, there are limited data regarding clinical features and outcomes. This study includes Hispanic and non-Hispanic White patients with HCC diagnosed between January 2000 and June 2014 from five United States academic medical centers.

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Background The enterosalivary nitrate-nitrite-nitric oxide pathway is an alternative pathway of nitric oxide generation, potentially linking the oral microbiome to insulin resistance and blood pressure (BP). We hypothesized that increased abundance of nitrate-reducing oral bacteria would be associated with lower levels of cardiometabolic risk cross-sectionally. Methods and Results ORIGINS (Oral Infections, Glucose Intolerance, and Insulin Resistance Study) enrolled 300 diabetes mellitus-free adults aged 20 to 55 years (mean=34±10 years) (78% women).

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Nonalcoholic steatohepatitis (NASH) is emerging as a major public health issue and is associated with significant liver-related morbidity and mortality. At present, there are no approved drug therapies for NASH. The transcriptional coactivator with PDZ-binding motif (TAZ; encoded by WW domain-containing transcription regulator 1 []) is up-regulated in hepatocytes in NASH liver from humans and has been shown to causally promote inflammation and fibrosis in mouse models of NASH.

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Background Obtaining out-of-clinic blood pressure ( BP ) measurements to confirm a diagnosis of hypertension is recommended before initiating treatment. There are few empiric data available on the number of measurements required to reliably estimate BP on home BP monitoring ( HBPM ). Methods and Results We analyzed data from 316 community-dwelling adults not taking antihypertensive medication from the IDH (Improving the Detection of Hypertension) study who performed HBPM for 14 days.

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