404 results match your criteria: "and Liverpool Heart and Chest Hospital[Affiliation]"

Do non-dihydropyridine calcium channel blockers increase bleeding risk with direct oral anticoagulants?

Heart Rhythm

December 2024

Liverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, Liverpool, United Kingdom; Department of Cardiology, Liverpool Heart & Chest Hospital, Liverpool, United Kingdom; Danish Centre for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark. Electronic address:

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Rationale & Objective: Glomerulonephritis (GN) is a leading cause of chronic kidney disease (CKD). Major adverse cardiovascular events (MACE) are prolific in CKD. The risk of MACE in GN cohorts is multifactorial.

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"Close your eyes and relax": the role of hypnosis in reducing anxiety, and its implications for the prevention of cardiovascular diseases.

Front Psychol

July 2024

Department of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, Faculty of Health and Life Science, University of Liverpool, Liverpool, United Kingdom.

Anxiety is the most common form of mental health disorder, affecting millions of people worldwide. Psychosocial interventions such as mindfulness and cognitive behavioral therapy (CBT) have been suggested as an effective treatment in the management of general anxiety and anxiety disorders, with emerging evidence also suggesting the effectiveness of hypnosis. Moreover, anxiety has shown to be linked to the onset and development of several cardiovascular diseases (CVD), which are the leading cause of global death.

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Patients with acutely decompensated heart failure (ADHF) are usually admitted to hospital for management. There is growing interest in delivering intravenous (IV) diuretic therapy at home, in the community or at hospital day-care units; the safety and effectiveness of outpatient-based management (OPM) for ADHF has not been established. We conducted a systematic literature review and meta-analysis to investigate the short-term safety and effectiveness of OPM compared with inpatient management (IPM) of ADHF.

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Background: Some clinical characteristics and comorbidities in atrial fibrillation (AF) patients are exclusion criteria in randomized clinical trials (RCTs) investigating oral anticoagulants (OAC). However, these conditions are present also in everyday clinical practice patients. We compared the risk of adverse clinical outcomes between patients with and without RCT exclusion criteria.

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The importance of integrated care for complex, multiple long term conditions was acknowledged before the COVID pandemic but remained a challenge. The pandemic and consequent development of Long COVID required rapid adaptation of health services to address the population's needs, requiring service redesigns including integrated care. This Delphi consensus study was conducted in the UK and found similar integrated care priorities for Long COVID and complex, multiple long term conditions, provided by 480 patients and health care providers, with an 80% consensus rate.

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Anthracyclines are associated with enhanced oxidative stress responsible for adverse events in patients with breast cancer. However, no study has investigated the potential anti-inflammatory role of statins in counteracting anthracycline toxicity. In this retrospective study utilizing a federated health network (TriNetX), patients with breast cancer (ICD code C50) treated with anthracyclines were categorized into two groups: statin users (for at least 6 months); and statin non-users.

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Exergames in exercise-based cardiac rehabilitation for patients with heart failure: a systematic review.

J Cardiovasc Med (Hagerstown)

September 2024

Department of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, University of Liverpool.

Aim: The aim of this study was to systematically review the current literature on the use of exergames as an exercise-based cardiac rehabilitation intervention for patients with heart failure.

Methods: PubMed, SCOPUS and CINAHL Plus databases were searched from January 2007 to August 2023. Studies considered eligible for inclusion had to report one or more of the following outcomes: functional capacity (e.

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Objective: To examine the effects of fish oil supplements on the clinical course of cardiovascular disease, from a healthy state to atrial fibrillation, major adverse cardiovascular events, and subsequently death.

Design: Prospective cohort study.

Setting: UK Biobank study, 1 January 2006 to 31 December 2010, with follow-up to 31 March 2021 (median follow-up 11.

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Article Synopsis
  • * Effective management of hypertension aims to prevent organ damage and reduce mortality, emphasizing the importance of monitoring blood pressure and assessing for associated organ harm.
  • * Plasma biomarkers, including natriuretic peptides, can serve as non-invasive tests to identify organ damage in hypertensive patients, and combining multiple biomarkers may enhance early detection and treatment optimization.
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This is an executive summary of the recent guidance produced by the Scottish Intercollegiate Guidelines Network (SIGN) dementia guideline group with regards to the investigation of suspected dementia. This is a sub-section of the broader SIGN 168 guideline released in November 2023. The guideline group included clinicians with expertise in Old Age Psychiatry, Neurology, Radiology, and Nuclear Medicine supported by colleagues from the SIGN and Healthcare Improvement Scotland teams.

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Article Synopsis
  • * Data from over 14,000 AF patients were analyzed, revealing that after three years, there were significant rates of major cardiovascular events (MACE) and death among those on different treatment regimens.
  • * Results showed that patients using combination therapy (beta-blockers and digoxin) had a higher risk of MACE and all-cause death compared to those using only beta-blockers.
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Background: Evidence for the relationship between remnant cholesterol (RC) and incident atrial fibrillation (AF) risk remains sparse and limited.

Methods And Results: Participants were enrolled between 2006 and 2010 and followed up to 2021. The multivariable Cox proportional hazards model was used to examine the relationship between RC quartiles and risk of incident AF.

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Background: The aim of this study was to evaluate the impact of educational status (ES) on the clinical course of Asian patients with atrial fibrillation (AF).

Methods: We used data from the prospective APHRS-AF Registry. ES was classified as follows: low (primary school), medium (secondary), and high (University).

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Article Synopsis
  • This study investigates the real-world risks of stroke/systemic embolism (SE) and major bleeding (MB) among patients with non-valvular atrial fibrillation (NVAF) who switch from warfarin to direct oral anticoagulants (DOACs) like apixaban, dabigatran, and rivaroxaban.
  • Data was collected from U.S. commercial claims databases between 2012 and 2019, focusing on NVAF patients switching from warfarin to DOACs within 90 days, and employing statistical models to assess risks.
  • Findings suggest that apixaban offers a significantly lower risk of stroke/SE and MB compared to dabigatran, while having a similar
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The current use of proteomics and metabolomics in glomerulonephritis: a systematic literature review.

J Nephrol

June 2024

Department of Women's and Children's Health, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.

Background: Glomerulonephritis inherently leads to the development of chronic kidney disease. It is the second most common diagnosis in patients requiring renal replacement therapy in the United Kingdom. Metabolomics and proteomics can characterise, identify and quantify an individual's protein and metabolite make-up.

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Article Synopsis
  • This study investigates the relationship between retinal vascular structure (analyzed through OCTA) and retinal blood flow, introducing a model to study how variations in vascular structure impact function.
  • A virtual network of 200 healthy retinal vasculatures was created, revealing specific correlations between retinal blood flow and various vascular metrics, while macular flow fraction was not tied to these metrics.
  • The developed framework successfully mimics real macular vasculatures, offering valuable insights into how changes in vascular shape may influence blood flow and retinal health.
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Fibrinaloid Microclots and Atrial Fibrillation.

Biomedicines

April 2024

Department of Biochemistry, Cell and Systems Biology, Institute of Systems, Molecular and Integrative Biology, Faculty of Health and Life Sciences, University of Liverpool, Crown St, Liverpool L69 7ZB, UK.

Atrial fibrillation (AF) is a comorbidity of a variety of other chronic, inflammatory diseases for which fibrinaloid microclots are a known accompaniment (and in some cases, a cause, with a mechanistic basis). Clots are, of course, a well-known of atrial fibrillation. We here ask the question whether the fibrinaloid microclots seen in plasma or serum may in fact also be a cause of (or contributor to) the development of AF.

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Background: Prediabetes, which is a precedent of overt diabetes, is a known risk factor for adverse cardiovascular outcomes. Its impact on adverse cardiovascular outcomes in patients with cancer who are prescribed anthracycline-containing chemotherapy (ACT) is uncertain. The objective of this study was to evaluate the association of prediabetes with cardiovascular events in patients with cancer who are prescribed ACT.

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Morbidity and mortality risks associated with valproate withdrawal in young adults with epilepsy.

Brain

October 2024

Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.

Valproate is the most effective treatment for idiopathic generalized epilepsy. Current guidance precludes its use in females of childbearing potential, unless other treatments are ineffective or not tolerated, because of high teratogenicity. This risk was recently extended to males.

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Background:  Bleeding events are often reported among patients with atrial fibrillation (AF), irrespective of antithrombotic use. This study is to determine clinical outcomes of patients with AF who survived from bleeding event.

Methods:  We analyzed data from COOL-AF (Cohort of Antithrombotic Use and Optimal International Normalized Ratio Levels in Patients with Atrial Fibrillation) Thailand registry.

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Article Synopsis
  • The study aimed to develop machine learning algorithms to analyze electrocardiograms (ECGs) for diagnosing cardiac autonomic neuropathy (CAN) in diabetic patients.
  • Researchers utilized motif and discord extraction techniques along with long short-term memory networks to evaluate the effectiveness of these methods using various performance metrics via 10-fold cross-validation.
  • The findings showed high accuracy in detecting severe CAN (dsCAN) with an accuracy of 0.92, while detecting any stage of CAN had a lower accuracy of 0.65, suggesting the potential of machine learning in improving CAN diagnosis and screening.
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Introduction: Chronic stable angina is common and disabling. Cardiac rehabilitation is routinely offered to people following myocardial infarction or revascularisation procedures and has the potential to help people with chronic stable angina. However, there is insufficient evidence of effectiveness and cost-effectiveness for its routine use in this patient group.

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  • Balancing the safety and effectiveness of antithrombotic drugs in patients with gastrointestinal disorders is complex due to issues with drug absorption and increased bleeding risks.
  • The review focuses on enteral antithrombotic therapy for patients with cardiovascular conditions and gastrointestinal issues, outlining risk assessment and methods to reduce gastrointestinal bleeding (GIB).
  • It emphasizes the importance of teamwork in customizing antithrombotic therapy, based on medical society guidelines and the unique needs of patients with both cardiovascular and gastrointestinal conditions.
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Dynamic assessment of CHADS-VASc and HAS-BLED scores for predicting ischemic stroke and major bleeding in atrial fibrillation patients.

Rev Esp Cardiol (Engl Ed)

October 2024

Servicio de Hematología y Oncología Médica, Hospital General Universitario Morales Meseguer, Universidad de Murcia, Instituto Murciano de Investigación Biosanitaria (IMIB-Arrixaca), Murcia, Spain.

Introduction And Objectives: Stroke and bleeding risks in atrial fibrillation (AF) are often assessed at baseline to predict outcomes years later. We investigated whether dynamic changes in CHADS-VASc and HAS-BLED scores over time modify risk prediction.

Methods: We included patients with AF who were stable while taking vitamin K antagonists.

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