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Mashup Score: 52
Medicine is a social science, and politics is nothing else but medicine on a large scale.— Rudolf Virchow
Source: onlinecjc.caCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 51
Medicine is a social science, and politics is nothing else but medicine on a large scale.— Rudolf Virchow
Source: onlinecjc.caCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 139Socioeconomic Disparities in Women’s Cardiovascular Health in United States and Canada - 22 day(s) ago
Cardiovascular disease has been the leading cause of death in the United States and Canada for decades. Although it affects millions across a multitude of backgrounds, notable disparities in cardiovascular health are observed among women, and become more apparent when accounting for race and socioeconomic status. While intrinsic sex-specific physiological differences predispose women to poorer outcomes, social determinants of health (SDOH) and biases at both the individual provider and larger healthcare system, play an equal, if not greater, role.
Source: onlinecjc.caCategories: General Medicine News, Expert PicksTweet
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Mashup Score: 14The Impact of Social Determinants of Health on Transition from Pediatric to Adult Cardiology Care - 25 day(s) ago
Social determinants of health (SDoH) are the economic, social, environmental, and psychosocial factors that influence health. Adolescents and young adults with congenital heart disease (CHD) require lifelong cardiology follow-up and therefore coordinated transition from pediatric to adult healthcare systems. However, gaps in care are common during transition, and driven in part by pervasive disparities in SDoH including race, ethnicity, socioeconomic status, access to insurance, and remote location of residence.
Source: onlinecjc.caCategories: General Medicine News, CardiologistsTweet-
Sharing our most recent #publication along w/⭐️Diana Cabrera, @DrKeilaLopez & Andrew Mackie We review the impact of #SDOH in #transition from #pediatric to #adult cardiology #care & propose interventions at the #individual, #institutional, #system level https://t.co/KdFOeTeoZc https://t.co/cSB6kw2GEN https://t.co/z10WZqNo2Z
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Mashup Score: 7Heart Failure with Preserved Ejection Fraction in the Elderly: Basic Mechanisms and Clinical Considerations - 26 day(s) ago
Heart failure (HF) with preserved ejection fraction (HFpEF) refers to a clinical condition in which the signs of HF, such as pulmonary congestion, peripheral edema and increased natriuretic-peptide levels, are present despite normal ejection-fractions and the absence of other causes (e.g. pericardial disease). The ejection-fraction cutoff for the definition of HFpEF has varied in the past, but recent society guidelines have settled on a consensus of 50%. HFpEF is particularly common in the elderly.
Source: onlinecjc.caCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 3
Survival to hospital discharge among patients with out-of-hospital cardiac arrest (OHCA) is low and important regional differences in treatment practices and survival have been described. Since the 2017 publication of the Canadian Cardiovascular Society’s position statement on OHCA care, multiple randomized controlled trials have helped to better define optimal post cardiac arrest care. This working group provides updated guidance on the timing of cardiac catheterization in patients with ST-elevation and without ST-segment elevation, on a revised temperature control strategy targeting normothermia instead of hypothermia, blood pressure, oxygenation, and ventilation parameters, and on the treatment of rhythmic and periodic electroencephalography patterns in patients with a resuscitated OHCA.
Source: onlinecjc.caCategories: General Medicine News, Cardiologists1Tweet
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Mashup Score: 7
Cardiovascular conditions are among the most frequent causes of impairment to drive, as they may induce unpredictable mental-state alterations via diverse mechanisms like myocardial ischemia, cardiac arrhythmias, and vascular dysfunction. Accordingly, health professionals are often asked to assess patients’ fitness to drive (FTD). The Canadian Cardiovascular Society (CCS) previously published FTD guidelines in 2003-2004; here, we present updated FTD Guidelines. Because there are no randomized trials on FTD, observational studies were used to estimate the risk of driving-impairment in each situation, and recommendations made based on CCS Risk of Harm formula.
Source: onlinecjc.caCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 30Socioeconomic and ethnic disparities in the process of care and outcomes among cancer patients with acute coronary syndrome - 1 month(s) ago
Cancer and acute coronary syndrome (ACS) are the leading causes of morbidity and mortality globally, with many shared risk factors between both conditions. There are several challenges to the management of patients with cancer presenting with ACS due to their higher baseline risk profile, the complexities of their cancer-related therapies and prognosis, and their higher risk of adverse outcomes after ACS. Although previous studies have demonstrated disparities in the care of both cancer and ACS among patients from ethnic minorities and socioeconomic deprivation, there is limited evidence around the magnitude of such disparities specifically in cancer patients presenting with ACS.
Source: onlinecjc.caCategories: General Medicine News, CardiologistsTweet
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Mashup Score: 0Clinical Genetic Testing for Atrial Fibrillation: Are We There Yet? - 1 month(s) ago
Important progress has been made toward unravelling the complex genetics underlying atrial fibrillation (AF). Initial studies were aimed to identify monogenic causes; however, it has become increasingly clear that the most common predisposing genetic substrate for AF is polygenic. Despite intensive investigations, there is robust evidence for rare variants for only a limited number of genes and cases. Although the current yield for genetic testing in early onset AF might be modest, there is an increasing appreciation that genetic culprits for potentially life-threatening ventricular cardiomyopathies and channelopathies might initially present with AF.
Source: onlinecjc.caCategories: General Medicine News, Hem/OncsTweet
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Mashup Score: 5
Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiomyopathy worldwide and causes significant morbidity and mortality. For decades, medical treatment options have been limited and untargeted, with frequent need for invasive interventions not readily accessible to many HCM patients. More recently, our understanding of the genetic basis and pathophysiologic mechanism of HCM has grown significantly, leading to the discovery of a new class of medications, cardiac myosin inhibitors (CMI), that shift myosin into the super-relaxed state to counteract the hypercontractility seen in HCM.
Source: onlinecjc.caCategories: General Medicine News, Cardiologists1Tweet
Social Determinants of Health in Cardiovascular Disease: A Call to Action https://t.co/g0h32ymdGl our editorial to the CJC special edition of social determinants of health that we edited with @denniskomd @hwijeysundera brian mccrindle and james brophy