Search for: "hypertension" - 236 articles found

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Article • Generative AI

Large language models: enabler or eroder of cardiovascular care?

Large language models (LLMs) have potential in healthcare settings to help support both patients and clinicians. Cardiologist Dr Robert van der Boon believes they could have several applications, including patient communication and education, clinical decision support and administrative tasks. Delegates to ESC 2024 in London heard roles explored for LLMs in areas of clinical decision-making,…

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Article • Point-of-care ultrasound in trauma

Returning e-FAST ‘to its roots’

Stagnation, under-use, unfulfilled potential: At the EUSEM congress in Barcelona, leading emergency physician Dr Joseph Osterwalder describes how e-FAST (Extended Focused Assessment with Sonography for Trauma) – a key point-of-care ultrasound technique for trauma – has changed over the last two decades, and not necessarily for the better.

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Article • Wearables at Medica 2022

Smart ring medical device for 24/7 blood pressure monitoring

A smart-ring medical device is emerging as an effective and discreet wearable for round-the-clock blood pressure monitoring. Using photoplethysmography (PPG) signals to measure the bloodstream 24/7 through the wearer’s finger, a new feature of the “Cart-I plus” ring from manufacturer Sky Labs enables it to constantly monitor hypertension without user intervention.

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Article • Sex differences in heart failure

Why a closer look at a woman’s heart matters

The hearts of men and women are different – while this insight has been established for quite some time now, it might even surprise cardiologists just how deep these differences really run. In her presentation at this year’s ESC, Diana Bonderman, MD, gave a comprehensive roundup on sex differences in risk factors and subtypes of heart failure.

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Article • Heart failure with preserved ejection fraction

HFpEF poses increasing burden on health services

With the life expectancy of populations improving, experts believe the rising diagnosis and prevalence of patients with heart failure with preserved ejection fraction (HFpEF) will have a significant impact on healthcare services going forward.

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Article • An estimated 800,000 deaths in 2030

Warning of looming global liver disease pandemic

Professor Dina Tiniakos, from the National and Kapodistrian University of Athens, predicts that NASH (Non-alcohol related steatohepatitis) cases will soar worldwide by 2030, with 800,000 liver deaths, costing health economies billions of dollars.

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Article • Pregnancy imaging

Machine learning predicts placenta health from MRI scans

Machine learning methods are being used to predict the health of the placenta from a 30-second MRI scan. Researchers hope the approach will offer an insight into the health of expectant mothers and unborn babies by detecting the early signs of dangerous conditions such as pre-eclampsia. Researchers from the School of Biomedical Engineering & Imaging Sciences at King’s College London (KCL)…

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News • Medication combination

'4-in-1' blood pressure pill shows great promise

The first large-scale, long-term trial of a new strategy using combinations of very low-doses in one capsule, has demonstrated significantly improved control of high blood pressure - the leading cause of heart attack and stroke. This first large-scale, randomised controlled clinical trial of starting this novel combination blood pressure medication brought blood pressure under control in 80…

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Article • Risk reduction, rehabilitation

The role of AI in preventive cardiology

Artificial Intelligence and Big Data in cardiovascular risk reduction and cardiac rehabilitation are offering new opportunities for increased diagnostic accuracy and more personalised exercise prescription. Experts believe it can be harnessed to design tools to enable cardiologists to make better decisions, and have more confidence in the decision-making process. The topic was featured at ESC…

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Article • Diagnosis, prognosis, prediction

AI offers advances in cardiovascular imaging

Artificial Intelligence (AI) is providing numerous opportunities across clinical care in the field of cardiovascular imaging. While challenges remain, AI is being applied in terms of diagnosis and prognosis, defining cardiovascular imaging pathways, and image acquisition and analysis. It can also help cardiologists predict which patients may do well, or which treatments are best applied to those…

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News • Cardiology research

Dynamic heart model gives insight into cardiac disease progression

Efforts to understand cardiac disease progression and develop therapeutic tissues that can repair the human heart are just a few areas of focus for the Feinberg research group at Carnegie Mellon University. The group's latest dynamic model, created in partnership with collaborators in the Netherlands, mimics physiologic loads on engineering heart muscle tissues, yielding an unprecedented view of…

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News • NAFLD research

3D imaging reveals neural ‘vicious cycle’ in fatty liver disease

With the application of a novel 3D imaging technology, researchers at Karolinska Institutet have discovered that one portion of the autonomic nervous system in the liver undergoes severe degeneration in non-alcoholic fatty liver disease. The study, which is conducted in mice and human liver tissue, shows that the degeneration of nerves is correlated with the severity of liver pathology. The…

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News • Cardiology research

Strong connection between heart health and pregnancy complications

A study of more than 18 million pregnancies has shown a strong and graded relationship between women’s heart health and pregnancy outcomes. The research is published in the European Journal of Preventive Cardiology, a journal of the European Society of Cardiology (ESC). The researchers examined the presence of four risk factors for cardiovascular disease in women prior to pregnancy: unhealthy…

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News • Cardiovascular disease prevention

An ultrasound sensor to measure pulse wave velocity and blood pressure

Nanoelectronics and digital technologies company Imec presents a proof-of-concept for determining arterial stiffness, a risk marker for cardiovascular diseases such as stroke and heart failure, and monitoring blood pressure. Imec’s approach uses an ultrasound sensor to measure the central pulse wave velocity. Measuring pulse wave velocity closer to the heart is also a more reliable proxy for…

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News • Digital patients, promising results

Are 'virtual' trials the future of research?

A study involving virtual rather than real patients was as effective in evaluating a medical device used  to treat brain aneurysms, according to new research. The findings are proof of concept for what are called in-silico trials, where instead of recruiting people to a real-life clinical trial, researchers build digital simulations of patient groups, loosely akin to the way virtual…

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News • The hidden 'fingerprint' of liver cirrhosis

Routine blood tests could be key to stopping 'silent killer'

New research has shown that results of blood tests routinely performed by GPs everywhere contain a hidden fingerprint that can identify people silently developing potentially fatal liver cirrhosis. The researchers have developed an algorithm to detect this fingerprint that could be freely installed on any clinical computer, making this a low-cost way for GPs to carry out large scale screening…

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News • Gender bias in cardiovascular health

Heart attack: chest pain misdiagnosed more often in women

Chest pain is misdiagnosed in women more frequently than in men, according to research presented at ESC Acute CardioVascular Care 2021, an online scientific congress of the European Society of Cardiology (ESC). The study also found that women with chest pain were more likely than men to wait over 12 hours before seeking medical help. “Our findings suggest a gender gap in the first evaluation of…

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News • Immersion is key

Hemodialysis: Virtual reality lessens side effects

Hemodialysis patients routinely experience side effects such as fatigue, lightheadedness and nausea during their treatment sessions. But patients in a study who used a virtual reality program to engage in a mindfulness/meditation exercise reported that these treatment-related symptoms were greatly reduced. Patients in the study wore a head-mounted virtual reality display to participate in a…

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News • Cardiology research

How hypertension leads to atherosclerosis

Research scientists at Aarhus University and Aarhus University Hospital have investigated the mechanisms by which hypertension leads to arterial damage and atherosclerosis. The results may facilitate the development of new therapies. Hypertension is a prevalent condition affecting approximately one third of all adults. It is also the leading global cause of morbidity and mortality. The condition…

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News • Women's health

Hypertension symptoms in women often mistaken for menopause

Pregnancy complications and early menopause increase women’s future risk of heart disease. Cardiologists, gynaecologists and endocrinologists recommend how to help middle-aged women prevent later heart problems in a European Society of Cardiology (ESC) consensus document published in European Heart Journal, a journal of the ESC.

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News • White matter hyperintensities

High blood pressure puts the brain at risk

Higher than normal blood pressure is linked to more extensive brain damage in the elderly, according to a new study published in the European Heart Journal. In particular, the study found that there was a strong association between diastolic blood pressure (the blood pressure between heart beats) before the age of 50 and brain damage in later life, even if the diastolic blood pressure was within…

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Article • Immunotherapy, iRecist and complications

Lung cancer imaging (in a post-Covid world)

The evolving area of immunotherapies in lung cancer and the role of iRecist treatment assessment protocols were investigated during a virtual session organised by the British Institute of Radiology (BIR). Consultant radiologist Dr Charlie Sayer, specialist in lung cancer imaging at the Brighton and Sussex University Hospitals Trust, South of England, focused on immunotherapies, the limitations of…

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Article • Profiling the coronavirus

Experts unlock Covid-19 secrets

Experts have identified two distinct immunological and cellular profiles in the lungs of Covid-19 patients which they believe could help define treatment pathways. From some of the earliest Covid-19 autopsies conducted in Europe, Swiss-based researchers have performed integrative digital pathology and transcriptomic analyses of lung tissues of 16 coronavirus patients who died from respiratory…

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News • spotlight at virtual.MEDICA

Digital health is on the rise due to COVID-19

MEDICA in Düsseldorf is a world-leading platform for the medical technology business and the healthcare industry and has always been one of the places to be for the entire sector as it covers current digital health trends, innovative products and services for linking all of the major stakeholders in medical care. Consequently, digital health is a mainstay of virtual.MEDICA, which, due to the…

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Article • Imaging informatics meeting

SIIM 2020: Glancing back at 40 years and ahead to the future

40 years ago, anticipating the huge impact of computers in radiology, a group of visionaries formed the Radiology Information System Consortium (RISC). In 1989, RISC created the Society for Computer Applications (SCAR) to promote computer applications in digital imaging. Those organisations became the Society for Imaging Informatics in Medicine (SIIM). At SIIM 2020, a virtual meeting, experts…

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Sponsored • After the earthquake

Ultrasound provides much-needed answers for rebuilding lives in Nepal

Dr. Jesus Casado Cerrada, Internist at the Hospital Universitario de Getafe and Professor at the Universidad Europea, Madrid, Spain, has travelled to the Rasuwa district of Nepal to help a local NGO rebuild the region’s infrastructure following a severe earthquake in 2015. Dr. Casado explains: “University colleagues from the architectural and engineering departments had already established…

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News • L-type calcium channel blockers

LCCBs may contribute to heart failure

L-type calcium channel blockers (LCCBs) — the most widely used drugs for treating hypertension — may harm the heart as much as help it, according to a new study. The research team, led by the Pennsylvania State University, found that in rats and human cells in vitro, LCCBs cause changes in blood vessels — known as vascular remodeling — that reduce blood flow and increase pressure.…

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News • 30 years after reunification, health disparities still exist

Germany: reunited but still divided (in healthcare)

East Germany has many more hospitalisations for heart failure compared to West Germany despite a nationwide healthcare system, according to research presented today on HFA Discoveries, a scientific platform of the European Society of Cardiology (ESC). Heart failure is the most common reason for hospital admissions and is responsible for a large part of the total health expenditure on…

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News • Hypertension

High blood pressure increases COVID-19 death risk

Patients with raised blood pressure have a two-fold increased risk of dying from the coronavirus COVID-19 compared to patients without high blood pressure, according to new research published in the European Heart Journal. In addition, the study found that patients with high blood pressure who were not taking medication to control the condition were at even greater risk of dying from COVID-19.

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Article • Coronavirus impact on A&E

Covid-19: UK emergency departments see dramatic fall in attendance

Accident and Emergency departments across the NHS have seen dramatic falls in attendances amid the ongoing coronavirus crisis. Senior A&E practitioners are becoming increasingly concerned that people who need to be seen for serious conditions such as suspected heart attacks are staying away – or not seeking help until much later – because they are frightened of contracting coronavirus.

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Article • Corona consequences in Spain

COVID-19 fears put interventional cardiology on lockdown

The number of primary angioplasties – the main treatment for heart attack – has dropped by 40% in Spain since the beginning of the coronavirus lockdown. Other key diagnostic and therapeutic procedures have also considerably diminished. Spanish cardiologists are urging the population to call the emergency medical systems whenever symptoms of myocardial infarction occur, in spite of fears…

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News • Cesarean consequences

C-section increases obesity risk? False alarm, says new study

Women who have C-sections are no more likely to have children who develop obesity than women who give birth naturally, according to a large study by researchers at Karolinska Institutet in Sweden published in the journal PLOS Medicine. The findings contradict several smaller studies that did find an association between C-section deliveries and offspring obesity but did not consider the numerous…

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Article • Surgery to reduce obesity-related mortality

When diet and excercise alone are not enough

Obesity not only means someone is overweight but, over time, they will probably suffer sequelae that increasingly impair quality of life and are potentially fatal – these include hypertension, coronary heart disease, type two diabetes, pulmonary function disorders, tumours, plus an increased risk during surgery and anaesthesia. In patients with morbid obesity, class three obesity, according to…

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Article • Ultrasound in intracranial injuries

A future gold standard tool

Whilst researchers acknowledge ultrasound, when used as a tool to assess intracranial pressure in an emergency, is not a replacement for current gold standard invasive approaches, they believe it has enormous potential as a non-invasive and fast, cost-effective, and patient-friendly way to assess possible brain injury at a patient’s bedside. Consultant anaesthetist Dr Chiara Robba, a specialist…

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News • Rare lung disease

FDA approval for scleroderma treatment

The U.S. Food and Drug Administration approved Ofev (nintedanib) capsules to slow the rate of decline in pulmonary function in adults with interstitial lung disease associated with systemic sclerosis or scleroderma, called SSc-ILD. It is the first FDA-approved treatment for this rare lung condition. “Patients suffering from scleroderma need effective therapies, and the FDA supports the efforts…

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Article • Highlights from the 30th TCT Meeting

Advancing transcatheter cardiovascular therapies

A remarkable number of studies and innovations were presented at the 30th anniversary of Transcatheter Cardiovascular Therapeutics (TCT) meeting in San Diego, California. TCT 2019 will take place in San Francisco, CA between 25-29-Sep-2019. On the clinical side, the long-expected results from COAPT trial studying MitraClip device in patients with secondary mitral regurgitation and heart failure…

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News • High blood pressure

Hypertension: treatment disadvantage in the south

Healthcare in low- and middle-income countries is poorly prepared for the increasing number of people with high blood pressure, with more than two-thirds of people affected going without treatment – a new study reveals. Researchers studied health data for one million people in the Global South, discovering that less than half of those affected are diagnosed with high blood pressure or…

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Article • Meeting of the generations

We need a Senior Laboratory

It’s undeniable: the bulk of our population is growing older. Yet, this demographic change has not altered laboratory medicine: the reference values for many analyses are still based on data of a younger cohort. Inevitably this could lead to serious errors in the interpretation of older patients’ test results.

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Article • Neurological complications

Enterovirus infections: The disease is rare and research scant

Neurological complications due to infections with (novel) enteroviruses are rarely the focus of medical research. Thus, an article published in the German medical journal Der Nervenarzt (published at the Medizinische Hochschule Hanover (MHH) – has created quite a stir. We spoke with one of the authors, Professor Martin Stangel, about current clinical practice in terms of enterovirus.…

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News • Renal denervation

Ultrasound-assisted surgery to treat hypertension

A one-off operation that targets the nerves connected to the kidney has been found to maintain reduced blood pressure in hypertension patients for at least six months, according to the results of a clinical trial led in the UK by Queen Mary University of London and Barts Health NHS Trust, and supported by the National Institute for Health Research (NIHR). The study, published in the journal…

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News • Preserving your eyesight

7 ways to prevent macular degeneration

Doctors aren’t sure what causes age-related macular degeneration, a disease that affects millions of people in the United States. Also called AMD, it is known for causing blurred central vision due to damage to the macula — a small area at the back of the eye. Currently, there is no cure. But there are known risk factors that eye care professionals often use to help determine a patient’s…

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News • Silicon photonics

New device for screening arterial stiffness and diagnosing CVD

Researchers have developed a prototype medical device based on silicon photonics for the screening of arterial stiffness and for the diagnosis of cardiovascular diseases such as arterial stenosis and heart failure. This is a cooperation between imec, the world-leading research and innovation hub in nanoelectronics and digital technology and Ghent University, together with Medtronic and other…

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News • From the heart

Finding the 'fingerprint' of cardiovascular disease

Forty-two percent of all deaths in the United States are related to cardiovascular disease (CVD). According to the Global Cardiovascular Drugs Market Forecast, by 2030 the number of deaths from CVD will rise to 23.6 million per year in the U.S. alone. Along with increased deaths, spending on drugs to treat CVD as well as related hospital stays, home health care and lost productivity will also…

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News • On the go

Wearable ultrasound patch penetrates the skin to measure blood pressure

Researchers funded by the National Institute of Biomedical Imaging and Bioengineering (NIBIB) are literally breaking barriers using ultrasound waves emitted from a flexible patch to accurately measure central blood pressure and help detect cardiovascular problems earlier. For a while now, smart, wearable devices have had the ability to capture how many steps we take in a day or measure our heart…

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Sponsored • Cardio app

AI system screens early Phase AFib

Here at Medica, the Taiwanese start-up Maisense is demonstrating Freescan, its artificial intelligence (AI) based solution to screen for stroke through the early detection of atrial fibrillation (AFib). Speaking of the system’s aims, Maisense summed up this huge health problem. ‘Every four minutes, someone dies of stroke. Thirteen percent of these are classified as haemorrhagic stroke. When…

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Article • Innovation

AI helpers simplify clinical MRI scans

The new 1.5 Tesla MRI from Siemens Healthineers, Magnetom Sola, is packed with helpful algorithms and other functions. AI-supported systems monitor patients and scan parameters and ensure consistent image quality. Whilst visitors at this year’s ECR-Expo admired the new device, Prof. Ulrike Attenberger has already tested it in practice.

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News • Blood pressure

How does the baroreceptor reflex work?

The baroreceptor reflex is a fascinating medical phenomenon. The reflex is controlled by specialized neurons that react in just a fraction of a second to keep blood pressure fairly consistent. For example, when you stand up, your blood pressure normally drops—rapidly. Yet you don't faint thanks to baroreceptors, which tell your heart rate to increase and push more blood to your brain. A new…

Article • 31st Annual Cardiologists Conference

Every heart beat counts

The term “Cardiology” means the division of science that converses functions, diseases and health activities related to heart. It is also connected with blood, arteries and veins, as blood is the vital component of human body, upon which the heart works and for it we survive. The world cardiology market includes cardiac biomarkers, interventional cardiology and cardiovascular devices. The…

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News • Chronic obstructive pulmonary disease

COPD: Biomarker for kidney disease has unexpected benefits

A commonly used biomarker of kidney disease may also indicate lung problems, particularly COPD, or chronic obstructive pulmonary disease, according to new research published online in the American Thoracic Society’s American Journal of Respiratory and Critical Care Medicine. In “Albuminuria, Lung Function Decline, and Risk of Incident COPD: the NHLBI Pooled Cohorts Study,” Elizabeth C.…

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Article • Cardiology congress

ESC 2018: At the heart of research

When delegates from around 150 countries converge on Munich for ESC Congress 2018 they will no doubt reflect on what they themselves eat. Yes, nutrition is up for debate, questioning, for example, whether weight loss therapies can also prevent heart attacks and strokes. Results from the CAMELLIA-TIMI 61 trial of 12,000 overweight individuals with established cardiovascular disease or diabetes…

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News • Cerebrovascular disease

Stroke deaths decrease all over Europe – but it's too early to cheer

New research, published in the European Heart Journal, has shown deaths from conditions that affect the blood supply to the brain, such as stroke, are declining overall in Europe but that in some countries the decline is levelling off or death rates are even increasing. Cerebrovascular disease includes strokes, mini-strokes, and narrowing, blockage or rupturing of the blood vessels supplying…

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News • High blood pressure

Millions more: New guidelines could drastically raise hypertension numbers

Adopting new guidelines for high blood pressure (hypertension) would dramatically increase the number of people labeled as having the condition and being recommended for drug treatment, finds a study published by The BMJ today. The findings show that, if the guidelines were introduced in the US and China, more than half of those aged 45-75 years in both countries would be considered hypertensive.

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News • Hypertension

The 2018 European Guidelines for the treatment of high blood pressure

2018 European Society of Cardiology (ESC) and European Society of Hypertension (ESH) Joint Guidelines for the Management of Arterial Hypertension. A first look at the new European Guidelines for the treatment of high blood pressure was presented at the European Society of Hypertension meeting in Barcelona on June 9th 2018. These long-awaited guidelines have been jointly developed by clinicians…

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News • Study results

Triggers of acute heart failure vary globally

Triggers of acute heart failure vary globally, according to late breaking results from the REPORT-HF registry presented at Heart Failure 2018 and the World Congress on Acute Heart Failure, a European Society of Cardiology congress. REPORT-HF is a global, prospective registry comparing regional differences in causes of acute heart failure, therapies, time to treatment, and outcomes. Professor Sean…

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News • ACE inhibitor side effects

Lowering blood pressure comes at a price

The recent ACC/AHA Guidelines have increased the number of patients said to have hypertension by up to 40 percent (new 130/80 mmHg). The international recommendation is to treat hypertension with angiotensin converting enzyme inhibitors (ACEIs). These drugs, however, have significant adverse effects: Often a chronic dry cough leads to patients withdrawing from treatment. On rare occasions, ACEIs…

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News • Cardiovascular MR

Standard medical tests miss nearly two-thirds of heart attack diagnoses

Standard medical tests miss nearly two-thirds of heart attack diagnoses, reveals research presented at CMR 2018. “Unrecognised MI has a poor short-term prognosis but until now the long-term outlook was unknown,” said lead author Dr Tushar Acharya, a cardiologist at the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, US. “This study investigated long-term…

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News • Better together

Making diabetes and hypertension management a community activity

Managing diabetes and high blood pressure can feel like a solitary enterprise dependent on relationships with objects (like pills or foods) and activities (like brisk walks or early bedtimes) instead of relationships with people, but a group of West Virginia University researchers is hoping to change that. The National Institutes of Health has awarded $450,000 to Ranjita Misra, a professor of…

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Article • Local and elegant

Extending life with TIPS and TACE

Liver disease is widespread in Germany. It is, in fact, the most common cause of death in patients under the age of 40, with liver cirrhosis, which can develop into liver cancer, playing a major role here. These days, modern, comprehensive treatment concepts are unimaginable without interventional radiology, for liver cirrhosis as well as liver cancer. Prof. Dr. Christian Stroszczynski, Director…

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Sponsored • Non-invasive sensors

Manometry v. BioBeat

A preliminary human study was conducted to validate an advanced wearable sensor which has been developed by the start-up company BioBeat Technologies Ltd, comparing it to the common manometry method. The 2015 guidelines of the European Society of Hypertension on The requirements of the International Protocol (revision 2010) were used to define the difference between the commonly used device and…

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News • Cell activity

Individual receptors caught at work

G protein-coupled receptors (GPCRs) are among the "hottest” targets for the therapy of diseases such as hypertension, asthma or Parkinson's. These receptors are the site of action of many hormones and neurotransmitters and allow them to regulate the activity of our cells. How and where this happens has long been the subject of numerous hypotheses. An international team of scientists from…

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Article • ESC Congress 2017

Entering the future of cardiology

With 4,500 accepted abstracts, 600 sessions and 30,000 expected attendees, ESC Congress 2017 is undoubtedly the world’s largest cardiovascular event. On healthcare-in-europe.com, Dr Stephan Achenbach, Congress Program Committee Chairperson, gives an overview of issues and events unfolding in Barcelona from August 26-30.

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Article • World Brain Day

Stroke is over (if you want it)

The fourth World Brain Day (July 22) revolves around stroke – how to detect it, how to prevent it, how to treat it. Raad Shakir, president of the World Federation of Neurology (WFN), seizes the opportunity to raise awareness about a disease that is becoming more common globally – but also preventable to a large extent.

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News • Animal testing

Scientists identify protein linked to chronic heart failure

Researchers in Japan have identified a receptor protein on the surface of heart cells that promotes chronic heart failure. The study, “Corticotropin releasing hormone receptor 2 exacerbates chronic cardiac dysfunction” suggests that inhibiting this protein could help treat a disease that affects more than 20 million people worldwide.

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Article • Annual conference

The role of cardiology at the extremes

Cardiology at the extremes will be the key theme at the British Cardiovascular Society annual conference in Manchester in June. Topics covered include reflections in cardiology and space travel, physiological challenges associated with living under extreme environmental conditions and polar expeditions. Report: Mark Nicholls

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Article • Spanish expert separates fables from facts

Seasonal over-indulgence

In the early months of a New Year many of us are tightening our belts after Christmas gastronomic indulgences. However, the belt may not be as long as it used to be and the gym treadmill may be the only answer.

News • breath samples

You are what you exhale

An international team of 56 researchers in five countries has confirmed a hypothesis first proposed by the ancient Greeks – that different diseases are characterized by different “chemical signatures” identifiable in breath samples. The findings by the team led by Professor Hossam Haick of the Technion-Israel Institute of Technology Department of Chemical Engineering and Russell Berrie…

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Article • Xenon MRT

A revolution in lung function diagnostics

Since lung diseases tend to be complex, imaging is a crucial diagnostic tool. While computed tomography has become the standard modality, which is frequently used outside hospital settings, specialised MRI diagnostics remains the preserve of large university medical centres.

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Article • Transducers

3-D transducers prove their mettle in cardiology

One of the first facilities to purchase a complete set of the 3-D TEE transducer, including the equipment, was the Department of Cardiology and Angiology at University Hospital Magdeburg, as Thomas Groscheck, specialist physician for internal medicine at the echocardiography lab explains. Since July 2015 he has worked with the new Siemens transducer – and is enthusiastic.

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Article • Home care

Pioneering NHS ‘test beds’

A ‘technology’ project to modernise healthcare for patients with long- term medical conditions is being trialled in the United Kingdom in seven ‘test bed’ initiatives. Test Beds, a term used to describe a technology project resulting from collaborations between the UK’s National Health Service (NHS) and international innovators, aims to harness technology to address issues facing…

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News • Plaque

Research suggests new contributor to heart disease

Medical professionals have long known that the buildup of plaque in arteries can cause them to narrow and harden, potentially leading to a whole host of health problems — including heart attack, heart disease and stroke. While high blood pressure and artery stiffness are often associated with plaque buildup, new research from engineers at Washington University in St. Louis shows they are not…

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News • Warning

Obesity needs urgent action

The leading organisation responsible for research into obesity in Europe has warned that unless something is quickly done to tackle the region’s rising obesity epidemic, it is going to have a devastating effect on healthcare costs and productivity.

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News • MERS

First reported autopsy of patient with MERS provides critical insights

Since 2012, at least 1,500 individuals have developed Middle East respiratory syndrome (MERS), resulting in more than 500 fatalities. Only now are results being reported of the first autopsy of a MERS patient, which was performed in 2014. Not only do these findings, published in The American Journal of Pathology, provide unprecedented, clinically-relevant insights about how MERS progresses, they…

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Sponsored • Hot topic II

News from Israel

CNOGA Medical Ltd. is a leading developer and manufacturer of innovative e-health ecosystems for non-invasive, pain-free bio-marker monitoring and cloud-based ecosystem technology. At MEDICA CNOGA Medical presents its new Ecosystem Infrastructure of Non-Invasive Hemodynamics, Blood parameters & Blood gases Monitoring Devices, Cloud-Based Platform and Mobile Application.

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News • Simulation

Treating aortic aneurysms through virtual reality

Virtual models can be created in the angiography room thanks to an approach developed by researchers at the University of Montreal Hospital Research Centre (CRCHUM) and the university’s departments of radiology, radiation oncology, and nuclear medicine. The latest advances were presented by Dr. Gilles Soulez at the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) conference…

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Article • IT

Smart watch promises smarter medication

While Swatch and Rolex count the hours until their smart watches overwhelm the time market, medical informatics researchers have already been working on solutions to improve healthcare. Some demonstrated their work on a medication reminder application during the Medical Informatics Europe conference in Madrid. Report: Mélisande Rouger

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Article • Oophorectomy

Leading expert takes stand against prophylactic oophorectomy

“I am very concerned about the impact that Angelina Jolie has on the media,” Walter Rocca, professor of epidemiology and neurology at the Mayo Clinic in Rochester, Minnesota, stated. He wasn’t hinting to Jolie’s acting choices or waifish silhouette, but to the confusion surrounding her decision to remove her ovaries to prevent ovarian cancer. By Mélisande Rouger

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Article • Neuroradiology

More freedom, more responsibility

She is a neuroradiologist, professor, researcher and now the Medical Director of the Department of Neuroradiology at Dresden University Hospital. Her objectives are ambitious – be it in patient care, research or teaching. Professor Jennifer Linn MD wants to increase the quality of care, drive breakthroughs in research, ignite enthusiasm in students for their future profession and last, but not…

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Sponsored • Fast Ultrasound

Ultrasound system sharpens paediatric hepatic imaging

Ask about UltraFast ultrasound and you might expect a technical answer explaining why the ultrasound is faster. However, for Stéphanie Franchi-Abella MD, fast means just fast, an ultra-quick acquisition she can take of a squirming, agitated new-born in the blink of an eye. ‘These babies are small and breathing rapidly, the organs are moving fast in the image and it’s sometimes difficult to…

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News • Twitter

Twitter can predict rates of coronary heart disease

Twitter has broken news stories, launched and ended careers, started social movements and toppled governments, all by being an easy, direct and immediate way for people to share what's on their minds. Researchers from the University of Pennsylvania have now shown that the social media platform has another use: Twitter can serve as a dashboard indicator of a community's psychological well being…

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Digital tomosynthesis for lung cancer screening

Screening for lung cancer saves lives. This fact has been documented by outcomes of the U.S. National Lung Screening Trial (NLST) which showed a 20% reduction in lung cancer-specific deaths in patients who had a chest CT screening. What is controversial is how to establish the radiology resources needed to perform exams for all the people who need it and then how to pay for the exams.

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Chronic disease

There is a global shortage of doctors that is getting worse every year. With the demographic shift in many countries from a predominantly young to an increasing aging population, a steep increase in chronic disease is occurring.

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Multiple sclerosis

Multiple sclerosis (MS) – the inflammatory condition in the central nervous system (CNS) – leads to scarring, with several scars forming lesions, also called plaques. Although long assumed that only white matter is involved, this is increasingly questioned.

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COPD: screening, comorbidity, mortality

Despite some decline in cigarette consumption during the last decades, chronic obstructive pulmonary disease (COPD) remains a major public health concern. COPD is among the top five leading causes of chronic morbidity and mortality in the US and in Europe. Nevertheless, COPD is substantially underdiagnosed.

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Coronary Heart Disease can be diagnosed and treated earlier using new techniques

Prof. Uwe Nixdorff from the European Prevention Centre, Düsseldorf advocates cardiologists combine IMT measurement with ALOKA’s pulse wave intensity function to check for unseen coronary heart disease: “This technique is currently seldom used, however in my experience it provides a more complete picture and enables me to treat patients earlier for life-threatening conditions that are often…

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Strong international feedback gives “MedTech” industry tailwind for exports

Summing up results of the world’s biggest medical trade fair after four days (16 – 19 November 2011) Joachim Schäfer, Managing Director at Messe Düsseldorf, said: “The manufacturers of medical device technology, medical products and medical IT have once again used the framework of MEDICA in Düsseldorf to impressively evidence their operational excellence.

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One in six people will have a stroke, but most strokes can be prevented

The theme of this year's World Stroke Day on 29 October is "One in Six", referring to the facts that one in six people will have a stroke at some point in their lifetime, and that a stroke will be the cause of someone's death every six seconds. These, says the World Stroke Organization (WSO), are everyday people leading everyday lives, but around 85% of them will have risk factors…

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Civilisation Diseases breaking economic growth

More than 63% of all deaths in the world are caused by so- called non-communicable diseases. In the WHO-region of Europe it’s even higher – 86%. The direct and indirect economic costs are huge – to the point of posing a real threat to growth in crisis-hit economies. Therapy alone is not enough, World Bank strategist Dr. Armin Fidler told the European Health Forum Gastein. Effective…

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Cardiac Disease: Coronary or not?

Acute myocardial Infarction (AMI) is a major cause of death and disability. Worldwide, one in eight patients die of an ischemic heart disease. Its rapid and accurate diagnosis is critical for the initiation of effective evidence based medical management, including early revascularization, but is still an unmet clinical need. The gradual implementation of high-sensitive cardiac troponins (hs-cTnT)…

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When overweight kids become heart condition adults

A modern-day childhood totally differs from what was common just a few decades ago. It is mostly spent sitting -- at school desks, in front of TV screens or before computer monitors – all combined with the sweet temptations of the kid’s food industry. According to a WHO worldwide estimate, an estimated 10% of school-age children between five and 17 years old are overweight or obese. The…

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Imaging for diabetes and vascular occlusive disease

Metabolic syndrome, diabetes and vascular disease: What do we need to know? During ECR session this important question is addressed by vascular specialist Professor Erich Minar, Assistant Head of the Department of Angiology at the Vienna General Hospital (AKH), President of the Austrian Society of Angiology, and scientific researcher working closely with research centres in the USA.

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Obesity from the lab point of view

Over the last 25 years overweight and obesity have become a global epidemic. According to WHO figures, at least 400 million adults are obese worldwide. Part of this phenomenon relates to lifestyle changes - lack of exercise, wrong eating habits - whereas genetic factors also play a role (according to twin studies, the determination of obesity is 70% nature and 30% nurture).

Deadly disease, dismal summary

Recently, the prevalence of diabetes mellitus in the Czech Republic reached 7-8% (783,321 diabetics were treated last year – 419,362 females and 363,959 males) but this figure leaps to 25-30% for diabetes related hospitalisations.

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Negative pressure wound healing technology

Despite some uncertainty about how it works, there is a growing consensus that Negative Pressure Wound Therapy (NPWT) – also known as Vacuum Assisted Closure (VAC) – is revolutionising wound care. Speaking at the 1st International Surgical Wound Forum, held recently in Amsterdam, surgeons from Europe and the USA predicted the growing use of this innovative technology across the spectrum of…

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Liver stiffness measurements identify patients with rapid or slow fibrosis

A recent study determined that repeated liver stiffness measurements (LSM) in the first year following liver transplant (LT) could discriminate between slow and rapid "fibrosers". LSM were extremely accurate, particularly at the 6-month post LT point, in detecting severity of fibrosis. Determining those at risk for a recurrence of hepatitis C virus (HCV) allows for early-stage administration of…

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World Stroke Day 2009: Learning the risks for stroke - and taking action

Stroke accounts for almost 6 million deaths each year and ranks second only to heart disease as the world's leading cause of death. The theme of this year's World Stroke Day on 29th October is "What can I do?". As the World Stroke Organization says, everyone can do something: learn to recognise symptoms and take action, learn to recognise the risk factors and take action.

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The role of exercise training in cardiovascular health

Western societies are struggling to pay for their ever increasing medical budgets. In the US up to 393 billion US-$ were spent in 2005 for cardiovascular diseases alone. Based on epidemiologic studies in primary prevention it is reasonable to estimate that 30% of coronary heart disease and stroke could be prevented by 2.5 hours of brisk walking per week.

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Cardiovascular research

As Professor Valentin Fuster pointed out this year, the Centro Nacional de Investigaciones Cardiovasculares (CNIC) is now a splendid reality thanks to the support of the Ministerio de Ciencia y Tecnología and the Instituto de Salud Carlos III institutions on which, now and for the future, it depends. Along with that public sector backing, CNIC will also receive civil support from the ProCNIC…

Cold winter months increase risk of hypertension

The colder the weather, the greater the increase in blood pressure in the elderly population - to this conclusion comes a French study from Bordeaux, Dijon and Montpellier. The authors recommend to improve the blood pressure management in the elderly when outdoor temperature is very low by close monitoring of blood pressure and antihypertensive medication.

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Vielversprechende Forschungsergebnisse zu Herz-Kreislauf-Erkrankungen

Das Center for Cardiovaskular Research (CCR) an der Berliner Charité konnte sich durch vielseitige Grundlagenforschung über die deutschen Landesgrenzen hinaus bereits einen Namen machen. Nun stellt das CCR in einem aktuellen Zwischen- bericht unter anderem vielversprechende Ent- wicklungen einer neuen Medikamentenklasse bei Endorganschäden und die Erforschung der Blutgefäßbildung bei…

Spotlight Cholesterol: the role of diet, statins and genetics

The inverse epidemiological association between serum levels of HDL-C and risk of coronary artery disease (CAD) is graded and has been validated in multiple studies. However, there is remaining controversy whether a low HDL-C should not predominantly be considered a marker of poor lifestyle (obesity, lack of exercise, hypertriglyceridemia, diet, etc.), rather than a primary causal agent for…

Primary prevention of CVD: Challenges and Achievements

Lifestyle and risk factor results show that recommended scientific guidelines form a contrast to what is achieved in daily practice in high risk individuals in primary prevention of CVD. Together with its partners the ESC demands a comprehensive and multisdicplinary primary prevention programme involving the high-risk population, their GP's and other health professionals, a health insurance…

How save are antiangiogenic and anti-inflammatory drugs really?

Since Rofecoxib (Vioxx) was withdrawn from the worldwide market based on the safety findings of the Adenomatous Polyp Prevention on Vioxx (APPROVe) study, the uncertainty around the cardiovascular safety of NSAIDs and COX-2 inhibitors remains and leaves practitioners with difficult management decisions for the hundreds of millions of patients worldwide who continue to require pain-relieving…

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Childhood obesity

Recent studies have shown that overweight and obesity during childhood and adolescence have a negative impact on the functioning of the internal walls of the arteries, paving the way to the development of an arteriosclerotic disease from an increasingly early age.

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Hypertension worldwide

Countries vary widely in their capacity to manage hypertension, but globally the majority of diagnosed hypertensives is inadequately controlled. Not treated it can cause cardiovascular disease (CVD), myocardial infarction and stroke. According to the WHO, hypertension is estimated to cause 4.5% of the current global disease burden and is as prevalent in many developing countries as in the…

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SYNCOPE Diagnosis and therapy

The diagnostic work-up of syncope patients often raises the question of how much diagnosis is necessary and what examination methods are really needed. To save time, specialists recommend focusing on determining whether the syncope may be caused by a cardiac problem - a question answered quite easily in many cases. Karl Eberius MD, European Hospital's new correspondent, discussed advice for…

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Emergency admission: Who is affected?

Answer: Older men, living in high social deprivation who are treated for pain or infectious diseases are very endangered. That is the simplified result Scottish researchers investigated while trying to point out criterias that might predict the likelihood of emergency admission in adults older than 40 years

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Morbid obesity in Europe

Prevalence of adult obesity has increased three-fold since 1990. The prevalence of childhood obesity has increased ten times since 1970. In Europe, almost 50% of adults and over 20% of children are overweight. A third of these are obese. Conservative estimates show that, in Europe, about 100 million adults and 10 million children are obese. Obesity is accountable for c. one million deaths…

Further reports from the ACC 57th Scientific Session

A five-year study of 516 participants with coronary artery disease showed that patients who reduced their anxiety levels or kept them steady were 60% less likely to have a heart attack or die compared with those who had increased anxiety levels.

Hemicorporectomy

Czech Republic - The second successful hemicorporectomy (translumbar amputation) was carried out several months ago by surgeon Frantisek Antos and team at the Bulovka Faculty Hospital, Prague.

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Osteoporosis test to predict Heart Attacks

According to a recently published study in the Journal of Bone and Mineral Research, a vertebral fracture assessment (VFA) examination can be used to measure abdominal aortic calcification (AAC). The level of AAC can predict the likelihood of myocardial infarction as well as stroke among elderly women, independent of other clinical risk factors.

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Early Health - Investment or Cost?

Early Health, i.e. the early detection of diseases, will have to move into the centre of attention - this is the result of a survey by Total Healthcare Solutions (THS). Dr Susanne Michel, Associate Director at THS, underlines that in the future prevention will have to be considered an investment in healthcare rather than a mere cost factor. Decision makers from politics and the healthcare system…

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AACC emphasises preventive diagnostics

San Diego, California - 20,000 international physicians, scientists and other visitors travelled to the Annual Meeting & Clinical Lab Expo of the American Association for Clinical Chemistry (AACC) in July, and 750 exhibitors emphasised the increasing importance of this gathering

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Diuretic pill extends life

UK & France - The Hypertension in the Very Elderly Trial (HYVET), the biggest global clinical trial to assess the benefits of lowering blood pressure in patients aged 80+, was halted in July, two years before its scheduled completion in 2009.

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Article • Procedure update

Endoscopy in Lithuania

The well-known Whipple procedure, or pancreaticduodenectomy, recently underwent a transformation due to the skills of Nerijus Kaselis MD, Head of Abdominal and Endoscopic Surgery at Klaipeda District Hospital.

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Visualising the breathing lung

After previous meetings in the USA (2002) and Japan (2004), this October the 3rd International Workshop of Pulmonary Functional Imaging (IWPFI) took place in the German Cancer Research Centre, based in Heidelberg University, Germany. " 'The clinicians' need for earlier and more detailed diagnosis in pulmonary disease demands a joint interdisciplinary effort to push the limits in pulmonary…

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