Search for: "heart attack" - 320 articles found

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Improvement of cardiac care

Rapid myocardial infarction verification

The use of troponin assays to rule in or rule out myocardial infarction (MI) rapidly is critical on several levels. The quick result can reassure the patient that they have not had a heart attack and can return home safely; or, in the event of MI, the relevant treatment can start very soon. It also ensures that clinicians can make the right decision with confidence. Troponin levels have been the…

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A look into the crystal ball

Experts debate predictive potential of AI

‘Hello, John? You are about to suffer a heart attack – please come to the hospital immediately!’ Will we, one day, be collected by emergency doctors even before we’re ill? If it was up to some AI experts at Medica 2018, this could be the case – soon. Held during the event, the Health IT Forum examined the predictive potential of artificial intelligence – although some obstacles must…

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Transthyretin amyloid cardiomyopathy

New treatments for rare disease ATTR-CM approved

The U.S. Food and Drug Administration (FDA) approved Vyndaqel (tafamidis meglumine) and Vyndamax (tafamidis) capsules for the treatment of the heart disease (cardiomyopathy) caused by transthyretin mediated amyloidosis (ATTR-CM) in adults. These are the first FDA-approved treatments for ATTR-CM. Vyndaqel and Vyndamax have the same active moiety, tafamidis, but they are not substitutable on a…

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Men in danger

High testosterone could put your heart at risk

Having a genetic predisposition to high testosterone levels could play a role in the development of major heart problems in men, such as blood clots and heart failure, finds a study published by The BMJ. The findings may also have implications for men who take testosterone supplements to boost energy levels and sex drive. Some evidence suggests that genetically predicted (“endogenous”)…

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Mobile cMyC analysis

The future POCT heart attack test

Experts report that a new blood test to diagnose heart attacks could be carried out on a hand-held device in the not-too-distant future. The test, devised by a team at Kings College London, uses similar technology to the troponin test, but instead analyses cardiac myosin-binding protein C (cMyC). In research presented at the British Cardiovascular Society conference in Manchester, UK, this June,…

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Cyberattack

Hackers can manipulate cancer scans

​Hackers can access a patient's 3-D medical scans to add or remove images of malignant tumors, thus placing patients at risk of misdiagnoses. The new study, published by Ben-Gurion University of the Negev cybersecurity researchers, showed that the altered scans successfully deceived both radiologists and artificial intelligence algorithms used to aid diagnosis. ​A 3-D CT (computerized…

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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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Alternative to statin treatment

Atherosclerosis: Antibodies stabilise plaque

Researchers at Karolinska Institutet have found that type IgG antibodies play an unexpected role in atherosclerosis. A study on mice shows that the antibodies stabilise the plaque that accumulates on the artery walls, which reduces the risk of it rupturing and causing a blood clot. It is hoped that the results, which are published in the journal Circulation, will eventually lead to improved…

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Cardiology & the sexes

Why heart attacks are different for women

MRI has a central role in picking up myocardial infarction with non-obstructive coronary disease, a condition that particularly affects women but is often left untreated, with potentially fatal outcome. Heart attack in women presents differently than in men and requires a different approach when it comes to detection and prevention, according to Allison Hays, a cardiologist and assistant…

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Simplified catheter ablation

“Back to basics” atrial fibrillation procedure could cut waiting lists

A day case catheter ablation procedure which includes only the bare essentials and delivers the same outcomes could slash waiting lists for atrial fibrillation patients, according to late-breaking results from the AVATAR-AF trial presented today at EHRA 2019, a European Society of Cardiology (ESC) congress. With the simplified protocol, 30% more patients could receive catheter ablation for the…

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Heart disease

Higher egg and cholesterol consumption hikes death risk

Cancel the cheese omelet. There is sobering news for egg lovers who have been happily gobbling up their favorite breakfast since the 2015-2020 Dietary Guidelines for Americans no longer limited how much dietary cholesterol or how many eggs they could eat. A large, new Northwestern Medicine study reports adults who ate more eggs and dietary cholesterol had a significantly higher risk of…

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Cardiology

AI system improves heart disease diagnosis

Cardiologists in the UK are trialling an artificial intelligence (AI) system that will help better diagnose heart disease. Devised by researchers from the University of Oxford, it can predict heart disease and cardiac events from ultrasound stress test images with initial results showing that the AI system is far more accurate than conventional techniques. Paul Leeson, Professor of Cardiovascular…

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Healthy ageing

Killing zombie cells to save our heart

Scientists at Newcastle University believe it may be possible to reverse the damage in the heart caused by ageing. New research, which has been published in the journal EMBO, could suggest a new way of preventing heart failure in older patients. Heart failure occurs when the heart is not pumping blood around the body as well as it should, most commonly when the heart muscle has been damaged –…

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Cardiology & calcium

First look at the ‘molecular switch’ that makes our heart beat

Oxford University Radcliffe Department of Medicine researchers have developed a new method that uses a protein originally found in marine corals to visualise the flow of calcium that makes the heart beat. In a paper published in the journal Circulation Research, they used this technique to uncover the effects of genetic errors that contribute to a heart condition that is the leading killer of…

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Sodium consumption

Daily salt intake: How much is too much for our heart?

New research shows that for the vast majority of individuals, sodium consumption does not increase health risks except for those who eat more than five grams a day, the equivalent of 2.5 teaspoons of salt. Fewer than five per cent of individuals in developed countries exceed that level. The large, international study also shows that even for those individuals there is good news. However, the…

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Cardiovascular care

Manipulating atoms and molecules with nanomedicine

Nanomedicine is set to play an increasingly important role in the future diagnosis and treatment of cardiovascular disease. Understanding the importance of nanomedicine was enhanced by four experts who spoke at the British Cardiovascular Society conference held in June. The technology – dealing with dimensions and tolerances of less than 100 nanometres and especially the manipulation of…

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Heard at the British Cardiovascular Society conference

The role of nanomedicine in CV diagnosis

Nanomedicine will play an increasingly important role in future diagnosis and treatment of cardiovascular disease, a subject explored in detail by four expert speakers at the British Cardiovascular Society conference in Manchester in June. The conference heard that the technology – dealing with dimensions and tolerances of less than 100 nanometres, especially the manipulation of individual…

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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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Cholesterol testing

Follow-up test reduces heart attack reoccurrence risk

If you have a heart attack or stroke, it’s important to get your “bad” cholesterol measured by your doctor on a follow up visit. Researchers have found that one step is significantly associated with a reduced risk of suffering another serious cardiovascular episode. The new research, conducted by researchers at the Intermountain Medical Center Heart Institute in Salt Lake City, found that…

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Arrhythmia news

Cardiology goes multidisciplinary

Intervention in ventricular arrhythmia has improved dramatically over the past three decades thanks to advances in imaging and cooperation between cardiology and radiology, according to Professor Josep Brugada MD, director of the paediatric arrhythmia unit at Sant Joan de Déu Hospital in Barcelona. ‘Echocardiography, CT and MRI, combined with cardiology,’ he said, ‘have revolutionised the…

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Hazardous hormones & the heart

How being transgender affects cardiac health

Transgender individuals may be at higher risk for myocardial infarction and death due to cardiovascular disease, according to several studies. This increased risk may be due to the hormone therapy that transgender patients take for masculinization or feminization. A review authored by Michael S. Irwig, MD, associate professor of medicine at the George Washington University (GW) School of Medicine…

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Biomedical project

Saving hearts after a heart attack

University of Alabama at Birmingham biomedical engineers report a significant advance in efforts to repair a damaged heart after a heart attack, using grafted heart-muscle cells to create a repair patch. The key was overexpressing a gene that activates the cell-cycle of the grafted muscle cells, so they grow and divide more than control grafted cells.

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Matrix-forming proteins

Experimental targeted therapy might prevent heart failure

Scientists used an experimental targeted molecular therapy to block a matrix-forming protein in heart cells damaged by heart attack, reducing levels of scarred muscle tissue and saving mouse models from heart failure. Researchers at the Cincinnati Children’s Heart Institute report in the journal Circulation testing a manufactured peptide called pUR4 to block the fibronectin protein in human…

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De-fragmenting efforts

Coordinated emergency care improves heart attack survival

Coordinating the response to heart attacks among emergency responders and hospitals reduces the time to treatment and saves lives - even on a large, regional scale, according to a study led by the Duke Clinical Research Institute with support from the American Heart Association. In the largest demonstration of the coordinated approach - 132 hospitals and 946 EMS agencies in 12 U.S. regions -…

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Heart Attacks

Potential Breakthrough in Determining Who’s at Risk

Researchers are revisiting their views on the relative dangers soft and hard atherosclerotic plaque deposits pose to heart health. Findings of a new study by researchers at the Intermountain Medical Center Heart Institute may be a “game-changer” for determining who’s at risk of a heart attack, they say.

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Efferocytosis

Can stem cell exosome therapy reduce fatal heart disease in diabetes?

Macrophage cells routinely remove dead or dying cells to maintain the body homeostasis. Such removal becomes crucial after serious injury, especially the repair of dead heart muscle after a heart attack. University of Alabama at Birmingham researchers have preliminary data, with cultured cells or diabetic hearts, that diabetes impairs this removal of dead heart-muscle cells. They believe this…

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Cardiology, quick!

New blood test speeds up heart attack diagnosis

A new blood test to detect heart attacks has been developed by a team of researchers at King’s College, London, which could speed up diagnosis, according to results from pan-European trials. The test is quicker than the standard test, which combines an ECG with a blood test to measure the levels of troponin. Under current guidelines, suspected heart attack cases are tested for high blood…

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Cholesterol-lowering medication

Statins overprescribed for primary prevention

Taking cholesterol-lowering drugs, or statins, as a preventive measure can reduce the risk of cardiovascular disease. A study by the University of Zurich now shows that this measure is recommended too often, as current guidelines fail to take into account the risks of side effects. Even healthy people who don't suffer from a cardiovascular disease are prescribed statins if they meet certain risk…

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Precision medicine

Europe looks to cells for a healthier future

How can we detect the first signs of disease as early as possible? Could closer investigation at the cellular level help to quickly prevent disease progression through appropriate treatment? The European Union is now investing a million euros over a one-year period to devise the plan for a fundamentally new approach to understanding the constant changes within cells and their relationships to one…

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Diabetes

Recommended blood pressure targets are being challenged

The Swedish National Board of Health and Welfare recently raised the recommended target blood pressure for patients with diabetes. This may lead to more patients suffering from stroke or heart attack, according to a new study from the Sahlgrenska Academy. The new study is the world’s largest on the subject and is based on data from the National Diabetes Register.

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Cardiac injury

Could this be the way to mend a broken heart?

Early research results suggest scientists might be on to a way to preserve heart function after heart attacks or for people with inherited heart defects called congenital cardiomyopathies. Researchers at the Cincinnati Children’s Heart Institute report in Nature Communications that after simulating heart injury in laboratory mouse models, they stopped or slowed cardiac fibrosis, organ…

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Research

Patient immune response could prevent heart failure

Patients’ own immune response has the potential to prevent the development and progression of heart failure, according to research presented at Frontiers in CardioVascular Biology (FCVB) 2018, a European Society of Cardiology congress. The study found antibodies in the plasma and heart muscle of end-stage heart failure patients. “The role of the immune response in the development of heart…

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Cell therapy

Using skin to save the heart

Following a heart attack or other heart trauma, the heart is unable to replace its dead cells. Patients are often left with little option other than heart transplants, which are rarely available, or more recently cell therapies that transplant heart cells into the patient's heart.

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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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Hepatology

Fatty liver: especially dangerous during the holidays

More than 100 million Americans have potentially deadly fatty liver disease and most do not even know it. Overeating and drinking excessive amounts of alcohol this holiday season could put someone with the disease on the fast track to liver failure. “There are no symptoms associated with fatty liver disease and no pain, so most people never get checked or treated for it and, over time, if it is…

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Prognosis and diagnosis

Deep insight into the heart

By no means are only elderly people at risk from heart diseases. Physically active individuals can also be affected, for example if a seemingly harmless flu bug spreads to the heart muscle. Should this remain undetected and if, for example, a builder continues with his strenuous job or an athlete carries on training, this can lead to chronic inflammation and in the worst case even to sudden…

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A challenger arrives

AI – just a tool or the future of healthcare?

Neuroscientist Lynda Chin MD, Founder and CEO of Real-world Education Detection and Intervention, has little doubt: ‘Artificial intelligence to the rescue,’ she proclaimed in her keynote address at the Artificial Intelligence and Machine Learning Summit, held in Las Vegas this spring. ‘We need a system and analytics to interpret data!’ she urged, despite being well aware that building a…

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Ventricular tachycardia

Deadly heart rhythm halted by noninvasive radiation therapy

Radiation therapy often is used to treat cancer patients. Now, doctors at Washington University School of Medicine in St. Louis have shown that radiation therapy — aimed directly at the heart — can be used to treat patients with a life-threatening heart rhythm. They treated five patients who had irregular heart rhythms, called ventricular tachycardia, at the School of Medicine. The patients…

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Computer & computed tomography

The virtual-heart arrhythmia risk predictor

Research by a team at John Hopkins University (JHU) in Baltimore, USA highlights the patients who are most likely to face lethal arrhythmias. They have developed a personalised 3-D virtual heart that can help predict the risk of sudden cardiac death.

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A sad mood causes a bad heart

The common parlance knew it long before experts paid attention to it: a persons mood can be associated to its heart. But indeed in recent years much attention has been spend to depression following heart attack and its effects on prognosis. On the Congress of the European Society of Cardiology (ESC) two Dutch studies have been introduced indicating that especially somatic and incident depression…

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Long-term support

Stroke: Lethal risk even without complications

People who survive a stroke or a mini-stroke without early complications have an increased risk of death, another stroke or heart attack (myocardial infarction) for at least 5 years following the initial stroke, found a new study published in the Canadian Medical Association Journal.

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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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Cigarettes on Sale on the Internet

The European Society of Cardiology comments on media reports last week that France is preparing to authorise the sale of cigarettes on the internet, to conform to European rights. Although Budget Minister Eric Woerth denies that this is the intention, the news is disappointing given the drop in heart attack rates following last year´s smoking ban.

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Free

App to improve World’s cardiovascular health

Leading cardiologist Valentin Fuster, MD, PhD, has developed a free mobile application called “Circle of Health” to empower individuals around the globe to take action to comprehensively assess and enhance their daily overall heart health. Cardiovascular diseases are the number one cause of mortality in the world. Dr. Fuster has created “Circle of Health” for the daily promotion of…

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.

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Lab2Go

POC test detects myocardial infarction

Philips Minicare delivers rule-in/rule-out readings for heart attacks in 10 minutes. It takes a lot of hard work to make things easy. Biomedical experts at Royal Philips have spent more than 10 years developing a simple test for the emergency department that, in less than 10 minutes, may indicate whether a patient suffering chest pains is having a heart attack.

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Telehealth interventions help cardiac patients

The use of phone and internet between patients and healthcare providers is an effective way to reduce risk factors for coronary heart disease and the risk of further events after a heart attack, according to new research published in June issue of the European Journal of Cardiovascular Prevention & Rehabilitation.

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Intra-aortic balloon pump pros & cons

Since cardiac surgeon Adrian Kantrowitz, of the Maimonides Medical Centre, Brooklyn, first introduced intra-aortic balloon pulsation (IABP) into clinical practice in 1967 (Surg Clin North Am. 1969 Jun; 49 (3) :505 -11), the technique has been considered the method of choice for short-term mechanical cardiac support following a heart attack.

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Fast triage of chest pain patients

ADVIA Centaur High-Sensitivity Troponin I Assay

The ADVIA Centaur® High-Sensitivity Troponin I (TNIH) assay* is the latest addition to Siemens Healthineers’ comprehensive cardiac menu to assist clinicians with the diagnosis and treatment of chest pain patients. Designed to aid in diagnosing acute myocardial infarctions (AMI) through the quantitative measurement of cardiac troponin I in serum or plasma, high-sensitivity troponin plays a…

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Research

Testosterone clue to male heart deaths

As men appear to have higher risk of cardiovascular disease (CVD) than women of a similar age – with vascular calcification a strong predictor of mortality and morbidity from CVD – a team from the University of Edinburgh hopes that exploration of a link between gender and calcification could help unlock the pathway to new therapies. The researchers have been looking at whether sex hormones…

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Colder days raise the risk of more heart attacks

In the light of global climate change, the relations between weather and health are of increasing interest. A drop in the average temperature outside is linked to a higher risk of people having heart attacks, according to a new study published on bmj.com today. UK researchers found that each 1°C reduction in temperature on a single day is associated with around 200 extra heart attacks.

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Researchers Find Protein 'Switch' Central to Heart Cell Division

In a study that began in a pair of infant siblings with a rare heart defect, Johns Hopkins researchers say they have identified a key molecular switch that regulates heart cell division and normally turns the process off around the time of birth. Their research, they report, could advance efforts to turn the process back on and regenerate heart tissue damaged by heart attacks or disease.

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Patient care

Advancing AF and renal dysfunction care

An innovative cardiac monitoring system that delivers continuous resynchronisation to patients, has shown a 35% risk reduction of hospitalisation for heart failure (HF) patients. The finding comes from the RESPOND-CRT (cardiac resynchronisation therapy) clinical trial, which was designed to investigate the clinical efficacy and safety of device-based optimisation using the SonR cardiac…

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Diabetics must lower their risk of CVD

Diabetics can face a five times increase in the risk of developing cardiovascular disease (CVD) than non-diabetics. This leads to a seven to ten year reduction in life expectancy and a higher probability of suffering a fatal heart attack. These sad statistics have prompted the European Society of Cardiology (ESC) to mark World Diabetes Day on 14 November by emphasising the simple measures that…

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Heart pump with air propulsion

A tiny heart catheter pump which supports the human heart in critical conditions while pumping has been developed at the Vienna University of Technology. The pump may not be larger than five millimetres and no longer than 45 millimetres at a ratio of 1:1. The aim was to avoid the development of heat which is caused by heart pumps that are driven by an electric motor.

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Oncology

Loophole for cancer cells

Many cancers only become a mortal danger if they form metastases elsewhere in the body. Such secondary tumours are formed when individual cells break away from the main tumour and travel through the bloodstream to distant areas of the body. To do so, they have to pass through the walls of small blood vessels. Scientists from the Max Planck Institute for Heart and Lung Research in Bad Nauheim and…

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Cardiology

3D scans spot earliest signs of heart disease

Researchers have shown that people with high blood pressure develop changes in their hearts even before symptoms appear. These changes are known to put people at risk of dying early, and the new work suggests it is possible for doctors to recognise such signs of heart disease earlier than they can today - by examining detailed images of the heart.

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The Heinz Nixdorf Recall Study

Initiated in 1999, the Heinz Nixdorf Recall Study involved 4,814 European participants. The results proved, for the first time, the connection between coronary calcifications and the risk of heart attack, according to scientists at the University Hospital in Essen. The finding by no means exhausted the potential inherent in the surveys. Subsidised until 2013, researchers are examining coronary…

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It's official – chocolate linked to heart health

High levels of chocolate consumption might be associated with a one third reduction in the risk of developing heart disease, finds a study published on bmj.com. The findings confirm results of existing studies that generally agree on a potential beneficial link between chocolate consumption and heart health. However, the authors stress that further studies are needed to test whether chocolate…

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PET scanning the heart cuts costs

USA - Using positron emission tomography (PET) scanning rather than other types of imaging as the first tool to diagnose heart-vessel blockages is more accurate, less invasive and saves money, according to researchers reporting at the American College of Cardiology's Annual Scientific Session in March.

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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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Getting to the heart of things

Not only is heart failure one of the single biggest causes of morbidity and mortality in man, but the incidence of the condition is steadily increasing. Rising to this challenge, innovative medical diagnostic techniques with ever greater performance are constantly being introduced so that early, unambiguous detection of the underlying condition is now possible, enabling the prompt initiation of…

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Endurance athletes should be tested for fatal heart condition

Some athletes who take part in endurance exercise such as marathon running, endurance triathlons or alpine cycling can develop irregularities in their heartbeats that can, occasionally, lead to their sudden death. Evidence published in the European Heart Journal by Professor La Gerche and colleagues has shown that doctors who try to detect these arrhythmias by focusing on the left ventricle of…

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A women's heart too often kills her

The biggest cause of death for most adult women in industrialised nations is coronary heart disease (CHD). Why the disease affects the genders differently is still not fully understood. European Hospital Editor Brigitte Dinkloh asked Professor Rafaelle Bugiardini MD FESC, from the Department of Internal Medicine Department, University of Bologna, whether he could explain the reasons and what…

Heart Rhythm Disorders: Better outcome with catheter ablation

According to data appeared on January, 26th, 2010 in JAMA (Journal of American Medical Association), patients with a common heart rhythm disorder, called Atrial Fibrillation, who were treated with catheter ablation* demonstrated significantly better outcomes at one year compared to those receiving drug therapy. In addition, the patients treated with catheter ablation reported markedly fewer…

Depression and Heart Disease

Two Dutch studies indicate that especially somatic and incident depressions are associated with poor prognosis in cardiac patients, which is very different from the 'typical' psychiatric depression that is usually characterised by cognitive and recurrent depressive symtoms.

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Machine learning

Google AI now can predict cardiovascular problems from retinal scans

Google AI has made a breakthrough: successfully predicting cardiovascular problems such as heart attacks and strokes simply from images of the retina, with no blood draws or other tests necessary. This is a big step forward scientifically, Google AI officials said, because it is not imitating an existing diagnostic but rather using machine learning to uncover a surprising new way to predict these…

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Europe's inconsistent use of device therapy in the prevention of sudden cardiac death

Even though the use of implantable devices for the treatment of heart failure and heart rhythm disturbances has increased enormously in Europe in recent years, there still remain large differences between countries. Indeed, a report last year in the European Journal of Heart Failure found that there is an underuse of devices in many of the European countries surveyed.(1) This is especially so in…

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Cardiohelp

Maquet has launched Cardiohelp, the world's smallest, lightest heart-lung machine, that can not only provide a total therapy solution for heart surgery, cardiology, intensive and emergency care, but also, due to its suitcase size and 10 kg weigh, the device can be carried by just one person onto a helicopter or ambulance for mobile use.

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Cardiohelp

Maquet has launched Cardiohelp, the world's smallest, lightest heart-lung machine, that can not only provide a total therapy solution for heart surgery, cardiology, intensive and emergency care, but also, due to its suitcase size and 10 kg weigh, the device can be carried by just one person onto a helicopter or ambulance for mo-bile use.

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Optimization of Temporal and Spatial Resolution for Cardiac CT Diagnostics

Further developments in computer and detection technology over the last few months and years have made it possible to overcome, to a large degree, the previously limitations of medical computer tomography in spatial and temporal resolution, and thus to permit “detail-true” representation of the beating heart. The diagnostic workflow and computer-tomographic diagnosis of the heart using the…

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Uncommon causes

Abdominal pain? Try thinking outside the box

Early detection of mesenteric ischemia increases treatment options and the possibility of a full recovery, but the condition’s rarity may lead to a delay in diagnosis while more common causes of abdominal pain are explored. An article in the February 2018 issue of Critical Care Nurse (CCN) aims to heighten nurses’ knowledge of mesenteric ischemia and infarction (MI), which are infrequent but…

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Mysterious illness

Potential diagnostic test for Kawasaki disease

For the first time, researchers at University of California San Diego School of Medicine and Imperial College London, with international collaborators, have determined that Kawasaki disease (KD) can be accurately diagnosed on the basis of the pattern of host gene expression in whole blood. The finding could lead to a diagnostic blood test to distinguish KD from other infectious and inflammatory…

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Defibrillator use

Italian law must change to improve survival from cardiac arrest

An Italian law requiring citizens to hold a certificate to use a defibrillator must change to improve survival from cardiac arrest, researchers argued today at Acute Cardiovascular Care 2018, a European Society of Cardiology congress. “Automated external defibrillator (AED) use before the arrival of the emergency medical services (EMS) plays a key role in improving victim survival from…

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Determining vascular age

New to the Siemens Medical Solutions portfolio of ultrasound applications is the syngo Arterial Health Package (AHP), which calculates cardiovascular risks by measuring carotid intima media thickness and determining the relative `vascular age´ of the vessel. Using this, along with, for example, cholesterol values and blood pressure, a physician can better assess a patient's myocardial or…

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Green tea is an affair of heart

Not only for green tea fanciers. A recent study published in the European Journal of Cardiovascular Prevention and Rehabilitation shows that drinking green tea improves the function of cells lining the vascular system and therefore protect vessels from atherosclerosis, reported the European Society of Cardiology.

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Diabetes doubles CVD risk

A team led by UK-based researchers has found that having diabetes doubles the risk of developing a wide range of blood vessel diseases, including heart attacks and different types of stroke. The consortium, headed by Dr Nadeem Sarwar and Professor John Danesh of the University of Cambridge, analysed data from the individual records on 700,000 people, each of whom was monitored for about a decade…

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Lab equipment

It takes a team

Clinical laboratories need to meet greater testing demands, improve efficiency, and deliver reliable, high-quality results, while at the same time, facing an increasing shortage of skilled employees and growing budget constraints. Both patient and physician satisfaction are frequently tied to the time it takes to receive lab test results. In a recent survey commissioned by Siemens Healthineers,…

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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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High throughput screening

Tumor-like spheres to help discover smarter cancer drugs

Cancer is a disease often driven by mutations in genes. As researchers learn more about these genes, and the proteins they code for, they are seeking smarter drugs to target them. The ultimate goal is to find ways to stop cancer cells from multiplying out of control, thereby blocking the growth and spread of tumors. Now researchers from The Scripps Research Institute are reporting an innovative…

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Stress echocardiography

'I was very surprised!' said cardiologist Dr Maria Prokudina, of the Almazof Federal Centre of Heart, Blood and Endocrinology, when invited by Professor John Elefteriades MD, head of Department of Cardiothoracic Surgery at Yale-New Haven Hospital (University School of Medicine) to lecture about Stress Echocardiography in Clinical Practice.

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Cardiovascular diseases and nutrition

CVD: Every second to third premature death preventable

Of the 4.3 million cardiovascular deaths in Europe in 2016, 2.1 million were the result of poor nutrition. The 28 EU member states account for around 900,000, Russia for 600,000 and the Ukraine for 250,000 of these deaths. Every second to third premature cardiovascular death could be prevented by better nutrition. These were the findings of an international research team led by the Martin Luther…

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Leveling intensity

Even two minutes of activity can reduce death risk

Walking 10,000 steps a day or a doing a quick workout from a phone app - all of those tactics could work to reduce risk of disease and death, according to new research. The study found that even brief trips up and down stairs would count toward accumulated exercise minutes and reducing health risks so long as the intensity reaches a moderate or vigorous level. The most dramatic improvements in…

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Celesteion PET-CT

Making a difference with Dual Modality Imaging

The Clinica Creu Blanca Diagnostic Group in Barcelona, Spain, is the first clinic in Europe to use Canon Medical System’s new Celesteion PET-CT Scanner. Dr. Xavier Alomar, Head of the Diagnostic Imaging Department at the Clinic, explains how the new system has opened up a large field of diagnostic possibilities for the Group in Metabolic Medicine in Oncology, Neurology, Cardio­logy and…

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Predictive technology

New software enables early diagnosis of arteriosclerosis

Little exercise, fatty food and too many cigarettes – factors like these aid the onset of arterial calcification, also known as arteriosclerosis. If blood can no longer be pumped through arteries properly, this can lead to a heart attack or stroke. Doctors are typically only able to diagnose the disease once it reaches an advanced stage. Computer scientists at the University of Kaiserslautern…

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Time-lapse microscopy

Image correction software simplifies quantification of stem cells

Today, tracking the development of individual cells and spotting the associated factors under the microscope is nothing unusual. However, impairments like shadows or changes in the background complicate the interpretation of data. Now, researchers at the Technical University of Munich (TUM) and the Helmholtz Zentrum München have developed a software that corrects images to make hitherto hidden…

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Infections

Philips and Diagnostics Development win European Union ‘Horizon Prize – Better Use of Antibiotics’

Philips and Diagnostics Development, a P&M Venge company, evaluate the novel human neutrophil lipocalin (HNL) biomarker for the rapid detection of bacterial infection. Based on Philips’ Minicare I-20 handheld diagnostics platform, the Minicare HNL assay is recognized for its potential to provide physicians with 10-minute confirmation of bacterial infection, helping to ensure that…

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Cardiac health

Too good to be true? New study challenges ‘obesity paradox’

The idea that it might be possible to be overweight or obese but not at increased risk of heart disease, otherwise known as the “obesity paradox”, has been challenged by a study of nearly 300,000 people published in in the European Heart Journal. This latest research shows that the risk of heart and blood vessel problems, such as heart attacks, strokes and high blood pressure, increases as…

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Cardiac Biomarkers

When in 1992 Dr Luigi Marzio Biasucci, head of the Sub-intensive Care Unit at the Catholic University of the Sacred Heart in Rome, Italy, published with his team the first paper on C-reactive protein (CRP) in unstable angina, few people believed in the diagnostic power of biochemical features to measure the effects or progress of disease, illness, or a condition. Today, biomarker tests are part…

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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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Biomarkers - Keys to prevention and early detection

Biomarkers as the key to prevention and early detection were the subject this autumn at the 7th Annual Congress of the German Society for Clinical Chemistry and Laboratory Medicine (DGKL) in Mannheim. For the DGKL president Professor Karl J Lackner MD, Director of the Institute for Clinical Chemistry and Laboratory Medicine at Johannes Gutenberg University, Mainz, the topic is of increasing…

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Molecular imaging

GE was the first to undertake molecular imaging development on a large scale. 'You have to be a very special company to work in this discipline,' Reinaldo Garcia, President and Chief Executive Officer of GE Healthcare International, pointed out, when we asked for an update on his company's progress in this field

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Diabetes: an increasing threat to people and society

Approximately 31 million people in the European Union are suffering from diabetes, a devastating disease with severe consequences for patients and their families, but also for the society at large and the economic prosperity of Europe. This week EH Online will focus on innovative strategies in diabetes care and on new management systems to support physicians and patients alike. Moreover, we will…

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Fighting acute coronary syndrome

Today in most countries of the world almost 50 % of patients in hospital for a cardiac condition began their treatment as emergency cases: chest pain at home . . . a cardiac arrest in the street. Thus, according to Dr Peter Clemmensen, of the 22 million hospital admissions in Europe each year for acute cardiac events, more than 10 million of them would have begun as an emergency and without…

Near-patient testing (NPT)

Near-patient testing (NPT) is any analytical process performed for, or by, a patient outside the traditional clinical laboratory. By Manole Cojocaru MD PhD, scientific consultant at ROMAR Medical-Laboratory Colentina, Bucharest

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The Wonderful World of Images Report on the Workshop

Tissue Doppler Imaging (TDI) and contrast echocardiography open up new possibilities for exactly representing and assessing functional cardiac disturbances. This was the topic discussed by Dr. Harald Becher of John Radcliff Hospital, Oxford, and Dr. Jörg Strotmann of the University Clinic Würzburg in the framework of the Toshiba workshop “New approaches in echocardiography” at the European…

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Preview

Prediction and Prevention theme for cardiovascular conference

Topics of big data, the genetic basis of coronary artery disease and sudden cardiac death in the young are among key subjects for British cardiologists at their 2016 annual conference. With a central theme of “Prediction and Prevention”, the 2016 British Cardiovascular Society annual conference takes place in Manchester from June 6-8 and features innovative and interactive presentations,…

New handheld diagnostic solutions for rapid point-of-care testing

Royal Philips Electronics and bioMérieux today announced that they have successfully achieved an important milestone in the development of fully-automated handheld rapid diagnostic test solutions for use in hospitals at the point-of-care – i.e. close to a patient’s bedside. This milestone comprises the successful integration of bioMérieux’s assay technology and Philips’ Magnotech rapid…

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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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i-STAT®

Increase efficiency, reduce costs & improve care

Abbott's i-STAT® 1 Wireless System is now available for use in hospitals, emergency rooms, physicians' offices and other health care environments in Europe and regions that recognize CE Mark. A portable, handheld blood analyzer, the i-STAT® uses two to three drops of a person's blood to perform common tests right at the bedside. By providing and transmitting test results within minutes to a…

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Biologised medical technology

New approaches, solutions and outlooks on biologised medical technology developed in the Berlin metropolitan region were presented at this year’s annual 'Medical technology meeting place' in Berlin, which presents the latest research, new product developments and best practice examples from the greater-Berlin area. report: Bettina Döbereiner

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Cardiovascular MRI

The role of magnetic resonance imaging (MRI) to assess the effect of therapy in patients with acute myocardial infarction was demonstrated in a series of papers during the 12th Annual Scientific Sessions of the Society for Cardiovascular Magnetic Resonance (SCMR), held in Orlando, Fla. USA (29 Jan - 1 Feb).

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2010 European Summit on CVD Prevention review

"Some progress, but the big challenges remain". This was the verdict after the European Society of Cardiology (ESC) hosted the 2010 European Summit on CVD Prevention on 30 November. The summit was attended by a broad cross-section of medical experts, healthcare organisations, national societies, regulators and representatives from the European Union (EU). The aim of this bi-annual event is to…

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CT angiography best for low-risk patients

Incorporating coronary CT angiography (CCTA) into the initial evaluation of low-risk patients coming to hospital emergency departments (EDs) with chest pain appears to reduce the time patients spend in the hospital without incurring additional costs or exposing patients to significant risks. The report of a study conducted at nine U.S. hospitals appears in the New England Journal of Medicine.

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Nanotechnology

Over the last five years the tiniest particles have attracted large attention in relation to the diagnosis and treatment of cardiovascular disease. Indeed, as in other medical disciplines, nanotechnology is advancing in cardiology despite as yet insufficient research on the extent of its effect and double blind studies to confirm findings

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Multi-modality imaging in coronary artery disease

The focus on Coronary artery disease – from genes to outcomes at ESC 2010 underlines the importance of CAD diagnosis on the scientific agenda. During the session ‘Multi modality imaging to detect coronary artery disease’, chaired by Professor JJ Bax, of the Cardiology Department at Leiden University Medical Centre, the Netherlands, experts will discuss, for example, the advantages of the…

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Stem Cells

By Professor Gustav Steinhoff MD, director of the Department for Cardiac Surgery, and Christof Stamm MD, co-ordinator of clinical studies, at Rostock University, Germany

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Peripheral artery disease

Treating poor blood circulation with injectable gel

Bioengineers and physicians at the University of California, San Diego have developed a potential new therapy for critical limb ischemia, a condition that causes extremely poor circulation in the limbs and leads to an estimated 230,000 amputations every year in North America and Europe alone to prevent the spread of infection and tissue death. The new therapy could prevent or limit amputations…

Winners of media prize announced

The International Chair on Cardiometabolic Risk (ICCR) is pleased to announce the three winners of the European Media Prize co-sponsored by the ICCR and the Association of European Journalists (AEJ) and launched in November 2007 to reward articles that best inform readers about a growing public health issue: abdominal obesity and related risk of cardiovascular disease.

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New perspectives in coronary plaque imaging using dual source CT

Ongoing technical developments in computed tomography (CT) such as dual source CT have established coronary CT angiography (cCTA) as a robust non-invasive imaging test for the assessment of coronary artery disease. The most important advantage of cCTA over conventional catheter-based coronary angiography is that not only the coronary lumen but also the entire coronary artery wall is visualized…

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PET/MR: The opportunities are almost unlimited

MRI has become the gold standard for many indications in cardiac imaging, apart from imaging the coronary arteries. For function and morphology assessment, MRI is the leading technology. A further advance into as yet unknown territory is myocardial imaging aided by one of the first integrated 3-Tesla PET/MR systems currently used at the Institute of Radiology, Essen University Hospital,…

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Quality reporting for the MRI Quality Register

The German MRI Quality Register resulted from cooperation between the Department of Cardiology (headed by Professor Udo Sechtem) at the Robert Bosch Hospital in Stuttgart and the Elisabeth Hospital in Essen (Headed by Professor Georg Sabin).

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Cardiology I

Chest pain units in Germany

The German care system for patients with acute and unspecific chest pain is unique in Europe. The closely knit and countrywide network of accredited Chest Pain Units (CPUs) ensures fast and targeted diagnosis of acute cardiac events. The German CPUs may soon serve as a blueprint for other European countries. The German Cardiac Society (DGK) has already accredited the first institutions – others…

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Predictive analysis

The USA’s healthcare system has awakened to the fact that electronically stored health patient data can save billions of dollars. Predictive analysis of ‘Big Data’ is a hot topic.The USA’s healthcare system has awakened to the fact that electronically stored health patient data can save billions of dollars. Predictive analysis of ‘Big Data’ is a hot topic.

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Advancing POC diagnostics

Improvements in microfluidics and detection technologies are beginning to expand the range of point-of-care diagnostics beyond simple blood chemistry tests to sophisticated immuno-assays and molecular diagnostics. Though yet to see much adoption in European hospitals, these point-of-care (POC) diagnostics are coming into use in the USA, initially in emergency rooms and ICUs where fast results are…

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Arteries seen in a new light

New imaging technologies are opening a new chapter in interventional cardiology by offering something this widely practiced procedure has been missing -- vivid clinical evidence to assess effectiveness. Interventional cardiology has moved rapidly from opening blocked arteries by crushing plaque with inflatable balloons to reinforcing the walls of the re-opened arteries with flexible metal stents…

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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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EASD 2010 review

7,000 people from 120 countries met in Stockholm this September to hear international experts discuss the progress, solutions and challenges of one of our greatest healthcare burdens. Prevention, self-monitoring, surgery, guidelines, economic problems, drug-safety, and co-morbidities – these are just a few of the problems associated with the care of about 55 million diabetics in Europe.

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Schiller AG - Pace maker of trends in emergency medicine

In Switzerland, they say, the clocks tick a little slower than elsewhere in the world. Not at Schiller AG in Baar, however: The company remains forever ahead of the times. Since 1971, physicist Alfred E Schiller, the company’s founder and managing director, has successfully shown competitors in the tough intensive and emergency care market what innovative progress really means.

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The most useful EU-supported venture

The Eastern Lithuania Cardiology Project (ELCP) - an integral inter-institutional regional project sponsored by the Lithuanian Government and the European Structural Funds, which began in 2004 - will end this year. In May, those who voted on the Lithuanian EU Support official website (a specially organised event, focusing on all EU-supported projects in all fields) nominated this project as the…

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New Method

Detecting blood clots with a single scan

A blood clot is a dangerous health situation with the potential to trigger heart attacks, strokes and other medical emergencies. To treat a blood clot, doctors need to find its exact location. But current clinical techniques can only look at one part of the body at a time, slowing treatment and increasing the risk for complications. Now, researchers are reporting a method, tested in rats, that…

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Thrombectomy

Stroke is a surgical disease!

They did it for heart attacks. Can cardiologists now lead an effort to speed up the emergency medical response for stroke? Over the past five years, the Stent for Life initiative organised by interventional cardiologists has pushed majors medical centres to assure 24/7 coverage and reduce the time to treatment for patients showing up with severe chest pain.

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Changing the way we live

Marcel van Kasteel MBA, is VP of Philips and CEO of Handheld Immunoassays, a Philips Incubator venture in Eindhoven, the Netherlands, which recently announced that, by the end of this year, the first device to test for drug abuse will be marketed that will make on the spot testing simple and quick for use by the police.

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Internationalising IT systems

Agfa climbs over language and healthcare practice barriers

In recent years, Agfa HealthCare has dramatically expanded its IT portfolio in line with its strategy to be an international leader in healthcare IT. At the recent ITeG exhibition in Frankfurt, the company's ambitions were clearly visible: Agfa very much focused on ORBIS, its leading Hospital Information System. Daniela Zimmermann interviewed Eric Maurincomme, Vice President Business…

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POCT brings values

Bedside testing of parameters has been introduced in clinical practice much earlier than laboratory testing: In past centuries, not only were temperature or pulse rate taken at the point of care (POC), but also qualitative blood or urine analysis were performed right next to a patient’s bed

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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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Britain: The big bug buster

The UK's MRSA rates have been declining since 2006 — and this year could be 50% lower than in 2004. This increasing control over dangerous pathogens has not been achieved without considerable hospital staff efforts, relentless public and government pressures on them, and in-house malcontent about the out-sourcing of cleaning work. Given the cost of nosocomial infections to patients, the NHS…

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The pulseless life

New pulsatile heart pumps (ventricular assist devices - VAD) can remain in the body as a permanent heart support.

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Study

Mapping brain connectivity with MRI may predict cardiac arrest survival

A new study led by Johns Hopkins researchers found that measures of connectivity within specific cerebral networks were strongly linked to long-term functional outcomes in patients who had suffered severe brain injury following a cardiac arrest. A description of the findings, published in October in the journal Radiology, suggests that mapping and measuring such connectivity may result in highly…

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A very special juice

The patient blood management concept

'Blood is a very special juice’ – something even Goethe’s Mephistopheles knew. Medics have also known this for centuries, so it’s nothing new that the ‘juice’ and its properties receive a lot of attention in medicine. However, what is new is that dealing with the use of blood through patient blood management (PBM) is coming to the fore.

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Major success

Colorectal cancer deaths go down 7% - but it's too early to celebrate yet

The decline in cancer of the intestines – colorectal cancer – is one of the major success stories of the past 30 years in Europe say researchers, as they predict that in 2018 death rates from the disease will continue to fall by around seven per cent compared to 2012. In a study published in the leading cancer journal Annals of Oncology, researchers predict that death rates in the European…

Unfavourable findings on U.S. hospitals

The Leapfrog Group is a U.S. organisation of member companies that pay for healthcare services, e.g. corporations, health insurers and local, state and federal government agencies. Established in 2000, its philosophy is that big 'leaps' in healthcare safety, quality and value to patients will be recognised and rewarded. The organisation mobilises purchasing power of its members, representing over…

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Risks and benefits of first line diabetes treatment

Although the drug metformin is considered the gold standard in the management of type 2 diabetes, a study by a group of French researchers published in this week's PLoS Medicine suggests that the long-term benefits of this drug compared with the risks are not clearly established - an important finding given that currently, thousands of people around the world are regularly taking metformin to…

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Stroke - New options for prevention and therapy

It’s hardly surprising that stroke was a focus at the 20th meeting of the European Neurological Society (ENS) -- every year at least a million people suffer one in the EU. In an interview with Bettina Döbereiner, Professor Karl Max Einhäupl, Director of the Department of Neurology at the Charité - University of Medicine Berlin, of which he is Chairman of the Board and co-chair of the ENS…

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Counter-pulsation

Evidence at last

Cardiac surgeons have finally found what cardiologists had reported missing three years ago: evidence to support the use of the oldest mechanical circulatory assist devices: IABP. Nevertheless, the findings may have only limited impact.

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Gender medicine

The insight that psychological, social and environmental conditions affect a person’s health is insufficiently considered in medical training and in the every-day diagnosis and treatment of patients.

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Crisis as an opportunity

Rarely have the topics at the EHFG been so relevant to the current international economic crisis – reason enough for EH correspondent Christian Pruszinsky to interview the Forum’s founder and outgoing President Professor Günther Leiner.

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…

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iPhones and healthcare

January saw the release of a German language version of Radiation Passport, an iPhone application that enables patients to calculate estimated radiation exposure from diagnostic imaging procedures and keep a personal record of their examinations. Radiation Passport costs US$3.99; by the end of 2009 over 1,000 English language versions were sold.

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Tablets for the people?

Last week the English government closed its consultation on the effectiveness of vascular checks for high-risk people aged 40-74. Would this help? Experts from New Zealand and the WHO say "yes". Others argue that public health approaches targeting the whole population are both: cheaper and more effective than tablets.

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Politics

Europe faces unprecedented threats

Two of the core tenets underpinning the European vision – the euro and the Schengen agreement – are coming under unprecedented threat through financial challenges and the impact of the refugee crisis across the continent. It is these critical issues that keynote speaker Professor Martin McKee will tackle during the opening plenary session at the European Health Forum in Gastein in…

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Type 2 diabetes driving epidemic

Type 2 diabetes poses one of the greatest public health threats of the 21st century. The majority of the western world is in the grips of a diabetes epidemic driven by type 2 diabetes that goes hand in hand with the escalating incidence of obesity. Alarmingly, in some working class and poor communities, the disease is so prevalent that its victims almost take it as a matter of course.

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Aggression in hospitals

A receptionist threatened with a butcher’s knife in Bourgoin-Jallieu (Isère); gunshots in an emergency unit in Delafontaine, at Saint-Denis, near Paris; a nurse wounded with a knife in a Marseille hospital – three separate incidents in just one week last August brought into sharpe focus what has become a worrying phenomenon.

Breast cancer

Five years of therapy with the drug tamoxifen has become the norm for postmenopausal women with hormone-sensitive breast cancer. However, this has several adverse side effects, and studies have continued to compare the effects of other drug therapies with tamoxifen.

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Facing the terror

While Western Europe's hospitals only carry out drills for possible terrorist events — Israel's medics face the real thing. During the recent Congress of Anaesthesiology and Intensive Care Medicine in Berlin, internist Dr Michael Kafka, head of emergency medicine at the Bnai Zion Medical Centre in Haifa, described strategies to cope with mass casualty events.

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The 129th Congress of the German Society of Surgery

Meeting with EH editor Brigitte Dinkloh, Congress Secretary Professor Alexis Ulrich MD (left), Assistant Medical Director at the Clinic for General, Visceral and Transplant Surgery at the University of Heidelberg, outlined the scientific programme, discussed some impressive advances in surgical procedures, and explained why the gathering bears the slogan Surgery in Partnership.