Keyword: cardiology

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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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Brain health after surgery

Post-operative cognitive decline: mostly a myth, says study

Patients who undergo heart surgery do not experience major memory changes—either better or worse—when compared with those who have a much less invasive, catheter-based procedure, according to a study published online in The Annals of Thoracic Surgery. “It was comforting to see that the differences in cognitive decline between the two heart procedures are small, even though one involves…

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AI in cardiology

Cardiac ultrasound: Harnessing anatomical intelligence

A new cardiac ultrasound solution is harnessing the power of anatomical intelligence to offer greater diagnostic confidence to clinicians. New EPIQ cardiac ultrasound solutions launched by Philips during the 2018 ESC Congress in Munich, have been designed to simplify workflow The CVx platform which, the firm reports, includes higher processing power, improved image clarity and sharpness, and more…

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Transcranial magnetic stimulation

Treating post-stroke depression with magnetic fields

Obstetricians and midwives often warn new mothers about postpartum depression. They might mention what symptoms women should look out for—such as crying spells or extreme irritability—and where they can turn for help. But people who have strokes may not learn that they, too, are at risk for depression. Post-stroke depression stems from the cardiovascular changes in the brain that lead to a…

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Teamwork <3

7-Tesla: Multidisciplinary care is key to cardiac disease management

New 7-Tesla MR methods could potentially shed light on cardiomyopathies’ principles, according to a leading French radiologist who also stresses the importance of teamwork between radiologists, cardiologists, surgeons and anaesthesiologists. Morphologic and dynamic information of the myocardium is achieved with millimetric resolution (0.9x0.9 square mm). Strong intensity variations…

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Digital PET imaging

Digital Photon Counting improves diagnostic accuracy

Built as the first commercially available scanner to deliver truly digital PET, the Vereos PET/CT, from Philips, offers revolutionary Digital Photon Counting technology. The science behind this scanner evolution is ‘quite complicated’, agrees Piotr Maniawski, Director of Clinical Science Nuclear Medicine at Philips Healthcare, yet the improved performance is significant, particularly when…

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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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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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Clinical benefit

The future of telemonitoring

The IN-TIME study remains the only major trial to show a clear mortality benefit for remote monitoring in heart failure (HF) patients. A recent analysis by Hussar et al. suggests workflow processes such as daily, multiparametric data transmitted using Biotronik Home Monitoring, may be key to this benefit. Dr Wilfried Mullens, Head of the Heart Failure and Cardiac Rehabilitation Section at…

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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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Cause and effect

Diabetes and heart failure: discovering the connection

Men with diabetes are 2.4 times more likely than non-diabetics to suffer heart failure and women are five times more likely. But why? A new Loyola University Chicago Stritch School of Medicine study reveals how, on a cellular level, diabetes can cause heart failure. The findings could lead to medications to treat and perhaps prevent heart failure in diabetes patients, researchers said. In a…

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Precision CV medicine

New biomarkers for cardiovascular disease

A range of new biomarkers and diagnostics for precision cardiovascular medicine were outlined in a session at the British Cardiovascular Society annual conference held recently in Manchester. Speakers from King’s British Heart Foundation Centre looked at how mass spectrometry allows clinicians to measure large numbers of proteins simultaneously, discussed a new biomarker for cardiac ischaemia…

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A valuable assistant

AI will transform radiologists into data scientists

Machine learning is increasingly helping radiologists to acquire faster and better quality images, and measure heart function. This is just the tip of the iceberg; artificial intelligence has far more to bring to the heart, explained Daniel Rueckert, Head of the Department of Computing at Imperial College London, during CMR 2018. Machine learning (ML) is becoming a valuable assistant for…

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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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Blood flow imaging

A new tool box enhances heart failure diagnosis

One of the challenges for every echocardiography lab is the technically difficult patient. Conventionally, labs use contrast agents to enhance endocardial border visualization. The application of contrast agents increases the exam time, resources and costs. Additionally, the use of contrast turns a previously non-invasive exam into an invasive procedure. Hitachi Healthcare has now developed a…

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Cardiac imaging on ICE

The benefits of Intracardiac echocardiography

Intracardiac echocardiography (ICE) is an increasingly important guiding tool for structural heart disease interventions – without general anaesthesia. José Ribeiro, who works in the thorax and circulation unit at Gaia Hospital Centre, Portugal, who has worked with this technology for the past two years, explained its benefits and limitations.

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Going nuclear

Ischaemia: Advances in nuclear imaging

Experts outlined approaches to ischaemia imaging during the recent British Cardiovascular Society conference. In a ‘Detection of ischaemia by cardiac imaging in 2018’ session, comparisons were made between solid state SPECT cameras, whether spatial resolution or visual assessment was of the greater importance, if CT-FFR offered advantages over CT perfusion, and the challenges in defining a…

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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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Weak heart

The many causes of dilated cardiomyopathy

A major study has been launched to investigate the interaction between genes and lifestyle factors and dilated cardiomyopathy (DCM). Led by Professor Stuart Cook, at the National Heart and Lung Institute, this, the largest ever DCM study, will investigate why people develop DCM, with a focus on who is most at risk of sudden death or heart failure (HF). Six hospital trusts across England –…

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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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Remote monitoring

It’s time to look again at IN-TIME

As the world’s largest cardiology congress gets underway in Munich, it’s worth looking back to previous ESC sessions to see how scientific debates have evolved. At ESC 2016, held in Rome, REM-HF investigators presented data suggesting remote monitoring in implantable cardiac devices offered no added clinical benefit. Two years on, there are new reasons to re-examine that conclusion, with a…

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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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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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