Conclusions
We found no evidence of a temporal trend in hazard ratios between newly diagnosed atrial fibrillation and all cause mortality. The hazard ratios for non-cardiovascular death declined over time but no evidence of a temporal trend for cardiovascular death was found. Mortality associated with newly diagnosed atrial fibrillation remained high compared with individuals without atrial fibrillation, despite showing some improvements over the past 45 years. More than 10 years after a diagnosis of atrial fibrillation, individuals with atrial fibrillation lose about two years of life compared with matched referents.
BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m2724 (Published 11 August 2020)
Cite this as: BMJ 2020;370:m2724
CHD
Cardiac Injury Common in COVID-19, Tied to Increased Mortality Risk
Cardiac Injury Common in COVID-19, Tied to Increased Mortality Risk
After adjustment for confounders, including acute respiratory distress syndrome, cardiac injury remained a significant predictor of mortality.
Does A Normal Cardiac Catheterization Mean Your Coronary Arteries Are Truly “Clean?” — The Skeptical Cardiologist
For far too long, many patients have undergone a cardiac test that carries grave risks with the misunderstanding that they are getting the definitive assessment of their coronary arteries. Chances are if you have visited an emergency room in the USA with chest pain and you weren’t clearly having an acute heart attack, you ended up…
Thank you Dr. Pearson.
High-protein diets boost artery-clogging plaque
High-protein diets boost artery-clogging plaque, mouse study shows
In mice.
The mice on the high-fat, high-protein diet developed worse atherosclerosis — about 30% more plaque in the arteries — than mice on the high-fat, normal-protein diet, despite the fact that the mice eating more protein did not gain weight, unlike the mice on the high-fat, normal-protein diet.
“This study is not the first to show a telltale increase in plaque with high-protein diets, but it offers a deeper understanding of the impact of high protein with the detailed analysis of the plaques,” Razani said. “In other words, our study shows how and why dietary protein leads to the development of unstable plaques.”
What is the Infarct Artery?
What is the infarct artery????? And have you ever seen a troponin this high?
We’ll never see a case like this in our line of work but it’s still a lot of fun to read on a Saturday morning while recuperating from a business trip.
Diabetes Independently Linked to Increased Heart Failure
Diabetes Independently Linked to Increased Heart Failure
Diabetes Independently Linked to Increased Heart Failure – Medscape – Jan 09, 2020.
Yikes.
Got Afib? Don’t Drink Alcohol
Alcohol Abstinence Linked to Lower Risk for Atrial Fibrillation Recurrence
Recurrences of atrial fibrillation lasting 30 seconds or more were less common in the abstinence group (53% vs. 73% of control patients). The median percentage of time spent in atrial fibrillation was also lower in the abstinence group (0.5% vs. 1.2%).
Hot New Model
Participants’ mean age was 81.5 years, 44.4% were women, and 10.5% were nonwhite. There were 266 deaths (8.8%) within 6 months. The final risk model included 15 variables, 4 of which were not included in prior risk models: hearing impairment, mobility impairment, weight loss, and lower patient-reported health status
Eat Nuts
Eating nuts linked with lower risk of fatal heart attack and stroke
Eating nuts two or more times per week was associated with a 17% lower risk of cardiovascular mortality compared to consuming nuts once every two weeks. The connection was robust even after adjusting for factors that could influence the relationship such as age, sex, education, smoking, and physical activity. Nut intake was inversely associated with the other outcomes but lost significance after adjustment.
An Early Look At AliveCor’s Amazing KardiaMobile 6L: Accurate 6 Lead ECG On Your Smartphone — The Skeptical Cardiologist
The skeptical cardiologist has been evaluating a demo version of AliveCor’s new KardiaMobile 6L. I have been a huge advocate of Kardia’s single lead ECG and use it with great success in dozens of my afib patients. I’ve written about how this personal ECG monitoring empowers patients and providers and is a crucial component of…
Thanks Doctor for the ECG history lesson and for sharing your insights.
And congratulations on the Stanley Cup!
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