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Does mechanical thrombectomy actually improve meaningful outcomes in intermediate-risk PE? 🤔 In the STORM-PE randomized trial, thrombectomy improved RV/LV ratios at 48 hours—but clinical outcomes were essentially identical to anticoagulation alone. Mortality, ICU and hospital length of stay, and clinical deterioration were similar, raising an important question: are we...

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12,230 görüntüleme • 4 ay önce •via X (Twitter)

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Catheter-Directed PE Treatment: Does it Deliver? NEJM Clinician Editor-in-Chief Raja-Elie Abdulnour, MD (Raja-Elie Abdulnour), explains a trial recently published in NEJM that compared catheter-directed thrombolysis to anticoagulation alone for acute, intermediate-risk pulmonary embolism. Read the key results and comment from Michael E. Billington, MD: Visit to see What Matters Most This Week, including: 🫀 New ACC/AHA Guideline on Lipid Management and ASCVD Prevention 💊 Chronic Beta-Blocker Use in Low-Risk Patients after MI: Time to Re-Evaluate 🧠 Reducing the Risk of Recurrent Stroke in Patients with Left Ventricular Dysfunction 🎯 What's the Ideal LDL Target for Patients with Cardiovascular Disease?
1:07

Catheter-Directed PE Treatment: Does it Deliver? NEJM Clinician Editor-in-Chief Raja-Elie Abdulnour, MD (Raja-Elie Abdulnour), explains a trial recently published in NEJM that compared catheter-directed thrombolysis to anticoagulation alone for acute, intermediate-risk pulmonary embolism. Read the key results and comment from Michael E. Billington, MD: Visit to see What Matters Most This Week, including: 🫀 New ACC/AHA Guideline on Lipid Management and ASCVD Prevention 💊 Chronic Beta-Blocker Use in Low-Risk Patients after MI: Time to Re-Evaluate 🧠 Reducing the Risk of Recurrent Stroke in Patients with Left Ventricular Dysfunction 🎯 What's the Ideal LDL Target for Patients with Cardiovascular Disease?

NEJM

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What is the appropriate antithrombotic regimen for patients with chronic coronary syndrome who are at high atherothrombotic risk and receiving long-term oral anticoagulation? View the full results of the AQUATIC trial:
1:20

What is the appropriate antithrombotic regimen for patients with chronic coronary syndrome who are at high atherothrombotic risk and receiving long-term oral anticoagulation? View the full results of the AQUATIC trial:

NEJM

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The NHS was founded on the principle of being free at the point of use at the time of need. But in Scotland, nowhere offers thrombectomy between 8pm and 8am. Only 1 in 7 Scots get the thrombectomy they need. Scotland needs 24/7 thrombectomy. #ScotNight
0:34

The NHS was founded on the principle of being free at the point of use at the time of need. But in Scotland, nowhere offers thrombectomy between 8pm and 8am. Only 1 in 7 Scots get the thrombectomy they need. Scotland needs 24/7 thrombectomy. #ScotNight

James Bundy

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AIR AMBULANCES IN CHINHOYI: Chinhoyi residents are appreciating how their clinical outcomes have drastically improved due to the availability of the Air Ambulances.
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AIR AMBULANCES IN CHINHOYI: Chinhoyi residents are appreciating how their clinical outcomes have drastically improved due to the availability of the Air Ambulances.

Nick Mangwana

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Hemiarthroplasty may improve outcomes for patients with unstable intertrochanteric fractures. It remains a good option in the hands of experienced surgeons.
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Hemiarthroplasty may improve outcomes for patients with unstable intertrochanteric fractures. It remains a good option in the hands of experienced surgeons.

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Mechanical Thrombectomy
1:01

Mechanical Thrombectomy

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Overview of our equipment and technique for accessing the PA for PE thrombectomy. Sabeen Dhand Venkat Tummala MD MBA Keith Pereira MD, #VIrad Osman Ahmed BackTable Vascular and Interventional
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Overview of our equipment and technique for accessing the PA for PE thrombectomy. Sabeen Dhand Venkat Tummala MD MBA Keith Pereira MD, #VIrad Osman Ahmed BackTable Vascular and Interventional

Austin Bourgeois

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In patients with early septic shock, the ANDROMEDA‑SHOCK‑2 randomized clinical trial evaluated a personalized hemodynamic resuscitation protocol targeting normalization of capillary refill time. Compared with usual care, this strategy was superior for a hierarchical composite outcome of mortality, duration of vital support, and length of hospital stay at 28 days, with the overall benefit primarily attributable to a shorter duration of organ support. 🧵
2:55

In patients with early septic shock, the ANDROMEDA‑SHOCK‑2 randomized clinical trial evaluated a personalized hemodynamic resuscitation protocol targeting normalization of capillary refill time. Compared with usual care, this strategy was superior for a hierarchical composite outcome of mortality, duration of vital support, and length of hospital stay at 28 days, with the overall benefit primarily attributable to a shorter duration of organ support. 🧵

JAMA

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“800 infants who had a high risk for a chronic disease like near-fatal food allergies now have had a clinical trial pulled because of the lack of NIH funding,” says Dr Kari Nadeau, who ran the trial. “When this type of clinical trial is ended… you put patients’ lives at risk.”
2:23

“800 infants who had a high risk for a chronic disease like near-fatal food allergies now have had a clinical trial pulled because of the lack of NIH funding,” says Dr Kari Nadeau, who ran the trial. “When this type of clinical trial is ended… you put patients’ lives at risk.”

Christiane Amanpour

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Today the SDLP brought forward a motion in the assembly for the delivery of a 24/7 thrombectomy Service. A thrombectomy, which is a surgery which removes a blood clot from the brain, is only available in Northern Ireland between 8am and 5pm each day. Aileen Moynagh reports
2:04

Today the SDLP brought forward a motion in the assembly for the delivery of a 24/7 thrombectomy Service. A thrombectomy, which is a surgery which removes a blood clot from the brain, is only available in Northern Ireland between 8am and 5pm each day. Aileen Moynagh reports

BBC Newsline

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🚨 500% Higher Autism-Related Outcomes. Same Result Across All 12 Studies. Epidemiologist Nicolas Hulscher, MPH, joins Del Bigtree to break down a peer-reviewed reanalysis of the Henry Ford vaccinated vs. unvaccinated study featured in An Inconvenient Study. In the original Henry Ford analysis, a result for autism was unclear. One potential reason, according to Hulscher, is that the researchers looked only for a narrow autism diagnosis code. That would miss how autism actually shows up in medical records. Children on the autism spectrum are often diagnosed under related categories like speech disorders, ADHD, learning disabilities, and tics. When those autism-related diagnoses were grouped together to reflect real clinical practice, the signal became clear to Hulscher. Autism-related outcomes were about 500% more likely, roughly a fivefold increase, in vaccinated children compared to unvaccinated children. This finding does not stand alone. There are now 12 independent vaccinated vs. unvaccinated data sets, and every single one shows the same pattern. Higher rates of chronic and neurodevelopmental conditions in vaccinated groups, with no study showing better overall health outcomes for the vaccinated. See full conversation here:
2:36

🚨 500% Higher Autism-Related Outcomes. Same Result Across All 12 Studies. Epidemiologist Nicolas Hulscher, MPH, joins Del Bigtree to break down a peer-reviewed reanalysis of the Henry Ford vaccinated vs. unvaccinated study featured in An Inconvenient Study. In the original Henry Ford analysis, a result for autism was unclear. One potential reason, according to Hulscher, is that the researchers looked only for a narrow autism diagnosis code. That would miss how autism actually shows up in medical records. Children on the autism spectrum are often diagnosed under related categories like speech disorders, ADHD, learning disabilities, and tics. When those autism-related diagnoses were grouped together to reflect real clinical practice, the signal became clear to Hulscher. Autism-related outcomes were about 500% more likely, roughly a fivefold increase, in vaccinated children compared to unvaccinated children. This finding does not stand alone. There are now 12 independent vaccinated vs. unvaccinated data sets, and every single one shows the same pattern. Higher rates of chronic and neurodevelopmental conditions in vaccinated groups, with no study showing better overall health outcomes for the vaccinated. See full conversation here:

An Inconvenient Study

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World-renowned physician Dr. William Li explains how cacao can stimulate stem cells to migrate to various sites of repair and regeneration throughout the body. Cacao is the core ingredient in chocolate and is produced from the beans of cacao tree through a process of fermentation, drying and roasting. Clinical studies have shown that men in their sixties with heart disease, who drank 2 cups of dark hot cocoa per day for a month, doubled their stem cells and significantly improved their circulation. The COSMOS (COcoa Supplement and Multivitamin Outcomes Study) is a large-scale clinical trial that recently showed that consuming high flavanol cocoa decreases the risk of cardiovascular death. What are your thoughts on this?
1:15

World-renowned physician Dr. William Li explains how cacao can stimulate stem cells to migrate to various sites of repair and regeneration throughout the body. Cacao is the core ingredient in chocolate and is produced from the beans of cacao tree through a process of fermentation, drying and roasting. Clinical studies have shown that men in their sixties with heart disease, who drank 2 cups of dark hot cocoa per day for a month, doubled their stem cells and significantly improved their circulation. The COSMOS (COcoa Supplement and Multivitamin Outcomes Study) is a large-scale clinical trial that recently showed that consuming high flavanol cocoa decreases the risk of cardiovascular death. What are your thoughts on this?

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Long-term use of beta-blockers may not improve clinical outcomes in patients free from heart failure or left ventricular systolic dysfunction after MI. Find out more on #ESCTVToday. 👉
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Long-term use of beta-blockers may not improve clinical outcomes in patients free from heart failure or left ventricular systolic dysfunction after MI. Find out more on #ESCTVToday. 👉

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BREAKING Substantial amounts of high quality randomized clinical trial data demonstrate improved heart outcomes with intermittent fasting. One of the world's experts in the area, Dr. Pam Taub, discusses the substantial shortcomings of observational nutritional data that the media are reporting on that are not consistent with previous high quality data. Be skeptical of the study that the mainstream media is reporting on. Support studies that truly test the question.
5:12

BREAKING Substantial amounts of high quality randomized clinical trial data demonstrate improved heart outcomes with intermittent fasting. One of the world's experts in the area, Dr. Pam Taub, discusses the substantial shortcomings of observational nutritional data that the media are reporting on that are not consistent with previous high quality data. Be skeptical of the study that the mainstream media is reporting on. Support studies that truly test the question.

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May Stroke Challenge! Join SVIN in #SpreadingTheWord in your language for Stroke Awareness Month. Mission Thrombectomy SVIN Fawaz Al-Mufti, MD, FSVIN Stroke AHA/ASA AshuJadhav Mohammad El-Ghanem Mission Thrombectomy
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May Stroke Challenge! Join SVIN in #SpreadingTheWord in your language for Stroke Awareness Month. Mission Thrombectomy SVIN Fawaz Al-Mufti, MD, FSVIN Stroke AHA/ASA AshuJadhav Mohammad El-Ghanem Mission Thrombectomy

Mohamed Elfil, MD

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We’re committed to advancing cancer innovation to improve patient outcomes. 🚀 CanSense's collaboration in cancer innovation is paving the way for better patient outcomes, and we’re so proud to support them. Watch our cancer series here:
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We’re committed to advancing cancer innovation to improve patient outcomes. 🚀 CanSense's collaboration in cancer innovation is paving the way for better patient outcomes, and we’re so proud to support them. Watch our cancer series here:

Life Sciences Hub Wales

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What are the benefits of urban green & blue spaces for health? In a new episode of The #LancetVoice, experts explore this question & the challenges in translating the benefits into improved health outcomes. 🔊Listen to the full episode: #Lancet200
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What are the benefits of urban green & blue spaces for health? In a new episode of The #LancetVoice, experts explore this question & the challenges in translating the benefits into improved health outcomes. 🔊Listen to the full episode: #Lancet200

The Lancet

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Live Mount Sinai IR up to 15 cases with the new 16fr Computer Assisted Vacuum Thrombectomy system (CAVT) for Acute PE. Very deliverable and shorter procedure times compared to LBAT. Looking forward to STORM-PE to get the level one evidence. The PERT Consortium®
0:26

Live Mount Sinai IR up to 15 cases with the new 16fr Computer Assisted Vacuum Thrombectomy system (CAVT) for Acute PE. Very deliverable and shorter procedure times compared to LBAT. Looking forward to STORM-PE to get the level one evidence. The PERT Consortium®

Robert A Lookstein MD, MHCDL

13,609 görüntüleme • 2 yıl önce

In low-risk patients with MI and early complete revascularization, stopping aspirin after 1 month and continuing P2Y12 monotherapy was noninferior to dual antiplatelet therapy for ischemic outcomes and led to reduced bleeding at 1 year. Read the full TARGET-FIRST trial results in the Original Article “Early Discontinuation of Aspirin after PCI in Low-Risk Acute Myocardial Infarction”:
1:30

In low-risk patients with MI and early complete revascularization, stopping aspirin after 1 month and continuing P2Y12 monotherapy was noninferior to dual antiplatelet therapy for ischemic outcomes and led to reduced bleeding at 1 year. Read the full TARGET-FIRST trial results in the Original Article “Early Discontinuation of Aspirin after PCI in Low-Risk Acute Myocardial Infarction”:

NEJM

32,367 görüntüleme • 7 ay önce