A medida da IMT aguarda em silêncio

Conclusions and Relevance  This systematic review and meta-analysis found that the CACS appears to add some further discrimination to the traditional CVD risk assessment equations used in these studies, which appears to be relatively consistent across studies. However, the modest gain may often be outweighed by costs, rates of incidental findings, and radiation risks. Although the CACS may have a role for refining risk assessment in selected patients, which patients would benefit remains unclear. At present, no evidence suggests that adding CACS to traditional risk scores provides clinical benefit.

Bell KJL, White S, Hassan O, et al. Evaluation of the Incremental Value of a Coronary Artery Calcium Score Beyond Traditional Cardiovascular Risk Assessment: A Systematic Review and Meta-analysis. JAMA Intern Med. Published online April 25, 2022. doi:10.1001/jamainternmed.2022.1262

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2791663?utm_source=twitter&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=042522#.YmddJCrrUzk.twitter

A culpa é do Átrio?

Atrial functional MR typically occurs in the context of AF and/or HFpEF.
Isolated annular dilation, insufficient leaflet growth, and impaired annular dynamics are mechanical culprits.
Early discrimination between atrial functional MR and secondary MR is pivotal to accommodate for different therapeutic needs.
Further study is needed to clarify the impact of early rhythm restoration strategies and mitral annular interventions to treat atrial functional MR.

https://www.jacc.org/doi/abs/10.1016/j.jacc.2019.02.061#:~:text=Highlights,-%E2%80%A2&text=Atrial%20functional%20MR%20typically%20occurs,of%20AF%20and%2For%20HFpEF.&text=Isolated%20annular%20dilation%2C%20insufficient%20leaflet,annular%20dynamics%20are%20mechanical%20culprits.&text=Early%20discrimination%20between%20atrial%20functional,accommodate%20for%20different%20therapeutic%20needs

Ausculta cardíaca? Chama a inteligência artificial!

Requiem for cardiac auscultation? - Dr Richard Bogle PhD FRCP FESC FACC  DHMSAConsultant Cardiologist

https://doi.org/10.1002/clc.23826

Conclusions

The present study shows that deep learning-guided auscultation predicts significant AS with similar accuracy as cardiologists. The results of this pilot study suggest that AI-assisted auscultation may help general practitioners without special cardiology training in daily practice.

O estetoscópio que avisa o médico!

Perspectivas clínicas
O presente estudo dá provas de conceito de que a auscultação assistida por IA pode fornecer resultados a um elevado nível de peritos no que diz respeito à detecção de estenose aórtica. A integração desta tecnologia num estetoscópio electrónico poderia ser o próximo passo para actualizar este sistema para uso clínico diário. Um estetoscópio que indique um aviso em caso de certos defeitos na válvula seria concebível num futuro previsível. A introdução de um tal dispositivo em países que não podem fornecer cuidados médicos abrangentes já foi proposta há anos

Traduzido com a versão gratuita do tradutor – http://www.DeepL.com/Translator