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Hypertension Series: Non-Pharmacological Management by Prof Hein Yarzar Aung
Discussing on lifestyle modification and impact on blood pressure
Hypertension Series: Non-Pharmacological Management by Prof Hein Yarzar Aung
Discussing on lifestyle modification and impact on blood pressure
Hypertension Series: Non-Pharmacological Management by Prof Hein Yarzar Aung
Discussing on lifestyle modification and impact on blood pressure
Hypertension Series: Pharmacological Management by Prof Hein Yarzar Aung
Discussion on choice of antihypertensive drug class and general recommendations for antihypertensive drug treatment
Hypertension Series: Pharmacological Management by Prof Hein Yarzar Aung
Discussion on choice of antihypertensive drug class and general recommendations for antihypertensive drug treatment
Hypertension Series: Pharmacological Management by Prof Hein Yarzar Aung
Discussion on choice of antihypertensive drug class and general recommendations for antihypertensive drug treatment
Hypertension Series: Know the Risk by Prof Hein Yarzar Aung
discussion on CV Risk and antihypertensive treatment, Stratification of total cariovascular risk, Case scenarios, Monotherapy and Combination therapy
Hypertension Series: Know the Risk by Prof Hein Yarzar Aung
discussion on CV Risk and antihypertensive treatment, Stratification of total cariovascular risk, Case scenarios, Monotherapy and Combination therapy
Hypertension Series: Know the Risk by Prof Hein Yarzar Aung
discussion on CV Risk and antihypertensive treatment, Stratification of total cariovascular risk, Case scenarios, Monotherapy and Combination therapy
Hypertension Series: Know the Number by Prof Hein Yarzar Aung
Discussion about emphasis on accuracy of BP measurement, Highlighting ABPM & HBPM, Awareness of white coat hypertension & Masked hypertension, Grading...
Hypertension Series: Know the Number by Prof Hein Yarzar Aung
Discussion about emphasis on accuracy of BP measurement, Highlighting ABPM & HBPM, Awareness of white coat hypertension & Masked hypertension, Grading...
Hypertension Series: Know the Number by Prof Hein Yarzar Aung
Discussion about emphasis on accuracy of BP measurement, Highlighting ABPM & HBPM, Awareness of white coat hypertension & Masked hypertension, Grading...
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Effect of low-dose colchicine in patients with type 2 diabetes and recent myocardial infarction
A recent study found that among patients with type 2 diabetes and a recent myocardial infarction, the daily intake of 0.5 mg of colchicine has been shown to greatly reduce the occurrence of cardiovascular events. This study’s findings were published in the journal, Diabetes care.
The COLCOT study was a randomized, double-blind trial that included 959 patients with type 2 diabetes, and they were monitored for a median duration of 22.6 months. Patients were randomly assigned to receive either colchicine (n=462) at a daily dose of 0.5 mg or a placebo (n=497) initiated within 30 days of suffering a myocardial infarction. The primary endpoint of the study included composite of cardiovascular (CV) death, myocardial infarction, resuscitated cardiac arrest stroke, or urgent hospitalization for angina necessitating coronary revascularization.
The incidence of a primary end point event was 8.7% among patients in the colchicine group, whereas it was 13.1% in the placebo group (hazard ratio 0.65; 95% CI 0.44-0.96; P = 0.03). Nausea was reported in 2.7% and 0.8% in the study groups, while pneumonia occurred in 2.4% and 0.4% in the colchicine and placebo groups, respectively.
The above results demonstrate that in individuals diagnosed with type 2 diabetes (T2D) who have experienced a recent myocardial infarction, the administration of a daily dose of 0.5 mg colchicine results in a significant decrease in the occurrence of cardiovascular events.
Effect of low-dose colchicine in patients with type 2 diabetes and recent myocardial infarction
A recent study found that among patients with type 2 diabetes and a recent myocardial infarction, the daily intake of 0.5 mg of colchicine has been shown to greatly reduce the occurrence of cardiovascular events. This study’s findings were published in the journal, Diabetes care.
The COLCOT study was a randomized, double-blind trial that included 959 patients with type 2 diabetes, and they were monitored for a median duration of 22.6 months. Patients were randomly assigned to receive either colchicine (n=462) at a daily dose of 0.5 mg or a placebo (n=497) initiated within 30 days of suffering a myocardial infarction. The primary endpoint of the study included composite of cardiovascular (CV) death, myocardial infarction, resuscitated cardiac arrest stroke, or urgent hospitalization for angina necessitating coronary revascularization.
The incidence of a primary end point event was 8.7% among patients in the colchicine group, whereas it was 13.1% in the placebo group (hazard ratio 0.65; 95% CI 0.44-0.96; P = 0.03). Nausea was reported in 2.7% and 0.8% in the study groups, while pneumonia occurred in 2.4% and 0.4% in the colchicine and placebo groups, respectively.
The above results demonstrate that in individuals diagnosed with type 2 diabetes (T2D) who have experienced a recent myocardial infarction, the administration of a daily dose of 0.5 mg colchicine results in a significant decrease in the occurrence of cardiovascular events.
Effect of low-dose colchicine in patients with type 2 diabetes and recent myocardial infarction
A recent study found that among patients with type 2 diabetes and a recent myocardial infarction, the daily intake of 0.5 mg of colchicine has been shown to greatly reduce the occurrence of cardiovascular events. This study’s findings were published in the journal, Diabetes care.
The COLCOT study was a randomized, double-blind trial that included 959 patients with type 2 diabetes, and they were monitored for a median duration of 22.6 months. Patients were randomly assigned to receive either colchicine (n=462) at a daily dose of 0.5 mg or a placebo (n=497) initiated within 30 days of suffering a myocardial infarction. The primary endpoint of the study included composite of cardiovascular (CV) death, myocardial infarction, resuscitated cardiac arrest stroke, or urgent hospitalization for angina necessitating coronary revascularization.
The incidence of a primary end point event was 8.7% among patients in the colchicine group, whereas it was 13.1% in the placebo group (hazard ratio 0.65; 95% CI 0.44-0.96; P = 0.03). Nausea was reported in 2.7% and 0.8% in the study groups, while pneumonia occurred in 2.4% and 0.4% in the colchicine and placebo groups, respectively.
The above results demonstrate that in individuals diagnosed with type 2 diabetes (T2D) who have experienced a recent myocardial infarction, the administration of a daily dose of 0.5 mg colchicine results in a significant decrease in the occurrence of cardiovascular events.
Impact of high-dose intravenous iron on treatment outcomes and cardiovascular events in hemodialysis patients with renal anemia
According to a recent study, the administration of high-dose intravenous iron may exhibit superior effects on hemoglobin levels, ferritin, transferrin saturation percentage, and the required dosage of erythropoietin in comparison to low-dose iron treatment. This study’s results were published in the journal Chronic Illness.
In this meta-analysis study, 2422 patients with renal anemia under hemodialysis were enrolled. This study investigated the outcomes related to hemoglobin levels, transferrin saturation percentage, ferritin, erythropoietin dosage, and cardiovascular events.
The administration of high-dose intravenous iron could potentially result in an increase in transferrin saturation percentage, ferritin, and hemoglobin. Additionally, a lower erythropoietin dosage was required to sustain the optimal hemoglobin levels within the high-dose intravenous iron cohort compared to the low-dose intravenous iron cohort.
The above meta-analysis demonstrated that the administration of high-dose intravenous iron has been shown to yield superior outcomes in terms of hemoglobin levels, ferritin, and transferrin saturation percentage, and the required dosage of erythropoietin when compared to low-dose iron treatment.
Impact of high-dose intravenous iron on treatment outcomes and cardiovascular events in hemodialysis patients with renal anemia
According to a recent study, the administration of high-dose intravenous iron may exhibit superior effects on hemoglobin levels, ferritin, transferrin saturation percentage, and the required dosage of erythropoietin in comparison to low-dose iron treatment. This study’s results were published in the journal Chronic Illness.
In this meta-analysis study, 2422 patients with renal anemia under hemodialysis were enrolled. This study investigated the outcomes related to hemoglobin levels, transferrin saturation percentage, ferritin, erythropoietin dosage, and cardiovascular events.
The administration of high-dose intravenous iron could potentially result in an increase in transferrin saturation percentage, ferritin, and hemoglobin. Additionally, a lower erythropoietin dosage was required to sustain the optimal hemoglobin levels within the high-dose intravenous iron cohort compared to the low-dose intravenous iron cohort.
The above meta-analysis demonstrated that the administration of high-dose intravenous iron has been shown to yield superior outcomes in terms of hemoglobin levels, ferritin, and transferrin saturation percentage, and the required dosage of erythropoietin when compared to low-dose iron treatment.
Impact of high-dose intravenous iron on treatment outcomes and cardiovascular events in hemodialysis patients with renal anemia
According to a recent study, the administration of high-dose intravenous iron may exhibit superior effects on hemoglobin levels, ferritin, transferrin saturation percentage, and the required dosage of erythropoietin in comparison to low-dose iron treatment. This study’s results were published in the journal Chronic Illness.
In this meta-analysis study, 2422 patients with renal anemia under hemodialysis were enrolled. This study investigated the outcomes related to hemoglobin levels, transferrin saturation percentage, ferritin, erythropoietin dosage, and cardiovascular events.
The administration of high-dose intravenous iron could potentially result in an increase in transferrin saturation percentage, ferritin, and hemoglobin. Additionally, a lower erythropoietin dosage was required to sustain the optimal hemoglobin levels within the high-dose intravenous iron cohort compared to the low-dose intravenous iron cohort.
The above meta-analysis demonstrated that the administration of high-dose intravenous iron has been shown to yield superior outcomes in terms of hemoglobin levels, ferritin, and transferrin saturation percentage, and the required dosage of erythropoietin when compared to low-dose iron treatment.
Inorganic nitrate reduces contrast-induced nephropathy following coronary angiography for acute coronary syndromes
A recent study demonstrated that for patients at risk of renal injury undergoing coronary angiography for acute coronary syndromes (ACS), a short (5-day) regimen of once-daily inorganic nitrate resulted in decreased contrast-induced nephropathy (CIN), enhanced kidney outcomes at 3 months, and reduced major adverse cardiovascular events (MACE) at 1 year when compared with individuals who received a placebo. This study’s results were published in the European Heart Journal.
The NITRATE-CIN trial was a double-blind, randomized, placebo-controlled trial that included a total of 640 patients. These patients were randomized to receive either once daily potassium nitrate (n= 319; 12 mmol) or placebo (n= 321; potassium chloride) capsules for a period of 5 days. The primary endpoint of the trial was the incidence of CIN based on KDIGO criteria. Secondary outcomes measured included kidney function (eGFR) at 3 months, rates of procedural myocardial infarction, and MACE at 12 months.
Inorganic nitrate treatment led to a significant decrease in the rates of CIN compared to the placebo (9.1% vs 30.5%). This difference remained even after adjusting for baseline creatinine levels and diabetes status. Additionally, the use of inorganic nitrate exhibited positive outcomes in secondary outcomes, including a lower incidence of procedural myocardial infarction (2.7% vs 12.5%), improved renal function at 3 months (between-group change in estimated glomerular filtration rate of 5.17), and a reduced occurrence of MACE at 1 year (9.1% vs. 18.1%) compared to the placebo group.
Thus, it can be concluded that a 5-day regimen of once-daily inorganic nitrate may be beneficial for patients undergoing coronary angiography for ACS. This treatment resulted in a decrease in CIN, improved kidney outcomes at 3 months, and reduced MACE at 1 year compared to those who received a placebo.
Inorganic nitrate reduces contrast-induced nephropathy following coronary angiography for acute coronary syndromes
A recent study demonstrated that for patients at risk of renal injury undergoing coronary angiography for acute coronary syndromes (ACS), a short (5-day) regimen of once-daily inorganic nitrate resulted in decreased contrast-induced nephropathy (CIN), enhanced kidney outcomes at 3 months, and reduced major adverse cardiovascular events (MACE) at 1 year when compared with individuals who received a placebo. This study’s results were published in the European Heart Journal.
The NITRATE-CIN trial was a double-blind, randomized, placebo-controlled trial that included a total of 640 patients. These patients were randomized to receive either once daily potassium nitrate (n= 319; 12 mmol) or placebo (n= 321; potassium chloride) capsules for a period of 5 days. The primary endpoint of the trial was the incidence of CIN based on KDIGO criteria. Secondary outcomes measured included kidney function (eGFR) at 3 months, rates of procedural myocardial infarction, and MACE at 12 months.
Inorganic nitrate treatment led to a significant decrease in the rates of CIN compared to the placebo (9.1% vs 30.5%). This difference remained even after adjusting for baseline creatinine levels and diabetes status. Additionally, the use of inorganic nitrate exhibited positive outcomes in secondary outcomes, including a lower incidence of procedural myocardial infarction (2.7% vs 12.5%), improved renal function at 3 months (between-group change in estimated glomerular filtration rate of 5.17), and a reduced occurrence of MACE at 1 year (9.1% vs. 18.1%) compared to the placebo group.
Thus, it can be concluded that a 5-day regimen of once-daily inorganic nitrate may be beneficial for patients undergoing coronary angiography for ACS. This treatment resulted in a decrease in CIN, improved kidney outcomes at 3 months, and reduced MACE at 1 year compared to those who received a placebo.
Inorganic nitrate reduces contrast-induced nephropathy following coronary angiography for acute coronary syndromes
A recent study demonstrated that for patients at risk of renal injury undergoing coronary angiography for acute coronary syndromes (ACS), a short (5-day) regimen of once-daily inorganic nitrate resulted in decreased contrast-induced nephropathy (CIN), enhanced kidney outcomes at 3 months, and reduced major adverse cardiovascular events (MACE) at 1 year when compared with individuals who received a placebo. This study’s results were published in the European Heart Journal.
The NITRATE-CIN trial was a double-blind, randomized, placebo-controlled trial that included a total of 640 patients. These patients were randomized to receive either once daily potassium nitrate (n= 319; 12 mmol) or placebo (n= 321; potassium chloride) capsules for a period of 5 days. The primary endpoint of the trial was the incidence of CIN based on KDIGO criteria. Secondary outcomes measured included kidney function (eGFR) at 3 months, rates of procedural myocardial infarction, and MACE at 12 months.
Inorganic nitrate treatment led to a significant decrease in the rates of CIN compared to the placebo (9.1% vs 30.5%). This difference remained even after adjusting for baseline creatinine levels and diabetes status. Additionally, the use of inorganic nitrate exhibited positive outcomes in secondary outcomes, including a lower incidence of procedural myocardial infarction (2.7% vs 12.5%), improved renal function at 3 months (between-group change in estimated glomerular filtration rate of 5.17), and a reduced occurrence of MACE at 1 year (9.1% vs. 18.1%) compared to the placebo group.
Thus, it can be concluded that a 5-day regimen of once-daily inorganic nitrate may be beneficial for patients undergoing coronary angiography for ACS. This treatment resulted in a decrease in CIN, improved kidney outcomes at 3 months, and reduced MACE at 1 year compared to those who received a placebo.
Full correction of post-transplant anemia is associated with the stabilization of cardiac dimensions in kidney transplant patients
A recent study demonstrated that the complete correction of post-transplant anemia in kidney transplant recipients resulted in improved cardiac indexes and quality of life, with no impact on cardiovascular comorbidity. The findings of the study were published in the journal, Experimental and Clinical Transplantation.
Two hundred forty-seven kidney recipients with stable graft function were enrolled in this study to evaluate anemia. Patients were randomly assigned to two groups: Group 1 (n = 183) aimed for a hemoglobin level of 11 to 12 g/dL, while Group 2 (n = 64) targeted a level of 13 to 15 g/dL using erythropoietin-stimulating agents. Monthly clinical and laboratory assessments of kidney graft function were conducted, along with evaluations of quality of life and echocardiography at baseline and twelve months.
Pretransplant characteristics were similar in both groups. Comparable posttransplant complications (P value > .05) but superior graft function at six months and improved cardiac indexes at one year of the study (P value < .05) were observed in Group 2. The quality of life showed improvement at the twelve-month mark following complete correction of post-transplant anemia in kidney transplant recipients treated with erythropoietin-stimulating agents.
Therefore, the complete correction of post-transplant anemia in kidney transplant recipients led to enhanced cardiac indexes and quality of life without an impact on cardiovascular comorbidity.
Full correction of post-transplant anemia is associated with the stabilization of cardiac dimensions in kidney transplant patients
A recent study demonstrated that the complete correction of post-transplant anemia in kidney transplant recipients resulted in improved cardiac indexes and quality of life, with no impact on cardiovascular comorbidity. The findings of the study were published in the journal, Experimental and Clinical Transplantation.
Two hundred forty-seven kidney recipients with stable graft function were enrolled in this study to evaluate anemia. Patients were randomly assigned to two groups: Group 1 (n = 183) aimed for a hemoglobin level of 11 to 12 g/dL, while Group 2 (n = 64) targeted a level of 13 to 15 g/dL using erythropoietin-stimulating agents. Monthly clinical and laboratory assessments of kidney graft function were conducted, along with evaluations of quality of life and echocardiography at baseline and twelve months.
Pretransplant characteristics were similar in both groups. Comparable posttransplant complications (P value > .05) but superior graft function at six months and improved cardiac indexes at one year of the study (P value < .05) were observed in Group 2. The quality of life showed improvement at the twelve-month mark following complete correction of post-transplant anemia in kidney transplant recipients treated with erythropoietin-stimulating agents.
Therefore, the complete correction of post-transplant anemia in kidney transplant recipients led to enhanced cardiac indexes and quality of life without an impact on cardiovascular comorbidity.
Full correction of post-transplant anemia is associated with the stabilization of cardiac dimensions in kidney transplant patients
A recent study demonstrated that the complete correction of post-transplant anemia in kidney transplant recipients resulted in improved cardiac indexes and quality of life, with no impact on cardiovascular comorbidity. The findings of the study were published in the journal, Experimental and Clinical Transplantation.
Two hundred forty-seven kidney recipients with stable graft function were enrolled in this study to evaluate anemia. Patients were randomly assigned to two groups: Group 1 (n = 183) aimed for a hemoglobin level of 11 to 12 g/dL, while Group 2 (n = 64) targeted a level of 13 to 15 g/dL using erythropoietin-stimulating agents. Monthly clinical and laboratory assessments of kidney graft function were conducted, along with evaluations of quality of life and echocardiography at baseline and twelve months.
Pretransplant characteristics were similar in both groups. Comparable posttransplant complications (P value > .05) but superior graft function at six months and improved cardiac indexes at one year of the study (P value < .05) were observed in Group 2. The quality of life showed improvement at the twelve-month mark following complete correction of post-transplant anemia in kidney transplant recipients treated with erythropoietin-stimulating agents.
Therefore, the complete correction of post-transplant anemia in kidney transplant recipients led to enhanced cardiac indexes and quality of life without an impact on cardiovascular comorbidity.