Beneficial Produce Scripts; Aortic Dissection Deaths Up; New Opioid & Cardiac Arrest

In people at risk for or having poor cardiometabolic health, produce prescriptions resulted in greater fruit and vegetable consumption and better glycated hemoglobin, blood pressure, and BMI. (Circulation: Cardiovascular Quality and Outcomes)

Severe dilated cardiomyopathy was tied to pathogenic rare variants. (Circulation)

Metformin was associated with protection against heart failure in diabetes patients on anthracycline chemotherapy. (JACC: CardioOncology)

In people undergoing catheter ablation for atrial fibrillation, active cancer was linked to periprocedural complications and readmissions, whereas a history of cancer made no difference. (EP Europace)

CT parameters identifying high-grade hypoattenuation thickening flag patients more likely to develop a stroke after undergoing left atrial appendage occlusion. (Radiology)

Extracranial-intracranial bypass surgery did not pass muster in a randomized trial in patients with symptomatic artery occlusion. (JAMA)

Survivors of intracerebral hemorrhage who were on statins were at lower risk of having another stroke, according to Danish registry records. (Neurology)

Norway’s new prehospital stroke diagnostic protocol — with paramedics using the National Institutes of Health Stroke Scale and communicating with stroke physicians while in the ambulance — did not help diagnostic accuracy in a cluster-randomized trial conducted during the pandemic. (Lancet Neurology)

Marlex Pharmaceuticals is recalling two lots of the heart failure drug digoxin due to dose mislabeling, the FDA announced.

Also under recall are Nuez de la India Seeds from Todorganic due to the presence of cardiac glycosides, the agency said.

Meanwhile, FDA said the waves of recalls surrounding Getinge/Maquet/Datascope Cardiosave Hybrid and Rescue intra-aortic balloon pumps are still cause for concern, but the devices may continue to be used when necessary.

Pediatric Fontan patients gained better exercise capacity and quality of life from a short-term leg-focused resistance training program. (European Journal of Preventive Cardiology)

Research suggests the optimal annual surgical case volume for acute type A aortic dissection is 38 cases per year at one institution. (European Heart Journal)

People with Marfan syndrome who got aortic valve sparing operations for an aortic root aneurysm tended to keep good aortic valve function for 20 years, but new distal aortic dissections affected nearly 1 in 5. (Journal of the American College of Cardiology)

Mortality is going down in aortic rupture but going up in aortic dissection, based on trends across a few wealthy countries on different continents. (Heart)

Parental incarceration during childhood was associated with adult-onset hypertension and elevated hsCRP levels, but not other cardiovascular risk factors. (JAMA Cardiology)

More potent than fentanyl, the class of nitazene synthetic opioids requires higher naloxone dosing and are tied to disproportionately high cardiac arrest rates. (JAMA Network Open)

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