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Todd Neale

  

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COVID-19: TCTMD’s Daily Dispatch

TCTMD reporter Todd Neale is keeping up on breaking news and peer-reviewed research related to COVID-19 and will update accordingly. If you have something to share, tell us.

 

 

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Autopsy Study Finds Most COVID-19 Patients Have Macrophages in Myocardium

Thursday, October 2

Autopsy Study Finds Most COVID-19 Patients Have Macrophages in Myocardium

More studies will be needed to understand what the white blood cells are doing and whether they pose long-term risk.

 

Study Affirms Thrombotic Risk in COVID-19

Thursday, October 1

Study Affirms Thrombotic Risk in COVID-19

Though lower than in other parts of the US, thrombosis rates still were elevated at two Cleveland Clinic sites.

 

ECMO Registry Data Show Progress in COVID-19

Thursday, October 1

ECMO Registry Data Show Progress in COVID-19

The mortality rate of slightly below 40% is good news compared with earlier reports, researchers say.

 

Open LeAs Interventions Dip During COVID-19, CMS Offers Leniency on Volumestter Calls on CV Societies to Discourage CMR After Mild COVID-19

Wednesday, September 23

As Interventions Dip During COVID-19, CMS Offers Leniency on Volumes

Four procedures have volume requirements for Medicare reimbursement. CMS won’t enforce them during the pandemic.

 

US Cath Labs and COVID-19: Pushed Procedures, Late STEMIs, and Paycheck Pain

Thursday, September 17

US Cath Labs and COVID-19: Pushed Procedures, Late STEMIs, and Paycheck Pain

A nationwide survey affirms plunging numbers of PCIs and TAVRs seen in other studies, but adds some personal insights, too.

 

Open Letter Calls on CV Societies to Discourage CMR After Mild COVID-19

Tuesday, September 15

Open Letter Calls on CV Societies to Discourage CMR After Mild COVID-19

Media coverage of several small CMR studies has led to an uptick in unwarranted CMR requests, says Venkatesh Murthy.

 

Athletes Have Telltale CMR Markers of Damage Post-COVID-19, but Clinical Significance Unclear

Friday, September 11

Athletes Have Telltale CMR Markers of Damage Post-COVID-19, but Clinical Significance Unclear

The small series will fuel the contentious debate over the lasting cardiac effects, but everyone agrees: more data are needed.

 

blood pressure insights

Thursday, September 10

Blood Pressure Insights in COVID-19: Watch for Drops and RAAS Red Flags

Separate studies showed how hypertension among infected patients influences adverse outcomes.

 

CV Risk Factors Make Even Younger COVID-19 Patients More Vulnerable

Wednesday, September 9

CV Risk Factors Make Even Younger COVID-19 Patients More Vulnerable

In a population under age 35, 20% required ICU care, 10% were put on ventilators, and approximately 3% died.

 

Insights From a Deep Dive Into CV Risk Among Hospitalized COVID-19 Patients

Friday, September 4 | ESC 2020

Insights From a Deep Dive Into CV Risk Among Hospitalized COVID-19 Patients

Disentangling COVID-19 from CV risk factors when cardiac events occur is tricky. The bottom line is looking for and treating the risk.

 

Chinese Data Back Anticoagulants to Prevent COVID-19 Thromboembolism

Friday, September 4 | ESC 2020

Chinese Data Back Anticoagulants to Prevent COVID-19 Thromboembolism

To move forward, treatment strategies should have set protocols and be prospectively tested, one expert stressed.

 

COVID-19 Blamed for Weaker Research Published by Top-Tier Journals in 2020

Friday, September 4 | ESC 2020

COVID-19 Blamed for Weaker Research Published by Top-Tier Journals in 2020

The pandemic era saw looser standards in some major journals, but some evidence is better than none, say researchers.

 

Systemic Anticoagulation Linked to Lower Mortality in Hospitalized COVID-19

Friday, August 28

Systemic Anticoagulation Linked to Lower Mortality in Hospitalized COVID-19

The study is observational, but it sets the stage for larger anticoagulation RCTs to come, including FREEDOM COVID-19.

 

STEMI Outcomes Worsened at Height of COVID-19 in China

Friday, August 21

STEMI Outcomes Worsened at Height of COVID-19 in China

Treatment was delayed, but the proportion of patients receiving “effective reperfusion” remained stable over time.

 

‘Striking Similarities’ for COVID-19 Inflammatory Syndromes in Children, Adults

Monday, August 17

‘Striking Similarities’ for COVID-19 Inflammatory Syndromes in Children, Adults

MIS-C and an adult myocarditis-like syndrome are likely on a shared spectrum of CV complications, researchers say.

 

Could Statins Curb Fatal or Severe COVID-19? Some Clues

Friday, August 14

Could Statins Curb Fatal or Severe COVID-19? Some Clues

It’s much too soon to be excited, say experts, who caution that only randomized trials will provide definitive results.

 

Obesity’s Role in COVID-19 Deaths: ‘Profound’ and Independent of CVD

Friday, August 14

Obesity’s Role in COVID-19 Deaths: ‘Profound’ and Independent of CVD

In one of the larger series to date, severe obesity was particularly lethal in men and younger patients.

Arrhythmias in COVID-19: New Review Tackles Mechanisms, Management

Thursday, August 13

Arrhythmias in COVID-19: New Review Tackles Mechanisms, Management

The virus or its treatments may disrupt heart rhythm, but the immune response and its targets likely deserve the most scrutiny.

 

Strokes Impacted as COVID-19 Hit the Northeastern US

Monday, August 10

Strokes Impacted as COVID-19 Hit the Northeastern US

Severe strokes, some due to the virus itself, surged, while fear drove many patients to avoid seeking hospital care.

 

aAs Acute MI Patients Returned in Later COVID-19 Phase, Fewer Survived

Friday, August 7

As Acute MI Patients Returned in Later COVID-19 Phase, Fewer Survived

Retrospective US data confirm trends seen elsewhere but offer additional, unique insights into patients and outcomes.

 

Coronary Calcium in COVID-19 Patients Linked to Worse Outcomes

Thursday, July 30

Coronary Calcium in COVID-19 Patients Linked to Worse Outcomes

CAC is a “freebie” you get when the lungs are imaged, Harvey Hecht points out. Might as well put the information to use.

 

COVID-19 Autopsies Hint at Direct Viral Infection of the Heart

Thursday, July 30

COVID-19 Autopsies Hint at Direct Viral Infection of the Heart

Two-thirds of patients in the small postmortem series had evidence of active virus in cardiac tissue, but questions remain.

 

Signs of Cardiac Damage Even in Younger, Nonhospitalized COVID-19 Patients

Wednesday, July 29

Signs of Cardiac Damage Even in Younger, Nonhospitalized COVID-19 Patients

A series of middle-aged patients followed more than 2 months after diagnosis showed that most had abnormal results on CMR.

 

Walloped by COVID-19, US Cardiology Practices Brace for Slow Recovery

Wednesday, July 29 | FEATURE

Walloped by COVID-19, US Cardiology Practices Brace for Slow Recovery  

Cardiology groups large and small used different tactics to keep afloat and continue patient care. The future remains unclear.

 

COVID-19 Clots Spur Both Arterial, Venous Events in Hospitalized Patients

Friday, July 24

COVID-19 Clots Spur Both Arterial, Venous Events in Hospitalized Patients

It’s not just the sickest people requiring ICU care who are at risk, according to NYC data.

 

Which Modality and When? New Guidance for Cardiac Imaging in COVID-19

Friday, July 24

Which Modality and When? New Guidance for Cardiac Imaging in COVID-19

Using the appropriate test can aid diagnosis but also lead to changes in management that may improve patient outcomes.

 

COVID-19 Patients With Arterial Leg Thromboses Risk Amputation and Death

Thursday, July 23

COVID-19 Patients With Arterial Leg Thromboses Risk Amputation and Death

A small study of patients treated early in the pandemic shows poor outcomes when leg symptoms are involved.

 

Don’t Mistake Microthrombi for Myocarditis in COVID-19 STEMI, Case Report Warns

Wednesday, July 22

Don’t Mistake Microthrombi for Myocarditis in COVID-19 STEMI, Case Report Warns

Autopsy analysis shows that myocarditis isn’t the only cause of MI in the absence of occlusive disease.

 

COVID-19’s Kawasaki-Like MIS-C Diagnosis Is Cropping Up in Adults

Wednesday, July 22

COVID-19’s Kawasaki-Like MIS-C Diagnosis Is Cropping Up in Adults

Three case reports describe adults whose symptoms, including conjunctivitis and rashes, echo the rare pediatric presentation.

 

In COVID-19 Pulmonary Embolism, Nontraditional Risk Factors Dominate

Tuesday, July 21

In COVID-19 Pulmonary Embolism, Nontraditional Risk Factors Dominate

Available data support the administration of early, therapeutic anticoagulation in this population, experts say.

 

COVID-19’s Enduring Impact on the Heart? Some Clues and Predictions

Monday, July 20 | FEATURE

COVID-19’s Enduring Impact on the Heart? Some Clues and Predictions  

Cardiac complications in COVID-19 have thwarted acute care. Now physicians are asking what this portends down the road.

 

Thrombus Burden Greater in STEMI Patients With COVID-19

Monday, July 20

Thrombus Burden Greater in STEMI Patients With COVID-19

After PCI, the mean LVEF is lower in COVID-19 cases, and investigators saw a signal toward higher mortality.

How and When Dexamethasone might help on COVID-19

Friday, July 17

Published Data Detail How and When Dexamethasone Might Help in COVID-19

RECOVERY investigators stress the steroid should be used when the disease is dominated by “immunopathological elements.”

NYC's Cardiac arrest spike in COVID-19 tracks missing STEMIs

Friday, July 17

NYC’s Cardiac Arrest Spike in COVID-19 Tracks With Missing STEMIs

Out-of-hospital cardiac arrests and related deaths spiked while ACS admissions fell, offering lessons for areas yet to surge.

Italian Data Uphold Idea That mild obesity raises COVID-19

Thursday, July 16

Italian Data Uphold Idea That Mild Obesity Raises COVID-19 Risks

Whether COVID-19 adds risk by virtue of being a comorbidity or due to direct effects is unknown. A global registry offers clues.

Ischemic Strokes More Severe, Deadlier in COVID-19

Tuesday, July 14

Ischemic Strokes More Severe, Deadlier in COVID-19

Whether COVID-19 adds risk by virtue of being a comorbidity or due to direct effects is unknown. A global registry offers clues.

 

Heart, Kidneys, Brain, and More: COVID-19’s Wide-ranging Effects

Monday, July 13

Heart, Kidneys, Brain, and More: COVID-19’s Wide-ranging Effects

A new review documents the extrapulmonary ramifications of COVID-19, including its heavy effect on the kidneys and heart.

 

Stress Cardiomyopathy Up in Ohio—but Not Directly Due to COVID-19

Monday, July 13

Stress Cardiomyopathy Up in Ohio—but Not Directly Due to COVID-19

Doctors should be on the lookout for Takotsubo, researchers say, noting that high stress levels are endemic at this time.

 

Troponin Testing in COVID-19: New Review Offers a Framework for Use

Friday, July 10

Troponin Testing in COVID-19: New Review Offers a Framework for Use

When measured at presentation, cardiac troponin levels can be used to risk-stratify infected patients, says Allan Jaffe.

 

STEMI Spectrum in COVID-19 Captured by Multinational Case Series

Wednesday, July 8

STEMI Spectrum in COVID-19 Captured by Multinational Case Series

Now-familiar themes again emerged in the 78-patient series with data from Iraq, Italy, Lithuania, and Spain.

 

Cardiac Arrests Have Soared Worldwide: How Was COVID-19 to Blame?

Monday, June 29 | PCR e-Course 2020

Cardiac Arrests Have Soared Worldwide: How Was COVID-19 to Blame 

Out-of-hospital arrests doubled or tripled in cities with major outbreaks and missing STEMIs, making it tricky to confirm cause.

 

Multiorgan Clotting in COVID-19 Hints at Platelets’ Role in Inflammatory Response

Thursday, June 25

Multiorgan Clotting in COVID-19 Hints at Platelets’ Role in Inflammatory Response

Megakaryocytes were found in all hearts on autopsy in the small study, a rare find that may aid in exposing the virus’ mechanism.

 

Had COVID-19? ‘Hidden’ CV Damage Warrants Cautious Return to Physical Activity

Wednesday, June 17

Had COVID-19? ‘Hidden’ CV Damage Warrants Cautious Return to Physical Activity

Depending on the severity of COVID-19, further cardiac testing may be warranted to prevent myocarditis-linked sudden death.

 

Dexamethasone Cuts Death by One-Third in Ventilated COVID-19 Patients

Tuesday, June 16

Dexamethasone Cuts Death by One-Third in Ventilated COVID-19 Patients

Dexamethasone is “inexpensive, on the shelf, and can be used immediately to save lives,” says a RECOVERY researcher.

 

Case by Case, a Portrait Emerges of COVID-19’s Cardiovascular Fingerprint

Monday, June 15

Case by Case, a Portrait Emerges of COVID-19’s Cardiovascular Fingerprint

One journal’s call for cases drew more than 500 submissions that highlighted SARS-CoV-2’s extensive CV effects.

 

The Color of Coronavirus: Large Burden of COVID-19 Borne by African Americans

Friday, June 12

The Color of Coronavirus: Large Burden of COVID-19 Borne by African Americans

The disproportionate distribution of disease is not surprising, say experts, given the historic injustices faced by people of color.

 

Obesity’s Role in COVID-19 Deaths: Big Food, Slow Government to Blame?

Thursday, June 11

Obesity’s Role in COVID-19 Deaths: Big Food, Slow Government to Blame?

A BMJ editorial notes obesity is a modifiable risk factor for COVID-19, calling for reformulation of processed foods and a ban on ads.

 

STEMI Triage Can Free Up ICU Beds for COVID-19 and Beyond

Thursday, June 11

STEMI Triage Can Free Up ICU Beds for COVID-19 and Beyond

Patients deemed low risk after primary PCI can safely skip the ICU, an appealing option when resources are strained.

 

Myocardial Injury Seen in Over One-Third of Hospitalized COVID-19 Patients

Wednesday, June 10

Myocardial Injury Seen in Over One-Third of Hospitalized COVID-19 Patients

The data confirm earlier reports and show that these patients are at an increased risk of dying in the hospital.

 

COVID-19-Related Inflammatory Syndrome in Kids Needs Cardiac Follow-up

Wednesday, June 10

COVID-19-Related Inflammatory Syndrome in Kids Needs Cardiac Follow-up

One author warns they may be seeing just the “tip of the iceberg” and suggests monitoring those with even mild disease.

 

Worldwide Drop in STEMI During COVID-19, ESC Survey Confirms

Tuesday, June 9

Worldwide Drop in STEMI During COVID-19, ESC Survey Confirms

To gain patient trust again in hospitals, Barbara Casadei said testing and isolating COVID-19 patients will be paramount.

 

Possible Antithrombotic and Anti-inflammatory Therapies for COVID-19

Monday, June 8

Possible Antithrombotic and Anti-inflammatory Therapies for COVID-19

One of the major questions to answer will be the optimal anticoagulation strategy in patients with COVID-19, say experts.

 

Risk of Dying Doubled in Wuhan COVID-19 Patients With Hypertension

Monday, June 8

Risk of Dying Doubled in Wuhan COVID-19 Patients With Hypertension

Observed mortality was highest in those not on antihypertensive meds, with no signal of harm for RAAS inhibitors.

 

Stent Thrombosis May Be Presenting Feature of COVID-19

Monday, June 8

Stent Thrombosis May Be Presenting Feature of COVID-19

The risk is small, but study investigators emphasize the need for potent antiplatelet therapies in high-risk patients with COVID-19.

 

Hydroxychloroquine Fails to Prevent COVID-19 in Those Exposed to the Virus: RCT

Friday, June 5

Hydroxychloroquine Fails to Prevent COVID-19 in Those Exposed to the Virus: RCT

The NEJM-published study further muddies the path for this drug amid yesterday’s retraction of the dubious-data Lancet paper.

 

The Next Blaze: Pandemic Burnout Among Health Professionals

Friday, June 5 | FEATURE

The Next Blaze: Pandemic Burnout Among Health Professionals 

Physician burnout was already a concern, but now with COVID-19, experts stress the need to address the well-being of staff.

 

COVID-19 Upset: Researchers Retract Lancet, NEJM Papers on Hydroxychloroquine, ACEi/ARBs

Thursday, June 4

COVID-19 Upset: Researchers Retract Lancet, NEJM Papers on Hydroxychloroquine, ACEi/ARBs

The company that owns the data set wouldn’t surrender it in full, throwing the veracity of the studies’ findings into question.

 

Mechanical Circulatory Support in COVID-19: Mixed Results, Hints of Hope

Tuesday, June 2 | FEATURE

Mechanical Circulatory Support in COVID-19: Mixed Results, Hints of Hope 

ECMO, most often venovenous, may help in otherwise healthy, younger patients. What happens long term remains unclear.

 

Lancet COVID-19 Hydroxychloroquine Study Faces ‘Data Integrity’ Questions

Friday, May 29

Lancet COVID-19 Hydroxychloroquine Study Faces ‘Data Integrity’ Questions

A group of scientists is asking for the numbers to be made public and externally validated. A Lancet study investigator responds.

 

US Prescriptions During COVID-19: Hydroxychloroquine Soars, CVD Drugs Stable

Friday, May 29

US Prescriptions During COVID-19: Hydroxychloroquine Soars, CVD Drugs Stable

Physicians latched quickly onto hopes that antimalarial drugs could help, but weren’t swayed by ACE inhibitor/ARB theories.

 

Dose of Reality? Hydroxychloroquine and Chloroquine Again Disappoint in COVID-19

Monday, May 26

Dose of Reality? Hydroxychloroquine and Chloroquine Again Disappoint in COVID-19

Two large analyses reinforce the view that the antimalarial medications raise the risk of death and arrhythmia.

 

COVID-19 Autopsies Put Endothelial Damage, Angiogenesis in the Spotlight

Monday, May 26

COVID-19 Autopsies Put Endothelial Damage, Angiogenesis in the Spotlight

The still-forming picture suggests significantly more new-vessel growth in the lung than would be expected from a typical flu.

 

‘Relatively Low’ Stroke Incidence in COVID-19, but More Are Cryptogenic

Monday, May 25

‘Relatively Low’ Stroke Incidence in COVID-19, but More Are Cryptogenic

There’s more to learn about the mechanisms of stroke in COVID-19 patients, as well as the impact of stay-at-home orders.

 

Patterns of COVID-19 in Health Professionals Offers Clues for Disease Control

Friday, May 22

Patterns of COVID-19 in Health Professionals Offers Clues for Disease Control

In China, the virus was largely contracted from within the hospital, while community acquisition was likely in Holland.

Patterns of COVID-19 in Health Professionals Offers Clues for Disease Control

Friday, May 22

More Missing MIs, Late Complications Blamed on COVID-19 in Italy and California

As data come in from big hospital networks and across countries, physicians are urging health administrators to learn the lessons.

Survey Interventional Fellows Fear Missing Competency Goals Due to COVID 19

Friday, May 22

Survey: Interventional Fellows Fear Missing Competency Goals Due to COVID-19  

About one-third of polled program directors and current fellows said training should somehow be extended.

 

Even Very Sick Kids Fare Well Despite Kawasaki-Like COVID-19 Symptoms

Thursday, May 21

Even Very Sick Kids Fare Well Despite Kawasaki-Like COVID-19 Symptoms  

Physicians are still learning about the newly identified multisystem inflammatory syndrome in children (MIS-C).

No Worse COVID-19 Prognosis With ACE Inhibitors, ARBs: ‘Living’ Review Suggests

Thursday, May 21

No Worse COVID-19 Prognosis With ACE Inhibitors, ARBs: ‘Living’ Review Suggests  

It remains to be seen whether the drugs increase the likelihood of infection or whether they may in fact be helpful treatments.

 

Hydroxychloroquine: No Help, Clear Harm in COVID-19 RCT and Cohort Studies

Wednesday, May 20 | FEATURE

Hydroxychloroquine: No Help, Clear Harm in COVID-19 RCT and Cohort Studies 

President Trump says he’s taking it daily, but three new studies and an ACP warning say hydroxychloroquine is of little benefit.

 

More Wuhan Data Confirm Cardiac Injury, COVID-19 Fatality Link

Wednesday, May 20

More Wuhan Data Confirm Cardiac Injury, COVID-19 Fatality Link  

Compared with survivors, those who died were more likely to have elevated troponins as well as comorbidities.

 

Cardiology After COVID-19: Physicians Predict Lasting Change

Wednesday, May 20 | FEATURE

Cardiology After COVID-19: Physicians Predict Lasting Change 

A new era for telemedicine, rebuilding patient trust, and an increase in efficiency of care were common themes.

 

COVID 19 in NYC CV Risk Factors and Bleak Outcomes in the Critically Ill

Tuesday, May 19

COVID-19 in NYC: CV Risk Factors and Bleak Outcomes in the Critically Ill  

The prospective study from the US hot spot also shows a high rate of multiple organ failure, including severe kidney disease.

 

Latest Kawasaki Series Offers Clues to COVID-19 in Kids as Debate Persists

Thursday, May 14

Latest Kawasaki Series Offers Clues to COVID-19 in Kids as Debate Persists  

In Bergamo province, investigators report a 30-fold increase in severe Kawasaki, diagnosed according to accepted criteria.

 

High-Intensity Sport Post-COVID: Expert Advice From Sports Cardiologists

Wednesday, May 13

High-Intensity Sport Post-COVID: Expert Advice From Sports Cardiologists  

Schools, teams, competitive athletes, and dedicated amateurs are starting to ask clinicians how they can get back in the game.

 

Hospitals Plan Cautious Restart to Elective Procedures as COVID-19 Wanes

Tuesday, May 12 | FEATURE

Hospitals Plan Cautious Restart to Elective Procedures as COVID-19 Wanes 

Working off the backlog of elective CV cases put on hold for the last 8 weeks will be more of a marathon than a sprint, say docs.

 

German COVID-19 Autopsy Data Show Thromboembolism, ‘Heavy’ Lungs

Monday, May 11

German COVID-19 Autopsy Data Show Thromboembolism, ‘Heavy’ Lungs  

The data support the idea that some patients may need anticoagulation to prevent pulmonary embolism.

 

Stroke ‘Surge’ in the Young Fuels Debate Over COVID-19’s Culpability

Friday, May 8 | FEATURE

Stroke ‘Surge’ in the Young Fuels Debate Over COVID-19’s Culpability 

In some cases, large strokes are the first presentation of COVID-19 in younger patients, but numbers are lacking and uncertainty abounds.

 

Takotsubo Rising During COVID-19? Stress, Viral Triggers Need Attention

Friday, May 8

Takotsubo Rising During COVID-19? Stress, Viral Triggers Need Attention  

Some physicians report an uptick in cases, but the size of the problem needs more study.

 

Anticoagulants May Aid COVID-19 Patients, NYC Data Suggest

Wednesday, May 6

Anticoagulants May Aid COVID-19 Patients, NYC Data Suggest  

Mount Sinai physicians found lower mortality with systemic anticoagulation and plan to dig deeper.

 

Kawasaki Link to COVID-19 in Kids Probed as UK, New York Issue Alerts

Wednesday, May 6

Kawasaki Link to COVID-19 in Kids Probed as UK, New York Issue Alerts  

Two pediatric cardiologists are convinced this is “something to be aware of,” with one urging echocardiographic follow-up.

 

COVID-19, ACE Inhibitors, and ARBs: Multiple Studies Show No Increased Risk

Tuesday, May 5

COVID-19, ACE Inhibitors, and ARBs: Multiple Studies Show No Increased Risk  

RAAS inhibitors also do lead not to more-severe COVID-19, providing reassurances for patients treated with the drugs.

 

Many STEMI Patients With COVID-19 Have No Obstructed Arteries

Tuesday, May 5

Many STEMI Patients With COVID-19 Have No Obstructed Arteries  

The finding supports anecdotal reports of STEMI mimics but not a role for fibrinolysis during the pandemic, one researcher says.

 

RV Strain a Prognostic Marker for Mortality in COVID-19

Monday, May 4

RV Strain a Prognostic Marker for Mortality in COVID-19  

RVLS outdid other echo parameters in Wuhan-based patients but needs further study, particularly in other populations.

 

‘Terrible’ Spike in Cardiac Arrest Deaths During Lombardy’s COVID-19 Surge

Friday, May 1

‘Terrible’ Spike in Cardiac Arrest Deaths During Lombardy’s COVID-19 Surge  

Investigators believe theirs are the first published data showing high numbers of at-home cardiac arrests amid the pandemic.

 

Remdesivir Study for COVID-19 Yields Positive Topline Results

Wednesday, April 29

Remdesivir Study for COVID-19 Yields Positive Top-line Results  

The IV drug has a “clear-cut, significant, positive effect on diminishing the time to recovery,” says Anthony Fauci.

 

Pulmonary Embolism in COVID-19 Patients: New Numbers, Little Consensus

Wednesday, April 29

Pulmonary Embolism in COVID-19 Patients: New Numbers, Little Consensus  

A French series is putting PE in the spotlight, but the optimal anticoagulation strategy remains unknown.

 

Dire, Unusual STEMI Complications Blamed on COVID-19 Hospital Avoidance

Wednesday, April 29 | FEATURE

Dire, Unusual STEMI Complications Blamed on COVID-19 Hospital Avoidance 

Globally, cardiologists are seeing VSDs, papillary ruptures, and other complications rarely seen in the primary PCI era.

 

Mobile Monitors Can ID Arrhythmias Due to COVID-19 Drugs

Tuesday, April 28

Mobile Monitors Can ID Arrhythmias Due to COVID-19 Drugs  

When telemetry beds are scarce, these monitors rapidly detect issues and also minimize contact with infectious patients.

 

COVID-19 Lockdown Inactivity May Spell Trouble for CVD Prevention

Friday, April 24

COVID-19 Lockdown Inactivity May Spell Trouble for CVD Prevention  

Social isolation doesn’t just mean Netflix on the couch, say prevention experts, who stress the importance of daily exercise.

 

ACE Inhibitors/ARBs Safe, Possibly Protective in Hypertensive COVID-19 Patientsw review explores the higher risk of thrombotic disease wit

Friday, April 24

ACE Inhibitors/ARBs Safe, Possibly Protective in Hypertensive COVID-19 Patients  

Two retrospective studies from China found no link to higher mortality, with one even suggesting lower death risk.

 

Hopes High for Anti-inflammatories to Combat COVID-19 Immune System Storms

Thursday, April 23 | FEATURE

Hopes High for Anti-inflammatories to Combat COVID-19 Immune System Storms 

How the immune response tips so radically off-balance is unclear, but research, some drawing on recent CVD trials, ploughs on.

 

How COVID-19 Promotes Thrombosis, Posing Problems for Drug-Drug Interactions

Wednesday, April 22

How COVID-19 Promotes Thrombosis, Posing Problems for Drug-Drug Interactions  

A new review explores the higher risk of thrombotic disease with this coronavirus, how to prevent and treat it, plus research gaps.

 

Obesity and COVID-19: Theories and Blame Fill the Scientific Void

Tuesday, April 21 | FEATURE

Obesity and COVID-19: Theories and Blame Fill the Scientific Void 

Obesity is the latest theory du jour for why some SARS-CoV-2 infections take a deadlier course, particularly in the young.

 

COVID-19’s Lopsided Impact on Minorities Should ‘Ignite’ Reform, Experts Say

Monday, April 20

COVID-19’s Lopsided Impact on Minorities Should ‘Ignite’ Reform, Experts Say  

Better testing and culturally targeted PSAs are needed in the short term; on the other side, societal fixes will be critical.

 

As COVID-19 Spreads, US Cath Labs Ponder Fibrinolytics for STEMI

Friday, April 17 | FEATURE

As COVID-19 Spreads, US Cath Labs Ponder Fibrinolytics for STEMI  

Business as usual may not be possible, and overwhelmed hospitals may consider lytic-based pathways, a group says.

 

Could Robotic PCI Play a Protective Role in Pandemics?

Friday, April 17 | FEATURE

Could Robotic PCI Play a Protective Role in Pandemics?  

Some say COVID-19 might pave the way for more robotic procedures, but proof they cut disease transmission is lacking.

 

Thanks to COVID-19, Cardiology Fellows Gain Unexpected Skills but Risk Losing Others

Thursday, April 16 | FEATURE

Thanks to COVID-19, Cardiology Fellows Gain Unexpected Skills but Risk Losing Others  

Trading catheters for central lines, many fellows are stepping into roles they’d never imagined, while programs adapt.

 

Healthcare Workers With COVID-19 Relatively Young, Mostly Female: CDC

Wednesday, April 15 

Healthcare Workers With COVID-19 Relatively Young, Mostly Female: CDC  

Although the majority did not require hospitalization, severe disease and death were reported across age groups.

 

CPR in COVID-19: Keep Safe in the Setting of Cardiac Arrest

Tuesday, April 14 

CPR in COVID-19: Keep Safe in the Setting of Cardiac Arrest  

Eight societies came together to offer tips on how healthcare providers can protect themselves while helping their patients.

 

ClinicaAn Age/Old Dilemma? Pulling Senior Cardiologists From the Front During COVID-19l Trials

Tuesday, April 14 | FEATURE

An Age/Old Dilemma? Pulling Senior Cardiologists From the Front During COVID-19  

Some US hospitals have asked doctors over a certain age to work from home, but surge situations may mean all hands on deck.

 

Structural Heart Interventions in the Midst of COVID-19: Today’s Advice, Tomorrow’s Unknowns

Monday, April 13 

Structural Heart Interventions in the Midst of COVID-19: Today’s Advice, Tomorrow’s Unknowns 

Which TAVR can be deferred, which MV should be repaired? Advice from ACC, SCAI, and the heart of the US pandemic.

 

Echo During COVID-19? New Advice Weighs Doctor Safety, Patient Needs

Monday, April 13 

Echo During COVID-19? New Advice Weighs Doctor Safety, Patient Needs 

Their suggestions include an increased use of POCUS, greater scrutiny of orders, and a hiatus for hands-on training.

 

COVID-19 Linked to 38% Drop in US STEMIs

Friday, April 10 

COVID-19 Linked to 38% Drop in US STEMIs

Numbers from nine US hospitals largely echo the drop seen in Spain. Understanding the consequences is key, experts say. 

 

Cardiac Rehab During COVID-19: Telehealth, Unpaid Heroes Step Up to Help at Home

Friday, April 10 

Cardiac Rehab During COVID-19: Telehealth, Unpaid Heroes Step Up to Help at Home 

Expert's say there's no better time than now to keep preventative CV care going and forge a new path for outpatient cardiac rehab. 

 

New Wuhan Data Confirm High Hypertension Rate in COVID-19 Deaths

Friday, April 10 

New Wuhan Data Confirm High Hypertension Rate in COVID-19 Deaths

Half of patients who died during a 10-day stretch in January had hypertension.

 

Clinical Trials

Tuesday, April 7 | FEATURE

‘Salvage What We Can’: Cardiology Clinical Trials in Turmoil Amid COVID-19 

RCTs are paused or slowing to a trickle. Researchers predict data gaps, less funding, and new priorities when the pandemic ends

 

COVID-19 Drug Candidates May Raise Arrhythmia Risk

Friday, April 3 

COVID-19 Drug Candidates May Raise Arrhythmia Risk

Hydroxychloroquine, chloroquine, and azithromycin all prolong QT interval. The next step is studying if their benefit exceeds risk.
 

 

STEMI's

Thursday, April 2 | FEATURE

The Mystery of the Missing STEMIs During the COVID-19 Pandemic  

Fear of infection is likely the biggest driver, but as other theories circulate, cardiologists are bracing for the fallout.

 

Mixed Messages on COVID-19 Masks

Friday, March 27 | FEATURE

Mixed Messages on COVID-19 Masks: Science Falls Short As Deaths Mount  

Different hospital policies as to who should wear a mask—and when—pit a shaky evidence base against a supply chain shortage.

 

Who Should Head to the Cath Lab in the COVID-19 Pandemic

Thursday, March 26 

Who Should Head to the Cath Lab in the COVID-19 Pandemic?

The new, detailed guidance does not amount to “hard and fast rules.” SCAI says hospitals need to make case-by-case decisions

 

Cardiac Injury in COVID-19 Sharply Increases Risk of Death

Thursday, March 26 

ACE Inhibitors, ARBs, and COVID-19: New Insights, Advice

Experts stress there is not enough evidence to suggest these medications can worsen COVID-19 morbidity and mortality.

 

Cardiac Injury in COVID-19 Sharply Increases Risk of Death

Thursday, March 26 

Cardiac Injury in COVID-19 Sharply Increases Risk of Death

Wuhan researchers have published details on 416 hospitalized patients, but treatment pathways remain unclear.

 

Cardiac Considerations Amid COVID-19: Shared Stories May Save Lives

Wednesday, March 25

Cardiac Considerations Amid COVID-19: Shared Stories May Save Lives

The experience of Chinese physicians is leading the way for others around the world as the pandemic explodes in the US.

 

COVID-19 Poised to Upend the Cath Lab, ACC and SCAI Say

Tuesday, March 24 | FEATURE

Telehealth Offers a Lifeline for Cardiology Patients During the COVID-19 Pandemic  

From FaceTime to old-fashioned telephone visits, healthcare workers are turning to virtual means to conduct clinical care.

 

Mask

Friday, March 20 | FEATURE

‘Terrified’ Healthcare Workers Fear Lack of Protection Against COVID-19 

“You wouldn’t send a soldier into war without a gun or body armor,” one doctor says. Hard-hit areas offer some tips.

 

COVID-19 Poised to Upend the Cath Lab, ACC and SCAI Say

Wednesday, March 18

COVID-19 Poised to Upend the Cath Lab, ACC and SCAI Say

Be prepared, experts urge. Much is still unknown about how the novel coronavirus will affect day-to-day and emergency CVD care.

 

COVID-19 Should Not Guide Use of ACE Inhibitors/ARBs, Heart Societies Say

Tuesday, March 17

COVID-19 Should Not Guide Use of ACE Inhibitors/ARBs, Heart Societies Say

(UPDATED) More research is needed, but for now, there’s no evidence that background use of the agents harms or helps in COVID-19.

 

ACC, EHRA Cancel 2020 Meetings Over COVID-19

Monday, March 9

ACC, EHRA Cancel 2020 Meetings Over COVID-19

Within hours of the ACC’s announcement, the European Heart Rhythm Association 2020 also announced their meeting was off.

 

First ESC Meeting of 2020 Canceled Due to Novel Coronavirus

Wednesday, March 4

First ESC Meeting of 2020 Canceled Due to Novel Coronavirus

It’s a wise move, Mamas Mamas says, both for the health of the attendees and for the patients they care for back home.

 

ACC Releases Initial Cardiac Guidance on Novel Coronavirus

Thursday, February 13

ACC Releases Initial Cardiac Guidance on Novel Coronavirus

One piece of advice is to not overlook classic symptoms and presentation of acute MI in the context of the COVID-19 virus.

 

Coronavirus: CV Meeting Planners Keeping an Eye on Evolving Situation

Tuesday, February 4

Coronavirus: CV Meeting Planners Keeping an Eye on Evolving Situation

China Interventional Therapeutics 2020, slated for April, has been canceled, but little impact is anticipated for other conferences.

 

 

On Record: COVID-19's Lasting CV Impact

ON RECORD

On Record: COVID-19's Lasting CV Impact 

Shelley Wood explores the potential for lingering cardiac damage after SARS-CoV-2 with Elena Arbelo and Khurram Nasir.

 

Restructuring Structural Heart Practice During COVID-19

TOPICAL DISCUSSION

Restructuring Structural Heart Practice During COVID-19 

Christine Chung, Susheel Kodali, Jacob Mishell, Tamim Nazif, and Mark Reisman discuss COVID-19's impact on structural heart programs: triaging patients, ensuring safety, and how to restart a practice that has been put on hold.

 

On Record Missing STEMIs Amid COVID-19

ON RECORD

On Record: Missing STEMIs Amid COVID-19 

Shelley Wood hears from Gennaro Sardella, Ghada Mikhail, and Javier Escaned about STEMI patients delayed by COVID-19 and those that didn't come at all.

 

The Impact of Social Isolation and Outcomes in the COVID-19 Era: Lessons from EU Policies

TOPICAL DISCUSSION

The Impact of Social Isolation and Outcomes in the COVID-19 Era: Lessons from EU Policies 

Michael Borger, Juan Granada, Mamas Mamas, Thomas Modine, Goran Olivecrona, and Holger Thiele discuss the impact of social isolation and outcomes in the EU during the COVID-19 era.

 

ORestructuring Structural Heart Practice During COVID-19

TOPICAL DISCUSSION

Restructuring Structural Heart Practice During COVID-19 

Christine Chung, Susheel Kodali, Jacob Mishell, Tamim Nazif, and Mark Reisman discuss COVID-19's impact on structural heart programs: triaging patients, ensuring safety, and how to restart a practice that has been put on hold.

 

On Record: They Had COVID-19, Physician Stories

ON RECORD

They Had COVID-19: Physician Stories, On Record 

Shelley Wood hears about symptoms, self-management, and takeaways from Gennaro Giustino, Isaac George, Azeem Latib, and Jordan Safirstein.

 

Impact of COVID-19 on Interventional and Surgical Procedures

WEBCAST

Impact of COVID-19 on Interventional and Surgical Procedures  

How has the cath lab adapted to perform interventional and surgical procedures in high-risk or COVID19+ patients? This three part webcast addresses current challenges and recommendations with perspectives from the Chinese Society of Cardiology.

 

COVID-19 and Fellows Implication on Clinical Training and Safety

WEBCAST

COVID-19 and Fellows Implication on Clinical Training and Safety  

Mamas Mamas, Jay Mohan, Purvi Parwani, Nosheen Reza, Juan Granada, Sarah Hudson, Sahil Parikh, Martha Gulati, & Danielle Belardo discuss the impact of COVID-19 on cardiology fellowship programs from redeployment to adapting education and training.

 

Lessons from China

WEBCAST

COVID-19 Lessons from China  

Drs. Juan Granada, Martha Gulati, Ajay Kirtane, Mamas Mamas, and Christ White discuss lessons learned and applicability from China’s approach to managing COVID-19.

 

Hospital Preparedness, Current Management Protocols, and Pulmonary Care During COVID-19

WEBCAST

Hospital Preparedness, Current Management Protocols, and Pulmonary Care During COVID-19  

Juan Granada, Azeem Latib, Mamas Mamas, and Federico Pappalardo discuss hospital preparedness and management protocols as well as pulmonary care for the non-pulmonary specialist in this special edition webcast on COVID-19.

 

Cardiac Injury in COVID-19 Patients

WEBCAST

Cardiac Injury in COVID-19 Patients  

Roxana Mehran, Ajay Kirtane, and Gennaro Giustino discuss the latest data on cardiac injury and COVID-19.

 

 

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: Telehealth Post-COVID  

Roxana Mehran explores the pandemic's lessons for telehealth with Ami Bhatt, Andrew Freeman, and Niraj Varma.

 

Heart Sounds

HEART SOUNDS

Top Stories in Cardiology: June 2020 

This month, Julia Grapsa and Mary Norine Walsh describe the many ways COVID-19 affects the heart.

 

Heart Sounds

HEART SOUNDS

Top Stories in Cardiology: May 2020 

This month, Barbara Casadei describes how the UK is emerging from COVID-19.

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: From the Front With Amreen Dinani  

As part of a special series on female physicians, Roxana Mehran speaks with Amreen Dinani about her experiences with COVID-19 in New York City.

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: From the Front With Ladan Golestaneh  

Roxana Mehran talks with Ladan Golestaneh. caring for patients in the Bronx.

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: From the Front With Leila Hosseinian  

Today, Roxana Mehran hears COVID-19 news from Leila Hosseinian, based in Chicago, IL.

 

Heart Sounds

HEART SOUNDS

Top Stories in Cardiology: April 2020 

In the COVID-19 era, older and younger physicians, telehealth, RCTs, obesity, and inflammation

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: From the Front With Miguel Martillo  

Today, Roxana Mehran hears from Miguel Martillo in New York City

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: From the Front With Laxmi Mehta and Benjamin Salter  

In this episode, Roxana Mehran takes on physician wellness in COVID-19 with Laxmi Mehta and Benjamin Salter.

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: From the Front With George Dangas and Ajay Kirtane 

Today, Roxana Mehran discusses PPE in COVID-19 with George Dangas and Ajay Kirtane.

 

ROX HEART RADIO

ROX HEART RADIO

Rox Heart Radio: From the Front 

Roxana Mehran speaks with Giulio Stefanini and Gennaro Giustino about the latest developments related to COVID-19.

 

Heart Sounds

HEART SOUNDS

Top Stories in Cardiology: March 2020 

This month features an in-depth conversation on COVID-19 with Alaide Chieffo, MD.

 

 

 

TCTMD’s Top 10 Most Popular Stories for September 2020


EDITOR'S CORNER

TCTMD’s Top 10 Most Popular Stories for September 2020

Half of TCTMD’s top stories this month are from the virtual ESC Congress, but topping the list was the Daily COVID-19 Dispatch.

 

TCTMD’s Top 10 Most Popular Stories for August 2020


EDITOR'S CORNER

TCTMD’s Top 10 Most Popular Stories for August 2020

Affirmative action and cannabis use took the top slots alongside more-typical cardiology news on hot topics like DAPT.

 

TCTMD’s Top 10 Most Popular Stories for July 2020


EDITOR'S CORNER

TCTMD’s Top 10 Most Popular Stories for July 2020

Heart damage in COVID-19, MIS-C in adults, perennial hot topics in interventional cardiology, and our Daily Dispatch dominate.

 

TCTMD’s Top 10 Most Popular Stories for June 2020


EDITOR'S CORNER

TCTMD’s Top 10 Most Popular Stories for June 2020

COVID-19’s unusual manifestations, risk factors, and possible treatments dominate the top stories on TCTMD this month.

 

TCTMD’s Top 10 Most Popular Stories for May 2020


EDITOR'S CORNER

TCTMD’s Top 10 Most Popular Stories for May 2020

For the second month a row, all of our top 10 stories address some angle of the COVID-19 pandemic.

 

TCTMD’s Top 10 Most Popular Stories for April 2020


EDITOR'S CORNER

TCTMD’s Top 10 Most Popular Stories for April 2020

Missing MIs, inflammation, thrombosis, safe echo, junior and senior physicians, clinical trials, and more, all related to COVID-19.

 

COVID-19 and the Heart: Insights From the Front Lines


EDITOR'S CORNER

COVID-19 and the Heart: Insights From the Front Lines

As COVID-19 cases go global, a picture is emerging as to its CV impact and how cardiologists in hard-hit regions are coping.

 

COVID-19 Begs the Question: If Medical Meetings Go Virtual, What Do We Gain and Lose?


OFF SCRIPT

COVID-19 Begs the Question: If Medical Meetings Go Virtual, What Do We Gain and Lose?

The coronavirus has led to cancelled meetings and hospitals barring physician travel, offering a glimpse of the future of medical education.

 

This program is sponsored by the Cardiovascular Research Foundation and supported through an unrestricted grant from Edwards Lifesciences. The Cardiovascular Research Foundation ensures that its programs are educational and meet the needs of the target audience. This program was developed without influence from commercial supporters.