Podcasts about carotid

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT.Unstable patients in SVT or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine.Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Free Prescription Discount Card - Download your free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Send us a textIn this episode of MedStar Health DocTalk, host Debra Schindler speaks with Dr. Othman Abdul-Malak, MD, MSC, a vascular expert, to break down the what carotid artery disease is, and how it can lead to stroke, mini-strokes (TIAs), and sudden vision loss. Learn how to recognize early warning signs—like facial droop, arm weakness, or sudden speech problems—and why acting fast can save brain function. Dr. Abdul-Malak also explains:·       The difference between ischemic and embolic strokes·       What amaurosis fugax means ·       Why age, heart disease, and cholesterol put you at greater risk·       When NOT to take aspirinThis episode is a must-listen for anyone interested in stroke prevention, vascular health, or caring for aging loved ones. Time is brain. Know the signs. Act fast.Subscribe for more expert-led episodes.To make an appointment with Dr. Abdul Malak, call 443-777-1900. If you would like to provide feedback on this podcast or get more information when carotid artery disease or treatment options, send me an to DocTalk@medstar.net For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.

Carotid artery dissection survival story inspiring stroke survivors to keep going, seek rehab, and embrace hope even in the hardest times. The post Carotid Artery Dissection Nearly Took Everything – But I'm Still Standing appeared first on Recovery After Stroke.

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT.Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Good luck with your ACLS class!Links: Buy Me a Coffee at https://buymeacoffee.com/paultaylor Practice ECG rhythms at Dialed Medics - https://dialedmedics.com/Safe Meds VIP - Learn about medication safety and download a free drug discount card to save money on prescription medications for you and your pets: https://safemeds.vipPass ACLS Web Site - Episode archives & other ACLS-related podcasts: https://passacls.com@Pass-ACLS-Podcast on LinkedIn

Carotid artery disease can develop silently, increasing your risk of stroke without warning. Join us as Dr. Ahmed Khalil shares essential insights on risk factors, lifestyle choices, and screening recommendations, helping you take proactive steps toward better brain health.

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine.Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Good luck with your ACLS class!

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers. Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations made via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Make a difference in the fight against breast cancer by donating to my Men Wear Pink fundraiser for the American Cancer Society (ACS) at http://main.acsevents.org/goto/paultaylor Every dollar helps in the battle with breast cancer.Good luck with your ACLS class!

How does high physical activity level impact risk of incident carotid plaque components? Dr. Luosiyuan Zuo reported his research on how high physical activity level impacted the risk at ESC Congress 2024 and further discussed this topic based on the abstract for the ESC Congress 2024. Moderated by Dr. Zhangling Chen.

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@Pass-ACLS-Podcast on LinkedInGive Back & Help Others: Your support helps cover the monthly cost of software and podcast & website hosting so that others can benefit from these ACLS tips as well. Donations made via Buy Me a Coffee at https://buymeacoffee.com/paultaylor are appreciated.Make a difference in the fight against breast cancer by donating to my Men Wear Pink fundraiser for the American Cancer Society (ACS) at http://main.acsevents.org/goto/paultaylor Every dollar helps in the battle with breast cancer.Good luck with your ACLS class!

Our Vascular Surgery Oral Board Audio Review includes 72 high-yield scenarios that cover the majority of the VSCORE topics designed for Vascular Surgeons by Vascular Surgeons.   Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as vascular surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test. Learn more about the full set of 72 scenarios here: https://app.behindtheknife.org/course-details/vascular-surgery-oral-board-audio-review Our Vascular Surgery Oral Board Book is available on Amazon here: https://www.amazon.com/dp/B0CZ8ZBF83 Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

Ready to dig into the latest cardiology research? In less than 15 minutes, we'll give you the low-down on three new studies that'll help you in clinical practice. STUDY #1: First, we explore safety outcomes for carotid artery stenting and see how this could impact your clinical discussions and decision-making. And if you practice in the U.S., now that Medicare and Medicaid cover this procedure for a broader range of patients, this info will prove to be especially important.  Uchida, K, Sakakibara, F, Sakai, N, et al. 2024. Real-world outcomes of carotid artery stenting in symptomatic and asymptomatic patients with carotid artery stenosis. JACC Cardiovasc Interv. 9: 1160-1162. (https://doi.org/10.1016/j.jcin.2024.03.014) STUDY #2: Next, we tackle a common cardiology conundrum: how should we handle significant coronary artery disease lesions discovered incidentally in patients with severe aortic stenosis who are undergoing transcatheter aortic valve replacement? Is it better to treat these lesions beforehand, or is there a better strategy? We'll probe the debate, highlighting the potential implications of this new data. Colaiori, I, Paolucci, L, Mangiacapra, F, et al. 2024. Natural history of coronary atherosclerosis in patients with aortic stenosis undergoing transcatheter aortic valve replacement: The role of quantitative flow ratio. Circ Cardiovasc Interv. 0: e013705. (https://doi.org/10.1161/CIRCINTERVENTIONS.123.013705) STUDY #3: Lastly, we sip our way through the nuances of coffee consumption and its impact on blood pressure and cardiac arrhythmias. A new study lets us know whether our patients' daily caffeine fix can be left off the list of cardiac concerns. Trevano, F, Vela-Bernal, S, Facchetti, R, et al. 2024. Habitual coffee consumption and office, home, and ambulatory blood pressure: Results of a 10-year prospective study. J Hypertens. 6: 1094-1100. (https://doi.org/10.1097/HJH.0000000000003709) Join us to break down these studies, and elevate your cardiology knowledge! Learn more with these courses: Coronary Angiography Essentials (3 CME) Coronary Angiography Essentials Workshop (1 CME) Get a Basic or Pro account, or, get a Trial account. Show notes: Visit us at  https://www.medmastery.com/podcasts/cardiology-podcast.

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers. Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@PassACLS on X (formally known as Twitter)@Pass-ACLS-Podcast on LinkedInGive back - buy Paul a bubble tea hereGood luck with your ACLS class!

Commentary by Dr. Valentin Fuster

ESC TV Today brings you concise analysis from the world's leading experts, so you can stay on top of what's happening in your field quickly. This episode covers: Cardiology This Week: A concise summary of recent studies Microplastics and nanoplastics in atheromas and cardiovascular events Leadless pacemakers Snapshots Host: Rick Grobbee Guests: Stephan Achenbach, Carlos Aguiar, Emanuele Barbato, Haran Burri Want to watch that episode? Go to: https://esc365.escardio.org/event/1148   Disclaimer This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC.    Declarations of interests  Stephan Achenbach, Emanuele Barbato, Rick Grobbee and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, Lilly, Novartis, Pfizer, Sanofi, Servier, Tecnimede. Haran Burri has declared to have potential conflicts of interest to report: institutional research and fellowship support or speaker honoraria from Abbott, Biotronik, Boston Scientific, Medtronic, Microport. Davide Capodanno has declared to have potential conflicts of interest to report: Abbott Vascular, Novo Nordisk, Sanofi. Terumo, Medtronic. Emma Svennberg has declared to have potential conflicts of interest to report: institutional research grants from Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Boehringer-Ingelheim, Johnson & Johnson, Merck Sharp & Dohme.

Microplastics and nanoplastics in carotid plaque led to greater chance of subsequent myocardial infarction, stroke, or death from any cause.

Carotid stenosis, caused by a buildup of plaque in the carotid artery, accounts for around 20% of all ischemic strokes. Mark Harrigan, M.D., and Elizabeth Liptrap, M.D., both neurosurgeons, discuss key aspects of medical management and interventions for carotid stenosis. Learn about two new alternatives to the (still-effective) endarterectomy procedure. The doctors explain how their approach to management and intervention varies by patient.

Authors:  Sebouh Bazikian - MS4 at Keck School of Medicine of University of Southern California Gowri Gowda - PGY1 at the University of California Davis Integrated Vascular Surgery Program Steven Maximus- Vascular surgery attending at the University of California Davis, Director of the Aortic Center   Resources:  Rutherford's 10th Edition Chapters: 88, 89, and 91 The North American Symptomatic Carotid Endarterectomy Asymptomatic Carotid Atherosclerosis Study Audible Bleeding's eBook chapter on cerebrovascular disease Houston Methodist CEA Dissection Video: Part 1: https://www.youtube.com/watch?v=wZ8PzhwmSXQ Part 2: https://www.youtube.com/watch?v=E_wWpRKBy4w   Outline:  1. Etiology of Carotid Artery Stenosis Risk factors: advanced age, tobacco use, hypertension, diabetes. Atherosclerosis as the primary cause. Development of Atherosclerotic Disease and Plaque Formation LDL accumulation in arterial walls initiating plaque formation. Inflammatory response, macrophage transformation, smooth muscle cell proliferation. Role of turbulent blood flow at carotid bifurcation in plaque development. Clinical Features of Carotid Artery Stenosis Asymptomatic nature in many patients. Symptomatic presentation: Transient ischemic attacks, amaurosis fugax, contralateral weakness/sensory deficit. Carotid bruit as a physical finding, limitations in diagnosis. Importance of Evaluating CAS Assessing stenosis severity and stroke risk. Revascularization benefits dependent on stenosis severity. Classification of Stenosis Levels Clinically significant stenosis: ≥ 50% narrowing. Moderate stenosis: 50%–69% narrowing. Severe stenosis: 70%–99% narrowing. Stroke Risk Associated with Carotid Stenosis Annual stroke rate: ~1% for 50-69% stenosis, 2-3% for 70-99% stenosis. Diagnosis and Screening No population-level screening recommendation. Screening for high-risk individuals as per SVS guidelines. Carotid Duplex Ultrasound as primary diagnostic tool. Additional tools: CT angiography, Magnetic Resonance Angiography. Handling of 100 cm/sec, Internal/Common Carotid peak systolic velocity Ratio > 4. Revascularization Criteria Symptomatic Patients: 50-69% or 70-99% stenosis, life expectancy at least three or two years, respectively. Asymptomatic Patients: 70% stenosis, considering life expectancy. Surgical Indications and Contraindications Indications: symptomatic patients, life expectancy considerations. Contraindications: Stenosis

Carotid artery disease occurs when the veins in our neck that carry blood from the heart to the brain get blocked by plaque. This condition can have very serious consequences like a stroke. Transcarotid Artery Revascularization or TCAR is a minimally invasive surgery to treat blockages in the carotid artery, reducing the risk of stroke. Listen to a Q&A discussion about Carotid Artery Disease & TCAR with Mark Janzen, M.D., an Enloe Health vascular surgeon.

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers. Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@PassACLS on X (formally known as Twitter)@Pass-ACLS-Podcast on LinkedInGive back - buy Paul a bubble tea hereGood luck with your ACLS class!

In this Podcast Astrid Rijkenhuizen discusses  'Neurologic deficits and surgical treatment in a horse affected with internal carotid artery tortuous elongation'

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers. Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: July 18, 2017 I can't imagine a better way to celebrate our FIFTIETH episode than to discuss my favorite subject: large vessel disease. Although we only cover one aspect of this stroke mechanism--atherosclerosis--and technically many of these trials may be somewhat outdated, the matter discussed in this episode remains the most up-to-date in the field. Take a listen. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision-making in routine clinical practice. REFERENCES Chambers BR, Donnan GA. Carotid endarterectomy for asymptomatic carotid stenosis. Cochrane Database Syst Rev 2005;2005(4):CD001923. PMID 16235289Chaturvedi S, Bruno A, Feasby T, et al. Carotid endarterectomy--an evidence-based review: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2005;65(6):794-801. PMID 16186516Hosseini AA, Kandiyil N, Macsweeney ST, Altaf N, Auer DP. Carotid plaque hemorrhage on magnetic resonance imaging strongly predicts recurrent ischemia and stroke. Ann Neurol 2013;73(6):774-84. PMID 23463579Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013;44(3):870-947. PMID 23370205Kakkos SK, Nicolaides AN, Charalambous I, et al. Predictors and clinical significance of progression or regression of asymptomatic carotid stenosis. J Vasc Surg 2014;59(4):956-967.e1. PMID 24377944Lovett JK, Coull AJ, Rothwell PM. Early risk of recurrence by subtype of ischemic stroke in population-based incidence studies. Neurology 2004;62(4):569-73. PMID 14981172Mantese VA, Timaran CH, Chiu D, Begg RJ, Brott TG; CREST Investigators. The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST): stenting versus carotid endarterectomy for carotid disease. Stroke 2010;41(10 Suppl):S31-4. PMID 20876500Rothwell PM, Eliasziw M, Gutnikov SA, et al. Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet 2003;361(9352):107-16. PMID 12531577 We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

Commentary by Dr. Candice Silversides

Join us for this months episode of Put Your Heart Into It, as we continue our discussion of Carotid Disease with Dr. Kang. Learn the new treatments for Carotid Disease and how to create the appropriate patient-centered treatment plan.

This week Kate, Mark, Gary and Henry discuss magnesium to prevent cerebral palsy, amoxicillin challenge in the primary care clinic for suspectec PCN non-allergy, new ACP guidance on colorectal cancer screening, and surgery for carotid disease.

In this Healthed lecture, Dr Shannon Thomas will explain that the key to better health outcomes is suspecting the condition, investigating early and knowing when and how to treat, including when referral for surgical intervention is appropriate.See omnystudio.com/listener for privacy information.

Neurology Today Editor-in-chief Joseph E. Safdieh, MD, FAAN, discusses the Medicare's proposed coverage of carotid stenting in asymptomatic patients,neuro-oncologists' perspectives on a federal initiative to target persistent poverty in vulnerable patients, and the technological promise of a new optical EMG for neuromuscular disorders.

Dr. Kang joined us for a discussion regarding Carotid Disease and the pathway for screening and helping to prevent strokes in patients. 

NOT a good mix.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

KYW Newsradio's Rasa Kaye continues her talk with Deborah Heart and Lung Center's vascular and endovascular surgeon, Gregory Domer, MD, about diagnosing, treating, and living with carotid artery disease.

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!

In this episode, we review the high-yield topic of ⁠Carotid Dissection⁠⁠ ⁠⁠⁠from the Cardiovascular section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets

Dr. Tanu Garg discusses the diagnosis of carotid web.

KYW Newsradio's Rasa Kaye talks with Deborah Heart and Lung Center's vascular and endovascular surgeon, Gregory Domer, MD, about diagnosing, treating, and living with carotid artery disease.

Marco Giovannoli was 46 and running in when a previously undiagnosed carotid artery dissection caused a blood clot to form which caused an ischemic stroke that Marco has been recovering from ever since. The post Carotid Artery Dissection Stroke Recovery – Marco Giovannoli appeared first on Recovery After Stroke.

Modern-day evidence-based medicine mandates a strong understanding of current local and international guidelines. Surgeons rely heavily on these reports, but what to do when they differ? We have partnered with the ESVS podcast in creating the Transatlantic Series, where we compare and contrast our respective society guidelines. In this inaugural episode, we explore the SVS carotid artery disease guidelines published in 2022 and the recently updated ESVS guidelines published in 2023. Representing the American perspective, we are excited to speak with Dr. Ali AbuRahma. Dr. AbuRahma is the former president of the Society of Vascular Surgery, the Chief of Vascular and Endovascular Surgery at the Charleston Area Medical Centre at West Virginia University, and the corresponding author of the latest SVS guidelines on extracranial cerebrovascular disease. Representing the European perspective, we are delighted to speak with Dr. Barbara Rantner. Dr. Rantner is the co-chair of the 2023 European Society of Vascular Surgery Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease and a leading physician at the Ludwig-Maximillian University Hospital in Munich, Germany. Further reading and links: The North American Symptomatic Carotid Endarterectomy Trial (NASCET) & Audible Bleeding Landmark Papers NASCET Episode  Randomized trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST) The 2nd European Carotid Surgery Trial (ECST-2): rationale and protocol for a randomized clinical trial comparing immediate revascularisation versus optimized medical therapy alone in patients with symptomatic and asymptomatic carotid stenosis at low to intermediate risk of stroke European Stroke Organisation (ESO) guideline on endarterectomy and stenting for carotid artery stenosis A comparative effectiveness study of carotid intervention for long-term stroke prevention in patients with severe asymptomatic stenosis from a large integrated health system SVS Patient Safety Organization (PSO) TCAR Surveillance Project SVS Vascular Quality Initiative (VQI) & VQI TCAR Registry Important recommendations of the German-Austrian S3 guidelines on the management of extracranial carotid artery stenosis (Paper only available in German)  Hosts: Laurence Bertrand is a 5th-year vascular surgery resident at the Ludwig Maximilian University Hospitals of Munich, Germany.  She is a medical graduate from KULeuven, Belgium, and has a Master of Science in International Health from the London School of Hygiene and Tropical Medicine.    Ezra Schwartz (@EzraSchwartz10) is a medical graduate from McGill University pursuing a Master of Medical Science in Medical Education at Harvard Medical School. He is applying to integrated vascular residency programs this year.  Please share your feedback through our Listener Survey! Follow us on Twitter (@audiblebleeding) and learn more about us at https://www.audiblebleeding.com/about-1/.  

On Episode 57 of the Know Stroke Podcast we sit down with Stacy Quinn. Fueled by frustration and stress after being misdiagnosed by several doctors, Stacy felt lost on her road to recovery. She found herself on the precipice of never talking about what happened to her and living as a silent statistic: 1 in 5 women will have a stroke in her lifetime, and 3 in 100,000 people have a spontaneous carotid artery dissection. But she didn't. Instead, she viewed it as a moment of opportunity to help others. Understanding the power of information, she created My Stroke of Hope, a resource for people affected by carotid artery dissection and a platform to raise awareness of stroke in young women. Stacy uses her personal experience to raise awareness of carotid artery dissection and stroke symptoms and prevention with the hope of saving lives and supporting survivors. From her 20-year career working in corporate communication for Fortune 500 healthcare and financial services companies, Stacy brings a track record of integrity, creativity and passion to her advocacy work. Mentions and Resources for this Episode: To learn more about the My Stroke of Hope and connect with Stacy, please visit her website: https://www.mystrokeofhope.com/about Nominate Ralph Preston for CNN Heroes Award- (Time Sensitive - closes 7/31/23) https://www.cnn.com/specials/cnn-heroes-nominations Here's Ralph's Interview on Know Stroke Podcast Episode #31 https://www.knowstrokepod.com/podcast/episode/c956ba21/interview-with-ralph-preston-founder-of-stroke-buddies Michael J Fox documentary "Still" about his acting career and life with Parkinson's Disease (PD) streams exclusively on AppleTV+ Show Credits: Music intro credit to Jake Dansereau. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast. Be sure to give the show a like and share, & follow and connect with us on social or contact us to support us as a show sponsor or become a guest on the Know Stroke Podcast. Visit website to to learn more: https://www.knowstrokepod.com/ Connect with Us and Share our Show on Social: Website | Linkedin | Twitter | YouTube | Facebook

Carotid stents, the paclitaxel story now closed, inclisiran, DOAC failures, and primary vs secondary prevention are the topics John Mandrola, MD, covers in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. Carotid Stenting CMS Proposal Expanded Coverage of Carotid Stenting in CMS Draft Proposal https://www.medscape.com/viewarticle/994315 No Added Benefit From Revascularization in Low-Risk CAS https://www.medscape.com/viewarticle/992524 - Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=Y&NCAId=311 - Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy https://doi.org/10.1016/S0140-6736(21)01910-3 - SPACE-2 https://journals.sagepub.com/doi/10.1177/1747493019833017 - Rationale, Design, and Implementation of Intensive Risk Factor Treatment in the CREST2 Trial 10.1161/STROKEAHA.120.030730 II. Paclitaxel FDA: No Excess Mortality Risk From Paclitaxel Stents, Balloons for Peripheral Intervention https://www.medscape.com/viewarticle/994253 - FDA Statement https://www.fda.gov/medical-devices/letters-health-care-providers/update-paclitaxel-coated-devices-treat-peripheral-arterial-disease-unlikely-increase-risk-mortality?utm_medium=email&utm_source=govdelivery#_FDA_Actions III. Inclisiran FDA Expands Inclisiran Statin-Adjunct Indication to Include Primary Prevention https://www.medscape.com/viewarticle/994185 - ORION 10-11 Two Phase 3 Trials of Inclisiran in Patients with Elevated LDL Cholesterol https://www.nejm.org/doi/10.1056/NEJMoa1912387 - Effect of inclisiran on lipids in primary prevention: the ORION-11 trial https://doi.org/10.1093/eurheartj/ehac615 - Inclisiran and cardiovascular events: a patient-level analysis of phase III trials https://pubmed.ncbi.nlm.nih.gov/36331326/ IV. DOAC Failure Association of Alternative Anticoagulation Strategies and Outcomes in Patients With Ischemic Stroke While Taking a Direct Oral Anticoagulant https://doi.org/10.1212/WNL.0000000000207422 V. Primary or Secondary Prevention You may also like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

"...we will take a look at how Strokes are diagnosed and then how Strokes the treated and managed the diagnosis of a stroke is and with imaging techniques being used to Aid in that diagnosis a big part of stroke diagnosis and management is the early recognition and tools such as and Razia a used Fast involves facial drooping arm weakness and speech disturbances while T is for the time indicating the need for timely action the Razia score which stands for recognition of stroke in the emergency room is similar and involves looking for any loss of consciousness or seizure activity which counts against a stroke diagnosis as well as facial arm or leg weakness speech disturbances or visual disturbances it physical exam should also be done which will cover the NIH SS school including levels of consciousness motor function sensory function language and attention generally suspected stroke patients will undergo a CT of the head without contrast as coagulated blood will appear hyper-dense on these scans however ischemia may not be seen in the early stages there for a CT scan is done more commonly to rule out further investigations may involve an MRI of the head which is more sensitive for chronic hemorrhages and areas of ischemia usually appear hyper-intense on diffusion-weighted a Doppler ultrasound of the Carotid may be done and if the stroke was suspected to be caused by an aneurysm and angiogram may also be done as well as lab investigations including lipids and coagulation screens you may have heard the expression time is brain in the early stages ischemic stroke the aim is to restore cerebral blood flow as fast as possible as this results in fewer brain cells dying according to the nice guidelines patients with non disabling stroke or t.i. a should have early carotid Imaging and Urgent in data Rekha me as well as stenting if they have carotid stenosis in patients who have an acute ischemic stroke 150 to 300 milligrams of aspirin should be given orally or rectally if the patient is dysphasic this 150 to 300 milligram should be continued for two weeks following the stroke until long-term antithrombotic treatment has been prescribed in patients with an allergy to aspirin Clopidogrel may be used and a proton pump inhibitor should be added in patients with a history of dyspepsia in cases of venous sinus thrombosis anticoagulation..." Learn more about your ad choices. Visit megaphone.fm/adchoices

Getting diagnosed with a constriction or blockage in the arteries that supply blood to your brain can be quite daunting, as Nancy from South Carolina can confirm. She discovered she had carotid artery disease,which put her in danger of having a stroke. The carotid arteries, one on each side of the neck, are crucial blood vessels that provide blood to the brain, neck, and face. About one-third of all stroke cases are associated with diseased carotids. This disease arises when fatty residues, known as plaque, accumulate in these arteries. Alarmingly, in its initial stages, this disease often goes unnoticed due to a lack of symptoms. It only becomes noticeable when it becomes severe enough to deprive the brain of oxygen, resulting in a stroke or a transient ischemic attack (TIA). Lucky for Nancy, she discovered her condition early as she was under close observation following a heart attack. During a routine medical examination, a Physician Assistant detected a bruit, a turbulent flow in her neck arteries, using a stethoscope. In today's episode, Nancy shares her journey from diagnosis to receiving advanced treatment. Also joining us is the globally recognized Interventional Cardiologist Dr. Ehrin Armstrong, who discusses treatment guidelines and ongoing debates that could alter how and when doctors can offer more than just medication to enhance blood flow and avoid severe complications.

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers. Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage. Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com.Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!

"...the definition of syncope is a reversible loss of consciousness that occurs due to an inadequate blood flow to the brain usually their fast onset short duration and a spontaneous recovery so first things first what's the difference between a transient loss of consciousness and sinker beep well a syncope is a form of transient loss of consciousness which can be divided into loss of consciousness due to head trauma or non-traumatic causes under which comes along with syncope do other non-traumatic causes of a transient loss of consciousness include epileptic seizures psychogenic causes and rear causes like the problem clinically with syncope is Discerning the really serious and by that I mean potentially lethal causes of syncope so the causes are divided into Exxon knurled mediated syncope orthostatic hypotension and cardiac causes under reflex mediated we have vasovagal syncope which can be due to author's death that happens when the patient experiences fear phobias such as seeing blood or even pain next we have situational underneath reflex mediated syncope which includes losing Consciousness after death coughing finally for reflux syncope we have carotid sinus syndrome which is where the Carotid baroreceptors react too strongly to detecting an increased pressure leading to an excessive drop in blood pressure and therefore syncope an example is when people put their Ties on too tightly we take this few seconds off to inform you are valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic classic functional medicine Back to Basics health tips and special updates from the best doctors in the United States of America check out this health and wellness podcast shows explore Health talk healthy lifestyle matters excellent Health digest healthy and free daily and last but not least weekly health and fitness Corner also check out nasty Boise see the truest story never told for that real life on the go experience with the 27 year old Golden Boy Who made our guest invite number one list he tells us about his story as it happens in real time and in real life it's nasty boy CC the truest story never told go get a load of that happiness because happiness is healthy as we know it join us every week as..." Learn more about your ad choices. Visit megaphone.fm/adchoices

For most people, the word “stroke” is scary, maybe even a little mysterious. It's a condition that lives up to its name, striking patients hard and changing their lives forever. But strokes can be prevented, and many Franciscan Health patients who have had carotid artery surgery or a carotid stent placed can attest to that. Cardiothoracic and vascular surgeon Michael Tuchek will talk to us today about how surgical advances can target where the risk of stroke may dwell—in the carotid arteries. He'll also explain what a TIA, or “mini stroke” is, and why it's important to pay attention to symptoms.

On this episode of We Talk Health, Kara Mobley interviews Dr. Jonathan Braun on Carotid Artery Disease and how it relates to stroke.What exactly is carotid disease and how does it relate to stroke? Who can get it and how does it affect people? What options are there for treatment? All of these questions and more are answered. Tune in to learn!To request an appointment with Dr. Braun, call Jackson Surgical Associates at 731-664-7395.Dr. Braun's Episode on Peripheral Artery DiseaseGuest:Dr. Jonathan Braun, MD, RPVIVascular Surgeon with Jackson Surgical AssociatesHost:Kara MobleySocial Media CoordinatorLink to Resources: Here

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients.Commonly used vagal techniques.A less common technique to stimulate the vagus nerve is the dive reflex. Indications and use of Adenosine for stable patients in SVT refractory to vagal maneuvers.Possible treatments for patients found to be in A-Fib or A-Flutter with RVR after administration of Adenosine. Carotid sinus massage.Additional medical podcasts that have episodes on tachycardia can be found on the pod resources page at passacls.com. Connect with me:Website: https://passacls.com@PassACLS on Twitter@Pass-ACLS-Podcast on LinkedInGive back & support the show:via PayPal Good luck with your ACLS class!

Heart disease is the leading cause of death for both men and women in the United States. It is also one of the most preventable. Today we discuss heart attack prevention with Dr. Michael Twyman, MD. Dr. Michael Twyman is a board-certified cardiologist who completed his cardiovascular training at St Louis University. Heart Attack Prevention is Dr. Twyman’s passion and he utilizes the best of conventional medicine, functional medicine, and biohacking to get to the root cause of the patient’s cardiovascular issues. I’m pumped to talk about this today so thank you Dr. Twyman for being on the show. Topics Discussed: What is a heart attack? What testing should you do to determine your risk for cardiovascular disease? EndoPAT, Carotid intima-media thickness test (CIMT), CT Coronary Calcium Score, and ApoB blood test. The importance of optimal Nitric Oxide levels. What is the truth on taking a daily aspirin? “Good cholesterol” vs “Bad cholesterol” Photobiomodulation and optimizing light for better mitochondrial health and sleep. Biohacking your way to heart health. Vitamin D & K2, Omega 3 and Nitric Oxide. Testosterone and Estrogen and the important roles they play in your heart health. Tracking your HRV balance on different devices. To purchase BLUblox Bon Charge Cali Sleep+ 100% Blu To purchase EMR-TeK"Cyclops" Blue Blocking Glasses. Anti-Blue Blocking Computer Glasses Red lense to Block Block Both Blue Light and Green Light | Better Night Sleep To purchase Bon Charge Red Light Devices Discount Code - Apollo To purchase Nitric Oxide Test Strips To purchase Single Light Therapy Patches To visit Dr. Twyman's Instagram To visit Dr. Twyman's YouTube To visit Apollo Cardiology For questions about today's podcast you can contact Amy Stuttle at podcast@amystuttle.com Click here to learn more about Victory Men's Health This podcast is not medical advice.

VIDEOS: Mark Dolan: Covid has been the biggest “I told you so” in history (4:41) Society is going to COLLAPSE (5:24) Fear Psychosis and the Cult of Safety – Why are People so Afraid? (13:25) MSNBC Midterm PANIC꞉ ‘It's Going To Be a BLOODBATH'!!! (0:18 – 3:32) Pycnogenol, gotu kola supplementation associated with decreased progression of atherosclerosis D'Annunzio University (Italy), October 23, 2022 The results of studies published in Minerva Cardioangiologica suggest a benefit for supplementation with extracts of pine bark and the herb gotu kola in atherosclerosis. In one study, participants with arterial wall atherosclerotic lesions and intima-media thickening (thickening of the artery walls' innermost layers) received standard management, standard management plus aspirin, or standard management, aspirin and Pycnogenol® pine bark extract plus gotu kola extract daily for three years, after which atherosclerotic lesion progression, carotid artery intima-media thickness and oxidative stress were assessed. At the end of the trial, 5.3% of those who received Pycnogenol and gotu kola had experienced atherosclerotic lesion progression in comparison with over 20% of the remainder of the participants. Cardiovascular events that required hospital admission were less than 4% in the supplemented group compared to over 12% in the rest of the subjects. Carotid artery intima thickness and oxidative stress were also lower in association with supplementation. In the second study, 90 men with coronary artery calcifications received standard management alone, standard management and daily Pycnogenol, or standard management with daily Pycnogenol plus gotu kola. All participants received daily aspirin. Calcification was assessed at the beginning of the study and after one year. While Pycnogenol plus standard management was more effective than standard management alone, men who received Pycnogenol plus gotu kola experienced a 10% decline in the number of calcifications by the end of the study, in contrast with a 34.9% increase in the standard management group. “This indicates that supplementation with the combined supplements blocks the increase in calcified areas and, possibly, in time may decrease the number of calcified spots,” Shu Hu and colleagues write. Effects of pistachios on cardiovascular disease risk factors and potential mechanisms of action: a dose-response study. Pennsylvania State University, October 22, 2022 Nut consumption lowers cardiovascular disease (CVD) risk. Studies are lacking about the effects of pistachios, a nutrient-dense nut, on CVD risk factors, dose-response relations, and lipid-lowering mechanisms. We evaluated the effects of 2 doses of pistachios, added to a lower-fat diet, on lipids and lipoproteins, apolipoprotein (apo)-defined lipoprotein subclasses, and plasma fatty acids. To investigate the mechanisms of action, we measured cholesteryl ester transfer protein and indexes of plasma stearoyl-CoA desaturase activity (SCD). In a randomized crossover controlled-feeding study, 28 individuals with LDL cholesterol > or = 2.86 mmol/L consumed 3 isoenergetic diets for 4 wk each. Baseline measures were assessed after 2 wk of a typical Western diet. The experimental diets included a lower-fat control diet with no pistachios [25% total fat; 8% saturated fatty acids (SFAs), 9% monounsaturated fatty acids (MUFAs), and 5% polyunsaturated fatty acids (PUFAs)], 1 serving/d of a pistachio diet (1 PD; 10% of energy from pistachios; 30% total fat; 8% SFAs, 12% MUFAs, and 6% PUFAs), and 2 servings/d of a pistachio diet (2 PD; 20% of energy from pistachios; 34% total fat; 8% SFAs, 15% MUFAs, and 8% PUFAs). Inclusion of pistachios in a healthy diet beneficially affects CVD risk factors in a dose-dependent manner, which may reflect effects on SCD. Poor quality sleep may be linked to heightened risk of glaucoma, irreversible sight loss Sichuan University (China), November 1, 2022 Poor quality sleep, including too much or too little shuteye, daytime sleepiness, and snoring, may be linked to a heightened risk of developing irreversible sight loss (glaucoma), suggests a large UK Biobank study published in the open access journal BMJ Open. The findings underscore the need for sleep therapy in people at high risk of the disease as well as eye checks among those with chronic sleep disorders to check for early signs of glaucoma, conclude the researchers. While population screening may not be cost-effective, targeted screening of high-risk groups might be, suggest the researchers. And previously published research suggests that sleep disorders may be an important risk factor. To explore these issues further, the researchers set out to ascertain the risk of glaucoma among people with different sleep behaviors: insomnia; too much or too little sleep; night or morning chronotypes (“owls” or “larks”); daytime sleepiness; and snoring. They drew on 409,053 participants in the UK Biobank, all of whom were aged between 40 and 69, and who had provided details of their sleep behaviors. Sleep duration of 7 to less than 9 hours per day was defined as normal, and as too little or too much outside this range. Chronotype was defined according to whether the person described themselves as more of a morning lark or night owl. During an average monitoring period of just over 10.5 years, 8690 cases of glaucoma were identified. Those with glaucoma tended to be older and were more likely to be male, chronic smokers, and to have high blood pressure or diabetes than those who weren't diagnosed with the disease. Short or long sleep duration was associated with a heightened risk of 8%; insomnia, 12%; snoring, 4%; and frequent daytime sleepiness, 20%. Compared to those with a healthy sleep pattern, snorers and those who experienced daytime sleepiness were 10% more likely to have glaucoma, while insomniacs and those with a short/long sleep duration pattern were 13% more likely to have it. Could a Japanese mushroom extract eradicate HPV? University of Texas Health Science Center October 29, 2022 A study by researchers from The University of Texas Health Science Center suggests that an extract from a Japanese mushroom has potential to eradicate human papillomavirus – the leading cause of cervical cancer. HPV is also accountable for around 95% of anal cancers, 65% of vaginal cancers, 60% of oropharyngeal cancers, 50% of vulvar cancers and 35% of penile cancers. . As such, the team set out to assess the effects of active hexose correlated compound (AHCC) against HPV. AHCC is a substance produced by the shiitake mushroom, also called the Japanese mushroom, native to Asia. AHCC is already available as a nutritional supplement, hailed for its immune-boosting properties. Previous studies, however, have suggested that the compound may improve the growth and function of cells that ward off infections and prevent tumor growth. To reach their findings, Smith and colleagues enrolled 10 women to their study who had tested positive for HPV infection. Once a day for up to 6 months, each woman took an oral formulation of AHCC. Five of these women tested negative for HPV infection after 3 months of AHCC use. Among three of the participants, it was confirmed that HPV had been completely eradicated after AHCC use had ceased. The remaining two women needed to take AHCC for the full 6 months to see results. The team's findings are “very encouraging,” according to Smith. “We were able to determine that at least 3 months of treatment is necessary, but some need to extend that to 6 months,” she says, adding: “Since AHCC is a nutritional supplement with no side effects and other immune-modulating benefits, we will be planning on using 6 months of treatment in our phase 2 clinical study to have a consistent study treatment plan. This confirms our earlier preclinical research.” Research suggests higher testosterone reference range for young men University of Michigan, October 31 2022. In an article appearing in the Journal of Urology, Alex Zhu , of University of Michigan and his associates asserted that the standard cutoff for testosterone deficiency of 300 nanograms per deciliter (ng/dL) is too low for men younger than 45 years of age. The study is “the first evaluation of normative, population-based testosterone levels for young men in the United States,” according to Dr Zhu and colleagues. “There is an age-related decline in male testosterone production,” they wrote. “It is therefore surprising that young men are evaluated for testosterone deficiency with the same cutoff of 300 ng/dL that was developed from samples of older men.” The investigation included 1,486 men between the ages of 20 to 44 years who participated in the National Health and Nutrition Examination Surveys (NHANES) of United States residents. Men who were receiving hormone replacement therapy were excluded from the study. The men's testosterone levels were evaluated according to 5-year age groups. Testosterone levels that fell in the middle one-third of each group were categorized as normal. For every 1-year increase in age, a 4.3 ng/dL decline in testosterone was observed. Normal levels of testosterone for men aged 20 to 24 years were categorized as 409-558 ng/dL, for those 25-29 as 413-575 ng/dL, for men 30 to 34 as 359-498 ng/dL, for 35-39-year-olds as 352-478 ng/dL and for 40 to 44-year-olds as 350-473 ng/dL. This resulted in age-specific cutoffs for low testosterone levels of 409, 413, 359, 352 and 350 ng/dL for each age group. “Young men have different testosterone reference ranges than older men,” Dr Zhu, remarked. “Our findings suggest we should be using age-specific cutoffs when assessing testosterone levels in younger men.” Why 80% of Us Are Deficient In Magnesium Dr Mark Sircus, October 31st 2022 Magnesium deficiency is often misdiagnosed because it does not show up in blood tests – only 1% of the body's magnesium is stored in the blood Most doctors and laboratories don't even include magnesium status in routine blood tests. Thus, most doctors don't know when their patients are deficient in magnesium, even though studies show that the majority of Americans are deficient in magnesium. Consider Dr. Norman Shealy's statements, “Every known illness is associated with a magnesium deficiency” and that, “magnesium is the most critical mineral required for electrical stability of every cell in the body. A magnesium deficiency may be responsible for more diseases than any other nutrient.” Few people are aware of the enormous role magnesium plays in our bodies. Magnesium is by far the most important mineral in the body. After oxygen, water, and basic food, magnesium may be the most important element needed by our bodies; vitally important, yet hardly known. It is more important than calcium, potassium or sodium and regulates all three of them. Millions suffer daily from magnesium deficiency without even knowing it Symptoms of Magnesium Deficiency The first symptoms of deficiency can be subtle – as most magnesium is stored in the tissues, leg cramps, foot pain, or muscle ‘twitches' can be the first sign. Other early signs of deficiency include loss of appetite, nausea, vomiting, fatigue, and weakness. As magnesium deficiency worsens, numbness, tingling, seizures, personality changes, abnormal heart rhythms, and coronary spasms can occur. Symptoms involving impaired contraction of smooth muscles include constipation; urinary spasms; menstrual cramps; difficulty swallowing or a lump in the throat-especially provoked by eating sugar; photophobia, especially difficulty adjusting to oncoming bright headlights in the absence of eye disease; and loud noise sensitivity from stapedius muscle tension in the ear. Continuing with the symptoms of magnesium deficiency, the central nervous system is markedly affected. Symptoms include insomnia, anxiety, hyperactivity and restlessness with constant movement, panic attacks, agoraphobia, and premenstrual irritability. “Symptoms or signs of the cardiovascular system include palpitations, heart arrhythmias, and angina due to spasms of the coronary arteries, high blood pressure and mitral valve prolapse. Be aware that not all of the symptoms need to be present to presume magnesium deficiency; but, many of them often occur together. One of the principle reason doctors write millions of prescriptions for tranquilizers each year is the nervousness, irritability, and jitters largely brought on by inadequate diets lacking magnesium. Persons only slightly deficient in magnesium become irritable, highly-strung, and sensitive to noise, hyper-excitable, apprehensive and belligerent. If magnesium is severely deficient, the brain is particularly affected. Clouded thinking, confusion, disorientation, marked depression and even the terrifying hallucinations of delirium tremens are largely brought on by a lack of this nutrient and remedied when magnesium is given. Another good list of early warning symptoms suggestive of magnesium insufficiency: Physical and mental fatigue Persistent under-eye twitch Tension in the upper back, shoulders and neck Headaches Pre-menstrual fluid retention and/or breast tenderness Possible manifestations of magnesium deficiency include: Low energy Fatigue Weakness Confusion Nervousness Anxiousness Irritability Seizures (and tantrums) Poor digestion PMS and hormonal imbalances Inability to sleep Muscle tension, spasm and cramps Calcification of organs Weakening of the bones Abnormal heart rhythm Signs of severe magnesium deficiency include: Extreme thirst Extreme hunger Frequent urination Sores or bruises that heal slowly Dry, itchy skin Unexplained weight loss Blurry vision that changes from day to day Unusual tiredness or drowsiness Tingling or numbness in the hands or feet Frequent or recurring skin, gum, bladder or vaginal yeast infections Magnesium deficiency is a predictor of diabetes and heart disease both; diabetics both need more magnesium and lose more magnesium than most people. In two new studies, in both men and women, those who consumed the most magnesium in their diet were least likely to develop type 2 diabetes

Researchers find Cordyceps used in traditional medicine can fight cancer Shanghai Institutes for Biological Sciences, October 23, 2022 Chinese scientists have found evidence that a fungus used in traditional Chinese medicine widely sought by the public for its healing powers, also carries anti-cancer benefits. The scientists found there was an interaction between two anti-cancer compounds in the fungus Cordyceps militaris. The first, cordycepin, was noted in Cordyceps militaris in 1950, but how it interacted remained unknown. The second, pentostatin, was first identified from a bacterium and was developed as a commercial drug to treat leukemia and other cancers in the 1990s. “For the first time, we decoded the biosynthesis mechanism of cordycepin in the fungus, and during the research we unexpectedly discovered pentostatin,” said Wang Chengshu, head of the research team at the Institute of Plant Physiology and Ecology, a branch of the Shanghai Institutes for Biological Sciences of the Chinese Academy of Sciences. “These two compounds coexist in fungal cells in the form of a protector and protege – that is to say, cordycepin is synthesized with the coupled production of pentostatin to protect the stability of the former,” he said. Their research also showed that the fungus initiates a detoxification process when the cordycepin in the body reaches an excessively high level, which can be toxic. Cordyceps fungi are popular in China for their widely believed immunity-enhancing and energy-strengthening properties. Their uses in medical treatment date to the Compendium of Materia Medica, a book widely deemed the encyclopedia of traditional Chinese medicine written in the Ming Dynasty (1368-1644). Omega-3 fatty acid could boost IQ for preterm babies South Australian Health and Medical Research Institute, October 27, 2022 New research from SAHMRI has found a link between the omega-3 fatty acid known as docosahexaenoic acid (DHA) and increased IQ among children born prematurely. Preterm children are more likely to have lower IQ scores and cognitive impairments compared with term-born children. Dr. Jacqueline Gould, who led the study now published in the New England Journal of Medicine, says infants born at the earliest gestations are deprived of the natural supply of DHA that normally builds up in the brain during the last trimester of pregnancy. “These babies have low concentrations of DHA in their brain tissue, which may contribute to poorer cognitive outcomes,” Dr. Gould said. The study followed 323 infants born before 29 weeks' gestation, who were given 60mg of DHA/kg per day via enteral or control tube feeding. They were compared with 333 children in the control group, who received an emulsion with no DHA. At five years old, children in both groups underwent the Wechsler Preschool and Primary Scale of Intelligence (WPPSI) IQ test. “On average, those in the DHA group scored 3.5 points higher on the IQ scale than those in the control group,” Dr. Gould said. “These very promising results suggest DHA has the potential to improve cognitive performance when administered via emulsion for infants born before 29 weeks' gestation.” Crossword puzzles beat computer video games in slowing memory loss Columbia University Irving Medical Center & Duke University, October 27, 2022 A new study by researchers from Columbia University and Duke University published in the journal NEJM Evidence shows that doing crossword puzzles has an advantage over computer video games for memory functioning in older adults with mild cognitive impairment. In a randomized, controlled trial, led by D.P. Devanand, MD, professor of psychiatry and neurology at Columbia, with Murali Doraiswamy, MD, professor of psychiatry and medicine at Duke, researchers determined that participants (average age 71) trained in doing web-based crossword puzzles demonstrated greater cognitive improvement than those who were trained on cognitive video games. “This is the first study to document both short-term and longer-term benefits for home-based crossword puzzles training compared to another intervention,” said Dr. Devanand, who oversees brain aging and mental health research at Columbia. “The results are important in light of difficulty in showing improvement with interventions in mild cognitive impairment.” To conduct their study, researchers at Columbia and Duke randomly assigned 107 participants with mild cognitive impairment (MCI) at the two different sites to either crossword puzzles training or cognitive games training with intensive training for 12 weeks followed by booster sessions up to 78 weeks. Both interventions were delivered via a computerized platform with weekly compliance monitoring. The most striking findings of the trial were: Crossword puzzles were superior to cognitive games on the primary cognitive outcome measure, ADAS-Cog, at both 12 weeks and 78 weeks. Crossword puzzles were superior on FAQ, a measure of daily functioning, at 78 weeks. Crossword puzzles were superior for participants at a later disease stage but both forms of training were equally effective in an earlier stage. Brain shrinkage (measured with MRI) was less for crossword puzzles at 78 weeks. “The benefits were seen not only in cognition but also in daily activities with indications of brain shrinkage on MRI that suggests that the effects are clinically meaningful,” Dr. Devanand said. The study also highlights the importance of engagement. Based on remote electronic monitoring of computer use, participants at a later stage of impairment may have better engaged with the more familiar crossword puzzles than with computerized cognitive games. Atherosclerosis, ED, low vitamin D levels linked Guizhou Medical University (China), October 24 2022. A study published in Frontiers in Endocrinology evaluated the associations between lower serum levels of vitamin D, erectile dysfunction (ED) and an increased risk of atherosclerosis. The investigation included 163 men aged 30 to 60 years who received physical examinations at the Affiliated Hospital of Guizhou Medical University. Fasting blood samples were analyzed for serum 25-hydroxyvitamin D and other factors. Carotid intima-media thickness, an indicator of atherosclerosis in the carotid arteries, was measured using ultrasound. International index of erectile function-5 (IIEF-5) scores were graded as mild, moderate or severe according to ED severity. Thirty-nine participants whose IIEF-5 scores indicated no ED served as control subjects. Serum vitamin D levels were lower and carotid intima-media thickness values were higher among men with moderate and severe ED compared to the control group. Carotid intima-media thickness was significantly higher among men with severe ED compared with those who had mild ED. After adjustment, significant correlations were found between IIEF-5 scores, carotid intima-media thickness and serum 25-hydroxyvitamin D. In their discussion, authors Jun-hao Zhang of Soochow University and colleagues remarked that vitamin D may affect erectile function via its interaction with the endothelial cells of the corpora cavernosa, which is the spongy tissue within the penis that fills with blood during an erection. Vitamin D may affect the production and release by endothelial cells of nitric oxide, a compound that helps relax the blood vessels, thereby improving erectile function. The vitamin may also help decrease damage to endothelial cell function caused by oxidative stress. “Serum vitamin D level should be analyzed in men with ED, especially in patients with vasculogenic ED, and supplementation is recommended for those who were with vitamin D deficiency,” the authors wrote. Carnitine supplementation could improve cold tolerance and more University of Utah, October 23 2022 Cell Metabolism reported research findings from the University of Utah School of Medicine that reveal a role for carnitine in the body's response to cold temperatures. “Cold-induced thermogenesis is an energy-demanding process that protects endotherms against a reduction in ambient temperature,” Judith Simcox, PhD, and colleagues write. “We found that the liver undergoes a metabolic switch to provide fuel for brown fat thermogenesis by producing acylcarnitines.” “Cold stimulates white adipocytes to release free fatty acids that activate the nuclear receptor HNF4α, which is required for acylcarnitine production in the liver and adaptive thermogenesis,” they continue. “Once in circulation, acylcarnitines are transported to brown adipose tissue, while uptake into white adipose tissue and liver is blocked.” Acylcarnitines are fatty acyl esters of L-carnitine that were found to increase in young mice during cold adaptation. “It was surprising to see acylcarnitines in the bloodstream,” Dr Simcox remarked. With aging comes a decline in the ability to adapt to cold exposure. In the current study, researchers found that a single dose of L-carnitine or palmitoylcarnitine improved aging-related cold sensitivity in mice. Because activating cold adaptation burns calories, improving the process be useful for more than the ability to tolerate cold environments. Feeling chirpy: Being around birds is linked to lasting mental health benefits King's College London, October 27, 2022 New research from King's College London has found that seeing or hearing birds is associated with an improvement in mental well-being that can last up to eight hours. This improvement was also evident in people with a diagnosis of depression—the most common mental illness worldwide—indicating the potential role of birdlife in helping those with mental health conditions. Lead author Ryan Hammoud, Research Assistant at the Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, said: “There is growing evidence on the mental health benefits of being around nature and we intuitively think that the presence of birdsong and birds would help lift our mood. However, there is little research that has actually investigated the impact of birds on mental health in real-time and in a real environment. The study took place with 1,292 participants completing 26,856 assessments. Participants were recruited worldwide. The app asked participants three times a day whether they could see or hear birds, followed by questions on mental well-being to enable researchers to establish an association between the two and to estimate how long this association lasted. Researchers showed that the links between birds and mental well-being were not explained by co-occurring environmental factors such the presence of trees, plants, or waterways. Our study provides an evidence base for creating and supporting biodiverse spaces that harbor birdlife, since this is strongly linked with our mental health. In addition, the findings support the implementation of measures to increase opportunities for people to come across birdlife, particularly for those living with mental health conditions such as depression.”

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