Cardiology Digest podcast: Episode #9

We look at high-sensitivity cardiac troponin I for risk-stratification in coronary artery disease. Next, we evaluate a possible link between heart attacks and cognitive decline. Finally, we plunge into new research about a finding in the heart that may pose a risk to divers.

Franz Wiesbauer, MD MPH
Franz Wiesbauer, MD MPH
17th Feb 2024 • 2m read
01:39
Risk-classification of patients with known coronary artery disease using high-sensitivity cardiac troponin I
03:20
Cognitive repercussions of a myocardial infarction
06:45
A possible primary mechanism behind decompression illness

What are the latest cardiology studies?

Study #1

First on our list is a study from the Journal of the American College of Cardiology, exploring the potential of high-sensitivity cardiac troponin I in risk-stratifying patients with known coronary artery disease.

"Observational data is increasingly pointing towards the utility of troponin beyond acute care scenarios."

Wereski, R, Adamson, P, Daud, NSS, et al. 2023. High-sensitivity cardiac troponin for risk assessment in patients with chronic coronary artery disease. J Am Coll Cardiol6: 473–485. (https://doi.org/10.1016/j.jacc.2023.05.046)

Study #2

Next, we shift our focus to the brain-heart connection. Ever wondered about the cognitive repercussions of a myocardial infarction (MI)? This study from JAMA Neurology sheds light on the potential consequences.

"We've had reason to believe cardiovascular disease might play a role in cognitive decline, but the exact pathways have remained elusive."

Johansen, MC, Ye, W, Gross, A, et al. 2023. Association between acute myocardial infarction and cognition. JAMA Neurol7: 723–731. (https://doi.org/10.1001/jamaneurol.2023.1331)

Study #3

Finally, we dive into decompression illness. Certain divers might want to reconsider their next dive, because a recent Annals of Internal Medicine study suggests a primary mechanism behind decompression illness that could change the way we perceive diving risks.

"After a staggering 33 500 dives, the findings were quite revealing. Decompression illness was detected in 13% of the divers. But here's the catch: all those who experienced the illness had…"

Lee, H-J, Lim, DS, Lee, J, et al. 2023. Decompression illness in divers with or without patent foramen ovale: A cohort study. Ann Intern Med7: 934–939. (https://doi.org/10.7326/M23-0260)

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