{"title":"Myocardial Infarction with Normal Coronary Arteries.","authors":"Albert E Raizner","doi":"10.14797/mdcvj.1495","DOIUrl":"10.14797/mdcvj.1495","url":null,"abstract":"<p><p>This Points to Remember column discusses the differential diagnosis of acute myocardial infarction with normal coronary arteries, one example of which is Takotsubo cardiomyopathy. In the case presented below, the diagnosis of Takotsubo cardiomyopathy was based on the characteristic appearance of the left ventricular apical bulging, normal coronary arteries, and the resolution of the wall motion abnormalities within a relatively short period of time.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"124-127"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zip Code Health Disparities: Mapping Cardiovascular Inequities at the Neighborhood Level.","authors":"Safi U Khan","doi":"10.14797/mdcvj.1457","DOIUrl":"https://doi.org/10.14797/mdcvj.1457","url":null,"abstract":"<p><p>This review examines the multifaceted impact of neighborhood-level social determinants of health (SDOH) on cardiovascular disease (CVD) and outlines strategic interventions for mitigating cardiovascular health inequities. Research highlights that environmental and socioeconomic factors within a neighborhood-including education, unemployment, healthcare access, racial segregation, systemic inequities, air quality, housing quality, and other SDOH-influence CVD outcomes. Addressing CVD disparities necessitates a comprehensive strategy that integrates policy reform, enhanced community infrastructure, improved healthcare access, and community empowerment and leverages innovative technology to create equitable health outcomes across diverse populations.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lady Lazarus: An Insight into the Suicidality of Sylvia Plath.","authors":"Justin C Cordova, James B Young","doi":"10.14797/mdcvj.1481","DOIUrl":"10.14797/mdcvj.1481","url":null,"abstract":"<p><p>Sylvia Plath (1932-1963) was an American author and poet, perhaps best known for her semi-autobiographical novel <i>The Bell Jar</i>. Her poetical oeuvre was filled with challenging themes of suicidality, mental illness, and a budding feminism, particularly in the poems composed toward the end of her tragically short life. One of these poems, \"Lady Lazarus,\" pushes the bounds of expectation and, some would say, propriety. This short reflective Poet's Pen focuses on Sylvia Plath and the many themes-feminism, suicidality, self-rebirth-for which she would later be known. The poem itself is a melting pot of imagery, drawing themes from the Judeo-Christian perspective, cycles of death and rebirth, and the mythology of the phoenix rising from the ashes.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"131-133"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11557809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Geyner A Gaona, Ali Asghar Kassamali, Nino Isakadze, Seth S Martin
{"title":"Harnessing Wearables and Digital Technologies to Decode the Cardiovascular Exposome.","authors":"Geyner A Gaona, Ali Asghar Kassamali, Nino Isakadze, Seth S Martin","doi":"10.14797/mdcvj.1459","DOIUrl":"https://doi.org/10.14797/mdcvj.1459","url":null,"abstract":"<p><p>The cardiovascular exposome encompasses the array of external and internal factors affecting cardiovascular health throughout life, inviting comprehensive monitoring and analysis to enhance prevention, diagnosis, and treatment strategies. Wearable and digital technologies have emerged as promising tools in this domain, offering longitudinal, real-time data on physiological parameters such as heart rate, heart rhythm, physical activity, and sleep patterns. This review explores the advancements in wearable sensor technology, the methodologies for data collection and analysis, and the integration of these technologies into clinical practice and research. Primary findings indicate significant improvements in device accuracy and functionality, facilitated by enhanced sensor technology, artificial intelligence, and data connectivity. These advancements enable precise monitoring, early detection of cardiovascular anomalies, and personalized healthcare interventions. Ultimately, wearables and digital health technologies have the potential to facilitate a deeper understanding of cardiovascular disease and behavior and bridge gaps in traditional healthcare models to help usher in more efficient, personalized, patient-centered care.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"59-70"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Big Data, Big Insights: Leveraging Data Analytics to Unravel Cardiovascular Exposome Complexities.","authors":"Ramzi Ibrahim, Hoang Nhat Pham, Khurram Nasir, Omar Hahad, Ashutosh Sabharwal, Sadeer Al-Kindi","doi":"10.14797/mdcvj.1467","DOIUrl":"https://doi.org/10.14797/mdcvj.1467","url":null,"abstract":"<p><p>The exposome encompasses the full range of environmental exposures throughout a person's lifetime and plays an important role in cardiovascular health. Interactions with the social, natural, and built components of the exposome significantly impact cardiovascular disease prevalence and mortality. Robust data analytics, including machine learning and geospatial analysis, have advanced our understanding of how these factors converge to influence cardiovascular disease risk. The integration of multiomics platforms and advanced computational approaches enhances our ability to characterize the exposome, leading to targeted public health interventions and innovative risk reduction strategies aimed at improving cardiovascular health globally. These multiomics platforms that integrate factors such as genomics, epigenomics, clinical data, social factors, environmental factors, and wearable technology will characterize the exposome in greater detail concerning cardiovascular health. In this review, we aimed to elucidate the components of the exposome and discuss recent literature regarding their relationship to cardiovascular health.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"111-123"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryan Chang, Zahir Amin, Nuh Habibullah Cheema, Samuel Yousefzai, Karam Gardezi, Aayush Shah, Zulqarnain Javed
{"title":"Integrating the Polysocial Risk Score: Enhancing Comprehensive Healthcare Delivery.","authors":"Ryan Chang, Zahir Amin, Nuh Habibullah Cheema, Samuel Yousefzai, Karam Gardezi, Aayush Shah, Zulqarnain Javed","doi":"10.14797/mdcvj.1479","DOIUrl":"https://doi.org/10.14797/mdcvj.1479","url":null,"abstract":"<p><p>Social determinants of health (SDOH) are known to determine a significant portion of a person's health, influencing downstream outcomes and widespread disparities. Screening for SDOH in clinical practice can improve efficacy of medical care, highlighting the potential for polysocial risk scores (PsRS) to help evaluate a patient's risk of developing atherosclerotic cardiovascular disease and other conditions. This review highlights existing research about the efficacy of PsRS in practical risk assessment, current gaps in the literature, and opportunities to refine the design and implementation of PsRS in real-world clinical settings. PsRS present unique opportunities to improve traditional risk prediction models for heart disease and other conditions, particularly if they examine both individual and area-level SDOH. Future studies should assess novel methods for extracting SDOH data from patients' medical records as well as PsRS implementation strategies that promote efficiency and patient confidentiality in real-world clinical settings.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"89-97"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nwabunie Nwana, Zulqarnain Javed, Stephen L Jones, Chanam Lee, Jay E Maddock, Sadeer Al-Kindi, Khurram Nasir
{"title":"Green Streets, Healthy Hearts: Exploring the Roles of Urban Nature and Walkability in Cardiovascular Health.","authors":"Nwabunie Nwana, Zulqarnain Javed, Stephen L Jones, Chanam Lee, Jay E Maddock, Sadeer Al-Kindi, Khurram Nasir","doi":"10.14797/mdcvj.1455","DOIUrl":"https://doi.org/10.14797/mdcvj.1455","url":null,"abstract":"<p><p>With the growing evidence that connects urban environments with public health outcomes, the role of urban planning has become increasingly critical in addressing public health challenges. Cardiovascular diseases (CVDs) are the leading cause of mortality in urban areas and worldwide and are impacted by characteristics of the built environment, such as walkability and nature exposure. In this literature view, we explore the influence of the physical built environment, specifically green spaces and walkability, on cardiovascular health. Results from prior studies show a clear reduction in cardiovascular disease-related risk factors, morbidity, and mortality in neighborhoods that integrate green spaces and/or walkability. Cumulative evidence suggests that urban environments that integrate green spaces (such as parks) and walkability (eg, safe sidewalks) can significantly improve cardiovascular health. Urban planning policies and strategies that prioritize the integration of green infrastructure and walkable designs can contribute to improving cardiovascular health in urban residents while also enhancing the overall well-being and quality of life.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"37-46"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Madelyn Hurwitz, Jason Bonomo, Jared Spitz, Garima Sharma
{"title":"Intersectionality and Social Drivers of Health in Cardiovascular Care.","authors":"Madelyn Hurwitz, Jason Bonomo, Jared Spitz, Garima Sharma","doi":"10.14797/mdcvj.1436","DOIUrl":"https://doi.org/10.14797/mdcvj.1436","url":null,"abstract":"<p><p>Social drivers of health (SDOH) are a significant contributor to persistent cardiovascular health disparities in the United States and globally. SDOH include psychosocial, environmental, socioeconomic, cultural, and governmental factors that impact health behaviors and outcomes. Multiple social drivers have been associated with trends in cardiovascular disease risk and health outcomes. These social drivers intersect in complex ways, and applying the concept of intersectionality is critical when considering ways to best address SDOH in cardiovascular care. Applying intersectionality, which considers the unique combination of social drivers associated with a community, allows for tailored interventions to address cardiovascular health disparities.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"98-110"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retroesophageal Left Brachiocephalic Vein with Right-Sided Aortic Arch in Tetralogy of Fallot: A Rare Venous Anomaly Demonstrated on Computed Tomography Angiography.","authors":"Archita Mahajan, Mansi Verma, Sushma Makhaik","doi":"10.14797/mdcvj.1424","DOIUrl":"10.14797/mdcvj.1424","url":null,"abstract":"<p><p>A 14-year-old child with recurrent cyanotic spells at the age of 9 months underwent echocardiography at that time, which revealed tetralogy of Fallot (TOF). Follow-up computed tomography angiography revealed TOF with valvular pulmonary stenosis and a right-sided aortic arch with mirror image branching. Interestingly, an unusual anomalous course of the left brachiocephalic vein was seen. Instead of coursing anterior to the aortic arch, the left brachiocephalic vein had a U-shaped course like a garland, where it descended vertically down behind the esophagus and the descending aorta, crossed the midline at T4 level of the vertebral body, and then ascended upwards to join the superior vena cava. This case highlights the role of computed angiography in depicting anomalous venous anatomy in TOF, which can have potential clinical implications.</p>","PeriodicalId":39207,"journal":{"name":"Methodist DeBakey cardiovascular journal","volume":"20 5","pages":"128-130"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}