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Posts by BaladoCritique : club de lecture médical

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Nonoptimal Temperature and Cardiovascular Health: A Scientific Statement From the American Heart Association | Circulation Ambient temperature is a key environmental driver of cardiovascular health. With rising global temperatures and increasing frequency, intensity, and duration of extreme temperature events, understandi...

"Nonoptimal Temperature and Cardiovascular Health: A Scientific Statement From the American Heart Association."
Publié ce jour dans Circulation.
#MedSky #CardioSky @ahajournals.bsky.social
www.ahajournals.org/doi/full/10....

14 hours ago 0 0 0 0
Clinical characteristics of primary sclerosing cholangitis. (A) The disease affects the biliary tree through inflammation and fibrosis, which results in multifocal biliary strictures and a high risk of cholangiocarcinoma. (B) When the disease progresses, high-grade strictures, often with prestenotic dilatation, can develop, leading to biliary obstruction and clinical symptoms. (C) Fatigue, itching, jaundice, bacterial cholangitis, and intermittent or persistent right upper-quadrant abdominal pain are common symptoms and signs in primary sclerosing cholangitis. Primary sclerosing cholangitis is associated with inflammatory bowel disease and 50–80% of affected individuals have concomitant inflammatory bowel disease. Primary sclerosing cholangitis inflammatory bowel disease shows distinct features from classic isolated inflammatory bowel disease, often with extensive colitis, a patchy inflammatory distribution that shows dominance of inflammation in the ascending colon, rectal sparing, and an increased risk of colorectal dysplasia compared with colitis without primary sclerosing cholangitis. (D) The inflammation almost always involves the colon and isolated ileal disease is rare. Reproduced with permission from Kari C Toverud.

Clinical characteristics of primary sclerosing cholangitis. (A) The disease affects the biliary tree through inflammation and fibrosis, which results in multifocal biliary strictures and a high risk of cholangiocarcinoma. (B) When the disease progresses, high-grade strictures, often with prestenotic dilatation, can develop, leading to biliary obstruction and clinical symptoms. (C) Fatigue, itching, jaundice, bacterial cholangitis, and intermittent or persistent right upper-quadrant abdominal pain are common symptoms and signs in primary sclerosing cholangitis. Primary sclerosing cholangitis is associated with inflammatory bowel disease and 50–80% of affected individuals have concomitant inflammatory bowel disease. Primary sclerosing cholangitis inflammatory bowel disease shows distinct features from classic isolated inflammatory bowel disease, often with extensive colitis, a patchy inflammatory distribution that shows dominance of inflammation in the ascending colon, rectal sparing, and an increased risk of colorectal dysplasia compared with colitis without primary sclerosing cholangitis. (D) The inflammation almost always involves the colon and isolated ileal disease is rare. Reproduced with permission from Kari C Toverud.

Primary sclerosing cholangitis is a rare liver disease, characterised by biliary inflammation and fibrosis.

A Seminar explores the clinical features, pathogenesis, and challenges and opportunities in managing the disease: spkl.io/63323A4P8d

2 days ago 9 2 0 0

"Accuracy of glomerular filtration rate estimation based on creatinine and cystatin C for monitoring moderate chronic kidney disease in adults: prospective, longitudinal cohort study."
Publié ce jour dans @bmj.com.
#MedSky #NephSky
www.bmj.com/content/392/...

3 days ago 0 0 0 0
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Asundexian for Secondary Stroke Prevention | NEJM Patients with noncardioembolic ischemic stroke or transient ischemic attack (TIA) are at risk for recurrent stroke. Low factor XI levels are associated with a reduced risk of ischemic stroke. Asund...

"Asundexian for Secondary Stroke Prevention."
Publié ce jour dans le @nejm.org.
#MdSky #NeuroSky
www.nejm.org/doi/full/10....

5 days ago 0 0 0 0
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AGA Clinical Practice Update on Management of Gastric Polyps: Expert Review This Clinical Practice Update (CPU) expert review will advise clinicians on the diagnosis and management of gastric mucosal polyps. Gastric polyps are raised epithelial lesions of the gastric mucosa t...

"AGA Clinical Practice Update on Management of Gastric Polyps: Expert Review."
Publié en avril dans Clinical Gastroenterology and Hepatology.
#MedSky #GastroSky
www.cghjournal.org/article/S154...

6 days ago 0 0 0 0

"Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2026."
Publié en avril dans Critical Care Medicine.
#MedSky
journals.lww.com/ccmjournal/f...

6 days ago 0 0 0 0
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Clinical Care for Patients With Elevated Lipoprotein(a) Level in Canada: A Practical Framework for Screening, Risk Assessment, and Management Lipoprotein(a) [Lp(a)] is a genetically determined and independent risk factor for atherosclerotic cardiovascular disease, including acute coronary syndrome, peripheral arterial disease, and stroke, a...

"Clinical Care for Patients With Elevated Lipoprotein(a) Level in Canada: A Practical Framework for Screening, Risk Assessment, and Management."
Publié en avril dans Canadian Journal of Cardiology.
#MedSky #CardioSky
onlinecjc.ca/article/S082...

6 days ago 0 0 0 0
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Risk of Heart Failure Hospitalization for GLP-1 Receptor Agonists Versus DPP-4 Inhibitors or SGLT-2 Inhibitors in Patients With Type 2 Diabetes: A Target Trial Emulation | Circulation BACKGROUND: Novel treatments are needed for the primary and secondary prevention of heart failure in patients with type 2 diabetes, including individuals with and those without a history of heart fail...

"Risk of Heart Failure Hospitalization for GLP-1 Receptor Agonists Versus DPP-4 Inhibitors or SGLT-2 Inhibitors in Patients With Type 2 Diabetes: A Target Trial Emulation."
Publié ce jour dans Circulation.
#MedSky #CardioSky @ahajournals.bsky.social www.ahajournals.org/doi/full/10....

1 week ago 0 0 0 0
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Projected estimates of cancer in Canada in 2026 Background: Cancer is the leading cause of death and has major health and economic impacts on people in Canada. We sought to provide updated estimates of cancer incidence and mortality to highlight pr...

“Projected estimates of cancer in Canada in 2026.”
Publié ce jour dans @cmaj.ca.
#MedSky
@cmadocs.bsky.social
www.cmaj.ca/content/198/...

1 week ago 0 0 0 0
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Aspirin versus clopidogrel for chronic maintenance monotherapy after percutaneous coronary intervention: 10-year follow-up of the HOST-EXAM trial During 10 years of follow-up, clopidogrel monotherapy, compared with aspirin monotherapy, was associated with lower rates of the primary composite, ischaemic, and bleeding outcomes, but not all-cause mortality after PCI. These findings support consideration of clopidogrel as an alternative to aspirin for long-term antiplatelet monotherapy during the chronic maintenance phase after PCI.

"Aspirin versus clopidogrel for chronic maintenance monotherapy after percutaneous coronary intervention: 10-year follow-up of the HOST-EXAM trial."
Publié ce jour dans @thelancet.com.
#MedSky #CardioSky
www.thelancet.com/journals/lan...

1 week ago 1 1 0 0
Prevalence of liver fibrosis in the general population (the LiverScreen project): a multinational European cohort study Undiagnosed liver fibrosis is common in the general population in Europe and is primarily driven by metabolic factors and alcohol consumption. Early detection is pivotal as it could allow personalised interventions that can prevent progression to cirrhosis and complications.

"Prevalence of liver fibrosis in the general population (the LiverScreen project): a multinational European cohort study."
Publié ce jour dans @thelancet.com
#MedSky #LiverSky
www.thelancet.com/journals/lan...

1 week ago 0 0 0 0

"Deferral of percutaneous coronary intervention in patients undergoing transcatheter aortic valve implantation (PRO-TAVI): an investigator-initiated, multicentre, open-label, non-inferiority, randomised controlled trial."
Publié ce jour dans @thelancet.com.
#MedSky
www.thelancet.com/journals/lan...

1 week ago 0 0 0 0
Original Article | APR 9, 2026 
Multifaceted Strategies for Hypertension Control in Low-Income Patients (IMPACTS-BP) 
Figure 2A. Change in Systolic Blood Pressure over 18 Months.

Original Article | APR 9, 2026 Multifaceted Strategies for Hypertension Control in Low-Income Patients (IMPACTS-BP) Figure 2A. Change in Systolic Blood Pressure over 18 Months.

Among low-income patients with hypertension, a multifaceted, team-based strategy resulted in a greater reduction in systolic blood pressure than enhanced usual care. Full IMPACTS-BP trial results: nej.md/4cuvnhA

Editorial: Systems-Based Success for Hypertension nej.md/4sg9ibe

#Cardiology

1 week ago 5 2 0 0

“Intensive LDL Cholesterol Targeting in Atherosclerotic Cardiovascular Disease.”
Étude Ez-PAVE.
Publié ce jour dans le @nejm.org.
#MedSky #EndoSky #ACC26
www.nejm.org/doi/full/10....

1 week ago 0 0 0 0

"AASLD IDSA Practice Guideline on treatment of chronic hepatitis B."
Publié en avril dans Hepatology.
#MedSky #LiverSky
journals.lww.com/hep/fulltext...

1 week ago 0 0 0 0
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Tenecteplase for Acute Non–Large Vessel Occlusion 4.5 to 24 Hours After Ischemic Stroke Onset This trial tests whether intravenous tenecteplase thrombolysis initiated between 4.5 and 24 hours after symptom onset benefits patients with acute ischemic stroke due to non–large vessel occlusion wit...

“Tenecteplase for Acute Non–Large Vessel Occlusion 4.5 to 24 Hours After Ischemic Stroke Onset.”
Publié ce jour dans @jama.com.
#MedSky #NeuroSky
jamanetwork.com/journals/jam...

2 weeks ago 1 0 0 0
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Inflammation and Cardiovascular Disease: 2025 ACC Scientific Statement: A Report of the American College of Cardiology

"Inflammation and Cardiovascular Disease: 2025 ACC Scientific Statement: A Report of the American College of Cardiology."
Publié en mars dans J Am Coll Cardiol.
#MedSky #CardioSky @accintouch.bsky.social
www.jacc.org/doi/10.1016/...

2 weeks ago 0 0 0 0
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Percutaneous coronary intervention versus coronary artery bypass grafting for unprotected left main stenosis: 10-year final results from the randomised, open-label, non-inferiority NOBLE trial There was no significant difference in all-cause mortality at 10 years between PCI and CABG for patients with unprotected left main coronary artery disease and no additional complex lesions, indicatin...

“Percutaneous coronary intervention versus coronary artery bypass grafting for unprotected left main stenosis: 10-year final results from the randomised, open-label, non-inferiority NOBLE trial.”
Publié ce jour dans @thelancet.com.
#MedSky #CardioSky
www.thelancet.com/journals/lan...

2 weeks ago 0 0 0 0
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"Combat contre la mort."
Par Edvard Munch (1915)

2 weeks ago 0 0 0 0
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NephJC Short: The Push Trial — NephJC Water, water everywhere. Can a wink, a nudge and a push increase water intake to decrease kidney stone formation?

🚨 #NephJC short 🩳from @kidneyboy.bsky.social
The PUSH trial!
😉Can a wink, a nudge & a push encourage kidney stone formers to drink more fluid to prevent recurrence 🪨?
(Hint: have 💦 behavioral trials worked in CHF or PCKD?)
#NephSky #MedSky
www.nephjc.com/news/2026/4/2/nephjc-short-the-push-trial

2 weeks ago 6 9 0 0
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Discontinuation of Beta-Blocker Therapy after Myocardial Infarction | NEJM The role of long-term beta-blocker therapy after a myocardial infarction in patients without left ventricular systolic dysfunction or heart failure is unclear in the era of contemporary coronary-ar...

“Discontinuation of Beta-Blocker Therapy after Myocardial Infarction.”
Publié ce jour dans le @nejm.org.
#MedSky #CardioSky
www.nejm.org/doi/full/10....

2 weeks ago 0 0 0 0
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Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation | NEJM Catheter-based closure of the left atrial appendage is an alternative to oral anticoagulation for stroke prevention in patients with atrial fibrillation. The effectiveness of this strategy, as comp...

"Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation."
Publié ce jour dans le @nejm.org.
#MedSky #CardioSky
www.nejm.org/doi/full/10....

2 weeks ago 0 0 0 0
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Le prochain balado de BaladoCritique : club de lecture médical portera sur l'essai clinique COBRRA, publié dans le
@nejm.org, sur le traitement anticoagulant dans la maladie thromboembolique.
Enregistrement à venir le 22 avril prochain.
À suivre !
#EBM @asmiq.bsky.social @revmedinterne.bsky.social

2 weeks ago 0 0 0 0
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Environmental Stressors and Cardiovascular Health: Acting Locally for Global Impact in a Changing World: A Statement of the European Society of Cardiology, the American College of Cardiology, the Amer...

"Environmental Stressors and Cardiovascular Health: Acting Locally for Global Impact in a Changing World: A Statement of the European Society of Cardiology, the American College of Cardiology, the American Heart Association, and the World Heart Federation."
www.jacc.org/doi/10.1016/...

2 weeks ago 0 0 0 0
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2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Assoc... AIM The “2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults” is a de novo guideline that provides comprehensive recomme...

"2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines."
www.ahajournals.org/doi/full/10....

3 weeks ago 0 0 0 0
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American Society of Hematology 2025 guidelines for treating newly diagnosed acute myeloid leukemia in older adults AbstractBackground. Older adults with acute myeloid leukemia (AML) represent a cancer population in which disease-based risk factors, comorbidities, patien

"American Society of Hematology 2025 guidelines for treating newly diagnosed acute myeloid leukemia in older adults."
Publié en mars dans Blood Advances.
#MedSky #HemSky
ashpublications.org/bloodadvance...

3 weeks ago 0 0 0 0
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"Surveillance par imagerie d’une dilatation dégénérative de l’aorte ascendante chez l’adulte."
Publié en mars par @inesss.qc.ca.
#MedSky #CardioSky
Réf : www.inesss.qc.ca/publications...

3 weeks ago 0 0 0 0
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#519 Mild Autonomous Cortisol Secretion: Exploring Uncharted Waters 🌊🧭

Adrenal incidentaloma? 👀 Don’t miss what could be hiding beneath the surface…

Level up your approach to cortisol 📈learn how to recognize & manage mild autonomous cortisol secretion (MACS) @irinabancos.bsky.social

3 weeks ago 6 2 1 0
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Chez les sujets avec sténose carotidienne sévère asymptomatique, est-ce que la pose d’une endoprothèse carotidienne ou l’endartériectomie carotidienne associée à un traitement médical intensif est plu...

Notre article-résumé sur l'essai clinique CREST-2 est maintenant publié dans @revmedinterne.bsky.social.
Bonne lecture !
#MedSky #NeuroSky #CardioSky #EBM
@asmiq.bsky.social @usherbrooke.bsky.social
www.sciencedirect.com/science/arti...

3 weeks ago 0 0 0 0
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Switch to single-tablet bictegravir–lenacapavir from a complex HIV regimen (ARTISTRY-1): a randomised, open-label, phase 3 clinical trial Bictegravir–lenacapavir STR demonstrated non-inferior efficacy to complex regimens, with a similar safety profile and increased treatment satisfaction. Bictegravir–lenacapavir offers new opportunities...

“Switch to single-tablet bictegravir–lenacapavir from a complex HIV regimen (ARTISTRY-1): a randomised, open-label, phase 3 clinical trial.”
Publié ce jour dans @thelancet.com.
#MedSky #IDSky
www.thelancet.com/journals/lan...

3 weeks ago 1 0 0 0