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Impact of ACEi/ARBs in COVID-19 Patients The Focus of New Clinical Trial

In an effort to settle the debate surrounding the use of ACE inhibitors (ACEI) and ARBs during the ongoing coronavirus disease 2019 (COVID-19) outbreak, investigators from Perelman School of Medicine at the University of Pennsylvania, recently launched a new clinical trial.  The REPLACE COVID trial plans to recruit 152 hospitalized patients already taking medications from the classes, with the goal of determining whether discontinuing use affects the severity of disease symptoms.

Spike in Heart Attack Risk Linked to Wildfires

Using combined data from the National Ocean Atmospheric Association’s (NOAA) Hazard Mapping System and the Cardiac Arrest Registry to Enhance Survival (CARES) from 14 California counties, investigators from the California’s Department of Public Health have uncovered a startling link between wildfires and a sharp rise in out-of-hospital cardiac arrests.  Heavy wildfire smoke increased risk of out-of-hospital cardiac arrests by as much as 70%, researchers report.

Dr. Mariell Jessup, Chief Science and Medical Officer at the AHA discusses the cardiac dangers of combining hydroxychloroquine and azithromycin to treat coronavirus patients with underlying heart disease, the controversy surrounding putting medical students and trainees on the frontlines of COVID-19 too soon, and the changing roles of telemedicine.

Sr. Editor of Practical Cardiology Gretchen Cuda Kroen interviews Dr. Nir Uriel, a cardiologist on the frontlines of the COVID-19 epidemic in NYC.  Dr. Uriel describes the cardiovascular presentations of COVID-19 he and his colleagues are seeing, how they diverge from the conventional respiratory presentation, and what this means for the diagnosis and treatment strategies for these patients.

New research from Emory University is shedding light on a potential link between

New research from Emory University is shedding light on a potential link between post-traumatic stress disorder (PTSD) and mental stress-induced myocardial ischemia in patients with stable coronary artery disease.  The study, led by Viola Vaccarino, MD, PhD, of the department of epidemiology at Emory University Rollins School of Public Health, found that patients with stable coronary artery disease who survived a recent myocardial infarction (MI) and had PTSD were at a greater risk of developing myocardial ischemia than those who did not have PTSD.