Asma Shaukat, MD, Professor of Medicine at NYU Grossman School of Medicine and outgoing Chair of the Clinical Practice Section for the AGA Council, discussed 13-year Nordic trial findings showing reduced colorectal cancer incidence with colonoscopy screening, along with emerging data on GLP-1 therapies in fatty liver disease and cirrhosis. Bruce Sands, MD, Chief of Gastroenterology and Professor of Medicine at the Icahn School of Medicine at Mount Sinai, presented findings from the DUET-CD study evaluating combination therapy in Crohn’s disease.
Primary and Secondary Prevention of Ischemic Stroke in Elderly Patients with Cardiovascular Disease: The Role of Frailty and Care Pathways. - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41745720
Explore how frailty-informed strategies, multidisciplinary care, and sex- and age-related factors impact ischemic stroke prevention in elderly with cardiovascular diseases. Focus ...
Frailty indices aid individualized stroke prevention in elderly with cardiovascular disease, emphasizing multidisciplinary care, antithrombotic strategies, and considering sex- and age-related treatment factors.
Dr. Luke Laughlin (Preventive Cardiologist, Cleveland Clinic) presented the Cardinal trial at ACC 2026, where Tonlamarsen, an investigational antisense oligonucleotide, reduced angiotensinogen by 67% with ongoing dosing and maintained 23% suppression after a single dose. Despite biochemical differences, both groups achieved similar ~7 mmHg systolic BP reductions, suggesting BP lags behind RAAS suppression. The upcoming Cardinal-ASH study will target acute severe hypertension patients to further evaluate its impact.
2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41824552
Explore the 2026 guidelines on dyslipidemia management, highlighting new approaches to managing cholesterol and related disorders effectively.
The 2026 guidelines replace the 2018 guidelines, offering updated recommendations for managing dyslipidemia, focusing on evaluation, management, and monitoring of lipid disorders.
A review of the association between abnormal body mass index and oocyte quality - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/42226234/
In recent years, the global prevalence of obesity has witnessed a sharp increase. Abnormal body mass index (BMI) exerts a profound influence on female fertility, particularly on oocyte quality. This...
Review highlights that abnormal BMI—especially obesity—negatively affects oocyte quality through lipotoxicity, mitochondrial dysfunction, oxidative stress, DNA damage, and epigenetic alterations, leading to poorer fertility outcomes and increased miscarriage risk.
Combined Probiotic Lactiplantibacillus plantarum ECGC 13110402 and Plant Sterol Supplement May Improve Lipids and Gut Microbiota in Coeliac Adults: A Randomised, Placebo-Controlled Pilot Human Intervention Study - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/42197276/
Evidence suggests that a gluten-free diet may increase the risk of metabolic abnormalities associated with cardiovascular disease in adults with Coeliac Disease (CeD). This 9-week, double-blind, placebo-controlled, randomised pilot study...
Pilot randomized placebo-controlled study suggests a combined Lactiplantibacillus plantarum ECGC 13110402 and plant sterol/stanol supplement may improve lipid profiles, increase vitamin D levels, and favorably modulate gut microbiota in adults with coeliac disease and hypercholesterolemia.
Severe hypertriglyceridemia during pregnancy in a hypothyroid patient: A case report and literature review - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/42148201/
Normal pregnancy causes marked increases in lipids, but in women with underlying dyslipidaemia, this can lead to severe hypertriglyceridemia (triglyceride >1000 mg/dL) and acute pancreatitis. Coexisting conditions like diabetes and...
Case highlights pregnancy-associated severe hypertriglyceridemia in a woman with diabetes and hypothyroidism, complicated by acute pancreatitis, successfully managed using plasmapheresis, insulin infusion, fenofibrate, and coordinated multidisciplinary obstetric care.
Successful management of Candida auris external ventricular shunt infection: a case report - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/40764594/
Candida auris ventriculitis can be effectively managed with systemic antifungal therapy and appropriate source control measures.
This case demonstrates successful treatment of rare Candida auris ventriculitis associated with an external ventricular shunt using susceptibility-guided combination antifungal therapy and definitive source control through shunt removal, highlighting importance of aggressive multidisciplinary management.
Evinacumab Improved the Homozygous Familial Hypercholesterolemia Lipid Metabolism: A Case Report - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41062288/
Homozygous familial hypercholesterolemia (HoFH) is a rare genetic disorder characterized by high levels of low-density lipoprotein cholesterol (LDL-C) and increased risk of early onset atherosclerosis. Evinacumab, an angiopoietin-like protein 3...
This case report shows evinacumab significantly improved lipid profiles and atherosclerosis-related markers in homozygous familial hypercholesterolemia, suggesting broader cardiovascular benefits beyond LDL-cholesterol reduction in refractory disease management.
Lipid Management for Secondary Prevention in Atherosclerotic Cardiovascular Disease: A Scoping Review and Scientific Report - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41423223/
Atherosclerotic cardiovascular disease (ASCVD) is associated with a very high risk of secondary cardiovascular events. Elevated low-density lipoprotein cholesterol (LDL-C) is a major determinant in the progression of ASCVD and...
Aggressive LDL-C reduction is central to secondary ASCVD prevention. Statins, with ezetimibe or PCSK9 inhibitors, lower risk significantly, supporting stricter guideline-recommended LDL-C targets across coronary, cerebrovascular, and peripheral artery disease.
The association between triglyceride-glucose index and all-cause/cardiovascular mortality in patients with different glucose metabolism statuses - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/40993712/
TyG was associated with an increased risk of all-cause and cardiovascular death in the normoglycemic subgroup, but not in the dysglycemic subgroup. In the diabetes subgroup, the association between the...
Study shows triglyceride-glucose index predicts mortality differently by metabolic status—linear risk increase in normoglycemia, U-shaped association in diabetes, none in dysglycemia—highlighting TyG as a useful, context-dependent prognostic marker.
A practical guide to the management of dyslipidaemia - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41504909/
Dyslipidaemia, especially elevated low-density lipoprotein cholesterol (LDL-C), is a major modifiable risk factor for atherosclerotic cardiovascular disease (ASCVD). Dyslipidaemia remains underdiagnosed and undertreated. Dyslipidemia is highly prevalent in Germany. Even...
Dyslipidaemia, driven by elevated LDL-C and other lipids, increases ASCVD risk; management includes lifestyle changes, statins, and combination therapies, with emphasis on early diagnosis, risk modifiers, and achieving treatment targets.
The effect of melatonin supplementation on lipid profile, oxidative stress, inflammatory marker, and sleep quality in patients with chronic kidney disease: a GRADE assessed meta-analysis - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41727206/
Supplementing with MLT in CKD can gently raise HDL-C levels, decrease oxidative stress, and improve sleep quality. While these effects are encouraging, more extensive and carefully planned clinical trials are...
Meta-analysis of RCTs shows melatonin in CKD modestly increases HDL, reduces oxidative stress, and improves sleep, with no significant effects on other lipids or inflammation; larger trials needed for confirmation.
Improved HDL, LDL and total cholesterol levels following a 3-month administration of Mentha spicata leaf extract and Amaranthus caudatus seed flour extracts, flavonoids and B vitamins. A placebo-controlled, double-blind, randomized clinical trial - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41519619/
The combination of different FS ingredients with different mechanisms of action can be a valuable strategy for improving lipid profiles in subjects with borderline high TC and LDL-C levels.
Randomized trial shows combined Mentha spicata, Amaranthus, flavonoids, and B vitamins improve lipid profile, reducing LDL and total cholesterol while increasing HDL, especially at higher doses, in borderline dyslipidemia patients.
Incretin polyagonists as an alternative to bariatric surgery to manage obesity - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41884205/
Incretins are gut hormones involved in maintaining metabolic homeostasis in the human body, and disorders of the incretin system are recognized as contributing to the pathobiology of metabolic dysfunction and...
Review positions incretin polyagonists (e.g., tirzepatide) as potent non-surgical obesity alternatives to bariatric surgery, achieving comparable weight loss, glycemic control, and cardiometabolic benefits via multi-receptor gut hormone effects.
Falsely decreased triglyceride concentration in a patient with acute pancreatitis due to insufficient configuration of alarm rules - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41710254/
Acute pancreatitis is a potentially life-threatening complication of severe hypertriglyceridemia. The accurate measurement of triglyceride concentration is essential for diagnosis and therapeutic monitoring. This article presents a case of acute...
Case highlights falsely low triglyceride readings in hypertriglyceridemia-induced pancreatitis due to analyzer alarm failure; improved lab protocols, including lipemic index checks and enhanced alerts, are essential for accurate diagnosis.
The Lipoprotein(a) Implementation Gap: Bridging Evidence and Clinical Practice - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41789317/
Lipoprotein(a) [Lp(a)] represents one of cardiovascular medicine's most profound implementation gaps: a genetically determined risk factor affecting 1.5 billion people worldwide, yet historically underutilized in clinical practice despite overwhelming evidence...
Review highlights major implementation gap in lipoprotein(a) testing despite strong cardiovascular risk evidence. It discusses causal associations, evolving screening guidelines, and emerging RNA-targeted therapies achieving substantial Lp(a) reduction, advancing precision cardiovascular medicine.
Successful large caloric deficit with high protein modification diet and intensive aerobic and resistance training with progressive overload in adult patient with significant coronary artery disease: a case report - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41717581/
Extreme supervised lifestyle intervention may be feasible in carefully selected high-risk CAD patients. Standard moderate programs remain recommended; extreme strategies require intensive medical oversight.
Case report shows supervised intensive lifestyle intervention with high-protein caloric restriction and progressive aerobic-resistance training led to 50-kg weight loss, improved fitness and blood pressure in severe CAD patient without ischemic complications.
Brimonidine Beyond a Single Specialty: Pharmacological Profile, Dermatologic Applications, and Advances in Drug Delivery Systems - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41683709/
Brimonidine, a highly selective α 2 -adrenergic receptor agonist originally developed for glaucoma treatment, has emerged as an important dermatological agent due to its potent vasoconstrictive and anti-inflammatory properties. This...
Review highlights brimonidine, a selective α2-agonist, for dermatologic use. It reduces rosacea-related erythema via vasoconstriction and anti-inflammatory effects, with minimal systemic absorption. Novel nanocarriers and analogues enhance delivery, efficacy, and therapeutic versatility.
Advances and Perspectives in Curcumin Regulation of Systemic Metabolism: A Focus on Multi-Organ Mechanisms - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/41596167/
Curcumin, a natural polyphenol derived from turmeric, functions as a potent exogenous antioxidant and exhibits a range of benefits in the prevention and management of metabolic diseases. Despite its extremely...
Review highlights curcumin’s multi-organ metabolic benefits despite low bioavailability, driven by intestinal accumulation, microbiota modulation, antioxidant (Nrf2), mitochondrial (AMPK/PGC-1α), and anti-inflammatory (NF-κB) pathways, improving insulin resistance, dyslipidemia, and metabolic disease outcomes.