Charts.md

@vipintukur charts.md/cardiac

A growing body of evidence suggests that the COVID-19 pandemic has had major long-term effects on cardiovascular health, contributing to increased heart disease and stroke mortality even after the acute pandemic period. ➡️ Researchers believe this rise reflects a combination of direct cardiovascular injury from SARS-CoV-2 infection, worsening of chronic risk factors such as hypertension, diabetes, and obesity, and major disruptions in preventive and routine cardiac care during the pandemic. 1/

charts.md/codes/G90_A California CHHS (All Diagnoses) - G90.A: Postural orthostatic tachycardia syndrome [POTS]

@bmj_latest @scarlettmcnally charts.md/codes/Z73_0 England NHS (All Diagnoses) - Z73.0: Burnout

In two recent census reports, 55% of anaesthetists reported burnout and 61% of surgeons reported burnout or stress as major challenges. @scarlettmcnally offers advice for reducing burnout in surgical staff bmj.com/content/393/bm…

charts.md/codes/I49_8 England NHS (All Diagnoses) - I49.8: Other specified cardiac arrhythmias

@JAMANeuro charts.md/codes/G25_5 California CHHS (All Diagnoses) - G25.5: Other chorea

Delayed onset of hemichorea and dystonia can occur after cortical temporal #Stroke, even when imaging reveals small acute ischemic lesions and routine blood tests are normal. ja.ma/4f0lGt3

@EricTopol @AnnalsofIM charts.md/codes/E11_8 England NHS (All Diagnoses) - E11.8: Type 2 diabetes mellitus with unspecified complication

For people with poorly controlled Type 2 diabetes ("early," within 4 years of diagnosis), a randomized trial of tirzepatide vs intensified conventional care (ICC). Tirzepatide was superior for achieving glycemic control and all secondary endpoints @AnnalsofIM acpjournals.org/doi/full/10.73…

@kevincorke charts.md/codes/A41_89 California CHHS (All Diagnoses) - A41.89: Other specified sepsis

Severe pneumonia progressed into sepsis…

charts.md/codes/A69_2?v=1 England NHS (All Diagnoses) - A69.2: Lyme disease

@NEJM charts.md/codes/A69_2?v=1 England NHS (All Diagnoses) - A69.2: Lyme disease

Perspective by Durland Fish, PhD: Getting Serious about Tickborne Diseases — Shifting Research Priorities nej.md/4d40ZLq #InfectiousDisease

charts.md/codes/G93_49 California CHHS (All Diagnoses) - G93.49: Other encephalopathy

@_atanas_ charts.md/codes/M19_9 England NHS (All Diagnoses) - M19.9: Arthrosis, unspecified

Across reviews of randomized trials, Tai Chi and related qigong practices showed broad but uneven health signals, especially for blood pressure, mobility, falls, and quality of life. 🧵 1/7

@TheLancet @IHME_UW charts.md/mental

There are nearly 1.2 billion people living with mental health conditions worldwide, according to a new #GBD analysis. Explore the research ➡️ spkl.io/6011AhkHU @IHME_UW

charts.md/codes/F32_A California CHHS (All Diagnoses) - F32.A: Depression, unspecified

@DrKatLindley charts.md/codes/Z91_014 California CHHS (All Diagnoses) - Z91.014: Allergy to mammalian meats

Alpha-Gal Syndrome Soliman Auricular Allergy Treatment (SAAT) The most commonly promoted acupuncture approach for AGS is SAAT (Soliman Auricular Allergy Treatment), a specialized form of ear (auricular) acupuncture developed by Dr. Nader Soliman. Practitioners identify a specific “allergy point” or zone in the ear (often linked to the liver area) using electrical detection or other methods, often while the patient is exposed to an alpha-gal sample vial (indirectly, not ingested). A tiny, semi-permanent needle (like a Spinex) is inserted into the outer ear and left in place for ~3–4 weeks, secured with tape. It may be done in one or a few sessions per allergen. It helps “retrain” the immune response, leading to reduced or eliminated reactions to mammalian products. Patients often resume eating triggers after testing tolerance. Evidence: A 2021 case series (published in Medical Acupuncture) reviewed 137 patients across two clinics. Of 126 with follow-up data, 96% reported symptom remission after SAAT (including many with prior anaphylaxis). No adverse reactions to the acupuncture itself were noted. Follow-up ranged from months to years for some. Methods: We performed a retrospective review of subjects treated at 2 different medical clinics that apply the same method of auricular acupuncture (SAAT) to AGS patients. Results: A total of 137 patients presented to the 2 sites included in this study. The majority of patients were mammal product eaters before AGS; however, at the time of treatment only 7.3% of individuals (n = 10) actively consumed mammal products. Most subjects were reactive to beef (n = 135) and dairy (n = 95). The most common organ system involved in prior allergic reactions associated with AGS were gastrointestinal (n = 82, 59.9%) and dermatologic (n = 61, 44.5%). For those individuals with available outcome data on SAAT effectiveness (n = 126), 121 (96%) patients indicated that their symptoms were in remission after SAAT. Five individuals indicated that their symptoms were not in remission. Eleven individuals were unsure of treatment response or unable to be reached for follow-up. Conclusion: The SAAT method showed effectiveness in the large majority of patients. No adverse reactions were noted as a result of auricular acupuncture. This alternative medicine approach to AGS management should be further studied in prospective trials with laboratory confirmation both before and after the procedure. This low-risk treatment shows promise in treating a medical condition that causes distress in an increasing number of patients.

@CIDRAP @unbiasedscipod charts.md/codes/J12_1 England NHS (All Diagnoses) - J12.1: Respiratory syncytial virus pneumonia

CIDRAP Op-Ed: RSV—the middle child of respiratory season who deserves more attention. The RSV vaccine is different. It does not have a reputation problem or a trust problem. It has an awareness problem. Read full Op-Ed by @unbiasedscipod's Jess Steier: ow.ly/V23350Z1Pog

@1goodtern charts.md/codes/B99_X England NHS (All Diagnoses) - B99.X: Other and unspecified infectious diseases

36 Aspergillus flavus "Could increase by about 16%, putting 1 million more people at risk." manchester.ac.uk/about/news/cli…

If covid infections make you *more vulnerable* to almost every other pathogenic infection by multiple mechanisms, then you'd expect increases in almost every other pathogenic infection. And that's what we see. Ten completely unsurprising news stories:

charts.md/codes/R03_0 England NHS (All Diagnoses) - R03.0: Elevated blood-pressure reading, without diagnosis of hypertension

@MayoClinic charts.md/codes/R03_0 England NHS (All Diagnoses) - R03.0: Elevated blood-pressure reading, without diagnosis of hypertension

High blood pressure, also known as hypertension, can occur at any age. Its prevalence in people in early to mid-adulthood has been rising globally. Bianca Bandarra, M.B.B.S., a general practitioner and executive health physician at Mayo Clinic Healthcare in London, describes lifestyle factors that can influence risk and explains why treating high blood pressure early matters. Learn more: mayocl.in/4noiN7o

@JAMAInternalMed @atscommunity charts.md/codes/J44_9 England NHS (All Diagnoses) - J44.9: Chronic obstructive pulmonary disease, unspecified

Among adults in a pooled cohort drawn from eight US population studies, #COPD was associated with reduced life expectancy, with years of life lost increasing across Global Initiative for Chronic Obstructive Lung Disease stages. #ATS2026 @atscommunity ja.ma/4deeYyl

charts.md/codes/R51_9 California CHHS (All Diagnoses) - R51.9: Headache, unspecified