3 Burst results for "Anna Craig"
Man City Break UCL Jinx
"We kick things off in germany where it finished brucie dolton one of the city to however the champions league favors to sweat throughout this game because dortmund would take the lead batting with the goal one nil. Remember bruce you would be going. Through then. Marries convince a penalty fill phone with the goal of then guarantee city place in the semifinals where that as psg water game asking me. Look ahead to those games a little bit later on. Welcome indiana all going to feel. It's off native. Anouar anna craig. Burley to the show craig. Another good champions league tie today. Yeah absolutely and that goal from bellingham and he how good was he over the two legs for one so young but that goal just put the jails on minds on mindset of was going to be another story again but there were patient. Who a patient and the pastor and the got the job done. I don't think it was brilliant from them over the two games But it was certainly good enough. And i think dortmund can have many complete. I mean you can complain about the decision false game when the referee chopped off the bellingham goal but over the two legs. There was no surprise. We'll just a little bit too strong. But i thought they made a little bit work of the one hundred and eighty minutes then then then it should have been. I think when the draw was initially made made them we thought this is a bank city. We'll get through. No problem is craig said that made to work hard for it. I wouldn't necessarily say it was a banker but realistically call it. Favorable draw but the way that cities basically gone through this game here. It's been since about what had been like so far. Twenty twenty one. They don't always below teams away but it tends to find a way to win
"anna craig" Discussed on 90.3 KAZU
"Of England's F. I cop and the Golden State Warriors of cold two time league MVP Steph curry back from a very short lived practiced and with the development team which opens the way for him possibly to return to action very shortly he hasn't played since October they really very badly need him back a Matthew thank you and staying with the same theme off corona virus you may remember yesterday we were talking about how some of the world's central banks said they are prepared to step in to protect economies from the effects of the virus that came off two huge falls in the stock markets last week will not Davis is here from a business team and not to that said this it seems that the Australians have got the ball rolling on this talisman yes Connie S. strenuous reserve bank has cut interest rates to a record low of nine point five percent and the governor Philip Lowe said the corona virus was having a significant effect on the country's economy well let's go straight over to Sydney where Anna Craig from Saxo capital markets is on the line good morning Elena good morning thank you for having me I'm before the market mayhem over last week most economists in a Reuters poll we're not expecting a rate cut so really what a difference a week makes yeah you're exactly right but it was a wild week across markets and I think that a global spread of the corona virus and the threat of an emerging pandemic against a backdrop of what we cannot forget was already very tepid global growth is all but guaranteed central bank panic so incomes over the weekend I'm really out of the ordinary said statements which is I think being seen as a call to action for other central banks and a full warning to the market of incoming coordinated central coordinated central bank easing so following that statement and we also had the release of the worst in history China PMI over the weekend market pricing round up so much in Australia but that was even small all it's about over fifty basis point cut from the RBA being cry so I think the central bank at this stage had little choice but to go ahead and cut the cash right very briefly then is there a danger that the the economy could fall into a recession this year it's certainly a risk but I don't think it's the most likely scenario at this stage we have to remember that the share of exports to China both goods and services relative to GDP renders the Australian economy one of the most trying to dependent economies globally more than thirty percent about total exports go to China and don't forget we've also had the impact of the bush fires recently which shot up putting pressure on the tourism industry as well as the corona virus this against the backdrop of an already cautious consumer that we've seen de leveraging throughout the past year and a private sector that was already in recession before the virus impact all the bush fi's even hit so I think if we do see this this corona virus outbreak become I guess larger and longer than expected then certainly the downside risks mount but at this stage it's really too early to full cost I guess with any certainty the ultimate impact particularly as it it's a moving target and we get this new information set every twenty four hours so right Sir it historic lows now so does the reserve bank have much wriggle room going forward I mean we'll be looking at stimulus quantitative easing that sort of thing yeah you're exactly right and I mean the close of the abi I get to the effective lower bound which our central bank governor Philip Lowe has evolved as zero point two five percent which is not far away cool off to today then clearly the more the more the discussion of quantitative easing will ramp up I think the virus outbreak has report this time line for we were expecting that potentially quantitative easing would come to the fore maybe next year but I think it's much more likely that we see the abi I having to resort to unconventional policy measures sooner than expected so potentially in the second half of this year analysts thanks very much says Anna Craig from Saxo capital markets Matthew thank you right from one virus to what opponents say is another virus the virus of far right politics in Germany of course the voters say that they are just the alternative for Deutschland an honest straight ahead nationalist party but they are causing more drama in the eastern state of Thuringia the far right alternative for Germany the AFT party has announced that its controversial leader beyond Hoka will compete in the race for state in the votes taking place tomorrow now this election is being re run in the wake of a political shock waves last month the AFT has basically been quarantined by all other parties nobody wants to touch them or a sort of compromise with them but up for the first time ever a candidate for state premier was elected with the support of votes from the A. F. T. this call was the enormous reductions in Berlin the full of the heir apparent to angle a medical and now miss Merkel is throwing her weight behind the state premia Thomas Cameron who resigned on the next day now or we joined by young textile senior fellow and director of the Europe program at the German Marshall fund yeah welcome to Newsday once again first off just give us an overview is this a kind of is this more of the AFT causing trouble entering it or do they actually have a candidate in Hawker who could win the election I know they do not have a candidate must okay is not going to be the state of prime minister that's quite clear this is a tactical maneuver on behalf of the AFT it's been that long standing strategy to wreak havoc in the parliamentary system whether that's at the federal level in Berlin or at the state level and to kind of demonstrate that the old elites are I'm capable of running the place the usual kind of right wing populist tactics to but to to be you know to undermine they have to be classic principles of of of the city and then I sent it in a sense that's what they did so successfully when angle Michael's successor nominated successor ended up sort of not being able to control her local party the local party made alliance with the AFT at all but incredibly messy so thought of trying to shake company show was obsolete the old system that worked then is it going to work again this time even if he doesn't win what's he going to achieve D. that the ultimate goal is to force Michael's Conservative Party deep at the local branch of it entering here the into a into a force corporation with the left party and that's what he wants to see he wants to undermine the credibility of the Conservative Party in that state by forcing them to avoid an AFT candidate by you know actually voting along side the left leaning party that would kind of send an earthquake into the inner workings of the Conservative Party and and undermine that credibility and this has been again the long standing goal the major obstacle of the AFT to get into a more powerful position is the conservatives who don't want anything to do with them and they need to punish them and this is what they're gonna try and does this in the long run that for help a kind of an AFT long game to try to respectable lies themselves or somehow into the mainstream that's eventually what they want to happen yep that's the ultimate goal that's what they're aiming at and and they I in it for the long game here and for this you'll club I'm Angela Merkel's Conservative Party you know this is a a deathly kind of threat to them at the federal level because we have a clash here of two political cultures in the country one in the east one in the west in the west it's a mortal sin to work with the A. fifty is the question of how to get majorities and in between those two you know tactics the party gets kind of squeezed and and along with that squeeze lasts the more damaging to the conservatives in Germany crystal clear just what we wanted many many thanks indeed young tech how of the Europe program at the German Marshall fund explaining why those latest elections the rerun of the elections in the eastern German states reject a quite so important and influential to German politics many thanks to young this is Newsday news up next.
"anna craig" Discussed on Cardionerds
"But I do think if you step back and look at the aggregate evidence. There is fairly convincing evidence. Now that restoring sinus rhythm again in select patients with half rough really does lead to improved outcomes. I think that's a very exciting development that specialists and heart failure specialists should be celebrating together absolutely to dive in more on the practical approach that I think that's great that you've highlighted that data when you do encounter the patients in your clinic with a heart. Failure who keeps having recurrent symptoms whether that's from their atrial fibrillation or heart failure hospitalizations. What is your practical approach to the tools? They use to get them back in sinus rhythm. So is it cardioversion without drug and then cardioversion with drug. When does ablation come in the mix? So what is the order of operations that you sort of using manage? Yeah some people say well anyone with heart failure if they have a fits symptomatic there and I agree but disagree with that so I do think it's true again. Eighth of is not beneficial in heart failure but surely there are some patients that we see the minute. They go on a They're admitted with D. compensated. Heart failure and there are others who you know. Their exercise. Performance really doesn't appear to be different when they're Nathan versus sinus rhythm so before we even try and figure out what treatment we always want to look at again. Fortunately we're blessed that they often have an implantable device so we can correlate when they're having a fit with when their heart fires the compensating so if it does look like they have symptoms and they feel better in in Lommel rhythm than we pursue them control and a white rhythm control eventually choose is really dependent upon the natural history of their atrial fibrillation. So if they've never had a fit before and no one has started them on a Beta average of blocking agent. Then probably just getting a Beta blocker and Cardi averting them and educating them. They may need an answer. Rhythmic drug downstream is probably the best way to go on the other hand if they've had four hospitalizations for a fifth despite amiodarone on and they're left atrial volume is still compatible with a high degree of success with ablation. Then that's a patient where I think. Ablation should definitively be discussed sooner rather than later. We'll give you another insight that we've been struggling with so we thought there are scores that predict response Catheter. Ablation is so we hypothesized that implementing those ablation scores like apple and other scores might help heart failure and electro physiologist clinicians identify patients who benefit end. What we saw actually is that. If you're interested in how likely they were to have recur nature for relation. The scores worked okay. But if you just wanted to know who's functional status improved and who had better quality of life the patients benefited regardless of. What they're a ablation score was so again. A lot of the answer is on who should get what treatment and how we got. Patient selection may very. Well depend on what outcome we're trying to achieve so that improving someone. Survival may be very different from helping them feel better and make sense. Does your approach to management of fibrillation. Change when patients have heart failure with preserved ejection. Fraction versus with reduced ejection fraction. Do any of these data that you mentioned translate into that feel that we're we're increasingly recognizing. Yeah so I think we all need to be very humble when we talk about half path. I'm always leery of people who tell me that. They understand how well they cause heart fighter. Clinicians that I know the best you know. Tell us. It's extremely heterogeneous. We don't understand it well in a word. I don't treat those patients differently than treat my half patients but I think it's an ongoing investigation. I'll share two things. The audience may find interesting. I the heart failure group here and at other institutions has looked at the guidelines heart failure and it looks like in patients with half there may be a survival advantage with rhythm control again observational data. Here a duke in our eighth ablation database. We just wanted to know the patients with half pack at the same benefits as the patients with HEF REF and we didn't see any significant difference ARENA HERRANZ RATES. We did not see any significant difference in improvement in nyj classification or quality of life. Scores between the patients with reduced and preserved ejection fractions. And that's why barring additional evidence I generally approached the two sets of heart failure the same way interesting. Very interesting insights. I also wanted to get your thoughts on a management another special heart failure population those patients with cardiac re synchronisation therapy as we know many heart failure patients have as we know. These patients tend to benefit with higher by intrigued. Pacing percentages in atrial fibrillation with its irregular. Are Intervals can preclude effective pacing So how do you approach eighth in these patients and is it any different than other heart? Failure patients so rule. I was at a meeting last week. In a cardiologist who I respect a great deal I was one of my formative teachers. Were talking about this very thing. And he said you know it makes no sense to me that CRT's only beneficial at ninety five to one hundred percent. Five hundred or pacing and below that. The patient derives no benefit and the data. Don't show that right. They showed that there is a benefit but the benefit you can see it decrease in magnitude the further you are from per patient percentage of one hundred percent now there are some investigators who advocate that everyone with atrial fibrillation who has by should get a navy notable. Asian to make sure that they're one hundred percent by the pace. I think that is somewhat unreasonable for a few reasons. A lot of those patients also have very frequent polymorphic. Pbc's and so if you can do a navy notably action if that patient stars a PVC burden of thirty percent. They're not going to get great reset. Crans Asian so I take a holistic approach. So if I've a patient in my clinic they get a by. The objection fracture improves ten percent. Now they can climb the stairs and exercise again and they come to see me and thereby ventricular pacing percentage is ninety three percent and they feel great or even eighty nine percent and they feel great than we really don't change management but if they had experienced response when they come back and thereby V payment percentages down and they're having VR and. We can't fix that with medical therapy than yes. We consider additional inventions. And probably a of ablation before Av node ablation acas. I think for many of us who do lead extraction and admit patients with infections who are device dependent patients to sit in the hospital for a whole month. We usually do everything we can to avoid a blading note. That makes sense thank you. There's also rapid improvement in other device innovation in the management of patients with atrial fibrillation. So getting to some of that. Can you briefly discuss your approach to the left? Atrial appendage inclusion devices when they should be used in patients with atrial fibrillation and specifically those with Eighth Aban heart failure. Yeah I mean there is an amazing evolution of devices and medical therapy writes. Something we haven't talked about is you know what will the SGL two inhibitors? What security trump all-star Tan due to the natural history CHARLEENA's in patients with heart failure? And those questions are being answered. And you're right. There's a ton of devices and left Seclusion devices are just one of twenty devices. We can talk about but I think it's a great question I think if you look at the aggregate evidence there's no question at draft acting oral. Anna Craig. Is the best treatment. Prevent Strokes Rachel for relation. We know the ten percent of thromboembolic events in patients Joe for relation come from locations other than the appendage so systematic therapy make sense but we also know that one in eight patients can't tolerate. A LONG-TERM ORLANDO CRAIG. And for those patients I think left atrial appendage. Collusion is a really really valuable intervention and for patients who have multiple bleeding events while the appendage inclusion devices may not provide as good stroke protection as a direct acting Orlando quite. They certainly provide a very good deal of protection. And so here a Duke. We believe that left Appendage closure therapy is a very viable treatment option for patients who can't tolerate law Orlando Craig Ocean including patients who are fire. Great that makes sense. Dr Pechiney thanks so much. This has been extremely useful information. Both for the cardiologists and the Non Cardiologists who've been listening before we finish the cardio urge likely to a special segment at the end of their recordings. So have one last question for you. And that is what makes your heart flutter about caring for patients with atrial fibrillation Voting cardiologists out. There there are going to be some experiences in your career. That you remember. Almost as if they're a photograph and when I was a house officer at Johns Hopkins and Iran my outpatient clinic. I just felt there was no better feeling than taking care of someone's atrial fibrillation and they would come back in sinus rhythm and they would tell you. Well now I can walk with my granddaughter and I can exercise again and just the ability to get someone back in sinus rhythm and get them feeling better again. That had a tremendous impact on me and my intern clinic is and so. I would heartily implore anyone who's interested in arrhythmias and interested in heart failure You get a treat a lot. Heart failure isn't electro physiologist rates. It's very satisfying fantastic. Always back to the patient and with that everyone will include our segment. Thank you so much. Dr Pechiney for this excellent overview of the management of atrial fibrillation heart failure. It's been a pleasure talking to you today in learning from you over the past years and I'm glad our audience got to see some portion of that today. We'll thanks so much is at the lights. Add to be able to have this conversation.