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Heart: Official Journal of the British Cardiac Society

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https://www.readbyqxmd.com/read/30636221/transplantation-the-final-hurdle-to-longevity-in-patients-with-congenital-heart-disease
#1
EDITORIAL
Peter N Ruygrok
No abstract text is available yet for this article.
January 12, 2019: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30636220/heart-or-heart-lung-transplantation-for-patients-with-congenital-heart-disease-in-england
#2
Konstantinos Dimopoulos, Kavitha Muthiah, Rafael Alonso-Gonzalez, Nicholas Robert Banner, Stephen J Wort, Lorna Swan, Andrew Harry Constantine, Michael A Gatzoulis, Gerhard Paul Diller, Aleksander Kempny
BACKGROUND: Increased longevity in patients with congenital heart disease (CHD) is associated with late complications, mainly heart failure, which may not be amenable to redo surgery and become refractory to medical therapy and so, trigger referral for transplantation. We assessed the current role and future prospects of heart and heart-lung transplantation for patients with CHD in England. METHODS: We performed a retrospective analysis of hospital episodes for England for 1997-2015, identifying patients with a CHD code (ICD-10 'Q2xx...
January 12, 2019: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30636219/individual-preferences-on-the-balancing-of-good-and-harm-of-cardiovascular-disease-screening
#3
Tina Birgitte Hansen, Jes Sanddal Lindholt, Axel Cosmus Pyndt Diederichsen, Michiel C J Bliemer, Jess Lambrechtsen, Flemming Hald Steffensen, Rikke Søgaard
OBJECTIVE: Transition towards value-based healthcare requires insight into what makes value to the individual. The aim was to elicit individual preferences for cardiovascular disease screening with respect to the difficult balancing of good and harm as well as mode of delivery. METHODS: A discrete choice experiment was conducted as a cross-sectional survey among 1231 male screening participants at three Danish hospitals between June and December 2017. Participants chose between hypothetical screening programmes characterised by varying levels of mortality risk reduction, avoidance of overtreatment, avoidance of regretting participation, screening duration and location...
January 12, 2019: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30636218/artificial-intelligence-the-future-for-cardiology
#4
Alejandra Andrea Miyazawa
No abstract text is available yet for this article.
January 12, 2019: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30636217/diagnostic-accuracy-of-the-t-macs-decision-aid-with-a-contemporary-point-of-care-troponin-assay
#5
Richard Body, Malak Almashali, Niall Morris, Phil Moss, Heather Jarman, Andrew Appelboam, Richard Parris, Louisa Chan, Alison Walker, Mark Harrison, Andrea Wootten, Garry McDowell
OBJECTIVES: The rapid turnaround time of point-of-care (POC) cardiac troponin (cTn) assays is highly attractive for crowded emergency departments (EDs). We evaluated the diagnostic accuracy of the Troponin-only Manchester Acute Coronary Syndromes (T-MACS) decision aid with a POC cTn assay. METHODS: In a prospective diagnostic accuracy study at eight EDs, we included patients with suspected acute coronary syndromes (ACS). Blood drawn on arrival and 3 hours later was analysed for POC cTnI (i-Stat, Abbott Point of Care)...
January 12, 2019: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30636216/qualitative-study-of-cardiologists-perceptions-of-factors-influencing-clinical-practice-decisions
#6
Veena Manja, Gordon Guyatt, John You, Sandra Monteiro, Susan Jack
BACKGROUND: Healthcare costs are increasing in the USA and Canada and a substantial portion of health spending is devoted to services that do not improve health outcomes. Efforts to reduce waste by adopting evidence-based clinical practice guideline recommendations have had limited success. We sought insight into improving health system efficiency through understanding cardiologists' perceptions of factors that influence clinical decision-making. METHODS: In this descriptive qualitative study, we conducted in-depth interviews with 18 American and 3 Canadian cardiologists...
January 12, 2019: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30598458/correction-partial-atrioventricular-septal-defect-in-infancy-don-t-we-need-to-know-more
#7
(no author information available yet)
No abstract text is available yet for this article.
December 31, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30598457/more-evidence-for-high-sensitivity-troponin-assays
#8
EDITORIAL
Johannes Tobias Neumann, Dirk Westermann
No abstract text is available yet for this article.
December 31, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30593461/68-year-old-woman-with-paroxysmal-atrial-fibrillation
#9
Eftihia Sbarouni, Nektarios Kogerakis, George Stavridis
What is the most likely diagnosis?Mitral stenosis.Pericardial cyst.Left atrial appendage aneurysm.Left atrial myxoma.Atrial septal defect.
December 28, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30541762/familial-bicuspid-aortic-valve-disease-should-we-look-more-closely-at-the-valve
#10
EDITORIAL
Romain Capoulade, Jean-Jacques Schott, Thierry Le Tourneau
No abstract text is available yet for this article.
December 12, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30541761/asymptomatic-severe-aortic-stenosis-biomarkers-are-welcome
#11
EDITORIAL
Manuel Martinez-Selles, Antoni Bayes-Genis
No abstract text is available yet for this article.
December 12, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30541760/propensity-matched-analysis-of-minimally-invasive-approach-versus-sternotomy-for-mitral-valve-surgery
#12
Stuart W Grant, Graeme L Hickey, Paul Modi, Steven Hunter, Enoch Akowuah, Joseph Zacharias
OBJECTIVE: The objective of this multicentre study was to compare short-term and midterm outcomes between sternotomy and minimally invasive approaches for mitral valve surgery. METHODS: Data for all mitral valve procedures with or without concomitant tricuspid atrial fibrillation surgery were analysed from three UK hospitals between January 2008 and December 2016. To account for selection bias between minimally invasive approach and sternotomy, one-to-one propensity score calliper matching without replacement was performed...
December 12, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30541759/how-far-have-women-come-in-medicine
#13
Dame Jane Dacre
No abstract text is available yet for this article.
December 12, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30541758/ventricular-tachycardia-in-the-absence-of-structural-heart-disease
#14
Ammar M Killu, William G Stevenson
No abstract text is available yet for this article.
December 12, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30541757/daytime-variation-of-perioperative-myocardial-injury-in-non-cardiac-surgery-and-effect-on-outcome
#15
Jeanne du Fay de Lavallaz, Christian Puelacher, Giovanna Lurati Buse, Daniel Bolliger, Dominic Germanier, Reka Hidvegi, Joan Elias Walter, Raphael Twerenbold, Ivo Strebel, Patrick Badertscher, Lorraine Sazgary, Andreas Lampart, Jaqueline Espinola, Christoph Kindler, Angelika Hammerer-Lercher, Saranya Thambipillai, Lorenz Guerke, Katharina Rentsch, Andreas Buser, Danielle Gualandro, Marcel Jakob, Christian Mueller
OBJECTIVE: Recently, daytime variation in perioperative myocardial injury (PMI) has been observed in patients undergoing cardiac surgery. We aim at investigating whether daytime variation also occurs in patients undergoing non-cardiac surgery. METHODS: In a prospective diagnostic study, we evaluated the presence of daytime variation in PMI in patients at increased cardiovascular risk undergoing non-cardiac surgery, as well as its possible impact on the incidence of acute myocardial infarction (AMI), and death during 1-year follow-up in a propensity score-matched cohort...
December 12, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30538095/new-light-on-exposure-to-chemicals-and-cardiovascular-diseases
#16
EDITORIAL
Karin Broberg
No abstract text is available yet for this article.
December 11, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30538094/association-of-occupational-exposures-with-cardiovascular-disease-among-us-hispanics-latinos
#17
Catherine M Bulka, Martha L Daviglus, Victoria W Persky, Ramon A Durazo-Arvizu, James P Lash, Tali Elfassy, David J Lee, Alberto R Ramos, Wassim Tarraf, Maria Argos
OBJECTIVE: Cardiovascular disease (CVD) is a leading cause of mortality and morbidity in the USA. The role of occupational exposures to chemicals in the development of CVD has rarely been studied even though many agents possess cardiotoxic properties. We therefore evaluated associations of self-reported exposures to organic solvents, metals and pesticides in relation to CVD prevalence among diverse Hispanic/Latino workers. METHODS: Cross-sectional data from 7404 employed individuals, aged 18-74 years, enrolled in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) were analysed...
December 11, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30530820/b-type-natriuretic-peptide-in-patients-with-asymptomatic-severe-aortic-stenosis
#18
Kenji Nakatsuma, Tomohiko Taniguchi, Takeshi Morimoto, Hiroki Shiomi, Kenji Ando, Norio Kanamori, Koichiro Murata, Takeshi Kitai, Yuichi Kawase, Chisato Izumi, Makoto Miyake, Hirokazu Mitsuoka, Masashi Kato, Yutaka Hirano, Shintaro Matsuda, Tsukasa Inada, Kazuya Nagao, Hiroshi Mabuchi, Yasuyo Takeuchi, Keiichiro Yamane, Mamoru Toyofuku, Mitsuru Ishii, Eri Minamino-Muta, Takao Kato, Moriaki Inoko, Tomoyuki Ikeda, Akihiro Komasa, Katsuhisa Ishii, Kozo Hotta, Nobuya Higashitani, Yoshihiro Kato, Yasutaka Inuzuka, Chiyo Maeda, Toshikazu Jinnai, Yuko Morikami, Naritatsu Saito, Kenji Minatoya, Takeshi Kimura
OBJECTIVES: We sought to evaluate the prognostic impact of the B-type natriuretic peptide (BNP) levels in patients with asymptomatic severe aortic stenosis (AS), who were not referred for aortic valve replacement (AVR). METHODS: We used data from a Japanese multicentre registry, the Contemporary outcomes after sURgery and medical tREatmeNT in patients with severe Aortic Stenosis Registry, which enrolled 3815 consecutive patients with severe AS. Of those, 387 asymptomatic patients who were not referred for AVR without left ventricular dysfunction and very severe AS were subdivided into four groups based on their BNP levels (BNP<100 pg/mL, n=201; 100≤BNP<200 pg/mL, n=94; 200≤BNP<300 pg/mL, n=42 and BNP>300 pg/mL, n=50)...
December 7, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30514732/right-ventricular-fibrosis-is-associated-with-cardiac-remodelling-after-pulmonary-valve-replacement
#19
Kenichiro Yamamura, Darren Yuen, Edward J Hickey, Xiaolin He, Rajiv R Chaturvedi, Mark K Friedberg, Lars Grosse-Wortmann, Kate Hanneman, Filio Billia, Michael E Farkouh, Rachel M Wald
OBJECTIVE: The relationship between right ventricular (RV) fibrosis and right heart reverse remodelling following pulmonary valve replacement (PVR) has not been well studied in adults with repaired tetralogy of Fallot (rTOF). Our aims were to histologically quantify RV fibrosis and to explore the relationship between fibrosis severity and cardiac remodelling post-PVR. METHODS: Adults with rTOF and pre-PVR cardiovascular (CMR) imaging were consented to procurement of RV muscle during PVR...
December 4, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30514731/adherence-to-guidelines-in-management-of-symptoms-suggestive-of-heart-failure-in-primary-care
#20
Benedict Hayhoe, Dani Kim, Paul P Aylin, F Azeem Majeed, Martin R Cowie, Alex Bottle
OBJECTIVE: Clinical guidelines on heart failure (HF) suggest timings for investigation and referral in primary care. We calculated the time for patients to achieve key elements in the recommended pathway to diagnosis of HF. METHODS: In this observational study, we used linked primary and secondary care data (Clinical Practice Research Datalink, a database of anonymised electronic records from UK general practices) between 2010 and 2013. Records were examined for presenting symptoms (breathlessness, fatigue, ankle swelling) and key elements of the National Institute for Health and Care Excellence-recommended pathway to diagnosis (serum natriuretic peptide (NP) test, echocardiography, specialist referral)...
December 4, 2018: Heart: Official Journal of the British Cardiac Society
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