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Heart & Lung: the Journal of Critical Care

Ajay Pratap Singh, Rula Balluz, Praveen Chandrasekharan
BACKGROUND: At three weeks of age, a previous 34 weeks' gestation male infant (twin A) was transferred to our regional perinatal center (RPC) with complaints of poor oral feeding and intermittent tachypnea. Twin B was discharged at 37 weeks with an uneventful course. CASE: Twin A briefly required respiratory support but continued to have difficulty transitioning from gavage to oral feeding. Initially, his inability to feed orally was thought to be secondary to nasal congestion and prematurity, but with worsening respiratory distress he was transferred for further evaluation and management...
January 10, 2018: Heart & Lung: the Journal of Critical Care
Barbara Riegel, Victoria Vaughan Dickson, Christopher S Lee, Marguerite Daus, Julia Hill, Elliane Irani, Solim Lee, Joyce W Wald, Stephen T Moelter, Lisa Rathman, Megan Streur, Foster Osei Baah, Linda Ruppert, Daniel R Schwartz, Alfred Bove
BACKGROUND: Early heart failure (HF) symptoms are frequently unrecognized for reasons that are unclear. We explored symptom perception in patients with chronic HF. METHODS: We enrolled 36 HF out-patients into a longitudinal sequential explanatory mixed methods study. We used objectively measured thoracic fluid accumulation and daily reports of signs and symptoms to evaluate accuracy of detected changes in fluid retention. Patterns of symptom interpretation and response were explored in telephone interviews conducted every 2 weeks for 3-months...
January 3, 2018: Heart & Lung: the Journal of Critical Care
Jayne Rosenberger, Susan McCrudden, Carol McCullough, Lu Wang, Joni Kime, Nancy M Albert
BACKGROUND: Experts recommend obtaining one-time dual- (inter)-arm blood pressure (BP) measurements to predict cardiovascular morbidity risk. OBJECTIVES: To determine differences in inter-arm systolic (S)/diastolic (D) BPs obtained simultaneously and sequentially and examine associations between patient factors and clinical outcomes and inter-arm BP differences. METHOD: A comparative study of adults treated in intensive care; multivariable logistic models were created to determine the extent that inter-arm BP differences predicted outcomes...
December 13, 2017: Heart & Lung: the Journal of Critical Care
Josef Finsterer, Claudia Stöllberger, Helmut Rauschka, Edmund Gatterer
BACKGROUND: atrial fibrillation(AF) is a frequent manifestation of cardiac involvement in genetic and wild-type transthyretin-related familial amyloidosis(TTR-FA). However, ectasia of coronary arteries and ablation for AF have not been reported in TTR-FA. METHODS AND RESULTS: A 65yo male developed progressive sensori-motor polyneuropathy since age 59y. At age 60y bifascicular block and myocardial thickening were recognised. At age 62y heart failure developed and work-up with cardiac MRI suggested amyloidosis but biopsy was non-informative...
December 12, 2017: Heart & Lung: the Journal of Critical Care
Jemima Boyd, Jenny Paratz, Oystein Tronstad, Lawrence Caruana, Paul McCormack, James Walsh
RATIONALE: Consensus recommendations have been developed to guide exercise rehabilitation of mechanically ventilated patients in the intensive care unit. OBJECTIVE: This study aimed to investigate the safety of exercise rehabilitation of mechanically ventilated patients and evaluate the consensus recommendations. METHODS: This was a prospective, single-centre, cohort study conducted in a specialist cardiothoracic intensive care unit of a tertiary, university affiliated hospital in Australia...
December 12, 2017: Heart & Lung: the Journal of Critical Care
John E Madias
No abstract text is available yet for this article.
December 8, 2017: Heart & Lung: the Journal of Critical Care
Dongmei He, Min Ye, Liwen Zhang, Binghu Jiang
BACKGROUND: Late gadolinium enhancement (LGE) on cardiac MRI indicates the myocardial fibrosis in hypertrophic cardiomyopathy (HCM), and the prognostic value of LGE in HCM has been described in several studies, but controversy exists given the limited power of these studies to predict future adverse cardiac events. The objective of this study was to perform a meta-analysis to systematically evaluate the predictive value of LGE on cardiac magnetic resonance (CMR) for future adverse cardiac events...
November 21, 2017: Heart & Lung: the Journal of Critical Care
Tariq S Marroush, Andrew R Boshara, Bassent Botros, Philip Vendittelli, Zohaib Ahmed, Luay Dawood, Howard S Rosman
BACKGROUND: The rupture of sinus of Valsalva aneurysm (RSoVA) is a rare disorder that affects the integrity of the cardiovascular system, disrupting its dynamics and resulting in a variety of manifestations. In this report, we discuss two cases of RSoVA that we encountered and review similar cases reported in the literature. METHODS: literature review of reported cases of RSoVA in PubMed and Google Scholar. RESULTS: A total of 223 cases were found and the final analysis included 225 cases, of which 69% occurred in males and the mean age was 38...
November 21, 2017: Heart & Lung: the Journal of Critical Care
L McLean House, Rachel E McKay, John Thomas Eagan, Zachary L McCormick
A 77 year old man with a biventricular ICD-pacemaker complained of painful, electric jolts disturbing him nightly from sleep. Extensive work-up including device interrogation revealed no defibrillations or arrhythmia, and he was subsequently diagnosed with phantom shocks (PS). His nightly PS symptoms terminated after starting zolpidem 10 mg each night. To date, literature review reveals fifteen articles reporting 163 phantom shock (PS) cases. PS affects 5-9% of ICD recipients. Risk factors include psychiatric disease, atrial fibrillation, NYHA functional status III or greater, prior shock storm, and intraoperative awareness during ICD placement, with defibrillation threshold testing...
November 8, 2017: Heart & Lung: the Journal of Critical Care
Peter C Olson, Vratika Agarwal, James C Lafferty, Soad Bekheit
INTRODUCTION: Takotsubo Cardiomyopathy is a transient non-ischemic cardiomyopathy usually characterized by apical ballooning of the left ventricle, with electrocardiographic changes and enzyme release, without evidence of obstructive coronary artery disease. Typically seen in stress induced situations, in post-menopausal females, this condition may have a predilection for patients with dependency disorders. CASE: The following is a case in which Takotsubo Cardiomyopathy was induced by withdrawal from opiate medications...
November 2, 2017: Heart & Lung: the Journal of Critical Care
JinShil Kim, Mi-Seung Shin, Seon Young Hwang, Eunok Park, Young-Hyo Lim, Jae Lan Shim, Sun Hwa Kim, Yeon Hee Kim, Minjeong An
BACKGROUND: There is limited evidence on the degree of cognitive impairment and its association with physical functional capacity among patients with heart failure (HF) in Korea. OBJECTIVES: In this study, we compared cognitive impairment between patients with HF and community-dwelling participants with non-HF medical conditions (medical participants) and its association with physical functional capacity. METHODS: We conducted a cross-sectional comparative study and assessed the neuropsychological cognitive status (Seoul Neuropsychological Screening Battery) and physical functional capacity (Duke Activity Status Index) of patients with HF and medical participants using face-to-face interviews...
November 2, 2017: Heart & Lung: the Journal of Critical Care
Yiyin Chen, Marjorie Funk, Jia Wen, Xianghua Tang, Guixiang He, Hong Liu
BACKGROUND: Multidisciplinary disease management programs (MDMP) for patients with heart failure (HF) have been delivered, but evidence of their effectiveness in China is limited. OBJECTIVE: To determine if a MDMP improves quality of life (QoL), physical performance, depressive symptoms, self-care behaviors and mortality or rehospitalization in patients with HF in China. METHODS: This is a randomized controlled single center trial in which patients with HF received either MDMP with discharge education, physical training, follow-up visits and telephone calls for 180 days (n = 31) or standard care (SC, n = 31)...
November 2, 2017: Heart & Lung: the Journal of Critical Care
Irena Milaniak, Ewa Wilczek-Rużyczka, Karol Wierzbicki, Anna Kędziora, Piotr Przybyłowski
BACKGROUND: Heart transplantation (HTx) is the standard treatment for end-stage cardiomyopathy and coronary artery disease. Although major improvements have been made in the prevention and treatment of acute graft rejection, comorbidities still limit the long-term survival of heart transplant recipients. The risk of poor outcome, such us major health status aggravation and death, can stimulate the occurrence of depression and stress in this population. The aim of this study was to determine the impact of comorbidities on depressive symptoms and distress among heart transplant recipients...
November 2, 2017: Heart & Lung: the Journal of Critical Care
Sofia Fika, Serafeim Nanas, Georgios Baltopoulos, Efstratia Charitidou, Pavlos Myrianthefs
BACKGROUND: The accurate and reliable mortality prediction is very useful, in critical care medicine. There are various new variables proposed in the literature that could potentially increase the predictive ability for death in ICU of the new predictive scoring model. OBJECTIVE: To develop and validate a new intensive care unit (ICU) mortality prediction model, using data that are routinely collected during the first 24 h of ICU admission, and compare its performance to the most widely used conventional scoring systems...
January 2018: Heart & Lung: the Journal of Critical Care
Audrey R Roberson, Angela Starkweather, Catherine Grossman, Edmund Acevedo, Jeanne Salyer
BACKGROUND: Muscle strength may be one indicator of readiness to mobilize that can be used to guide decisions regarding early mobility efforts and to progressively advance mobilization. OBJECTIVES: To provide a synthesis of current measures of muscle strength in the assessment of early mobilization in critically ill adult patients who are receiving MV therapy. METHODS: Research studies conducted between 2000-2015 were identified using PubMed, CINHAL, MEDLINE, and the Cochrane Database of Systematic Reviews databases using the search terms "muscle strength", "intensive care", "mechanical ventilation" and "muscle weakness"...
January 2018: Heart & Lung: the Journal of Critical Care
Cynthia Bither
No abstract text is available yet for this article.
January 2018: Heart & Lung: the Journal of Critical Care
Julie T Bidwell, Melinda K Higgins, Carolyn M Reilly, Patricia C Clark, Sandra B Dunbar
BACKGROUND: Patient's knowledge about heart failure (HF) contributes to successful HF self-care, but less is known about shared patient-caregiver knowledge. OBJECTIVES: The purpose of this analysis was to: 1) identify configurations of shared HF knowledge in patient-caregiver dyads; 2) characterize dyads within each configuration by comparing sociodemographic factors, HF characteristics, and psychosocial factors; and 3) quantify the relationship between configurations and patient self-care adherence to managing dietary sodium and HF medications...
January 2018: Heart & Lung: the Journal of Critical Care
Yu-Han Tsai, Jyu-Lin Chen, Amy H T Davis, Wen-Jiuan Yen, Yen-Ju Lin, Li-Chi Chiang, Yu-Ju Chen
BACKGROUND: A valid and reliable instrument for assessing exercise self-regulatory efficacy (Ex-SRE) is lacking in Taiwan. OBJECTIVE: To develop and validate a Chinese-version of the Ex-SRE scale (Ex-SRES-Chinese). METHODS: Published guidelines were followed for cross-cultural adaptation of Ex-SRES-Chinese. Psychometric testing was conducted in 76 subjects with chronic obstructive pulmonary diseases (COPD). RESULTS: Ex-SRES-Chinese achieved clarity, culture appropriateness, and functional equivalence for measuring Ex-SRE...
January 2018: Heart & Lung: the Journal of Critical Care
Francis J Ha, Samia R Toukhsati, James D Cameron, Rosie Yates, David L Hare
BACKGROUND: Exercise confidence predicts exercise adherence in heart failure (HF) patients. The association between simple tests of functional capacity on exercise confidence are not known. OBJECTIVES: To evaluate the association between a single 6-min walk test (6MWT) and exercise confidence in HF patients. METHODS: Observational study enrolling HF outpatients who completed the Cardiac Depression Scale and an Exercise Confidence Survey at baseline and following the 6MWT...
January 2018: Heart & Lung: the Journal of Critical Care
Hend Mansoor, Islam Y Elgendy, Richard Segal, Anthony A Bavry, Jiang Bian
BACKGROUND: Studies had shown that mortality due to ST-elevation myocardial infarction (STEMI) is higher in women compared with men. The purpose of this study is to develop and validate prediction models for all-cause in-hospital mortality in women admitted with STEMI using logistic regression and random forest, and to compare the performance and validity of the different models. METHODS: Data from the National Inpatient Sample (NIS) data years 2011-2013 were used to identify women admitted with STEMI...
November 2017: Heart & Lung: the Journal of Critical Care
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