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Heart & Lung: the Journal of Critical Care

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https://www.readbyqxmd.com/read/28336081/depression-screening-and-treatment-recall-in-male-and-female-coronary-artery-disease-inpatients-association-with-symptoms-one-year-later
#1
Shamila Shanmugasegaram, Sherry L Grace
BACKGROUND: This study examined whether cardiac inpatients recall depression screening and how it is related to depressive symptoms and treatment one year later. METHODS: 2635 cardiac inpatients from 11 hospitals completed a survey and were mailed a follow-up survey one year later; both surveys included the BDI-II. RESULTS: Of the 1809 (68.7%) retained participants, 513 (30.0%) recalled depression screening. Recall was not significantly related to depressive symptoms at either time point (P > 0...
March 20, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28318620/factors-associated-with-mortality-risk-in-critical-care-patients-treated-with-veno-arterial-extracorporeal-membrane-oxygenation
#2
Sun Hee Lee, Dong-Soo Shin, Jong Ran Kim, Hyunjung Kim
OBJECTIVES: To identify factors associated with mortality in patients treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and to validate the discrimination of the risk assessment tools to predict mortality. BACKGROUND: VA-ECMO is a rescue therapy for patients with life-threatening cardiac failure, but mortality remains high. METHODS: In this retrospective study, we reviewed the medical records of adult patients who underwent VA-ECMO in an intensive care unit of a university hospital, between 2009 and 2013...
March 16, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28258759/fever-of-unknown-origin-fuo-due-to-miliary-bcg-the-diagnostic-importance-of-morning-temperature-spikes-and-highly-elevated-ferritin-levels
#3
Burke A Cunha, Anna Apostolopoulou, John Gian
Fever of unknown origin (FUO) is defined as prolonged fever of >101 °F for at least 3 weeks that remains undiagnosed after a focused inpatient or outpatient workup. One of the most elusive FUO diagnoses is miliary tuberculosis (TB) which typically has few/no localizing signs/symptoms. Since the introduction of intravesicular Bacille Calmette-Guerin (BCG) treatment for bladder carcinoma, miliary BCG has only rarely been reported as a cause of FUO. As with miliary TB, there are few/no clues to suspect miliary BCG...
February 28, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28237274/time-for-a-paradigm-shift-assessing-for-anxiety-in-patients-receiving-mechanical-ventilation
#4
EDITORIAL
Glen Au, Jaclynn R Johnson, Linda L Chlan
No abstract text is available yet for this article.
February 23, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28237273/sex-differences-in-leptin-modulate-ventilation-in-heart-failure
#5
Ivan Cundrle, Virend K Somers, Prachi Singh, Bruce D Johnson, Christopher G Scott, Lyle J Olson
BACKGROUND: Leptin modulates ventilation and circulating levels are higher in normal women than men. OBJECTIVES: The aim of this study was to compare exercise ventilation and gas exchange in men and women with heart failure (HF) and their relation to circulating leptin concentration. METHODS: Consecutive HF patients were studied by cardiopulmonary exercise testing and assay of circulating leptin concentration. RESULTS: Fifty-seven men and 20 women were similar with respect to age, BMI, NYHA class, left ventricular ejection fraction, and peak oxygen consumption (all p > 0...
February 23, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28237272/healthcare-providers-caring-nothing-is-too-small-for-parents-and-children-hospitalized-for-heart-surgery
#6
Holly Wei, Cecelia I Roscigno, Kristen M Swanson
BACKGROUND: Parents of children with congenial heart disease (CHD) face frequent healthcare encounters due to their child's care trajectory. With an emphasis on assuring caring in healthcare, it is necessary to understand parents' perceptions of healthcare providers' actions when their child undergoes heart surgery. OBJECTIVES: To describe parents' perceptions of healthcare providers' actions when their child is diagnosed with CHD and undergoes heart surgery. METHODS: This is a qualitative study with in-depth interviews...
February 22, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28236500/mortality-among-high-risk-patients-admitted-with-septic-shock-to-u-s-teaching-hospitals-in-july-does-the-july-effect-exist
#7
Amina Saqib, Uroosa Ibrahim, Parshva Patel, Abhyudaya Joshi, Michel Chalhoub
BACKGROUND: The 'July effect' is a phenomenon of inferior delivery of care at teaching hospitals during July because of relative inexperience of new physicians. OBJECTIVE: To study the difference in mortality among septic shock patients during July and another month. METHODS: Using the U.S. Nationwide Inpatient Sample, we estimated the difference in mortality among septic shock patients admitted during May and July from 2003 to 2011. RESULTS: 117,593 and 121,004 patients with septic shock were admitted to non-teaching and teaching hospitals, respectively, in May and July...
February 21, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28215409/extracorporeal-membrane-oxygenation-ecmo-in-adults-with-acute-respiratory-distress-syndrome-ards-a-6-year-experience-and-case-control-study
#8
Javier Muñoz, Patricia Santa-Teresa, María Jesus Tomey, Lourdes Carmen Visedo, Elena Keough, Juan Camilo Barrios, Santiago Sabell, Antonio Morales
PURPOSE: To evaluate the development of an extracorporeal membrane oxygenation (ECMO) program for the treatment of acute respiratory distress syndrome (ARDS) in adults. METHODS: a) Descriptive study of 15 cases treated since the program approval from 2010 to 2016. b) Case-control study matching the 15 ECMO cases with the 52 severe ARDS treated between 2005 and 2011 in which alternative rescue treatments (prone ventilation, tracheal gas insufflation (TGI) and/or the administration of inhaled nitric oxide (iNO)) were used...
February 16, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28190530/prevalence-and-characteristics-of-urinary-incontinence-in-a-cohort-of%C3%A2-patients-with-chronic-heart-failure
#9
Kerry Poole, Monica Kerlin, Rochelle Wynne
BACKGROUND: Evidence describing the characteristics of urinary incontinence (UI) in patients with chronic heart failure (CHF), and the impact of this combination of conditions on functional status and quality of life, is limited. OBJECTIVE: The primary aim of this study was to determine the prevalence and characteristics of UI in a cohort of CHF patients. METHODS: A prospective survey of 100 outpatients with CHF was undertaken. RESULTS: There were 43 (65...
February 9, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28187909/nonadherence-to-the-medical-regimen-after-lung-transplantation-a-systematic-review
#10
REVIEW
Lu Hu, Jennifer H Lingler, Susan M Sereika, Lora E Burke, Donna Kaltenbaugh Malchano, Annette DeVito Dabbs, Mary Amanda Dew
This study reports on the first systematic review focused on lung transplant recipients (LTRs) and provides evidence regarding 1) prevalence of nonadherence to the post-transplant medical regimen; 2) risk factors for nonadherence; 3) impact of adherence-promoting interventions; and 4) transplant-related clinical outcomes of nonadherence in LTRs. Following the PRISMA guidelines, a literature search of 5 databases was conducted, yielding 30 relevant articles. Findings suggested that nonadherence rates varied greatly across regimen components and were not consistently associated with any single risk factor...
February 7, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28187908/relationship-among-body-mass-index-nt-probnp-and-mortality-in%C3%A2-decompensated-chronic-heart-failure
#11
Domenico Scrutinio, Andrea Passantino, Pietro Guida, Enrico Ammirati, Fabrizio Oliva, Simona Sarzi Braga, Maria Teresa La Rovere, Rocco Lagioia, Maria Frigerio, Salvatore Di Somma
BACKGROUND: Obesity has been suggested to confer a survival benefit in acute heart failure. The concentrations of NT-proBNP may be reduced in patients with high body mass index (BMI). OBJECTIVES: To investigate the relationship among BMI, NT-proBNP, and mortality risk in decompensated chronic heart failure (DCHF). METHODS: This was a retrospective study. We studied 1001 patients with DCHF. Hazard ratios (HR) were calculated with Cox regression analysis...
February 7, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28162828/in-response-to-letter-to-the-editor-time-to-integrate-sexual-function-in-the-health-related-quality-of-life-of-patients-with-left-ventricular-assist-devices-the-problem-is-the-implementation-of-sexual-healthcare-in-cardiology
#12
LETTER
https://www.readbyqxmd.com/read/28109565/the-effect-of-n-acetylcysteine-on-exacerbations-of-chronic-obstructive-pulmonary-disease-a-meta-analysis-and-systematic-review
#13
REVIEW
Kaushal Fowdar, Huan Chen, Zhiyi He, Jiujin Zhang, Xiaoning Zhong, Jianquan Zhang, Meihua Li, Jing Bai
N-acetylcysteine (NAC) is an antioxidant and anti-inflammatory. Its effects on chronic obstructive pulmonary (COPD) outcomes, including exacerbation of and changes in lung function parameters, are controversial. To investigate the effects of NAC on COPD exacerbation and changes in lung function parameters in patients with COPD. A meta-analysis of randomized controlled trials retrieved from PubMed and Medline databases (12 trials; 2691 patients). High-dose [relative ratio (RR) = 0.90, 95% confidence interval (CI) = 0...
January 18, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28088436/injury-severity-sex-and-transfusion-volume-but-not-transfusion-ratio-predict-inflammatory-complications-after-traumatic-injury
#14
Allison R Jones, Heather M Bush, Susan K Frazier
BACKGROUND: Blood component (packed red blood cells [PRBC], fresh frozen plasma [FFP], platelets [PLT]) ratios transfused in a 1:1:1 fashion are associated with survival after trauma; the relationship among blood component ratios and inflammatory complications after trauma is not fully understood. OBJECTIVES: To evaluate the relationship among blood component ratios (1:1 vs other for PRBC:FFP and PRBC:PLT) and inflammatory complications (primary outcome) in patients with major trauma...
January 11, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28063605/extracorporeal-membrane-oxygenation-in-massive-pulmonary-embolism
#15
Elena V Dolmatova, Kasra Moazzami, Thomas P Cocke, Elie Elmann, Pranay Vaidya, Arthur F Ng, Kumar Satya, Rajeev L Narayan
BACKGROUND: Extracorporeal Membrane Oxygenation (ECMO) has been suggested for cardiopulmonary support in patients with massive pulmonary embolism (PE) refractory to other treatment or as bridging to embolectomy. The survival benefit from ECMO in patients with massive PE remains unclear. METHODS: Here, we describe 5 cases in which ECMO was used as cardiopulmonary support following massive near-fatal pulmonary embolism. RESULTS: The overall mortality in patients with massive PE that received ECMO support was 40%...
January 4, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28057337/caregiver-status-and-outcomes-after-durable-left-ventricular-assist-device-implantation
#16
Michael Koeckert, Patrick Vining, Alex Reyentovich, Stuart D Katz, Abe DeAnda, Stefanie Philipson, Leora B Balsam
OBJECTIVES: To determine the relationship between caregiver status and outcomes after durable left ventricular assist device (LVAD) implantation. BACKGROUND: The absence of a caregiver is a relative contraindication to durable LVAD support. METHODS: Forty-three patients that underwent primary LVAD implantation were divided into three groups: those with caregivers that retained their roles for the duration of LVAD support (CG group), those with caregivers that resigned their roles (CG-QUIT group), and those implanted without an assigned caregiver (No-CG group)...
January 2, 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28257784/aahfn-leadership-message
#17
EDITORIAL
Marilyn A Prasun
No abstract text is available yet for this article.
March 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28189266/subcutaneous-treprostinil-was-effective-and-tolerable-in-a-patient-with-severe-pulmonary-hypertension-associated-with-chronic-kidney-disease-on-hemodialysis
#18
Takanori Watanabe, Kohtaro Abe, Koshin Horimoto, Kazuya Hosokawa, Kisho Ohtani, Hiroyuki Tsutsui
BACKGROUND: Pulmonary hypertension (PH) is a life-threatening complication in patients with chronic kidney disease on hemodialysis (CKD-HD). OBJECTIVES: To determine whether subcutaneous infusion of treprostinil was effective and tolerable CKD-PH. METHODS AND RESULTS: A 57-year-old man was admitted to our hospital due to presyncope and dyspnea during exercise with a history of CKD-HD. Cardiac catheterization revealed high pulmonary arterial pressure (PAP) of 53/24/32 mmHg and pulmonary vascular resistance (PVR) of 11...
March 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28088437/safety-and-feasibility-of-pci-in-patients-undergoing-tavr-a-systematic-review-and-meta-analysis
#19
REVIEW
Anurag Bajaj, Samir Pancholy, Arjinder Sethi, Parul Rathor
We aimed to evaluate the safety and feasibility of PCI (percutaneous coronary intervention) for coronary artery disease (CAD) in patients undergoing transcatheter aortic valve replacement (TAVR) by performing a meta-analysis. A systemic search of the database was performed. Studies were included comparing TAVR versus TAVR with PCI for significant CAD in patients undergoing TAVR for severe aortic stenosis. The primary outcome was 30 day mortality and secondary outcomes were myocardial infarction, stroke, life threatening bleeding, major access site vascular complications and renal failure...
March 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28164833/selection-of-right-studies-criteria-to-foster-conclusions-caveats-for-metanalysis-conducted-in-sepsis
#20
LETTER
A Gutiérrez-Pizarraya, M Leone, J Garnacho-Montero, M Claude, I Martín-Loeches
No abstract text is available yet for this article.
January 2017: Heart & Lung: the Journal of Critical Care
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