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Heart & Lung: the Journal of Critical Care

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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
#1
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
#2
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/28189266/subcutaneous-treprostinil-was-effective-and-tolerable-in-a-patient-with-severe-pulmonary-hypertension-associated-with-chronic-kidney-disease-on-hemodialysis
#3
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...
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
#4
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
#5
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
#6
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
#7
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/28088437/safety-and-feasibility-of-pci-in-patients-undergoing-tavr-a-systematic-review-and-meta-analysis
#8
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...
January 11, 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
#9
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
#10
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
#11
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/28034562/improving-quality-of-life-and-decreasing-readmissions-in-heart-failure-patients-in-a-multidisciplinary-transition-to-care-clinic
#12
Charlene D Whitaker-Brown, Stephanie J Woods, Judith B Cornelius, Erik Southard, Sanjeev K Gulati
OBJECTIVES: The purpose was to pilot the feasibility and impact of a 4-week transition-to-care program on quality of life for heart failure patients. BACKGROUND: The transition from the acute care to the outpatient setting has been shown to be a critical time with heart failure patients. METHODS: A pre- and post-test design was used. Quality of Life, measured by the Minnesota Living with Heart Failure Questionnaire, and hospital readmissions were the outcomes...
December 26, 2016: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27955885/the-prognostic-value-of-a-new-left-bundle-branch-block-in-patients-with-acute-myocardial-infarction-a-systematic-review-and-meta-analysis
#13
Belal Al Rajoub, Samar Noureddine, Samer El Chami, Mohamad Hussein Haidar, Bachir Itani, Aida Zaiter, Elie A Akl
OBJECTIVE: To assess the prognostic value of new left bundle branch block (LBBB) in patients with acute myocardial infarction (AMI). BACKGROUND: LBBB develops in many cardiac conditions, including AMI. The empirical evidence for the contribution of LBBB to mortality in AMI is not consistent. METHODS: Medline, PubMed, CINAHL, and EMBASE were searched. Inverse variance meta-analysis was performed with odds ratios as the effect estimates. The I(2) statistic and risk of bias were assessed...
December 10, 2016: 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
#14
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
https://www.readbyqxmd.com/read/28164832/personal-growth-symptoms-and-uncertainty-in-community-residing-adults-with-heart-failure
#15
Kristen J Overbaugh, Mark B Parshall
BACKGROUND: Personal growth has not been studied extensively in heart failure (HF). OBJECTIVES: To characterize personal growth in HF and its relationships with symptom burden, uncertainty, and demographic and clinical factors. METHODS: Associations among personal growth, uncertainty, symptom burden, and clinical and demographic variables were examined in adult outpatients with HF using bivariate correlations and multiple regressions. RESULTS: Participants (N = 103; 76% male, mean age = 74 years, 97% New York Heart Association classes II and III) reported moderate levels of personal growth, uncertainty, and symptom burden...
January 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/28164831/therapeutic-hypothermia-at-an-urban-public-hospital-development-implementation-experience-and-outcomes
#16
Renaud M Gueret, John M Bailitz, Ashima S Sahni, Aiman Tulaimat
BACKGROUND: Therapeutic hypothermia (TH) improves the outcome of comatose patients suffering an out-of-hospital sudden cardiac arrest (SCA) with shockable rhythm and return of spontaneous circulation (ROSC). Evidence supporting its use in other circumstances is weak and the adoption of TH remains limited. OBJECTIVE: Describe the development and implementation of a TH program at an urban public hospital and report outcomes of out-of-hospital and in-hospital SCA and important quality measures...
January 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27989400/heart-and-lung-leadership-article
#17
EDITORIAL
Carolyn Miller Reilly
No abstract text is available yet for this article.
January 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27989399/the-long-term-impact-of-an-end-of-life-communication-intervention-among-veterans-with-copd
#18
Lynn F Reinke, Laura C Feemster, Jennifer McDowell, Eric Gunnink, Erica V Tartaglione, Edmunds Udris, J Randall Curtis, David H Au
OBJECTIVE: To assess if an end-of-life communication intervention with patients with COPD led to higher long-term documentation of advance care planning discussions at the end-of-life. BACKGROUND: We previously demonstrated that providing clinicians a patient-specific feedback form about patients' communication preferences improved the occurrence and quality of clinician communication about end-of-life care. METHODS: Among those individuals enrolled in the intervention study (2004-2007) who had died during the follow-up period (up to 2013), we assessed if patients in the intervention arm had more goals of care discussions and formal advance directives completed as compared to controls...
January 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27989398/generating-high-quality-evidence-in-palliative-and-end-of-life-care
#19
EDITORIAL
Mi-Kyung Song, Mary Beth Happ
No abstract text is available yet for this article.
January 2017: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27884398/slow-paced-respiration-therapy-to-treat-symptoms-in-pulmonary-arterial-hypertension
#20
Lea Ann Matura, Jamison Fargo, Jason S Fritz, Kerri A Smith, Anjali Vaidya, Diane Pinder, Christine Archer-Chicko, Harold I Palevsky, Allan I Pack, Marilyn S Sommers, Steven M Kawut
OBJECTIVE: To determine the feasibility of using slow-paced respiration therapy to treat symptoms in women with pulmonary arterial hypertension (PAH). BACKGROUND: People with PAH report increased dyspnea, fatigue and sleep disturbance that can impair health-related quality of life (HRQOL). METHODS: Ten women with PAH received 8-weeks of daily, 15 min sessions using slow-paced respiration therapy via the RESPeRATE™ device. Participants had baseline and follow up assessments including plasma norepinephrine and interleukin-6 (IL-6), self-report questionnaires to measure dyspnea, fatigue, depressive symptoms, sleep and HRQOL along with 7-day actigraphy and sleep diaries...
January 2017: Heart & Lung: the Journal of Critical Care
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