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Progress in Cardiovascular Diseases

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https://www.readbyqxmd.com/read/30481510/cardiorespiratory-fitness-and-physical-activity-two-important-but-distinct-clinical-measures-with-different-degrees-of-precision-a-commentary
#1
EDITORIAL
Ross Arena, Carl J Lavie
No abstract text is available yet for this article.
November 24, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30468755/advances-in-echocardiography
#2
EDITORIAL
Carl J Lavie
No abstract text is available yet for this article.
November 20, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30465773/echocardiography-in-transcatheter-structural-heart-disease-interventions
#3
REVIEW
Hiren Patel, Ajit Raisinghani, Anthony DeMaria
Interventional echocardiography is an emerging field with growing interest and applications as therapeutic procedures to address structural heart disease (SHD) continue to evolve and expand. As opposed to coronary interventions, in which the course of catheter movement is constrained within the artery, percutaneous procedures for SHD entail free catheter movement within the heart and great vessels. Imaging guidance in 3-dimensional space is therefore of critical importance to the successful performance of these procedures...
November 20, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30465774/role-of-transesophageal-echocardiography-in-patients-with-ischemic-stroke
#4
REVIEW
Merrill H Stewart, Yvonne Gilliland
Acute ischemic stroke is a condition with considerable mortality and morbidity. When used appropriately, Transesophageal Echocardiography (TEE) can be an incredibly useful tool to identify potential causes of stroke and guide management. The crucial distinction in this modality lies in separating common incidental findings from those likely to have contributed to ischemic stroke. Furthermore, the management of identified intracardiac causes varies widely from open surgery to antiplatelet therapy. This review seeks to discuss the role of TEE in identifying common etiologies of cardioembolic stroke, review the clinical entities, and the highlight the most recent management recommendations...
November 19, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30447222/doppler-echocardiographic-assessment-of-tricuspid-regurgitation
#5
REVIEW
Yan Topilsky, Hector I Michelena, David Messika-Zeitoun, Maurice Enriquez Sarano
Compared with the vast literature concerning the echocardiographic assessment of mitral, or aortic disease, the data concerning the evaluation of tricuspid regurgitation (TR) is very limited. In this review we summarized the present data concerning the assessment of TR. We review the present knowledge concerning the pathogenesis of TR showing that it is extremely multi-factorial, thus, when assessing patients with TR by echocardiography it is imperative to focus on four major aspects: evaluation of severity of TR, assessment of the etiology of TR, evaluation of the mechanism of TR and suitability for surgical or per-cutaneous repair...
November 14, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30445162/echocardiography-in-congenital-heart-disease
#6
REVIEW
George Mcleod, Kelly Shum, Tripti Gupta, Shourjo Chakravorty, Sergey Kachur, Lisa Bienvenu, Michael White, Sangeeta B Shah
As the prevalence of adult congenital heart disease continues to grow secondary to advances in surgical and diagnostic techniques, it is important for a physician to supplement their examinations with non-invasive imaging techniques to assess their patients. Although a number of these patients have regular cardiology followup, some may be new patients that do not even know their cardiac history. Echocardiography has proven to be a useful tool for this purpose and its utility has expanded drastically with the development of better technology and newer techniques...
November 13, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30445161/low-gradient-aortic-stenosis-solving-the-conundrum-using-multi-modality-imaging
#7
REVIEW
David Messika-Zeitoun, Jae K Oh, Yan Topilsky, Ian G Burwash, Hector I Michelena, Maurice Enriquez Sarano
Up to 1/3 of patients with both reduced or preserved left ventricular ejection fraction (LVEF), harbor a mean pressure gradient (MPG) < 40 mm Hg (peak velocity (PV) < 4 m/sec), suggesting moderate aortic stenosis (AS) and an aortic valve area (AVA) < 1 cm2 suggesting severe AS but raising uncertainties regarding AS severity and appropriate management. In patients with reduced LVEF, increased transvalvular flow and stroke volume ≥ 20% (i.e. contractile reserve) during low-dose dobutamine echocardiography enables distinguishing patients with "true-severe AS" (severe AS with secondary LV dysfunction, PV ≥ 4 m/sec or MPG > 30-40 mm Hg at peak while AVA remains < 1 cm2 ) from patients with "pseudo-severe AS" (moderate AS with associated LV dysfunction due to ischemic or dilated cardiomyopathy, AVA at peak ≥ 1 cm2 with a MPG < 30-40 mm Hg)...
November 13, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30445160/an-update-on-the-role-of-cardiorespiratory-fitness-structured-exercise-and-lifestyle-physical-activity-in-preventing-cardiovascular-disease-and-health-risk
#8
REVIEW
Cemal Ozemek, Deepika R Laddu, Carl J Lavie, Hannah Claeys, Leonard A Kaminsky, Robert Ross, Ulrik Wisloff, Ross Arena, Steven N Blair
The cardiovascular disease (CVD) pandemic has placed considerable strain on healthcare systems, quality of life, and physical function, while remaining the leading cause of death globally. Decades of scientific investigations have fortified the protective effects of cardiorespiratory fitness (CRF), exercise training, and physical activity (PA) against the development of CVD. This review will summarize recent efforts that have made significant strides in; 1) the application of novel analytic techniques to increase the predictive utility of CRF; 2) understanding the protective effects of long-term compliance to PA recommendations through large cohort studies with multiple points of assessment; 3) and understanding the potential harms associated with extreme volumes of PA...
November 13, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30408469/prognostic-implications-of-left-ventricular-hypertrophy
#9
REVIEW
Merrill H Stewart, Carl J Lavie, Sangeeta Shah, Joseph Englert, Yvonne Gilliland, Salima Qamruddin, Homeyar Dinshaw, Michael Cash, Hector Ventura, Richard Milani
Left ventricular hypertrophy (LVH) was one of the earliest studied echocardiographic characteristics of the left ventricle. As the myriad of measurable metrics has multiplied over recent years, this reliable and relevant variable can often be overlooked. In this paper, we discuss appropriate techniques for accurate analysis, underlying pathophysiology, and the contributions from various risk factors. The prognostic implications of LVH on stroke, serious arrhythmias, and sudden cardiac death are reviewed. Finally, we examine the effect of therapy to reduce LVH and the resultant clinical outcomes...
November 6, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30408467/the-bicuspid-aortic-valve-condition-the-critical-role-of-echocardiography-and-the-case-for-a-standard-nomenclature-consensus
#10
REVIEW
Hector I Michelena, Krishnaswamy Chandrasekaran, Yan Topilsky, David Messika-Zeitoun, Alessandro Della Corte, Arturo Evangelista, Hans-Joachim Schäfers, Maurice Enriquez-Sarano
The bicuspid aortic valve (BAV) condition is characterized by prominent heterogeneity of its valvular phenotypic expression, of its associated disorders, its complications and its prognosis. Echocardiography serves as the first-line imaging modality in 5 major capacities: (1) BAV diagnosis, (2) valvular phenotyping, (3) assessment of valvular function, (4) measurement of the thoracic aorta and exclusion of aortic coarctation, and (5) assessment of uncommon but serious complications such as infective endocarditis and aortic dissection...
November 6, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30408468/is-speckle-tracking-imaging-ready-for-prime-time-in-current-echo-clinical-practice
#11
REVIEW
Sushil Allen Luis, Patricia A Pellikka
Accurate assessment of left and right ventricular systolic function plays a fundamental role in the prognostication and management of patients with known or suspected cardiovascular disease. Traditional echocardiographic parameters, including left ventricular ejection fraction, may lack the sensitivity to detect subclinical left ventricular systolic dysfunction. The advent of speckle tracking echocardiography for left and right ventricular systolic function assessment provides a further tool in this evaluation...
November 5, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30385268/determining-cardiorespiratory-fitness-with-precision-compendium-of-findings-from-the-friend-registry
#12
REVIEW
Leonard A Kaminsky, Jonathan Myers, Ross Arena
Healthy living (HL) behaviors and characteristics are central to both preventing and treating a myriad of chronic diseases; a key HL characteristic is cardiorespiratory fitness (CRF). Knowing an individual's CRF provides vital information when assessing health status and formulating a plan of care. Normative reference values as well as thresholds that denote varying degrees of health and future risk exist for measures of CRF. However, improving upon the precision of CRF reference standards according to key factors as well as precision in how CRF assessments can be used to assess health status and prognosis is needed...
October 30, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30321560/advanced-imaging-techniques-for-mitral-regurgitation
#13
REVIEW
Mary M Quien, Alan F Vainrib, Robin S Freedberg, Daniel G Bamira, Ricardo J Benenstein, Mathew R Williams, Muhamed Saric
Mitral regurgitation (MR) is one of the most commonly encountered valvular lesions in clinical practice. MR can be either primary (degenerative) or secondary (functional) depending on the etiology of MR and the pathology of the mitral valve (MV). Echocardiography is the primary diagnostic tool for MR and is key in determining this etiology as well as MR severity. While clinicians usually turn to 2 Dimensional echocardiography as first-line imaging, 3 Dimensional echocardiography (3DE) has continually shown to be superior in terms of describing MV anatomy and pathology...
October 12, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30236752/the-importance-of-school-based-healthy-living-initiatives-introducing-the-health-and-wellness-academy-concept
#14
REVIEW
Lindsey Strieter, Deepika R Laddu, Jenna Sainsbury, Ross Arena
Over the last 15 years, the number of school and community based health-intervention programs in the United States has grown. Many of these programs aim to prevent non-communicable chronic disease diagnoses (e.g., obesity, cardiovascular disease and type-2 diabetes). The Department of Physical Therapy in the College of Applied Health Sciences (CAHS) at the University of Illinois at Chicago (UIC) created a school-based wellness program (SBWP) that focuses on nutrition and physical activity, providing tailored experiences that motivate adolescents to make healthier lifestyle choices...
September 17, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30236751/long-term-consequences-of-the-fontan-procedure-and-how-to-manage-them
#15
REVIEW
W Aaron Kay, Tabitha Moe, Blair Suter, Andrea Tennancour, Alice Chan, Richard A Krasuski, Ali N Zaidi
In 1971, Fontan and Baudet described a surgical technique for successful palliation of patients with tricuspid atresia. Subsequently, this technique has been applied to treat most forms of functional single ventricles and has become the current standard of care for long-term palliation of all patients with single ventricle congenital heart disease. Since 1971, the Fontan procedure has undergone several variations. These patients require lifelong management including a thorough knowledge of their anatomic substrate, hemodynamic status, management of rhythm and ventricular function along with multi organ evaluation...
September 17, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30236750/transcatheter-valve-replacement-for-right-sided-valve-disease-in-congenital-heart-patients
#16
REVIEW
Jordan Gales, Richard A Krasuski, Gregory A Fleming
Pulmonary and/or tricuspid valve dysfunction is common among individuals with congenital heart disease, and surgical intervention often carries prohibitive risks. Transcatheter valve replacement (TVR) of the right-sided cardiac valves has become a viable treatment option over the past two decades, while continued technological development aims to broaden its applicability to an even larger portion of those with repaired congenital heart disease. To date, two transcatheter valves have been approved for use in patients with dysfunctional right ventricular to pulmonary artery conduits as well as those with failing pulmonic bioprosthetic valves, and are also used off-label in the "native" RVOT and within surgically repaired/replaced but failing tricuspid valves...
September 17, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30227188/when-should-adult-congenital-heart-disease-patients-be-considered-for-transplant-and-deciding-which-organs-to-transplant
#17
REVIEW
Matthew Lewis, Marlon Rosenbaum
The number of adult congenital heart disease (ACHD) patients continues to increase. Because of multiple related factors such as aging, residual cardiac lesions and prior palliative procedures, advanced heart failure (HF) is increasingly prevalent in this population. Consequently, there is an emerging need to determine which patients are best suited for advanced cardiac therapies, including heart transplantation (HT) and mechanical circulatory support. Unfortunately, optimizing patient selection for these therapies is complicated by patient heterogeneity, variable HF presentation across lesion-type, and a paucity of outcome data...
September 15, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30227187/meta-analysis-of-exercise-training-on-left-ventricular-ejection-fraction-in-heart-failure-with-reduced-ejection-fraction-a-10-year-update
#18
REVIEW
Wesley J Tucker, Rhys I Beaudry, Yuanyuan Liang, Alexander M Clark, Corey R Tomczak, Michael D Nelson, Oyvind Ellingsen, Mark J Haykowsky
BACKGROUND: The role of exercise training modality to attenuate left ventricular (LV) remodeling in heart failure patients with reduced ejection fraction (HFrEF) remains uncertain. The authors performed a systematic review and meta-analysis of published reports on exercise training (moderate-intensity continuous aerobic, high-intensity interval aerobic, and resistance exercise) and LV remodeling in clinically stable HFrEF patients. METHODS: We searched MEDLINE, Cochrane Central Registry of Controlled Trials, CINAHL, and PubMed (2007 to 2017) for randomized controlled trials of exercise training on resting LV ejection fraction (EF) and end-diastolic and end-systolic volumes in HFrEF patients...
September 15, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30227186/long-term-outcomes-of-the-arterial-switch-operation-for-d-transposition-of-the-great-arteries
#19
REVIEW
Tabitha G Moe, Dianna M E Bardo
Dextrotransposition of the great arteries (d-TGA) is a relatively rare form of complex childhood congenital heart disease, which occurs in approximately 0.2 in 1000 live births1 . The most common palliative procedure for this anatomy has become the arterial switch operation (ASO). We will review in this paper the evidence that is currently available regarding the clinical management following the ASO. Individuals with d-TGA who undergo ASO at a young age thus far have excellent long-term outcomes. Long-term complications for the ASO should be monitored for and patients should have routine follow-up with specialists in adult congenital heart disease ...
September 15, 2018: Progress in Cardiovascular Diseases
https://www.readbyqxmd.com/read/30227185/temporal-changes-in-a-novel-metric-of-physical-activity-tracking-personal-activity-intelligence-and-mortality-the-hunt-study-norway
#20
REVIEW
Sophie K Kieffer, Ilaria Croci, Ulrik Wisløff, Javaid Nauman
BACKGROUND: Personal Activity Intelligence (PAI) is a novel activity metric that translates heart rate variations during exercise into a weekly score. Weekly PAI scores assessed at a single point in time were found to associate with lower risk of premature cardiovascular disease (CVD) mortality in the general healthy population. However, to date, the associations between long-term longitudinal changes in weekly PAI scores and mortality have not been explored. PURPOSE: The aim of the present study was to prospectively examine the association between change in weekly PAI scores estimated 10 years apart, and risk of mortality from CVD and all-causes...
September 15, 2018: Progress in Cardiovascular Diseases
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