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Current Problems in Cardiology

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https://www.readbyqxmd.com/read/28104044/procedural-variations-in-performing-primary-percutaneous-coronary-intervention-in-patients-with-st-elevation-myocardial-infarction
#1
REVIEW
Radhika M Mehta, Manyoo Agarwal, Ikechukwu Ifedili, Wael W Rizk, Rami N Khouzam
Multiple variations exist in performing a primary percutaneous coronary intervention (pPCI) in ST-segment elevation myocardial infarction (STEMI) among various cardiologists. These variations range from the choice of peripheral access artery (radial vs femoral), performance or time of complete angiography including left ventriculography, and nonculprit vessel angiography before or after intervening on the culprit vessel. The reasons for such variations include emphasis on door-to-balloon time, knowledge of cardiac anatomy before proceeding with pPCI, physician expertise, and the level of comfort with radial approach...
February 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28104043/foreword
#2
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27989311/an-update-on-the-management-of-chronic-thromboembolic-pulmonary-hypertension
#3
REVIEW
Justin A Edward, Stacy Mandras
Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare but life-threatening form of pulmonary artery hypertension that is defined as a mean arterial pulmonary pressure greater than 25mmHg that persists for more than 6 months following anticoagulation therapy in the setting of pulmonary emboli. CTEPH is categorized by the World Health Organization as group IV pulmonary hypertension and is thought to be due to unresolved thromboemboli in the pulmonary artery circulation. Among the 5 classes of pulmonary hypertension, CTEPH is unique in that it is potentially curable with the use of pulmonary thromboendarterectomy surgery...
January 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27989310/foreword
#4
Hector O Ventura
No abstract text is available yet for this article.
January 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27914522/the-validity-of-us-nutritional-surveillance-usda-s-loss-adjusted-food-availability-data-series-1971-2010
#5
Edward Archer, Diana M Thomas, Samantha M McDonald, Gregory Pavela, Carl J Lavie, James O Hill, Steven N Blair
The purpose of this study was to examine the validity of the 1971-2010 United States Department of Agriculture's (USDA's) loss-adjusted food availability (LAFA) per capita caloric consumption estimates. Estimated total daily energy expenditure (TEE) was calculated for nationally representative samples of US adults, 20-74 years, using the Institute of Medicine's predictive equations with "low-active" (TEE L-ACT) and "sedentary" (TEE SED) physical activity values. TEE estimates were subtracted from LAFA estimates to create disparity values (kcal/d)...
November 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27914521/foreword
#6
Hector O Ventura
No abstract text is available yet for this article.
November 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27899169/is-it-time-to-incorporate-the-left-atrial-size-to-the-current-stroke-risk-scoring-systems-for-atrial-fibrillation-%C3%A2
#7
REVIEW
Jonathan D Gardner, William Paul Skelton, Rami N Khouzam
Primary care physicians and cardiologists rely on risk scoring systems, which consist of a number of clinical variables used together, to predict stroke risk in patients with atrial fibrillation (AF). Ultimately, this helps in determining the need for anticoagulation. Left atrial size is not used in any stroke risk scoring system to stratify patients at risk for cardioembolic stroke. Throughout the literature, there is much debate surrounding the use of left atrial size as an additional risk factor for stroke in patients with and without AF...
September 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27899168/foreword
#8
Hector O Ventura
No abstract text is available yet for this article.
September 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27908388/the-unknown-association-of-ppis-with-chest-pain-in-patients-with-known-treated-coronary-artery-disease-a-diagnostic-dilemma
#9
Fahad Javed, Stephen Ramee
Patients with coronary artery disease (CAD) are destined to lifelong antiplatelet therapy in form of aspirin (acetylsalicylic acid) alone, or in combination with other P2Y2 inhibitors. Proton pump inhibitors (PPIs) are the preferred agents for the treatment and prophylaxis of gastrointestinal injury associated with nonsteroidal anti-inflammatory drug or acetylsalicylic acid or both,(1) but recent data has raised questions about their association with negative cardiovascular events. We report 2 cases of patients with known CAD presented with chest pain mimicking angina pectoris that successfully resolved on discontinuation of the PPIs...
July 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27908387/foreword
#10
Hector O Ventura
No abstract text is available yet for this article.
July 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27842658/radial-artery-occlusion-after-cardiac-catheterization-significance-risk-factors-and-management
#11
REVIEW
Rohan Goswami, Carrie S Oliphant, Haidy Youssef, Mohamed Morsy, Rami N Khouzam
Multiple modifiable risk factors have been proposed to decrease the likelihood of developing radial artery occlusion (RAO) in patients who undergo transradial (TR) catheterization. RAO, the most significant complication for these patients, however, remains poorly identified and under diagnosed owing to its clinical quiescence and lack of clinical guidelines for systematic evaluation of radial artery patency. Currently, only best practices are available. As TR catheterization is becoming more widely adopted across the United States it has become more important to develop concrete strategies for identifying modifiable risk factors, high-risk patients, and better understanding the mechanisms to adequately approach treatment of RAO...
June 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27842657/foreword
#12
EDITORIAL
Hector O Ventura
No abstract text is available yet for this article.
June 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27809962/gaining-a-new-skill-with-the-risk-of-losing-one-the-effect-of-radial-catheterization
#13
Oluwaseyi Bolorunduro, Tamunoinemi Bob-Manuel, Yaser Cheema, Askari Raza, Rami Khouzam
The adoption of radial catheterization has been relatively slow in the United States. This study was conducted to assess the perceived comfort level of cardiology fellows with radial catheterizations and to predict the practice patterns in the United States in the near future. A 21-question survey on cardiology fellows' preferred cardiac catheterization access site was conducted between April and June 2015. Data on access preference and perceived competency were analyzed based on the fellow's level of training and type of training program (university vs community)...
May 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27809961/foreword
#14
EDITORIAL
Hector O Ventura
No abstract text is available yet for this article.
May 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/26952248/heart-failure-with-preserved-ejection-fraction
#15
REVIEW
Yogesh N V Reddy, Barry A Borlaug
Heart failure (HF) is one of the largest drivers of morbidity and health care expenditure in the world and continues to increase in prevalence at an alarming rate. Most of this increasing burden is related to the rapidly expanding population of HF with preserved ejection fraction (HFpEF), largely driven by the increasing rates of obesity, hypertension, and metabolic syndrome in western countries. In the last 3 decades, there have been tremendous advances in treating patients with HF with reduced ejection fraction (HFrEF), with essentially no change in outcomes for HFpEF...
April 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/26952247/foreword
#16
EDITORIAL
Shahbudin H Rahimtoola
No abstract text is available yet for this article.
April 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/26897561/preexcitation-syndromes
#17
REVIEW
Atul Bhatia, Jasbir Sra, Masood Akhtar
The classic electrocardiogram in Wolff-Parkinson-White (WPW) syndrome is characterized by a short PR interval and prolonged QRS duration in the presence of sinus rhythm with initial slurring. The clinical syndrome associated with above electrocardiogram finding and the history of paroxysmal supraventricular tachycardia is referred to as Wolff-Parkinson-White syndrome. Various eponyms describing accessory or anomalous conduction pathways in addition to the normal pathway are collectively referred to as preexcitation syndromes...
March 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/26792255/thyroid-disease-and-the-heart
#18
REVIEW
Irwin Klein, Sara Danzi
Thyroid hormones have an intimate relationship with cardiac function. Some of the most significant clinical signs and symptoms of thyroid disease are the cardiac manifestations. In both hypothyroidism and hyperthyroidism, the characteristic physiological effects of thyroid hormone can be understood from the actions at the molecular and cellular level. Here we explore topics from the metabolism and cellular effects of thyroid hormone to special considerations related to statin and amiodarone therapy for the alterations in thyroid hormone metabolism that accompany heart disease...
February 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/26671757/brugada-syndrome-clinical-genetic-molecular-cellular-and-ionic-aspects
#19
REVIEW
Charles Antzelevitch, Bence Patocskai
Brugada syndrome (BrS) is an inherited cardiac arrhythmia syndrome first described as a new clinical entity in 1992. Electrocardiographically characterized by distinct coved type ST segment elevation in the right-precordial leads, the syndrome is associated with a high risk for sudden cardiac death in young adults, and less frequently in infants and children. The electrocardiographic manifestations of BrS are often concealed and may be unmasked or aggravated by sodium channel blockers, a febrile state, vagotonic agents, as well as by tricyclic and tetracyclic antidepressants...
January 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/26671756/brugada-syndrome-clinical-genetic-molecular-cellular-and-ionic-aspects-foreword
#20
Shahbudin H Rahimtoola
No abstract text is available yet for this article.
January 2016: Current Problems in Cardiology
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