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Current Problems in Cardiology

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https://www.readbyqxmd.com/read/28454639/shorter-door-to-balloon-st-elevation-myocardial-infarction-time-should-there-be-a-minimum-limit
#1
Sameh Askandar, Tamunoinemi Bob-Manuel, Pahul Singh, Rami N Khouzam
In ST-elevation myocardial infarction (STEMI) ischemic time is directly related to permanent myocardial damage and mortality. Therefore, it is crucial to restore myocardial perfusion rapidly. Door-to-balloon (DTB) time is defined as the duration between the arrival time of the patient to the medical facility until the time he or she is treated with percutaneous coronary intervention. Currently, DTB is the criterion that measures the quality of care provided to patients with STEMI at any given institution. It is well documented in the literature that longer DTB is associated with higher mortality; however, lowering DTB beyond current recommendations has not shown to decrease mortality rates...
June 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28454638/foreword
#2
Hector Ventura
No abstract text is available yet for this article.
June 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28363584/upper-gastrointestinal-toxicity-associated-with-long-term-aspirin-therapy-consequences-and-prevention
#3
Carl J Lavie, Colin W Howden, James Scheiman, James Tursi
Antiplatelet therapy represents a fundamental part of preventive management for patients who are at risk of a secondary cardiovascular disease (CVD) event. In most cases, the antiplatelet regimen is based on low-dose aspirin, a drug that is highly effective in reducing the incidence of CVD events, but is associated with a substantial risk of gastrointestinal (GI) toxicity. The dyspeptic symptoms, which can result from aspirin administration, and which may occur with or without associated ulceration and bleeding, may lead patients to discontinue therapy, thus increasing their CVD risk...
May 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28363583/foreword
#4
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28325353/renal-artery-stenosis-when-to-revascularize-in-2017
#5
REVIEW
Jose D Tafur, Christopher J White
Atherosclerotic renal artery stenosis is the leading cause of secondary hypertension; it can also cause progressive renal insufficiency and cardiovascular complications such as refractory heart failure and flash pulmonary edema. Medical therapy including risk factor modification, renin-angiotensin-aldosterone system antagonists, lipid lowering agents, and antiplatelet therapy is the first line of treatment in all patients. Patients with uncontrolled renovascular hypertension despite optimal medical therapy, ischemic nephropathy, and cardiac destabilization syndromes who have severe renal artery stenosis are likely to benefit from renal artery revascularization...
April 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28325352/foreword
#6
Hector Ventura
No abstract text is available yet for this article.
April 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28232004/echocardiographic-assessment-of-degenerative-mitral-stenosis-a-diagnostic-challenge-of-an-emerging-cardiac-disease
#7
REVIEW
Ahmet Afşşin Oktay, Yvonne E Gilliland, Carl J Lavie, Stephen J Ramee, Patrick E Parrino, Michael Bates, Sangeeta Shah, Michael E Cash, Homeyar Dinshaw, Salima Qamruddin
Degenerative mitral stenosis (DMS) is characterized by decreased mitral valve (MV) orifice area and increased transmitral pressure gradient due to chronic noninflammatory degeneration and subsequent calcification of the fibrous mitral annulus and the MV leaflets. The "true" prevalence of DMS in the general population is unknown. DMS predominantly affects elderly individuals, many of whom have multiple other comorbidities. Transcatheter MV replacement techniques, although their long-term outcomes are yet to be tested, have been gaining popularity and may emerge as more effective and relatively safer treatment option for patients with DMS...
March 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28232003/foreword
#8
EDITORIAL
Hector Ventura
No abstract text is available yet for this article.
March 2017: Current Problems in Cardiology
https://www.readbyqxmd.com/read/28104044/procedural-variations-in-performing-primary-percutaneous-coronary-intervention-in-patients-with-st-elevation-myocardial-infarction
#9
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
#10
(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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
EDITORIAL
Hector O Ventura
No abstract text is available yet for this article.
June 2016: Current Problems in Cardiology
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