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Canadian Journal of Cardiology

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https://www.readbyqxmd.com/read/29980470/physicians-attitudes-towards-anticoagulation-for-prevention-and-treatment-of-left-ventricular-thrombus-following-anterior-myocardial-infarction
#1
LETTER
Tina Zhu, Shahar Lavi, Amer M Johri
No abstract text is available yet for this article.
June 6, 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29980469/sudden-onset-of-platypnea-orthodeoxia-syndrome-caused-by-traumatic-tricuspid-regurgitation-with-ruptured-chordae-tendineae-after-blunt-chest-trauma
#2
Yutaka Hatani, Hidekazu Tanaka, Akane Kajiura, Daisuke Tsuda, Yoichiro Matsuoka, Hiroyuki Kawamori, Fumitaka Soga, Kensuke Matsumoto, Takeshi Inoue, Yutaka Okita, Ken-Ichi Hirata
An 86-year-old man was admitted our hospital because of sudden onset of dyspnea after blunt chest trauma. Because his oxygen saturation deteriorated from 92% in the supine position to 86% in the sitting position, platypnea-orthodeoxia syndrome was suspected. Transesophageal echocardiography showed severe tricuspid regurgitation (TR) caused by anterior papillary muscle rupture. Furthermore, right-to-left shunt with TR through a patent foramen ovale (PFO) was observed. The diagnosis was therefore platypnea-orthodeoxia syndrome with right-to-left shunt through PFO with shunting exacerbated by acute severe TR after blunt chest trauma...
April 27, 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29980468/variability-in-non-vitamin-k-antagonist-oral-anticoagulants-dose-adjustment-in-atrial-fibrillation-patients-with-renal-dysfunction-the-influence-of-renal-function-estimation-formulae
#3
Jason G Andrade, Nathaniel M Hawkins, Christopher B Fordyce, Marc W Deyell, Lee Er, Ognjenka Djurdjev, Laurent Macle, Sean A Virani, Adeera Levin
BACKGROUND: Non-vitamin K antagonist oral anticoagulants (NOACs) require renal dose adjustment. The most common estimates of renal function in clinical practice are derived from estimated glomerular filtration rate (eGFR; Modified Diet in Renal Disease [MDRD] or the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI]). However, the landmark stroke prevention trials and product monographs recommend the use of the Cockcroft-Gault creatinine clearance equation (eCrCl) for drug eligibility and dose adjustment...
April 25, 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960622/reply-to-kea-et-al-stroke-prevention-for-high-risk-atrial-fibrillation-in-the-emergency-setting-differences-between-canada-and-the-us
#4
LETTER
Clare L Atzema
No abstract text is available yet for this article.
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960621/stroke-prevention-for-high-risk-atrial-fibrillation-in-the-emergency-setting-differences-between-canada-and-the-united-states
#5
LETTER
Bory Kea, Benjamin C Sun, David R Vinson
No abstract text is available yet for this article.
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960620/geographical-differences-in-comorbidity-burden-and-outcomes-in-adults-with-syncope-hospitalizations-in-canada
#6
Ahmed Abulhamayel, Anamaria Savu, Robert S Sheldon, Padma Kaul, Roopinder K Sandhu
A recent study found that rates of hospitalization for syncope vary across provinces; however, it is unknown whether differences in comorbidity burden and outcomes also exist. The Canadian Institute for Health Information Discharge Abstract Database was used to identify primary syncope hospitalizations (ICD-10 code R55) from 2004 to 2013 for all provinces (except Quebec). Charlson comorbidity score was calculated from comorbidities at the time of hospitalization. Outcomes were defined as in-hospital mortality, 30-day readmission for any cause, and syncope...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960619/variation-in-preparticipation-screening-medical-questionnaires-and-physical-examinations-across-canadian-universities
#7
Nathaniel Moulson, Nebojsa Kuljic, Jimmy McKinney, Taryn Taylor, Wilma M Hopman, Amer M Johri
Pre-participation screening of athletes to prevent sudden cardiac arrest or death is endorsed by international guidelines. Standardized histories and physical examinations are recommended to optimize effectiveness. To assess current screening practices across Canada in the university athlete population, we sought to analyze the preparticipation screening form of all universities. A comparative analysis to recommendations from the American Heart Association (AHA), European Society of Cardiology (ESC), and the Preparticipation Physical Evaluation (PPE-4) was conducted...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960618/new-dimensions-in-palliative-care-cardiology
#8
REVIEW
Michael Slawnych
The landscape of patient care at the beginning of the 19th century was dramatically different than it is today. With few good treatment options, illness courses were generally brief. Near the end of life, patients were attended to by spiritual advisors, not health care professionals. Death typically occurred at home, surrounded by friends and family. Moving to the present time, decades of medical advances have significantly improved life expectancy. Cardiology has particularly benefited from many of these advances...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960617/interventions-to-mobilize-elderly-patients-and-reduce-length-of-hospital-stay
#9
REVIEW
Megan J Surkan, William Gibson
For older people, and in particular frail older people, acute illness and hospitalization are associated with significant potential harm. One of the major drivers of iatrogenic harm in older adults is hospital-induced immobility, the so-called "pajama paralysis." Older people in hospital are often confined to bed even after their acute illness has improved; not only by physical factors such as potentially unnecessary urinary catheters and monitoring equipment but also by the culture often found in hospital of keeping patients in bed for most of the day...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960616/heart-failure-management-in-nursing-homes-a-scoping-literature-review
#10
REVIEW
George A Heckman, Alyana Karim Shamji, Raisa Ladha, Jackie Stapleton, Veronique Boscart, Rebecca S Boxer, Lora Bruyn Martin, Lauren Crutchlow, Robert S McKelvie
Heart failure (HF) affects 20% of nursing home (NH) residents, causing high morbidity and mortality. The optimal approach to HF management in NHs remains elusive. We conducted a scoping review of published guidelines and HF management interventions in NHs. A search for English publications since 1990 was conducted using PubMed, EMBASE, CINAHL, and Scopus, for scientific statements, guidelines, recommendations, or intervention studies that addressed at least 1 principle of HF management. Of 2545 records retrieved, 19 articles were retained after screening, and 2 additional articles identified through reference list manual searches...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960615/the-spoke-hub-and-node-model-of-integrated-heart-failure-care
#11
REVIEW
Ashlay A Huitema, Karen Harkness, George A Heckman, Robert S McKelvie
Heart failure (HF) is a significant public health concern. Specialized HF clinics provide the optimal environment to address the complex needs of these patients and improve outcomes. The current and growing population of patients with HF outstrips the ability of these clinics to deliver care. Integrated care is defined as health services that are managed and delivered so that people receive a seamless continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation, and palliative care services...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960614/postoperative-remote-automated-monitoring-need-for-and-state-of-the-science
#12
REVIEW
Michael H McGillion, Emmanuelle Duceppe, Katherine Allan, Maura Marcucci, Stephen Yang, Ana P Johnson, Sara Ross-Howe, Elizabeth Peter, Ted Scott, Carley Ouellette, Shaunattonie Henry, Yannick Le Manach, Guillaume Paré, Bernice Downey, Sandra L Carroll, Joseph Mills, Andrew Turner, Wendy Clyne, Nazari Dvirnik, Sandra Mierdel, Laurie Poole, Matthew Nelson, Valerie Harvey, Amber Good, Shirley Pettit, Karla Sanchez, Prathiba Harsha, David Mohajer, Sem Ponnambalam, Sanjeev Bhavnani, Andre Lamy, Richard Whitlock, P J Devereaux
Worldwide, more than 230 million adults have major noncardiac surgery each year. Although surgery can improve quality and duration of life, it can also precipitate major complications. Moreover, a substantial proportion of deaths occur after discharge. Current systems for monitoring patients postoperatively, on surgical wards and after transition to home, are inadequate. On the surgical ward, vital signs evaluation usually occurs only every 4-8 hours. Reduced in-hospital ward monitoring, followed by no vital signs monitoring at home, leads to thousands of cases of undetected/delayed detection of hemodynamic compromise...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960613/-new-prehabilitation-a-3-way-approach-to-improve-postoperative-survival-and-health-related-quality-of-life-in-cardiac-surgery-patients
#13
REVIEW
Rakesh C Arora, Charles H Brown, Rohan M Sanjanwala, Robert McKelvie
With advances in health care practices and delivery, the overall life expectancy of the Western population has increased. For those practitioners involved in the care of the patient with advanced cardiac disease, there has been a resultant higher prevalence of increasingly frail and older patients undergoing complex cardiac procedures. The higher rates of comorbid-associated higher vulnerability, with associated deconditioning, predisposes older, frail patients to poorer postoperative outcomes and a complicated recovery process after cardiac surgery...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960612/decision-support-tools-systems-and-artificial-intelligence-in-cardiac-imaging
#14
REVIEW
Samia Massalha, Owen Clarkin, Rebecca Thornhill, Glenn Wells, Benjamin J W Chow
Noninvasive cardiac imaging is widely used for the diagnosis and management of cardiac patients. The increasing demand for cardiac imaging begins to exceed the number of available interpreting physicians, leaving less time to interpret studies. In addition, the busy clinician is facing the increasingly daunting task of keeping abreast of current medical advancements and the ongoing changes in disease diagnosis and therapy. Committing to memory and recalling such large volumes of information is challenging and is responsible for difficulties in adopting the rapid changes in imaging practice, and is likely partially responsible for errors in patient diagnosis and management...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960611/predictors-of-cardiorespiratory-fitness-improvements-with-cardiac-rehabilitation-lower-baseline-fitness-with-the-most-to-gain-gains-the-most
#15
EDITORIAL
Wesley J Tucker, Mark J Haykowsky
No abstract text is available yet for this article.
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29960610/heart-teams-a-new-paradigm-in-health-care
#16
EDITORIAL
Thierry Mesana, Norvinda Rodger, Heather Sherrard
No abstract text is available yet for this article.
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29887218/breaking-barriers-mobile-health-interventions-for-cardiovascular-disease
#17
REVIEW
Harry Klimis, Jay Thakkar, Clara K Chow
Cardiovascular disease (CVD) is a leading global cause of death and morbidity and prevention needs to be strengthened to tackle this. Mobile health (mHealth) might present a novel and effective solution in CVD prevention, and interest in mHealth has grown dramatically since the advent of the smartphone. In this review, we discuss mHealth interventions that target multiple cardiovascular risk factors simultaneously in the context of primary as well as secondary prevention. There is some evidence that mHealth interventions improve a range of individual CVD risk factors, but a relative paucity of evidence on mHealth interventions improving multiple CVD risk factors simultaneously...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29861207/factors-associated-with-cardiorespiratory-fitness-at-completion-of-cardiac-rehabilitation-identification-of-specific-patient-features-requiring-attention
#18
Deepika Laddu, Cemal Ozemek, Brea Lamb, Trina Hauer, Sandeep Aggarwal, James A Stone, Ross Arena, Billie-Jean Martin
BACKGROUND: We aimed to determine and compare predictors of postcardiac rehabilitation (CR) cardiorespiratory fitness (CRF), improvements in a large cohort of subjects with varying baseline CRF levels completing CR for ischemic heart disease and to refine prediction models further by baseline CRF. METHODS: The Alberta Provincial Project for Outcomes Assessment in Coronary Heart disease (APPROACH) and TotalCardiology (TotalCardiology, Inc, Calgary, Alberta, Canada) databases were used retrospectively to obtain information on 10,732 (1955 [18...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29861205/decision-support-tools-realizing-the-potential-to-improve-quality-of-care
#19
REVIEW
Michelle M Graham, Matthew T James, John A Spertus
Delivering evidence-based, personalized care that engages patients requires profound changes in the structure, process, and organization of care, along with revised incentives to support such changes. Health care providers must absorb and apply a vast, usually overwhelming, amount of scientific information to provide high-quality patient care. Accordingly, care remains inconsistent, with unintentional adverse consequences. Decision support tools can provide patient-specific assessments that support clinical decisions, improve prescribing practices, reduce medication errors, improve the delivery of primary as well as secondary prevention, and improve adherence to standards of care...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29861204/accounting-for-complexity-in-home-telemonitoring-a-need-for-context-centred-evidence
#20
REVIEW
Patrick Ware, Emily Seto, Heather J Ross
Heart failure represents a significant burden for patients and the Canadian health care system. Home telemonitoring is proposed as an intervention that can improve heart failure outcomes by identifying opportunities for earlier clinical intervention and by providing patients with self-management support between scheduled clinic visits. The objective of this review is to provide clarity with respect to the most recent evidence of the effect of home telemonitoring on heart failure outcomes. Despite some strong evidence that telemonitoring can reduce the risk of mortality and heart failure-related hospitalizations, important inconsistencies exist in the evidence...
July 2018: Canadian Journal of Cardiology
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