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Current Cardiology Reports

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https://www.readbyqxmd.com/read/30209692/is-there-still-a-role-for-digoxin-in-the-management-of-atrial-fibrillation
#1
REVIEW
Jeffrey B Washam, Manesh R Patel
PURPOSE OF REVIEW: A number of recent observational analyses have assessed clinical outcomes associated with digoxin use in patients with atrial fibrillation. In this review, we review these data and provide suggestions on the contemporary use of digoxin in patients with atrial fibrillation as supported by the recent evidence. RECENT FINDINGS: Observational data from clinical trials and registries have provided variable results on the safety and efficacy of chronic digoxin use in patients with atrial fibrillation...
September 12, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30209683/type-d-personality-as-a-risk-factor-in-coronary-heart-disease-a-review-of-current-evidence
#2
REVIEW
Nina Kupper, Johan Denollet
PURPOSE OF THE REVIEW: This review article synthesizes recent research findings on the psychological context of Type D personality and the mechanisms through which Type D affects disease progression and prognosis among patients with coronary heart disease (CHD). RECENT FINDINGS: One in four patients with CHD has a Distressed (Type D) personality, which is characterized by two stable traits: social inhibition and negative affectivity. Type D personality predicts increased mortality and morbidity burden, and poorer health-related quality of life...
September 12, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30209638/transcatheter-mitral-valve-therapy-defining-the-patient-who-will-benefit
#3
REVIEW
Marvin H Eng, Dee Dee Wang
PURPOSE OF REVIEW: This report aims to define the clinical and anatomic variables key in determining patient suitability for transcatheter mitral valve therapies. RECENT FINDINGS: Candidacy for transcatheter mitral valve repair requires weighing the clinical variables that may impact the ability to improve patient symptoms and prolong survival that include left ventricular ejection fraction, symptom severity, pulmonary hypertension, and magnitude of residual regurgitation or stenosis...
September 12, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30209635/atrial-cardiopathy-and-stroke-prevention
#4
REVIEW
Mitchell S V Elkind
PURPOSE OF REVIEW: Many patients with ischemic stroke have a stroke syndrome and neuroimaging findings consistent with embolism, but no evidence of atrial fibrillation. Recent data suggest that the pathological atrial substrate, or atrial cardiopathy, that underlies atrial fibrillation, rather than atrial fibrillation itself, may be an important cause of unexplained strokes. This paper will review the literature on the rationale and data behind the concept of atrial cardiopathy, its pathophysiology, suggested biomarkers of atrial cardiopathy, and therapeutic implications...
September 12, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30209626/the-clinical-dilemma-of-anticoagulation-use-in-patients-with-cerebral-amyloid-angiopathy-and-atrial-fibrillation
#5
REVIEW
Rocco J Cannistraro, James F Meschia
PURPOSE OF REVIEW: This review highlights current management of patients with concomitant cerebral amyloid angiopathy (CAA) and atrial fibrillation (AF). We review quantifying risk of ischemic and hemorrhagic stroke as well as treatments to minimize future risk. RECENT FINDINGS: Ischemic stroke risk in AF can be quantified by CHA2 DS2 -VASc and assessing left atrial echocardiographic characteristics. Patients deemed not low risk by CHA2 DS2 -VASC should be anticoagulated...
September 12, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30203195/correction-to-update-on-devices-for-diastolic-dysfunction-options-for-a-no-option-condition
#6
Amit Gupta, Steven R Bailey
In the original publication, the author name "Amit Gupta" was incorrectly spelled as "Ahmit Gupta". The original article has been corrected.
September 10, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30173390/treatment-of-bifurcation-lesions-has-dk-crush-ed-the-competition
#7
REVIEW
Bryce S Lynn, James B Hermiller
PURPOSE: This paper reviews the double-kiss crush (DK crush) technique in coronary artery bifurcation lesions. The technical aspects of the procedure and the clinical data supporting its use are summarized. RECENT FINDINGS: Randomized studies support the adoption of DK technique in complex bifurcation lesions for both left main and non-left-main lesions. For true bifurcation lesions, DK crush may become the default technique for lesions in which the side-branch disease is complex and long...
September 1, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30171416/the-healthy-health-care-workplace-a-competitive-advantage
#8
REVIEW
Michael D Parkinson
PURPOSE OF REVIEW: This review provides an evidence-based approach to improve health, reduce excessive medical costs, and optimize productivity for health care employees and their families. What opportunities and challenges are unique or specific to health care organizations particularly as aligned with value and competitive advantage in achieving the Quadruple Aim? RECENT FINDINGS: An integrated approach to improving health and performance is essential. The strategy includes the employer "environment" (broadly defined), health and medical care behaviors, care delivery modalities, benefits alignment, and a supportive, total health and productivity integrated data analytic capability...
August 31, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30171381/does-left-atrial-appendage-amputation-during-routine-cardiac-surgery-reduce-future-atrial-fibrillation-and-stroke
#9
REVIEW
Helena Domínguez, Christoffer Valdorff Madsen, Oliver Nøhr Hjorth Westh, Peter Appel Pallesen, Christian Lildal Carrranza, Akhmadjon Irmukhamedov, Jesper Park-Hansen
PURPOSE OF REVIEW: Stroke is the most feared complication of atrial fibrillation. To prevent stroke, left atrial appendage exclusion has been targeted, as it is the prevalent site for formation of heart thrombi during atrial fibrillation. We review the historic development of methods for exclusion of the left atrial appendage and the evidence to support its amputation during routine cardiac surgery. RECENT FINDINGS: Evidence is not yet sufficient to routinely recommend left atrial exclusion during heart surgery, despite a high prevalence of postoperative atrial fibrillation...
August 31, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30171374/drug-coated-balloons-hope-or-hot-air-update-on-the-role-of-coronary-dcb
#10
REVIEW
Rafael A Meneguz-Moreno, J Ribamar Costa, Alexandre Abizaid
PURPOSE OF REVIEW: The present manuscript reviews the mechanism of action of drug-coated balloons (DCBs), offering a brief summary of the main clinical evidence on these devices. RECENT FINDINGS: DCBs are regular semi-compliant balloons coated with antiproliferative agents that are rapidly released on contact with the vessel intima, exerting an anti-restenotic effect. This technology may offer some benefits of drug-eluting stents, in particular for the treatment of restenotic lesions, small vessels, and in patients at high-bleeding risk, when the prolonged dual antiplatelet regimen should be avoided...
August 31, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30151728/treatment-of-diabetes-in-patients-with-heart-failure
#11
REVIEW
Christa D Bowes, Lillian F Lien, Javed Butler
PURPOSE OF REVIEW: This review aims to summarize and discuss heart failure outcomes for current glucose-lowering agents in patients with type 2 diabetes mellitus. RECENT FINDINGS: Current regulations require cardiovascular outcomes trials for new glucose-lowering therapies to establish that there is no unacceptable increase in cardiovascular risk prior to approval. These cardiovascular outcomes trials include glucagon-like peptide 1 receptor agonists, dipeptidyl peptidase-4 inhibitors, and sodium-glucose cotransporter-2 inhibitors...
August 27, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30151628/assessment-of-left-atrial-function-by-echocardiography-novel-insights
#12
REVIEW
Brian D Hoit
PURPOSE OF REVIEW: To review the current status of measuring left atrial functions with echocardiography and the ability of atrial functional analysis to predict cardiovascular outcomes. RECENT FINDINGS: An increasing body of data suggests that left atrium (LA) function assessed with echocardiography provides incremental prognostic information in general and referral populations, and in patients with atrial fibrillation, stroke, heart failure, and ischemic and valvular heart disease...
August 27, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30136091/circulatory-mechanotherapeutics-moving-with-the-force
#13
REVIEW
Pablo Huang Zhang, J Yasha Kresh
PURPOSE OF REVIEW: This review describes the current state of advancements in mechanical circulatory support (MCS) devices with significantly improved hemodynamic performance and decreased adverse events. Novel considerations for future MCS designs that impart spiral flow regimes will be detailed. RECENT FINDINGS: Significant challenges in MCS device use have included size reduction, premature pump mechanical bearing failure, acquired bleeding disorders, and vascular complications related to high shear forces and jetting...
August 22, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30136003/it-is-not-taboo-addressing-sexual-function-in-adults-with-congenital-heart-disease
#14
REVIEW
Sihong Huang, Stephen C Cook
PURPOSE OF THE REVIEW: To review the current state of literature on sexual dysfunction in adults with congenital heart disease (ACHD). RECENT FINDINGS: The prevalence of sexual dysfunction in ACHD is approximately 28%. Compared to age-matched cohorts, the prevalence of sexual dysfunction among ACHD cohorts demonstrates significant variability. ACHD have a lower rate of ever having sexual intercourse and often at a later age. Regardless of complexity, ACHD with sexual dysfunction have higher level of distress, decreased quality of life, and worse New York Heart Association classification...
August 22, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30135999/is-bioprosthetic-valve-fracture-beneficial-for-patients-with-larger-surgical-valves-undergoing-valve-in-valve-tavr
#15
REVIEW
Adnan K Chhatriwalla, John T Saxon, David J Cohen, Keith B Allen
PURPOSE OF REVIEW: This review aims to summarize data regarding bioprosthetic valve fracture (BVF), a novel technique that involves fracturing the surgical valve sewing ring to allow for further expansion of the transcatheter heart valve in patients undergoing valve in valve transcatheter aortic valve replacement (VIV TAVR). RECENT FINDINGS: Bench testing and clinical experience have demonstrated that most, but not all, bioprosthetic surgical valves can be fractured...
August 22, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30128844/pericardial-disease-associated-with-malignancy
#16
REVIEW
Ryan Schusler, Shari L Meyerson
PURPOSE OF REVIEW: Pericardial effusion is commonly associated with malignancy. The goals of treatment should include optimizing symptom relief, minimizing repeat interventions, and restoring as much functional status as possible. RECENT FINDINGS: Pericardiocentesis should be the first intervention but has high recurrence rates (30-60%). For patients with recurrence, repeat pericardiocentesis is indicated in those with limited expected lifespans. Extended pericardial drainage decreases recurrence to 10-20%...
August 20, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30128839/venous-thromboembolism-and-cancer
#17
REVIEW
Alec A Schmaier, Paurush Ambesh, Umberto Campia
PURPOSE OF REVIEW: This review aims to summarize the epidemiology, current pathophysiologic understanding, and state-of-the-art treatment of venous thromboembolism (VTE) in cancer patients. RECENT FINDINGS: The risk of VTE varies among cancer patients. Recently introduced prediction models better identify those at high risk of VTE. New mechanisms underlying hypercoagulability in cancer have been uncovered. Initial data on the efficacy of direct oral anticoagulants (DOACs) compared with low-molecular weight heparin to treat VTE in patients with cancer are promising...
August 20, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30128794/ruptured-sinus-of-valsalva-aneurysm-and-gerbode-defects-patient-and-procedural-selection-the-key-to-optimising-outcomes
#18
REVIEW
Colm R Breatnach, Kevin P Walsh
PURPOSE OF REVIEW: In this review, we reflect on the historical background, clinical features and imaging techniques used to assess Gerbode defects and sinus of Valsalva aneurysms. We aim to review the evolution of treatment strategies and the progression towards less invasive management for these conditions. RECENT FINDINGS: While transthoracic echocardiography is often diagnostic, transesophageal echocardiography (2D and 3D) has improved our understanding of these defects and allowed us to more accurately define their anatomy...
August 20, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30128754/ulnar-artery-catheterization-is-this-our-second-access-site-or-is-it-still-femoral
#19
REVIEW
Mladen I Vidovich
PURPOSE OF REVIEW: This review aims to summarize and discuss the safety and efficacy of ulnar arterial approach for cardiac catheterization. RECENT FINDINGS: Ulnar access has been found to be as safe and efficacious as radial access. However, the number of access attempts and cross-over rates is higher than with radial access. Ulnar access is an excellent alternative after failed radial access as femoral access is associated with more bleeding and worse clinical outcomes...
August 20, 2018: Current Cardiology Reports
https://www.readbyqxmd.com/read/30120626/which-lipids-should-be-analyzed-for-diagnostic-workup-and-follow-up-of-patients-with-hyperlipidemias
#20
REVIEW
Michel R Langlois, Børge G Nordestgaard
PURPOSE OF REVIEW: To summarize and discuss the clinical use of lipid and apolipoprotein tests in the settings of diagnosis and therapeutic follow-up of hyperlipidemia. RECENT FINDINGS: The joint consensus panel of the European Atherosclerosis Society (EAS) and the European Federation of Clinical Chemistry and Laboratory Medicine (EFLM) recently produced recommendations on the measurement of atherogenic lipoproteins, taking into account the strengths and weaknesses of analytical and clinical performances of the tests...
August 17, 2018: Current Cardiology Reports
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