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Methodist DeBakey Cardiovascular Journal

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https://www.readbyqxmd.com/read/29623178/dr-phil-s-art-corner-searching-and-cobra-canyon
#1
(no author information available yet)
Philip Alexander, M.D., is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623177/poet-s-pen-ulysses
#2
(no author information available yet)
In the nineteenth century, when poetry was more widely read and memorized, Alfred, Lord Tennyson (1809-1833) was hugely popular, and no poem of his was more popular and better known than "Ulysses." Even today many know the rousing call to action, which closes the poem: "To strive, to seek, to find, and not to yield." Ulysses, the Roman name for Odysseus, has returned home an old man after 20 years of fighting in Troy and wandering, and he faces an existential crisis: the tension between his obligation to his wife Penelope, son Telemachus, and his kingdom and his need to continue a personal journey of discovery...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623176/renal-artery-stenosis-to-stent-or-not-to-stent
#3
Hassan N Ibrahim
The column in this issue is supplied by Hassan N. Ibrahim, M.D., director of the Division of Kidney Diseases and Hypertension in the Department of Medicine at Houston Methodist Hospital and a fellow of the American Society of Nephrology. Dr. Ibrahim joined Houston Methodist in May 2017 after serving as a professor of medicine and chief of nephrology at the University of Minnesota.
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623175/ruptured-aortic-pseudoaneurysm-an-unusual-cause-of-recurrent-lightheadedness-and-cough
#4
Adrian DaSilva-DeAbreu, Alaina E Moore, Salman A Arain
No abstract text is available yet for this article.
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623174/a-double-whammy-severe-aortic-stenosis-and-cocaine-overwhelm-the-mitral-valve
#5
Rohit Maini, Jonathan Lim, Jing Liu, Itamar Birnbaum, Farooq Mirza, Nasser Lakkis, Ihab Hamzeh
A 50-year-old man presented with acute onset dyspnea following cocaine use. He had severe aortic stenosis (AS), mild mitral regurgitation (MR) due to mitral valve prolapse, and no coronary artery disease on recent coronary angiography. He was in acute heart failure with signs of impending cardiogenic shock. Urgent bedside echocardiography revealed hyperdynamic left ventricular systolic function with acute severe MR from a ruptured chordae tendineae. The acute cocaine-induced spike of his already elevated left ventricular systolic pressure from severe AS likely precipitated chordal rupture of his vulnerable mitral valve...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623173/spontaneous-closure-of-a-secundum-atrial-septal-defect
#6
Stephen Y Wang, Terrence D Welch, AryƩ Elfenbein, Aaron V Kaplan
Spontaneous closure of an atrial septal defect (ASD) is well described in pediatric cardiology but may be less familiar to adult internists and cardiologists. We report a moderately sized 6-mm ASD that closed spontaneously without intervention. A literature review found that a smaller defect size and an early age of diagnosis are the most important predictors of closure. Possible mechanisms of a spontaneous ASD closure include adaptive endothelial migration, limited myocardial proliferation, and fibroblast migration with extracellular matrix deposition...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623172/chronic-total-occlusion-coronary-intervention-in-search-of-a-definitive-benefit
#7
REVIEW
Alpesh Shah
Percutaneous coronary intervention (PCI) of chronic coronary total occlusion is the latest frontier in percutaneous intervention. There are vast improvements in the initial success and safety of the procedure as well as a better understanding of appropriateness and benefits. Advances in technology and skill allow for increased utilization of PCI in cases of chronic coronary total occlusion, with benefits regarding symptoms and quality of life. Percutaneous coronary intervention for chronic coronary total occlusion can correct ischemia and achieve complete revascularization while avoiding traditional coronary bypass grafting, although survival benefits remain unclear...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623171/bioresorbable-coronary-scaffolds-deployment-tips-and-tricks-and-the-future-of-the-technology
#8
REVIEW
J Ribamar Costa, Alexandre Abizaid
Bioresorbable scaffolds (BRS) were developed as an alternative to drug-eluting stents (DES) to facilitate vessel restoration and reduce the risk of future adverse events. However, recent meta-analyses and "real-world" registries have raised some concern about the safety of this novel technology, especially due to an increased risk of thrombosis within the first weeks of scaffold implantation. These devices appear to be less forgiving to poor implantation strategies when compared to contemporary DES...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623170/a-practical-approach-to-assessing-stent-results-with-ivus-or-oct
#9
REVIEW
Daisuke Hachinohe, Satoru Mitomo, Luciano Candilio, Azeem Latib
Coronary angiography is routinely used to assess the extent and severity of coronary artery disease and for decision-making during percutaneous coronary interventions (PCI). However, it is sometimes inadequate for deciding a strategy and defining optimal stenting outcomes. In this review, we present a comprehensive and practical approach to PCI using intravascular ultrasound or optical coherence tomography to optimize stent deployment and assess procedural complications after stent implantation.
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623169/mechanical-circulatory-support-in-high-risk-percutaneous-coronary-intervention
#10
REVIEW
Bhuvnesh Aggarwal, Wahaj Aman, Omar Jeroudi, Neal S Kleiman
Due to advancing age and increasing comorbidities, the current population has a higher incidence of complex coronary artery disease, often without surgical options for revascularization. In this setting, hemodynamic support devices are an important adjunct in the interventionist's toolbox as they allow for a safer, more effective procedure. The following paper reviews the indications of various available mechanical support devices, highlights their clinical data and technical parameters, and offers a practical approach towards appropriate patient and device selection...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623168/stenting-in-primary-percutaneous-coronary-intervention-for-acute-st-segment-elevation-myocardial-infarction
#11
REVIEW
Sanjog Kalra, Hemal Bhatt, Ajay J Kirtane
The treatment of ST-segment elevation myocardial infarction (STEMI) has advanced dramatically over the past 30 years since the introduction of reperfusion therapies, such that mechanical reperfusion with primary percutaneous coronary intervention is now the standard of care. With STEMI, as with other forms of acute coronary syndrome, stent deployment in culprit lesions is the dominant form of reperfusion in the developed world and is supported by contemporary guidelines. However, the precise timing of stenting and the extent to which both culprit and non-culprit lesions should be treated continue to be active areas of study...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623167/current-indications-for-stenting-symptoms-or-survival-cme
#12
REVIEW
Suzanne V Arnold
The major goals of treating ischemic heart disease are to reduce angina, improve quality of life, and ultimately reduce mortality. While medical therapy can effectively address these aims, there is still much research and debate about the role of percutaneous coronary intervention in the treatment spectrum-specifically, whether or not stenting prolongs life or simply treats symptoms without impacting survival. The data supporting revascularization for survival benefit came from patients who underwent bypass graft surgery prior to the introduction of effective medical management...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623166/stenting-the-latest-frontier-in-percutaneous-intervention
#13
EDITORIAL
Neal Kleiman
No abstract text is available yet for this article.
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29623165/guest-editor-neal-kleiman-leads-issue-on-the-current-status-of-stents
#14
Neal Kleiman
No abstract text is available yet for this article.
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29744025/editorial-hypothyroidism-and-the-heart-much-more-than-meets-the-eye
#15
EDITORIAL
Ajay K Sharma, Sachin Shah, Sarju Ganatra, G Muqtada Chaudhry
No abstract text is available yet for this article.
October 2017: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29744024/letter-to-the-editor
#16
EDITORIAL
Colin Fuller
No abstract text is available yet for this article.
October 2017: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29744023/essay-on-being-a-doctor-the-most-powerful-medicine
#17
Susanth Shawn Sivaraman
Through the generosity of Charles R. Millikan, D. Min., vice president for Spiritual Care and Values Integration, an annual award competition was established at Houston Methodist Hospital among the resident staff. To enter the writing competition, residents must submit a poem or essay of 1,000 words or less on the topic, "On Being a Doctor." A committee of seven was selected from Houston Methodist Hospital Education Institute to establish the judging criteria and select the winning entries. The following is the third-place winning entry for 2017...
October 2017: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29744022/dr-phil-s-art-corner-b52-landing-and-home-for-dinner
#18
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29744021/poet-s-pen-verses-upon-the-burning-of-our-house
#19
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29744020/cardiac-metastases-from-malignant-melanoma-the-charcoal-heart
#20
Herbert L Fred, Hendrik A van Dijk
The column in this issue is supplied by Herbert L. Fred, M.D., M.A.C.P., and Hendrik A. van Dijk, both from McGovern Medical School-UT Health, Houston, Texas. Dr. Fred is emeritus professor of medicine and a well-known medical educator and diagnostician. A graduate of Johns Hopkins University School of Medicine, he has authored just under 500 publications including six books. Mr. van Dijk, former director of the University of Texas Health Science Center Medical School's Graphic Communications Group, has devoted 50 years to biomedical communications and is a national expert in that field...
October 2017: Methodist DeBakey Cardiovascular Journal
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