keyword
https://read.qxmd.com/read/38526489/physiologic-effects-of-ecmo-in-patients-with-severe-acute-respiratory-distress-syndrome
#1
JOURNAL ARTICLE
Elena Spinelli, Marco Giani, Douglas Slobod, Bertrand Pavlovsky, Michela di Pierro, Stefania Crotti, Alfredo Lissoni, Giuseppe Foti, Giacomo Grasselli, Tommaso Mauri
RATIONALE: Blood flow rate affects mixed venous oxygenation (SvO2 ) during venovenous extracorporeal membrane oxygenation (ECMO), with possible effects on the pulmonary circulation and the right heart function. OBJECTIVES: We aimed at describing the physiologic effects of different levels of SvO2 obtained by changing ECMO blood flow, in patients with severe ARDS receiving ECMO and controlled mechanical ventilation. METHODS: Low (SvO2 target 70-75%), intermediate (SvO2 target 75-80%) and high (SvO2 target > 80%) ECMO blood flows were applied for 30 minutes in random order in 20 patients...
March 25, 2024: American Journal of Respiratory and Critical Care Medicine
https://read.qxmd.com/read/38509208/the-lifesaving-impact-of-transcatheter-interventions-in-the-early-post-fontan-palliation-period
#2
JOURNAL ARTICLE
Ibrahim Halil Demir, Dursun Muhammed Ozdemir, Ilker Kemal Yucel, Emine Hekim Yılmaz, Mustafa Orhan Bulut, Murat Surucu, Oktay Korun, Numan Ali Aydemir, Ahmet Celebi
Despite advancements in postoperative outcomes after Fontan surgery, there remains a risk of suboptimal outcomes and significant morbidity in the early postoperative period. Anatomical obstructions in the Fontan pathway can lead to prolonged pleural effusion or ascites, cyanosis, and low cardiac output syndrome (LCOS). Transcatheter interventions offer an alternative to early re-surgery for treating these complications. Over a 13-year period, early catheter angiography, performed within 30 days post-index procedure, was administered to 41 patients, identifying anatomical issues that necessitated re-intervention in 39 cases...
March 20, 2024: Pediatric Cardiology
https://read.qxmd.com/read/38502972/takotsubo-syndrome-outcomes-predicted-by-thyroid-hormone-signature-insights-from-cluster-analysis-of-a-multicentre-registry
#3
JOURNAL ARTICLE
Assem Aweimer, Johannes W Dietrich, Francesco Santoro, Mireia Camins Fàbregas, Andreas Mügge, Iván J Núñez-Gil, Ravi Vazirani, Oscar Vedia, Toni Pätz, Ilaria Ragnatela, Luca Arcari, Massimo Volpe, Miguel Corbì-Pascual, Manuel Martinez-Selles, Manuel Almendro-Delia, Alessandro Sionis, Aitor Uribarri, Holger Thiele, Natale Daniele Brunetti, Ingo Eitel, Thomas Stiermaier, Nazha Hamdani, Mohammad Abumayyaleh, Ibrahim Akin, Ibrahim El-Battrawy
BACKGROUND: Recently, abnormal thyroid function was shown to be common in patients with Takotsubo syndrome (TTS), being classified into "endocrine-type" and "stress-type" responses. The aim of this study was to investigate the association between thyroid homeostasis and TTS in a larger international registry. METHODS: In total 288 patients with TTS were enrolled through the GEIST multicentre registry from Germany, Italy and Spain. Thyrotropin (TSH), free T4 (FT4) and free T3 (FT3) concentrations were analysed at admission...
March 18, 2024: EBioMedicine
https://read.qxmd.com/read/38493878/anisocytosis-as-a-possible-predictor-of-low-cardiac-output-syndrome-in-children-undergoing-mitral-valve-surgery
#4
JOURNAL ARTICLE
Michał Sobieraj, Tomasz Urbanowicz, Anna Olasińska-Wiśniewska, Marcin Gładki, Michał Michalak, Krzysztof J Filipiak, Anita Węclewska, Alicja Bartkowska-Śniatkowska, Andrzej Tykarski, Waldemar Bobkowski, Marek Jemielity
PURPOSE: Mitral valve surgery in children involves correcting congenital and acquired pathologies, with a reported mortality rate of 0.9%. Low cardiac output syndrome (LCOS) is a serious complication with the incidence of 20-25%. The aim of the study was to estimate possible prognostic factors of LCOS in children undergoing mitral valve procedure. MATERIAL AND METHOD: This single-center retrospective analysis enrolled children aged <18 years who underwent mitral valve surgery during 24 year period...
March 15, 2024: Advances in Medical Sciences
https://read.qxmd.com/read/38486753/a-cross-sectional-study-of-the-relationship-between-premenstrual-syndrome-and-missed-nursing-care-among-female-nursing-staff
#5
JOURNAL ARTICLE
Xiaoxue Chen, Juan Yu, Jianwen Chen, Shuxiao He, Huihua Tao, Yuqing Lin, Li Zhang, Huaqiang Zhou, Yalan Wang
PURPOSE: Premenstrual syndrome (PMS) is a cyclical psychosomatic disorder prevalent among women of reproductive age. However, research on the potential impact of PMS on routine nursing schedules and activities is limited. This study aims to identify the prevalence of PMS among female nursing staff and to examine the relationship between PMS and missed nursing care (MNC). METHOD: Between November 1, 2022, and April 30, 2023, this study was conducted among female nursing staff working in nine inpatient departments at Sun Yat-sen University Cancer Center...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38459240/surgical-modulation-of-pulmonary-artery-shear-stress-a-patient-specific-cfd-analysis-of-the-norwood-procedure
#6
JOURNAL ARTICLE
Simbarashe G Chidyagwai, Michael S Kaplan, Christopher W Jensen, James S Chen, Reid C Chamberlain, Kevin D Hill, Piers C A Barker, Timothy C Slesnick, Amanda Randles
PURPOSR: This study created 3D CFD models of the Norwood procedure for hypoplastic left heart syndrome (HLHS) using standard angiography and echocardiogram data to investigate the impact of shunt characteristics on pulmonary artery (PA) hemodynamics. Leveraging routine clinical data offers advantages such as availability and cost-effectiveness without subjecting patients to additional invasive procedures. METHODS: Patient-specific geometries of the intrathoracic arteries of two Norwood patients were generated from biplane cineangiograms...
March 8, 2024: Cardiovascular Engineering and Technology
https://read.qxmd.com/read/38447637/going-with-the-flow-device-therapy-for-heart-failure-complicated-by-cardiorenal-syndrome
#7
JOURNAL ARTICLE
Lindsey Aurora, Gillian Grafton, Jennifer Cowger
No abstract text is available yet for this article.
February 29, 2024: Journal of Cardiac Failure
https://read.qxmd.com/read/38420545/pacemaker-implantation-after-concomitant-tricuspid-valve-repair-in-patients-undergoing-minimally-invasive-mitral-valve-surgery-results-from-the-mini-mitral-international-registry
#8
JOURNAL ARTICLE
Gloria Faerber, Paolo Berretta, Tom C Nguyen, Manuel Wilbring, Joseph Lamelas, Pierluigi Stefano, Jörg Kempfert, Mauro Rinaldi, Davide Pacini, Antonios Pitsis, Marc Gerdisch, Nguyen Hoang Dinh, Frank Van Praet, Loris Salvador, Tristan Yan, Nikolaos Bonaros, Antonio Fiore, Torsten Doenst, Marco Di Eusanio
OBJECTIVE: Randomized evidence suggests a high risk of pacemaker implantation for patients undergoing mitral valve (MV) surgery with concomitant tricuspid valve repair (cTVR). We investigated the impact of cTVR on outcomes in the Mini-Mitral International Registry. METHODS: From 2015 to 2021, 7513 patients underwent minimally invasive MV with or without cTVR in 17 international centers (MV: n = 5609, cTVR: n = 1113). Propensity matching generated 1110 well-balanced pairs...
February 2024: JTCVS open
https://read.qxmd.com/read/38409450/predicting-extremely-low-body-weight-from-12-lead-electrocardiograms-using-a-deep-neural-network
#9
JOURNAL ARTICLE
Ken Kurisu, Tadahiro Yamazaki, Kazuhiro Yoshiuchi
Previous studies have successfully predicted overweight status by applying deep learning to 12-lead electrocardiogram (ECG); however, models for predicting underweight status remain unexplored. Here, we assessed the feasibility of deep learning in predicting extremely low body weight using 12-lead ECGs, thereby investigating the prediction rationale for highlighting the parts of ECGs that are associated with extremely low body weight. Using records of inpatients predominantly with anorexia nervosa, we trained a convolutional neural network (CNN) that inputs a 12-lead ECG and outputs a binary prediction of whether body mass index is ≤ 12...
February 26, 2024: Scientific Reports
https://read.qxmd.com/read/38407832/efficacy-of-660%C3%A2-nm-photobiomodulation-in-burning-mouth-syndrome-management-a-single-blind-quasi-experimental-controlled-clinical-trial
#10
JOURNAL ARTICLE
Bruno Munhoz Marotta, Norberto Nobuo Sugaya, Reem Hanna, Camila de Barros Gallo
Background: Burning mouth syndrome (BMS) is characterized by a burning sensation of the oral mucosa without any evidence of clinical signs or underlining condition. Several treatment modalities have been utilized with various results and levels of evidence. Lately, photobiomodulation (PBM) has emerged as a noninvasive effective therapy due to its anti-inflammatory and biostimulatory effects, especially the low-power laser setting of red wavelength. Objective: This single-blind quasi-experimental controlled clinical trial aimed to evaluate the PBM effectiveness at a low level of red laser light in patients with BMS compared with sham control...
February 26, 2024: Photobiomodulation, photomedicine, and laser surgery
https://read.qxmd.com/read/38357504/technical-performance-scores-associate-with-early-prognosis-of-tetralogy-of-fallot-repair
#11
JOURNAL ARTICLE
Ailixiati Alifu, Haifan Wang, Renwei Chen
OBJECTIVE: This study aimed to investigate the relationship between technical performance scores (TPS) and the early prognosis of tetralogy of Fallot repair (TOF). METHODS: A retrospective study was conducted on TOF repair patients at our center from Oct 2017 to Oct 2022. Patients were classified into Class 1 (no residua), Class 2 (minor residua), or Class 3 (major residua) based on TPS derived from predischarge echocardiograms and need for reintervention. Statistical methods were used to assess the association between TPS and early prognosis...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38327179/long-term-survival-after-surgical-treatment-for-post-infarction-mechanical-complications-results-from-the-caution-study
#12
JOURNAL ARTICLE
Matteo Matteucci, Daniele Ronco, Mariusz Kowalewski, Giulio Massimi, Michele De Bonis, Francesco Formica, Federica Jiritano, Thierry Folliguet, Nikolaos Bonaros, Sandro Sponga, Piotr Suwalski, Andrea De Martino, Theodor Fischlein, Giovanni Troise, Guglielmo Actis Dato, Filiberto Giuseppe Serraino, Shabir Hussain Shah, Roberto Scrofani, Jurij Matija Kalisnik, Andrea Colli, Claudio Francesco Russo, Marco Ranucci, Matteo Pettinari, Adam Kowalowka, Matthias Thielmann, Bart Meyns, Fareed Khouqeer, Jean-Francois Obadia, Udo Boeken, Caterina Simon, Shiho Naito, Andrea Musazzi, Roberto Lorusso
BACKGROUND AND AIMS: Mechanical complications (MCs) are rare but potentially fatal sequelae of acute myocardial infarction (AMI). Surgery, though challenging, is considered the treatment of choice. The authors sought to study early and long-term results of patients undergoing surgical treatment for post-AMI MCs. METHODS: Patients undergone surgical treatment for post-infarction MCs between 2001 through 2019 in 27 centers worldwide were retrieved from the database of CAUTION study...
February 7, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/38309959/-standard-technical-specifications-for-methacholine-chloride-methacholine-bronchial-challenge-test-2023
#13
JOURNAL ARTICLE
(no author information available yet)
The methacholine challenge test (MCT) is a standard evaluation method of assessing airway hyperresponsiveness (AHR) and its severity, and has significant clinical value in the diagnosis and treatment of bronchial asthma. A consensus working group consisting of experts from the Pulmonary Function and Clinical Respiratory Physiology Committee of the Chinese Association of Chest Physicians, the Task Force for Pulmonary Function of the Chinese Thoracic Society, and the Pulmonary Function Group of Respiratory Branch of the Chinese Geriatric Society jointly developed this consensus...
February 12, 2024: Chinese Journal of Tuberculosis and Respiratory Diseases
https://read.qxmd.com/read/38276922/aga-clinical-practice-update-on-diet-and-nutritional-therapies-in-patients-with-inflammatory-bowel-disease-expert-review
#14
Jana G Hashash, Jaclyn Elkins, James D Lewis, David G Binion
DESCRIPTION: Diet plays a critical role in human health, but especially for patients with inflammatory bowel disease (IBD). Guidance about diet for patients with IBD are often controversial and a source of uncertainty for many physicians and patients. The role of diet has been investigated as a risk factor for IBD etiopathogenesis and as a therapy for active disease. Dietary restrictions, along with the clinical complications of IBD, can result in malnutrition, an underrecognized condition among this patient population...
January 23, 2024: Gastroenterology
https://read.qxmd.com/read/38271554/association-of-non-selective-%C3%AE-blockers-with-the-development-of-renal-dysfunction-in-liver-cirrhosis-a-systematic-review-and-meta-analysis
#15
REVIEW
Xiangbo Xu, Fangbo Gao, Ting Wang, Zuyao Yang, Qingchun Zhao, Xingshun Qi
BACKGROUND & AIMS: Non-selective β blockers (NSBBs) may negatively influence renal function through decreasing heart rate and cardiac output. This study aimed to systematically investigate their association. METHODS: PubMed, EMBASE, and Cochrane library databases were searched to identify all relevant studies evaluating the association of NSBBs with renal dysfunction in cirrhotic patients. Unadjusted and adjusted data were separately extracted. Odds ratios (ORs) and hazard ratios (HRs) were pooled...
December 2024: Annals of Medicine
https://read.qxmd.com/read/38265429/machine-learning-prediction-model-of-major-adverse-outcomes-after-pediatric-congenital-heart-surgery-a-retrospective-cohort-study
#16
JOURNAL ARTICLE
Chaoyang Tong, Xinwei Du, Yancheng Chen, Kan Zhang, Mengqin Shan, Ziyun Shen, Haibo Zhang, Jijian Zheng
BACKGROUND: Major adverse postoperative outcomes (APOs) can greatly affect mortality, hospital stay, care management and planning, and quality of life. This study aimed to evaluate the performance of five machine learning (ML) algorithms for predicting four major APOs after pediatric congenital heart surgery and their clinically meaningful model interpretations. METHODS: Between August 2014 and December 2021, 23,000 consecutive pediatric patients receiving congenital heart surgery were enrolled...
January 23, 2024: International Journal of Surgery
https://read.qxmd.com/read/38253727/impact-of-homeostatic-body-hydration-status-evaluated-by-hemodynamic-measures-on-different-pain-sensitization-paths-to-a-chronic-pain-syndrome
#17
JOURNAL ARTICLE
Dmitry M Davydov, Pablo de la Coba, Ana M Contreras-Merino, Gustavo A Reyes Del Paso
Contrasting findings on the mechanisms of chronic pain and hypertension development render the current conventional evidence of a negative relationship between blood pressure (BP) and pain severity insufficient for developing personalized treatments. In this interdisciplinary study, patients with fibromyalgia (FM) exhibiting clinically normal or elevated BP, alongside healthy participants were assessed. Different pain sensitization responses were evaluated using a dynamic 'slowly repeated evoked pain' (SREP) measure, as well as static pain pressure threshold and tolerance measures...
January 22, 2024: Scientific Reports
https://read.qxmd.com/read/38228424/preoperative-levosimendan-in-patients-with-severe-left-ventricular-dysfunction-undergoing-isolated-coronary-artery-bypass-grafting-a-meta-analysis-of-randomized-controlled-trials
#18
JOURNAL ARTICLE
Rafael Ayala, Douglas Mesadri Gewehr, Amanda Godoi, Camilo Velasquez, Miguel Fernandez, Pedro E P Carvalho, Nora Goebel
OBJECTIVE: To verify the impact of preoperative levosimendan on patients with severe left ventricular dysfunction (ejection fraction <35%) undergoing isolated coronary artery bypass grafting. DESIGN: A meta-analysis. SETTING: Hospitals. PARTICIPANTS: The authors included 1,225 patients from 6 randomized controlled trials. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The authors performed a meta-analysis of trials that compared preoperative levosimendan with placebo or no therapy, reporting efficacy and safety endpoints...
March 2024: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38221615/possible-unusual-presentation-of-opioid-side-effect-in-a-child-a-case-report
#19
JOURNAL ARTICLE
Moukhaiber Jihane, Lakissian Zavi, Majdalani Marianne
Atypical presentations are commonly encountered in the Pediatric intensive care unit (PICU) but having a high index of suspicion is crucial to prevent or treat severe and life-threatening conditions. This case describes the clinical presentation and course of a 14-month-old girl with congenital heart disease who was admitted to the PICU after cardiac repair and remained agitated, irritable, in hysteria and delirium despite adequate sedation. Different measures to relieve her condition were attempted but to no avail...
January 15, 2024: BMC Pediatrics
https://read.qxmd.com/read/38211672/frailty-in-acute-coronary-syndromes-a-systematic-review-and-narrative-synthesis-of-frailty-assessment-tools-and-interventions-from-randomised-controlled-trials
#20
JOURNAL ARTICLE
Thomas Chad, Marinos Koulouroudias, Georgia R Layton, Oluwatomini Fashina, Shirley Sze, Marius Roman, Gavin Murphy
AIM: We aimed to review all randomised controlled trial (RCT) data to explore optimal identification and treatment strategies of frail patients with Acute Coronary Syndromes (ACS). METHODS: The protocol was preregistered (PROSPERO - CRD42021250235). We performed a systematic review including RCT's that 1; used at least one frailty assessment tool to assess frailty and its impact on outcomes in patients diagnosed with ACS and 2; used at least one intervention where change in frailty was measured in patients diagnosed with ACS...
January 9, 2024: International Journal of Cardiology
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