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Stroke OR cerebrovascular Accident

Alexander C Reynolds, Nicola King
BACKGROUND: Hybrid coronary revascularization (HCR) combining minimally invasive grafting of the left internal mammary artery to the left anterior descending artery with percutaneous coronary intervention has become a viable option for treating coronary artery disease. The aim of this meta-analysis was to compare HCR with conventional coronary artery bypass grafting (CABG) in a range of clinical outcomes and hospital costs. METHODS: To identify potential studies, systematic searches were carried out in various databases...
August 2018: Medicine (Baltimore)
Xiang Li, Zhu-Wei Zhang, Zhong Wang, Jin-Quan Li, Gang Chen
Stroke, also known as "cerebrovascular accident", is an acute cerebrovascular disease that is caused by a sudden rupture of blood vessels in the brain or obstruction of the blood supply by blockage of blood vessels, thus including hemorrhagic and ischemic strokes. The incidence of ischemic stroke is higher than that of hemorrhagic stroke, and accounts for 80% of the total number of strokes. However, the mortality rate of hemorrhagic stroke is relatively high. Internal carotid artery and vertebral artery occlusion and stenosis can cause ischemic stroke, and especially males over 40 years of age are at a high risk of morbidity...
April 2018: Medical Gas Research
Shang-Li Tsai, Chi-Chun Lin, Cheng-Yu Lin, Chang Keng-Wei, Cheng-Yu Chien
Patients presenting to the emergency department with hypothermia are rare and often require prompt diagnosis and management. Myxedema coma, which may cause severe hypothermia, is a true endocrine emergency requiring early and appropriate treatment. We report on a 47-year-old woman with a history of hyperthyroidism who underwent thyroidectomy 5 years previously, with no regular medication or examinations. She presented to the emergency department with a 1-month history of progressive dyspnea associated with general weakness...
August 15, 2018: Journal of International Medical Research
Yingxu Ma, Fan Bai, Fen Qin, Yixi Li, Tao Tu, Chao Sun, Shenghua Zhou, Qiming Liu
BACKGROUND: There is a little evidence for the effects of catheter ablation (CA) on hard endpoints in patients with atrial fibrillation (AF) and heart failure (HF). METHODS: PubMed, Embase and Cochrane Library were searched for randomized controlled trials (RCTs) enrolling patients with AF and HF who were assigned to CA, rate control or medical rhythm control groups. This meta-analysis was performed by using random-effect models. RESULTS: Seven RCTs enrolling 856 participants were included in this meta-analysis...
August 13, 2018: BMC Cardiovascular Disorders
Luiz Alfredo Braun Ferreira, Veronica Cimolin, Hugo Pasini Neto, Luanda André Colange Grecco, Roberta Delasta Lazzari, Arislander Jonathan Lopes Dumont, Manuela Galli, Claudia Santos Oliveira
INTRODUCTION: Recovering the ability to walk is an important goal of physical therapy for patients who have survived cerebrovascular accident (stroke). Orthotics can provide a reduction in plantar flexion of the ankle, leading to greater stability in the stance phase of the gait cycle. Postural insoles can be used to reorganize the tone of muscle chains, which exerts an influence on postural control through correction reflexes. The aim of the present study was to perform kinematic and spatiotemporal analyses of gait in stroke survivors with hemiparesis during postural insole usage...
July 2018: Journal of Bodywork and Movement Therapies
Ulrike M M Bauer, Marc-André Körten, Gerhard-Paul Diller, Paul Helm, Helmut Baumgartner, Peter Ewert, Oktay Tutarel
BACKGROUND: As adult congenital heart disease (ACHD) patients are aging, a high prevalence of cardiovascular risk factors is encountered similar to the general population. Currently, data regarding the primary and secondary prevention of acquired cardiovascular disease in ACHD is lacking. METHODS: The German National Register of Congenital Heart Defects was systematically screened for ACHD patients with established cardiovascular risk factors or documented acquired cardiovascular conditions...
August 4, 2018: International Journal of Cardiology
Laurent M Willems, Natalia Kurka, Ferdinand Bohmann, Peter Rostek, Waltraud Pfeilschifter
Crew-resource management is an approach to work and training that focuses on non-technical skills and strategies to prevent human error in complex procedures. It was initially termed 'cockpit-resource management' and developed for aviation in the 1970s after several severe accidents; it has contributed to a measurable increase in flight safety. In recent years, this approach has been successfully implemented in other high-reliability environments; surgical disciplines have made particular use of crew-resource management strategies and training, with resulting reduced mortality rates...
August 10, 2018: Practical Neurology
Nyeonju Kang, James H Cauraugh
BACKGROUND: Bilateral motor control deficits poststroke may be lateralized by hemisphere damage. This preliminary study investigated bilateral force control between left and right hemisphere-damaged groups at baseline and after coupled bilateral movement training with neuromuscular stimulation. METHODS: Stroke participants (8 left hemisphere and 6 right hemisphere cerebrovascular accidents) performed a bilateral isometric force control task at 3 submaximal force levels (5%, 25%, and 50% of maximum voluntary contraction [MVC]) before and after training...
August 6, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Deborah Carvalho Malta, Rafaela Magalhães Fernandes Saltarelli, Rogério Ruscitto do Prado, Rosane Aparecida Monteiro, Márcia Furquim de Almeida
OBJECTIVES: To analyze the mortality trend in the Brazilian population aged between 5 and 69 years old, using the "Brazilian List of Causes of Preventable Deaths". METHODS: This is an ecological study that uses a time-series analysis of the standardized mortality rate for preventable and unpreventable causes in the period from 2000 to 2013, with corrections for ill-defined causes and the under-reporting of informed deaths. RESULTS: There was a decline in the mortality rate in the Brazilian population aged 5 to 69 due to preventable causes (1...
2018: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
Chong Wang, Lei Jin, Fan Qiao, Qing Xue, Xin Guan Zhang, Lin Han
BACKGROUND: o evaluate the performance of Society of Thoracic Surgeons (STS) 2008 cardiac surgery risk scores for postoperative complications in Chinese patients undergoing single valve surgery at multicenter institutions.  Methods: From January 2009 through December 2012, 4493 consecutive patients older than 16 years who underwent single valve surgery at 4 cardiac surgical centers were collected and scored according to the STS 2008 risk scores. The final research population included the following isolated heart valve surgery types: aortic valve replacement, mitral valve replacement, and mitral valve repair...
June 19, 2018: Heart Surgery Forum
E O Vershinina, A N Repin
OBJECTIVE: to analyze long-term outcomes and to develop a model for determining the risk of long-term adverse сardiovascular events after elective percutaneous coronary interventions (PCI). MATERIALS AND METHODS: We included in this study 148 patients, sent from 2009 to 2011 for routine endovascular intervention for chronic ischemic heart disease on the background of stenotic coronary artery atherosclerosis. Outcomes of interventions were assessed over 6 years after the index PCI by analyzing medical records and telephone interviews...
July 2018: Kardiologiia
Michelle R Sanford, Mirna Torres, Jennifer Ross
Thermal insect treatments can be an effective method of controlling cryptic insect pests, particularly bed bugs, in residential settings. The treatments require high heat over a sustained timeframe. Residents are not present during treatment but return after completion. An unexpected death was investigated following heat treatment for bed bugs in the home of an elderly female, found with a postmortem axillary temperature of 106.2°F (41.2°C) approximately 8 h after returning home. The cause of death was classified as hyperthermia with a contributory cause of hypertensive cardiovascular disease...
August 6, 2018: Journal of Forensic Sciences
C E Neville, S Montgomery, G Silvestri, A McGowan, E Moore, V Silvestri, C Cardwell, C T McEvoy, A P Maxwell, J V Woodside, G J McKay
BACKGROUND: Retinal vessel abnormalities are associated with cardiovascular disease risk. Widening of retinal venules is associated with increased risk of stroke while narrowing of retinal arterioles independently predicts incident hypertension, coronary heart disease and diabetes. Dietary factors are known to play an important role in cardiovascular health. However, few studies have examined the association between dietary patterns (DPs) and retinal microvascular health. OBJECTIVE: To examine the association between 'a posteriori'-derived DPs and retinal vascular caliber (RVC) in older women with a restricted lifestyle...
2018: Journal of Nutrition, Health & Aging
Tawfiq Choudhury, Tim G Schäufele, Shahar Lavi, Katsutoshi Makino, Miguel Nobre Menezes, Amir Solomonica, Olivier F Bertrand, Ian C Gilchrist, Mamas A Mamas, Rodrigo Bagur
BACKGROUND: Left ventricular endomyocardial biopsy (LV-EMB) may offer a superior diagnostic yield compared with right ventricular endomyocardial biopsy (RV-EMB) in conditions predominantly affecting the LV but is underused compared with RV-EMB. Despite the steep uptake of radial approach in coronary interventions, LV-EMB is usually performed via the femoral artery in contemporary practice. Therefore, the aim of this study was to assess the safety and feasibility of LV-EMB via a transradial approach in a multicentre registry...
August 2, 2018: Canadian Journal of Cardiology
Hao Lin, Yukui Du, Cuntao Yu, Xiangyang Qian, Xiaogang Sun, Chuan Tian, Yanhai Meng, Huawei Pei, Chunmao Wang, Penghong Liu, Xiaobo Guo, Mingxing Ma, Qian Chang
OBJECTIVES: To evaluate the efficacy of the less invasive hybrid zone 0 (Z0) total aortic arch repair (HAR, ascending repair + complete debranching + thoracic endovascular aortic repair [TEVAR]) without deep hypothermic circulatory arrest in management of DeBakey type I aortic dissection (IAD). The adverse outcome was defined as a single composite endpoint comprising peri-operative mortality, permanent neurological deficit, and renal failure necessitating haemodialysis at discharge...
August 1, 2018: European Journal of Vascular and Endovascular Surgery
Wan-Li Jiang, Xiao-Ping Hu, Zhi-Peng Hu, Zheng Tang, Hong-Bing Wu, Liang-Hao Chen, Zhi-Wei Wang, Ying-An Jiang
Nosocomial infection (NI) is one of the most significant complications arising after open heart surgery, and leads to increased mortality, hospitalization time and health resource allocation. This study investigated the morbidity, mortality, and independent risk factors associated with NI following open heart surgery. We retrospectively surveyed the records of 1606 consecutive cardiovascular surgical patients to identify those that developed NI. The NI selection criteria were based on the Centers for Disease Control and Prevention (CDC) guidelines...
April 2018: Current medical science
Syna Daudfar, Codee Gorman, John T Pham
Soft palate penetrating injuries have been reported among children, particularly in children falling with objects in their mouth. The authors present a case of a healthy 14-month-old child who fell onto a blunt-ended chopstick, the subsequent cerebrovascular accident, and the role of the osteopathic tenets thereafter. The child had an acute infarction to the region of his right middle cerebral artery secondary to right internal carotid artery occlusion. Physicians should consider the neurologic sequelae of lateral soft palate injuries and damage to the surrounding anatomical structures...
August 1, 2018: Journal of the American Osteopathic Association
Claude S Elayi, Yousef Darrat, John M Suffredini, Naoki Misumida, Jignesh Shah, Gustavo Morales, William Wilson, Katrina Bidwell, Melissa Czarapata, Kevin Parrott, Luigi Di Biase, Andrea Natale, Gbolahan O Ogunbayo
PURPOSE: Catheter ablation (CA) is an effective treatment for atrial fibrillation (AF). The differences in complication rates and outcomes between women and men remain poorly studied. We aimed to study the sex differences in morbidity and mortality associated with CA in AF. METHODS: Using weighted sampling from the National Inpatient Sample database, women and men with a primary diagnosis of AF and a primary procedure of CA (2004-2013) were identified. We compared the following outcomes based on the sex: (1) major complications [post-procedure transfusion, cardiac drain or surgery, pulmonary embolism, cerebrovascular accident, major cardiac events, kidney failure requiring dialysis, and sepsis], (2) overall complications (minor and/or major complications), and (3) in-hospital mortality...
July 30, 2018: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
Audrey Aquilina, Tiziana Pirotta, Andrew Aquilina
A 31-year-old man was brought to Accident & Emergency after collapsing during a race. On presentation, the patient had a temperature of 41.7°C (rectal). External cooling was started immediately. The patient was intubated in view of a Glasgow Coma Scale of 7 and was transferred to theintensive therapy unit. Laboratory results revealed an acute kidney injury, rhabdomyolysis, disseminated intravascular coagulopathy and acute liver failure. The patient was encephalopathic, jaundiced and difficult to sedate...
July 30, 2018: BMJ Case Reports
Seung-Pyo Lee, Jae-Kyung Seo, In-Chang Hwang, Jun-Bean Park, Eun-Ah Park, Whal Lee, Jin-Chul Paeng, Hyun-Ju Lee, Yeonyee E Yoon, Hack-Lyoung Kim, Eunbee Koh, Insun Choi, Ji Eun Choi, Yong-Jin Kim
Aims: To compare the cost-effectiveness of coronary computed tomography angiography (CCTA) vs. myocardial single photon emission computed tomography (SPECT) in patients with stable intermediate risk chest pain. Methods and results: Non-acute patients with 10-90% pre-test probability of coronary artery disease from three high-volume centres in Korea (n = 965) were randomized 1:1 to CCTA or myocardial SPECT as the initial non-invasive imaging test. Medical costs after randomization, the downstream outcome, including all-cause death, acute coronary syndrome, cerebrovascular accident, repeat revascularization, stent thrombosis, and significant bleeding following the initial test and the quality-adjusted life-years (QALYs) gained by the EuroQoL-5D questionnaire was compared between the two groups...
July 23, 2018: European Heart Journal Cardiovascular Imaging
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