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https://www.readbyqxmd.com/read/30551839/incidence-and-outcomes-of-acute-myocardial-infarction-during-motor-vehicle-accident-related-hospitalizations
#1
Mohamad Alkhouli, Fahad Alqahtani
Data on Motor Vehicle Accidents (MVA) associated acute myocardial infarctions (AMI) are scares. We aimed to examine the frequency, characteristics, and outcomes of AMI among patients admitted with MVA. Patients hospitalized with Motor Vehicle Traffic Accidents (ICD-9-CM codes e810-e819) in 2003 to 2014 were identified in the national inpatient sample. The primary end point was crude and risk-adjusted in-hospital mortality in patients with and without AMI. Secondary end-points were major morbidities, and resource utilization metrics...
December 3, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/30545698/coronary-artery-embolism-two-case-reports-and-a-review-of-the-literature
#2
REVIEW
Philip S Vendittelli, Bassent Botros, Howard S Rosman, Viren Govindaraju, Anwar Zaitoun, Tariq S Marroush
Coronary embolism (CE) is an uncommon and unique cause of acute myocardial infarction. In this report, we review 216 cases of CE including 2 new cases from our institution. The mean patient age was 52.5 years and 62% of the patients were males. Chest pain was the most common presenting symptom followed by dyspnea, and the most commonly affected vessel was the left anterior descending artery. Leading etiologies of the embolus were atrial fibrillation, septic emboli, and iatrogenic causes. Treatment approaches varied with thrombus aspiration being used in 30% of cases...
November 10, 2018: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/30523442/a-single-center-s-experience-with-total-arterial-revascularization-and-spiral-aneurysmorrhaphy-for-ischemic-cardiac-disease
#3
Ilias P Doulamis, Despina N Perrea, George Mastrokostopoulos, Konstantina Drakopoulou, Konstantinos Voutetakis, Aspasia Tzani, Ioannis A Chloroyiannis
The restoration of left ventricular (LV) geometry in combination with coronary artery bypass grafting for the treatment of ischemic cardiac disease remains controversial. We hereby present the experience of our center with total arterial myocardial revascularization (TAMR) and spiral aneurysmorrhaphy for ischemic heart disease. A retrospective analysis of 101 patients with advanced cardiovascular disease who underwent TAMR and spiral aneurysmorrhaphy was performed. Spiral aneurysmorrhaphy is a modification of the linear aneurysmorrhaphy and was applied to patients who had a LV aneurysm with a diameter of less than 5 cm...
December 6, 2018: Heart and Vessels
https://www.readbyqxmd.com/read/30505741/network-meta-analysis-of-antiplatelet-therapy-following-coronary-artery-bypass-grafting-cabg-none-versus-one-versus-two-antiplatelet-agents
#4
Adam Chakos, Dean Jbara, Kamal Singh, Tristan D Yan, David H Tian
Background: Numerous agents have been trialed following coronary artery bypass grafting (CABG) to maintain long-term graft patency. While clear evidence exists for the use of aspirin in maintaining graft patency, the role of dual-antiplatelet therapy in CABG patients is not as well established. This network meta-analysis aimed to compare the short-term post-CABG graft patency outcomes for patients with none, one or two antiplatelet agents. Methods: Electronic databases were queried for randomized controlled trials comparing CABG graft patency rates at three months and beyond using various antiplatelet agents or placebo...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30503964/patients-prescribed-direct-acting-oral-anticoagulants-have-low-risk-of-post-polypectomy-complications
#5
Jessica X Yu, Melissa Oliver, Jody Lin, Matthew Chang, Berkeley N Limketkai, Roy Soetikno, Jay Bhattacharya, Tonya Kaltenbach
BACKGROUND & AIMS: Use of direct-acting oral anticoagulants (DOACs) is increasing, but little is known about the associated risks in patients undergoing colonoscopy with polypectomy. We aimed to determine the risk of post-polypectomy complications in patients prescribed DOACs. METHODS: We performed a retrospective analysis using the Clinformatics Data Mart Database (a de-identified administrative database from a large national insurance provider) to identify adults who underwent colonoscopy with polypectomy or endoscopic mucosal resection (EMR) from January 1, 2011, through December 31, 2015...
November 29, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/30500926/mortality-and-morbidity-following-exercise-based-renal-rehabilitation-in-patients-with-chronic-kidney-disease-the-effect-of-programme-completion-and-change-in-exercise-capacity
#6
Sharlene A Greenwood, Ellen Castle, Herolin Lindup, Juliet Mayes, Iain Waite, Denise Grant, Emmanuel Mangahis, Olivia Crabb, Kamer Shevket, Iain C Macdougall, Helen L MacLaughlin
Background: Twelve weeks of renal rehabilitation (RR) have been shown to improve exercise capacity in patients with chronic kidney disease (CKD); however, survival following RR has not been examined. Methods: This study included a retrospective longitudinal analysis of clinical service outcomes. Programme completion and improvement in exercise capacity, characterised as change in incremental shuttle walk test (ISWT), were analysed with Kaplan-Meier survival analyses to predict risk of a combined event including death, cerebrovascular accident, myocardial infarction and hospitalisation for heart failure in a cohort of patients with CKD...
November 30, 2018: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/30489294/left-ventricular-assist-device-decommissioning-compared-with-explantation-for-ventricular-recovery-a-systematic-review
#7
Jae Hwan Choi, Matthew P Weber, Dylan P Horan, Jessica G Y Luc, Kevin Phan, Sinal Patel, Syed-Saif Abbas Rizvi, Elizabeth J Maynes, Gordon R Reeves, John W Entwistle, Rohinton J Morris, H Todd Massey, Vakhtang Tchantchaleishvili
Left ventricular assist device (LVAD) withdrawal with ventricular recovery represents the optimal outcome for patients previously implanted with an LVAD. The aim of this systematic review was to examine the patient outcomes of device withdrawal via minimally invasive pump decommissioning as compared with reoperation for pump explantation. An electronic search was performed to identify all studies in the English literature assessing LVAD withdrawal. All identified articles were systematically assessed for inclusion and exclusion criteria...
November 27, 2018: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/30483203/different-strokes-for-different-folks-the-bodymind-approach-as-a-learning-tool-for-patients-with-medically-unexplained-symptoms-to-self-manage
#8
Helen Payne, Susan Brooks
Medically unexplained symptoms (MUS) are common and costly in both primary and secondary health care. It is gradually being acknowledged that there needs to be a variety of interventions for patients with MUS to meet the needs of different groups of patients with such chronic long-term symptoms. The proposed intervention described herewith is called The BodyMind Approach (TBMA) and promotes learning for self-management through establishing a dynamic and continuous process of emotional self-regulation. The problem is the mismatch between the patient's mind-set and profile and current interventions...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30482315/stroke
#9
Avril Mansfield, Elizabeth L Inness, William E Mcilroy
Stroke, or cerebrovascular accident, involves injury to the central nervous system as a result of a vascular cause, and is a leading cause of disability worldwide. People with stroke often experience sensory, cognitive, and motor sequelae that can lead to difficulty walking, controlling balance in standing and voluntary tasks, and reacting to prevent a fall following an unexpected postural perturbation. This chapter discusses the interrelationships between stroke-related impairments, problems with control of balance and gait, fall risk, fear of falling, and participation in daily physical activity...
2018: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/30482105/pupil-responses-of-adults-with-traumatic-brain-injury-during-processing-of-speech-in-noise
#10
Thomas Koelewijn, José A P van Haastrecht, Sophia E Kramer
Previous research has shown the effects of task demands on pupil responses in both normal hearing (NH) and hearing impaired (HI) adults. One consistent finding is that HI listeners have smaller pupil dilations at low levels of speech recognition performance (≤50%). This study aimed to examine the pupil dilation in adults with a normal pure-tone audiogram who experience serious difficulties when processing speech-in-noise. Hence, 20 adults, aged 26 to 62 years, with traumatic brain injury (TBI) or cerebrovascular accident (CVA) but with a normal audiogram participated...
January 2018: Trends in Hearing
https://www.readbyqxmd.com/read/30481521/outcomes-of-surgical-ablation-in-patients-with-atrial-fibrillation-undergoing-cardiac-surgeries
#11
Ayman Elbadawi, Islam Y Elgendy, Ahmed H Mahmoud, Gbolahan O Ogunbayo, Marwan Saad, Michael Megaly, Erfan Alotaki, Amgad Mentias, Amr F Barakat, Barry London
BACKGROUND: Surgical ablation procedure is commonly performed in patients with atrial fibrillation (AF) undergoing cardiac surgeries; however, the evidence regarding its impact on in-hospital cardiovascular outcomes is controversial. METHODS: We queried the Nationwide Inpatient Sample Database from 1998-to-2013 for patients with AF who underwent cardiac surgeries. We performed a propensity-score matching including 27 various baseline characteristics to compare those who underwent surgical ablation versus not...
November 24, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30473996/perceptions-and-satisfaction-of-caregivers-regarding-rehabilitation-services-from-selected-rehabilitation-centres-in-the-western-cape
#12
Nondwe B Mlenzana, Arne H Eide, Jose M Frantz
Background: Understanding caregivers' views on rehabilitation services is important as it may assist in informing healthcare services and patient management. Objectives: The aim of this study was to explore caregivers' perceptions and satisfaction regarding rehabilitation services in the Western Cape, South Africa, and to inform clinical practice and policy in this emerging field. Method: This study used a descriptive, qualitative design using in-depth interviews with conveniently selected participants...
2018: African Journal of Disability
https://www.readbyqxmd.com/read/30465375/association-of-different-risk-factors-in-prevalence-of-cerebral-infaraction
#13
Saqib Malik, Alia Pervez, Zarnab Zainab
BACKGROUND: Cerebral infraction is one of the important causes of cerebrovascular accident. This study was conducted to see which risk factors are more prevalent in cerebral infraction. METHODS: It is a hospital based descriptive study of 130 patients of different types of strokes. Results: Out of 130 patients 70 were male and 60 females. Majority (58%) of the patients were between 41-60 years of age. Patient presented with variable risk factors. The majority (60% male and 73% female) were hypertensive...
July 2018: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/30461639/the-multi-vessel-and-diffuse-coronary-spasm-is-a-risk-factor-for-persistent-angina-in-patients-received-anti-angina-medication
#14
Sang-Ho Park, Byoung Geol Choi, Seung-Woon Rha, Tae Soo Kang
Coronary artery spasm (CAS) is known to be a risk factor for cardiovascular events. However, there is limited data whether the multi-vessel and diffuse spasm (MVDS) is related to more adverse clinical outcomes compared to the Non-MVDS. The aim of this study is to evaluate the impact of the MVDS on clinical outcomes during a 3-year clinical follow-up period.A total 2797 patients underwent coronary angiography (CAG) with acetylcholine (ACH) provocation test from Nov 2004 to Oct 2010 were enrolled. It is a single-center, observational, prospective, all-comers registry designed to reflect the "real world" practic...
November 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30460578/skin-autofluorescence-predicts-incident-type-2-diabetes-cardiovascular-disease-and-mortality-in-the-general-population
#15
Robert P van Waateringe, Bernardina T Fokkens, Sandra N Slagter, Melanie M van der Klauw, Jana V van Vliet-Ostaptchouk, Reindert Graaff, Andrew D Paterson, Andries J Smit, Helen L Lutgers, Bruce H R Wolffenbuttel
AIMS/HYPOTHESIS: Earlier studies have shown that skin autofluorescence measured with an AGE reader estimates the accumulation of AGEs in the skin, which increases with ageing and is associated with the metabolic syndrome and type 2 diabetes. In the present study, we examined whether the measurement of skin autofluorescence can predict 4 year risk of incident type 2 diabetes, cardiovascular disease (CVD) and mortality in the general population. METHODS: For this prospective analysis, we included 72,880 participants of the Dutch Lifelines Cohort Study, who underwent baseline investigations between 2007 and 2013, had validated baseline skin autofluorescence values available and were not known to have diabetes or CVD...
November 21, 2018: Diabetologia
https://www.readbyqxmd.com/read/30459706/low-risk-monitoring-in-neurocritical-care
#16
Christian D Becker, Christian Bowers, Dipak Chandy, Chad Cole, Meic H Schmidt, Corey Scurlock
Background/Rationale: Patients are admitted to Intensive care units (ICUs) either because they need close monitoring despite a low risk of hospital mortality (LRM group) or to receive ICU specific active treatments (AT group). The characteristics and differential outcomes of LRM patients vs. AT patients in Neurocritical Care Units are poorly understood. Methods: We classified 1,702 patients admitted to our tertiary and quaternary care center Neuroscience-ICU in 2016 and 2017 into LRM vs. AT groups. We compared demographics, admission diagnosis, goal of care status, readmission rates and managing attending specialty extracted from the medical record between groups...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/30455175/grip-strength-predicts-cardiac-adverse-events-in-patients-with-cardiac-disorders-an-individual-patient-pooled-meta-analysis
#17
Rita Pavasini, Matteo Serenelli, Carlos A Celis-Morales, Stuart R Gray, Kazuhiro P Izawa, Satoshi Watanabe, Eloisa Colin-Ramirez, Lilia Castillo-Martínez, Yasuhiro Izumiya, Shinsuke Hanatani, Yoshiro Onoue, Kenichi Tsujita, Peter S Macdonald, Sunita R Jha, Véronique L Roger, Sheila M Manemann, Juan Sanchis, Vicente Ruiz, Giulia Bugani, Elisabetta Tonet, Roberto Ferrari, Stefano Volpato, Gianluca Campo
OBJECTIVE: Grip strength is a well-characterised measure of weakness and of poor muscle performance, but there is a lack of consensus on its prognostic implications in terms of cardiac adverse events in patients with cardiac disorders. METHODS: Articles were searched in PubMed, Cochrane Library, BioMed Central and EMBASE. The main inclusion criteria were patients with cardiac disorders (ischaemic heart disease, heart failure (HF), cardiomyopathies, valvulopathies, arrhythmias); evaluation of grip strength by handheld dynamometer; and relation between grip strength and outcomes...
November 19, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30451601/alcohol-use-and-drinking-motives-among-suddenly-bereaved-college-students
#18
Jasmine R Eddinger, Tori M Humiston, Madison L Sutton, Lisa Jobe-Shields, Joah L Williams
OBJECTIVE: Thousands of Americans grieve the sudden death of a loved one each year. These sudden deaths may be the result of violent deaths, as in the cases of homicide, suicide, or fatal accidents, or may occur as the result of natural causes such as heart attacks or strokes. Sudden loss survivors often experience negative mental health outcomes such as depression, prolonged grief disorder, and posttraumatic stress disorder. Survivors may also misuse alcohol for varied reasons after these losses, which can put them at risk for alcohol-related consequences...
November 19, 2018: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/30440826/an-semg-based-interface-to-give-people-with-severe-muscular-atrophy-control-over-assistive-devices
#19
Jorn Vogel, Annette Hagengruber
Injuries, accidents, strokes, and other diseases can significantly degrade the capabilities to perform even the most simple activities in daily life. While assistive technology becomes more and more available to the people affected, there is still a big need for user interfaces suitable for people without functional hand movement. A large share of these cases involves neuromuscular diseases, which lead to severely reduced muscle function. However, even though affected people are no longer able to functionally move their limbs, residual muscle function can still be existent...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30439311/-risk-factors-and-etiological-analysis-of-ventilator-associated-pneumonia-three-year-s-cases-analysis-of-intensive-care-unit-in-county-hospital
#20
Zhicheng Hu, Shusheng Zhou
OBJECTIVE: To investigate the risk factors of ventilator-associated pneumonia (VAP) and the distribution and drug resistance of pathogens in intensive care unit (ICU) of county hospital. METHODS: 234 patients on mechanical ventilation for more than 48 hours admitted to ICU of Shexian People's Hospital of Huangshan City from January 2016 to June 2018 were enrolled. The clinical data of all patients including gender, age, past medical history, exposure to antibiotics, medication, the duration of mechanical ventilation, the length of ICU stay, serum albumin, tracheotomy, re-intubation, prognosis, and pathogenic bacteria and drug sensitivity test of VAP patients were collected...
October 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
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