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Acute congestive heart failure

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https://www.readbyqxmd.com/read/30322113/impact-of-hyperbaric-oxygen-therapy-on-subsequent-neurological-sequelae-following-carbon-monoxide-poisoning
#1
Chien-Cheng Huang, Chung-Han Ho, Yi-Chen Chen, Chien-Chin Hsu, Yi-Fong Wang, Hung-Jung Lin, Jhi-Joung Wang, How-Ran Guo
The purpose of this study was to evaluate the effects of hyperbaric oxygen therapy (HBOT) on reducing neurological sequelae (NS) in patients with carbon monoxide poisoning (COP). Using a nationwide database of insurance claims in Taiwan, we conducted a population-based cohort study to identify 24,046 patients with COP diagnosed between 1999 and 2012, including 6793 (28.2%) patients who received HBOT and 17,253 (71.8%) patients who did not. We followed the two cohorts of patients and compared the occurrence of NS...
October 13, 2018: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/30317536/use-of-noninvasive-mechanical-ventilation-with-pressure-support-guaranteed-with-average-volume-in-de-novo-hypoxaemic-respiratory-failure-a-pilot-study
#2
Killen Harold Briones-Claudett, Antonio Esquinas Rodriguez, Mónica H Briones-Claudett, Miguel Puga-Tejada, Mariuxi Del Pilar Cabrera Baños, Christian Roberto Pazmiño Dueñas, Carlos Israel Torres Herrera, Michelle Grunauer
BACKGROUND: This study was designed to determine the results associated with the use of noninvasive mechanical ventilation (NIV) using the BiPAP S/T-AVAPS ventilation strategy in subjects with mild to moderate de novohypoxaemicrespiratory failure. METHODS: This is a prospective study that includes subjects with de novohypoxaemic respiratory failure (not produced by acute exacerbations of COPD, chronic lung disease, or congestive heart failure) with mild to moderate PaO₂/FiO₂, who were admitted to the Intensive Care Unit (ICU) of Santa Maria Clinic in Guayaquil, Ecuador...
October 14, 2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30314262/association-between-pm-2-5-and-daily-hospital-admissions-for-heart-failure-a-time-series-analysis-in-beijing
#3
Man Li, Yao Wu, Yao-Hua Tian, Ya-Ying Cao, Jing Song, Zhe Huang, Xiao-Wen Wang, Yong-Hua Hu
There is little evidence that acute exposure to fine particulate matter (PM2.5 ) impacts the rate of hospitalization for congestive heart failure (CHF) in developing countries. The primary purpose of the present retrospective study was to evaluate the short-term association between ambient PM2.5 and hospitalization for CHF in Beijing, China. A total of 15,256 hospital admissions for CHF from January 2010 to June 2012 were identified from Beijing Medical Claim Data for Employees and a time-series design with generalized additive Poisson model was used to assess the obtained data...
October 11, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/30312193/risk-factors-for-post-acute-coronary-syndrome-depression-a-meta-analysis-of-observational-studies
#4
Mei-Zhen Yuan, Qin Fang, Guang-Wei Liu, Min Zhou, Jian-Mei Wu, Chun-Yun Pu
BACKGROUND: The incidence of depression is very common among patients with post-acute coronary syndrome (ACS) and leads to adverse outcomes. AIMS: The aim of this meta-analysis was to detect risk factors for depression among patients with ACS and to provide clinical evidence for its prevention. METHODS: The authors followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline to search the PubMed, Web of Science, EMBASE, and EBSCO databases from January 1996 to March 2018...
October 11, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/30309461/extracorporeal-isolated-ultrafiltration-for-management-of-congestion-in-heart-failure-and-cardiorenal-syndrome
#5
REVIEW
Amir Kazory, Maria Rosa Costanzo
Acute decompensated heart failure has the highest rate of hospital readmission among all medical conditions and portends a significant financial burden on health care system. Congestion, the hallmark of acute decompensated heart failure, represents the primary reason for hospitalization and the driver of adverse outcomes in these patients. Although diuretic-based medical regimens remain the mainstay of management of acute decompensated heart failure, they often show suboptimal efficacy and safety profiles in this setting...
September 2018: Advances in Chronic Kidney Disease
https://www.readbyqxmd.com/read/30295431/intrarenal-venous-flow-in-cardiorenal-syndrome-a-shining-light-into-the-darkness
#6
Rafael de la Espriella-Juan, Eduardo Núñez, Gema Miñana, Juan Sanchis, Antoni Bayés-Genís, Jessika González, Javier Chorro, Julio Núñez
The aim of this case report is to assess the potential role of intrarenal Doppler ultrasonography as a non-invasive method to evaluate intrarenal venous flow (IRVF) in acute heart failure (AHF) and concomitant renal dysfunction. We report a case of an 81-year-old woman with valvular heart disease (previous mitral valve replacement) that presented with acutely decompensated heart failure and concomitant worsening renal function (WRF). In addition to complete physical examination, laboratory analysis, and echocardiography, IRVF was assessed at baseline and 48 h after the administration of diuretic treatment...
October 8, 2018: ESC Heart Failure
https://www.readbyqxmd.com/read/30295205/-double-blockade-of-aldosterone-receptors-as-a-method-of-elimination-negative-effects-of-non-steroidal-anti-inflammatory-drugs-in-chronic-heart-failure
#7
S A Chepurnenko, N V Burtseva, G V Shavkuta
The article deals with the dynamics of echocardioscopy indices during 1.5 years in a patient who underwent an acute myocardial infarction (MI). Two months after the MI left ventricular (LV) end-diastolic size and LV volume were 61 mm and 190 ml, respectively; LV ejection fraction (EF) was 42%. At the background of maximal possible doses of ramipril, bisoprolol, and selective antagonist of aldosterone receptors eplerenone, and after revascularization, within eight months LV end-diastolic size decreased down to 57 mm, LV volume - to 158 ml, and LVEF increased up to 51%...
September 2018: Kardiologiia
https://www.readbyqxmd.com/read/30291827/skilled-nursing-facility-participation-in-medicare-s-bundled-payments-for-care-improvement-initiative-a-retrospective-study
#8
Lianna Weissblum, Peter Huckfeldt, José Escarce, Pinar Karaca-Mandic, Neeraj Sood
OBJECTIVE: To investigate differences in facility characteristics, patient characteristics, and outcomes between skilled nursing facilities (SNFs) that participated in Medicare's voluntary Bundled Payments for Care Improvement (BPCI) initiative and non-participants, prior to BPCI. DESIGN: Retrospective, cross-sectional comparison of BPCI participants and non-participants. SETTING: SNFs PARTICIPANTS: All Medicare-certified SNFs (n = 15,172) and their 2011-2012 episodes of care for chronic obstructive pulmonary disease, congestive heart failure, femur and hip/pelvis fracture, hip and femur procedures, lower extremity joint replacement, and pneumonia (n = 873,739)...
October 3, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/30285508/hypertensive-emergencies-in-diabetic-patients-from-predominantly-african-american-urban-communities
#9
Irina Benenson, Frederick Andrew Waldron, Shelly A Jones Dillon, Shreni N Zinzuwadia, Nkehci Mbadugha, Natali Vicente, Ela Aris, Adedamola M Adeboye, Christine Makdisi
AIM: The aim of this study was to identify risk factors for hypertensive emergencies in diabetic patients presenting with severely elevated blood pressure. METHODS: Using electronic medical records, this study identified diabetic patients with hypertensive crisis who presented to the emergency department of Newark Beth Israel Medical Center, Newark, NJ from June 2013 to May 2016. Diabetic patients with hypertensive emergencies were compared with non-diabetic patients based on important demographic and clinical characteristics...
October 4, 2018: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/30279892/emergent-caesarean-section-under-mechanical-circulatory-support-for-acute-severe-peripartum-cardiomyopathy
#10
Takeshi Mikami, Hitoshi Kamiunten
Peripartum cardiomyopathy (PPCM) is an idiopathic left ventricular dysfunction in women who are in late pregnancy or the postpartum period. PPCM is a rare but sometimes fatal disease, and mechanical circulatory support is required if heart failure is refractory to conventional therapy. A 28-year-old woman in late pregnancy was admitted to our hospital due to congestive heart failure with cardiogenic shock. Her heart rate was 200 beats per minute (sinus tachycardia), and left ventricular ejection fraction (LVEF) was 10%...
June 2018: Journal of Cardiology Cases
https://www.readbyqxmd.com/read/30277217/estonia-health-system-review
#11
Triin Habicht, Marge Reinap, Kaija Kasekamp, Riina Sikkut, Laura Aaben, Ewout van Ginneken
This analysis of the Estonian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. In 2017, the Estonian government took the historic step of expanding the revenue base of the health system, which has been a longstanding challenge. However, in terms of percentage of GDP it remains a small increase and long-term financial sustainability could still pose a problem. That said, if these additional funds are invested wisely, they could play a positive role in further improving the health system...
March 2018: Health Systems in Transition
https://www.readbyqxmd.com/read/30273230/grade-3-echocardiographic-diastolic-dysfunction-is-associated-with-increased-risk-of-major-adverse-cardiovascular-events-after-surgery-a-retrospective-cohort-study
#12
Yan Zhou, Lin Liu, Tong Cheng, Dong-Xin Wang, Hong-Yun Yang, Bao-Wei Zhang, Ying Yang, Feng Chen, Xue-Ying Li
BACKGROUND: Diastolic dysfunction is common and may increase the risk of cardiovascular complications. This study investigated the hypothesis that, in patients with isolated left ventricular diastolic dysfunction, higher grade diastolic dysfunction was associated with greater risk of major adverse cardiovascular events (MACEs) after surgery. METHODS: This was a retrospective cohort study. Data of adult patients with isolated echocardiographic diastolic dysfunction (ejection fraction, ≥50%) who underwent noncardiac surgery from January 1, 2015 to December 31, 2015 were collected...
September 27, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30267205/creation-of-a-restrictive-atrial-left-to-right-shunt-a-novel-treatment-for-heart-failure
#13
REVIEW
R De Rosa, D Schranz
Elevated left atrial (LA) filling pressures are associated with poor prognosis in patients with heart failure (HF). Recent evidences have shown that, in this setting, the presence of restrictive small atrial defect may protect from an extreme increase in LA pressure and prevent consecutive pulmonary congestion and acute decompensation, without the expense of an unfavourable significant left-to-right shunt. Therefore, decompression of LA by creating a unidirectional but restrictive left-to-right interatrial shunt has been emerging as a new therapeutic strategy in patients suffering from both HF with preserved and reduced ejection fraction...
November 2018: Heart Failure Reviews
https://www.readbyqxmd.com/read/30266614/libman-sacks-endocarditis-in-a-puerpera-with-systemic-lupus-erythematosus
#14
Yaoyang Liu, Hao Tang, Zhiyun Xu, Yang Liu
Libman-Sacks (LS) endocarditis is rarely seen in the prenatal and puerperal periods and is generally reported as a cardiac manifestation of systemic lupus erythematosus(SLE). In this report, we present a rare case of congestive heart failure after vaginal delivery. The patient was diagnosed with SLE and LS endocarditis based on the transesophageal echocardiographic and laboratory findings. After steroid therapy, the vegetations on the mitral valve disappeared and mitral regurgitation reduced dramatically without a cardiac surgery...
September 25, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30266360/ultrafiltration-for-the-treatment-of-acute-heart-failure
#15
REVIEW
Sitaramesh Emani
Ultrafiltration (UF) mechanically removes excess fluid volume through an extracorporeal circuit and has been applied to clinical situations in which volume removal is the mainstay of therapy. Because of this ability, UF serves as an enticing method to treat acute heart failure (AHF) in which most symptoms are driven by congestion due to excess volume. Additional physiologic properties of UF and the biochemical composition of the extracted fluid confer additional theoretic benefits in the treatment of AHF. Herein the concepts underlying UF, clinical evidence evaluating its efficacy, and ongoing challenges understanding the role of UF are reviewed...
October 2018: Heart Failure Clinics
https://www.readbyqxmd.com/read/30262403/pulmonary-congestion-complicating-atrial-fibrillation-cardioversion
#16
Ilia Davarashvili, Moshe Rav Acha, Michael Glikson, Rivka Farkash, Benjamin Mazouz, Adi Butnaru, Tal Hasin
Acute pulmonary congestion (APC) may occur within hours after electrical cardioversion of atrial fibrillation (AF). There is scarce data about its incidence, risk factors, and the outcome. In the present study, data of consecutive patients admitted for first electrical cardioversion for AF between 2007 and 2016 were retrospectively reviewed. APC within the 48hours following cardioversion was defined as dyspnea and at least one of the following: drop in saturation to <90%, administration of intravenous diuretic or an emergent chest X-ray with new pulmonary congestion...
August 21, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/30261884/stroke-and-dyslipidemia-clinical-risk-factors-in-the-telestroke-versus-non-telestroke
#17
Jordan Gainey, Brice Blum, Bekah Bowie, Keiko Cooley, Lee Madeline, Ervin Lowther Ervin, Thomas I Nathaniel
BACKGROUND: Clinical risk factors related to not administering thrombolysis to acute ischemic stroke patients with incidence dyslipidemia is not clear. This issue was investigated in telestroke and non-telestroke settings. METHODS: We analyzed retrospective data collected from a stroke registry to compare exclusion risk factors in the telestroke and non-telestroke. We performed multivariate analysis was performed to identify risk factors that may result in exclusion from rtPA...
September 27, 2018: Lipids in Health and Disease
https://www.readbyqxmd.com/read/30259898/demographics-management-and-in-hospital-outcome-of-hospitalized-acute-heart-failure-syndrome-patients-in-contemporary-real-clinical-practice-in-japan-observations-from-the-prospective-multicenter-kyoto-congestive-heart-failure-kchf-registry
#18
Hidenori Yaku, Neiko Ozasa, Takeshi Morimoto, Yasutaka Inuzuka, Yodo Tamaki, Erika Yamamoto, Yusuke Yoshikawa, Takeshi Kitai, Ryoji Taniguchi, Moritake Iguchi, Masashi Kato, Mamoru Takahashi, Toshikazu Jinnai, Tomoyuki Ikeda, Kazuya Nagao, Takafumi Kawai, Akihiro Komasa, Ryusuke Nishikawa, Yuichi Kawase, Takashi Morinaga, Kanae Su, Mitsunori Kawato, Kenichi Sasaki, Mamoru Toyofuku, Yutaka Furukawa, Yoshihisa Nakagawa, Kenji Ando, Kazushige Kadota, Satoshi Shizuta, Koh Ono, Yukihito Sato, Koichiro Kuwahara, Takao Kato, Takeshi Kimura
BACKGROUND: There is a scarcity of reports on the clinical characteristics and management practice in contemporary all-comer patients with acute decompensated heart failure (ADHF). Methods and Results: The Kyoto Congestive Heart Failure (KCHF) registry is a prospective observational cohort study enrolling 4,056 consecutive patients who had hospital admission due to ADHF without any exclusion criteria between October 2014 and March 2016 in the 19 participating hospitals in Japan. Baseline characteristics, clinical presentations, management, and in-hospital outcomes were compared between heart failure (HF) with reduced left ventricular ejection fraction (LVEF; HFrEF, LVEF <40%), HF with mid-range LVEF (HFmrEF, LVEF 40-49%), and HF with preserved LVEF (HFpEF, LVEF ≥50%)...
September 26, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/30257883/inter-hospital-transfer-and-patient-outcomes-a-retrospective-cohort-study
#19
Stephanie Mueller, Jie Zheng, Endel John Orav, Jeffrey L Schnipper
BACKGROUND: Inter-hospital transfer (IHT, the transfer of patients between hospitals) occurs regularly and exposes patients to risks of discontinuity of care, though outcomes of transferred patients remains largely understudied. OBJECTIVE: To evaluate the association between IHT and healthcare utilisation and clinical outcomes. DESIGN: Retrospective cohort. SETTING: CMS 2013 100 % Master Beneficiary Summary and Inpatient claims files merged with 2013 American Hospital Association data...
September 26, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/30254766/cardiac-dedifferentiated-liposarcoma-requiring-a-mitral-valve-replacement-complicated-by-severe-paravalvular-leak-a-rare-case-report-with-literature-review
#20
Anju Adhikari, Adam Hafeez, Alexandra Halalau
Cardiac sarcomas have a high infiltrative and metastatic potential and are often associated with poor prognosis. These tumors are often identified incidentally by thoracic and cardiac imaging. However, when symptomatic, their presentation can differ based on the localized structural effects on the endocardium, myocardium, pericardium, and valves as well as on dynamic effects on the cardiac function. We report a case of a 61-year-old female who presented to the emergency room with recurrent chest pain, fatigue, and chronic anemia...
2018: Case Reports in Cardiology
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