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palliative care in CARDIOLOGY

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https://www.readbyqxmd.com/read/30474384/-trisomy-9p-and-clinical-heterogeneity-case-report-of-an-unusual-presentation
#1
Anna Lengyel, Anna Kosik, Éva Pinti, Csaba Lódi, Kálmán Tory, György Fekete, Irén Haltrich
Whole or partial trisomy of the short arm of chromosome 9 (9p) is considered to be one of the more frequent chromosome abnormalities compatible with life. The duplication may affect various organs, however the most common symptoms are certain specific facial dysmorphisms and abnormalities of the fingers, toes and nails. A one month old boy presented with failure to thrive, jaundice, ventricular septal defect (VSD) and dysmorphic face. He displayed symptoms of heart failure. The cardiologic examination revealed a significant VSD, hypoplasia of the aortic arch, pulmonary hypertension, decompensated circulatory failure and moderate left ventricle dysfunction...
November 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/30348478/-palliative-care-in-patients-with-advanced-heart-failure-after-discharge-from-cardiology-department-at-the-caen-university-hospital
#2
Damien Legallois, Olivier Joulaud, Cyril Guillaumé
No abstract text is available yet for this article.
October 19, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/30238352/possible-associations-between-palliative-care-conferences-and-positive-outcomes-when-performing-palliative-care-for-patients-with-end-stage-heart-failure-a-nationwide-cross-sectional-questionnaire-survey
#3
Yuma Kurozumi, Shogo Oishi, Yasuo Sugano, Akihiro Sakashita, Norihiko Kotooka, Makoto Suzuki, Taiki Higo, Dai Yumino, Yasuko Takada, Seiko Maeda, Saori Yamabe, Koichi Washida, Tomonori Takahashi, Tomohito Ohtani, Yasushi Sakata, Yukihito Sato
Palliative care for end-stage heart failure should be provided by a multidisciplinary team. However, the influence of each occupational category on patients receiving palliative care for end-stage heart failure remains unclear. Thus, this study investigated the relationships between palliative care conferences and positive outcomes of palliative care for end-stage heart failure patients. We sent questionnaires to all cardiology training hospitals authorized by the Japanese Circulation Society (n = 1004); of these, responses from the directors at 554 institutions were analyzed...
September 20, 2018: Heart and Vessels
https://www.readbyqxmd.com/read/30234421/does-advance-care-planning-in-addition-to-usual-care-reduce-hospitalisation-for-patients-with-advanced-heart-failure-a-systematic-review-and-narrative-synthesis
#4
Lucy A Kernick, Karen J Hogg, Yvonne Millerick, Fliss E M Murtagh, Ayse Djahit, Miriam Johnson
BACKGROUND: People with advanced heart failure have repeated hospital admissions. Advance care planning can support patient preferences, but studies in people with heart failure have not been assessed. AIM: To evaluate the literature regarding advance care planning in heart failure. DESIGN: Systematic review and narrative analysis (PROSPERO CRD42017059190). DATA SOURCES: Electronic databases were searched (1990 to 23 March 2017): MEDLINE(R), Cochrane Library, CINAHL and Scopus...
September 20, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/30081933/educate-nurture-advise-before-life-ends-comprehensive-heartcare-for-patients-and-caregivers-enable-chf-pc-study-protocol-for-a-randomized-controlled-trial
#5
Rachel Wells, Macy L Stockdill, J Nicholas Dionne-Odom, Deborah Ejem, Kathryn L Burgio, Raegan W Durant, Sally Engler, Andres Azuero, Salpy V Pamboukian, Jose Tallaj, Keith M Swetz, Elizabeth Kvale, Rodney O Tucker, Marie Bakitas
BACKGROUND: Palliative care is specialized medical care for people with serious illness that is focused on providing relief from symptoms and stress and improving the quality of life (QOL) for patients and their families. To help the 6.5 million U.S. adults and families affected by heart failure manage the high symptom burden, complex decision-making, and risk of exacerbation and death, the early integration of palliative care is critical and has been recommended by numerous professional organizations...
August 6, 2018: Trials
https://www.readbyqxmd.com/read/29960618/new-dimensions-in-palliative-care-cardiology
#6
REVIEW
Michael Slawnych
The landscape of patient care at the beginning of the 19th century was dramatically different than it is today. With few good treatment options, illness courses were generally brief. Near the end of life, patients were attended to by spiritual advisors, not health care professionals. Death typically occurred at home, surrounded by friends and family. Moving to the present time, decades of medical advances have significantly improved life expectancy. Cardiology has particularly benefited from many of these advances...
July 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29845954/early-neurodevelopmental-outcomes-after-corrective-cardiac-surgery-in-infants
#7
Ritchie Sharon Solomon, Tanuja Sasi, Abish Sudhakar, Raman Krishna Kumar, Balu Vaidyanathan
OBJECTIVE: To assess neurodevelopmental status in Indian infants undergoing corrective surgery for congenital heart disease (CHD) and to analyze factors associated with neurodevelopmental delay. DESIGN: Cross-sectional study. SETTING: Tertiary-care pediatric cardiology facility. PARTICIPANTS: Consecutive infants undergoing corrective surgery for CHD (January 2013 -December 2014). Palliative procedures, and patients with known genetic syndromes were excluded...
May 15, 2018: Indian Pediatrics
https://www.readbyqxmd.com/read/29844073/energetics-of-blood-flow-in-cardiovascular-disease-concept-and-clinical-implications-of-adverse-energetics-in-patients-with-a-fontan-circulation
#8
REVIEW
Friso M Rijnberg, Mark G Hazekamp, Jolanda J Wentzel, Patrick J H de Koning, Jos J M Westenberg, Monique R M Jongbloed, Nico A Blom, Arno A W Roest
Visualization and quantification of the adverse effects of distorted blood flow are important emerging fields in cardiology. Abnormal blood flow patterns can be seen in various cardiovascular diseases and are associated with increased energy loss. These adverse energetics can be measured and quantified using 3-dimensional blood flow data, derived from computational fluid dynamics and 4-dimensional flow magnetic resonance imaging, and provide new, promising hemodynamic markers. In patients with palliated single-ventricular heart defects, the Fontan circulation passively directs systemic venous return to the pulmonary circulation in the absence of a functional subpulmonary ventricle...
May 29, 2018: Circulation
https://www.readbyqxmd.com/read/29688127/the-feasibility-of-a-randomised-controlled-trial-to-compare-the-cost-effectiveness-of-palliative-cardiology-or-usual-care-in-people-with-advanced-heart-failure-two-exploratory-prospective-cohorts
#9
Miriam J Johnson, Paula McSkimming, Alex McConnachie, Claudia Geue, Yvonne Millerick, Andrew Briggs, Karen Hogg
BACKGROUND: The effectiveness of cardiology-led palliative care is unknown; we have insufficient information to conduct a full trial. AIM: To assess the feasibility (recruitment/retention, data quality, variability/sample size estimation, safety) of a clinical trial of palliative cardiology effectiveness. DESIGN: Non-randomised feasibility. SETTING/PARTICIPANTS: Unmatched symptomatic heart failure patients on optimal cardiac treatment from (1) cardiology-led palliative service (caring together group) and (2) heart failure liaison service (usual care group)...
June 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29566823/palliative-care-education-in-cardiology
#10
EDITORIAL
Daniela R Crousillat, Brieze R Keeley, Mary K Buss, Hui Zheng, Donna M Polk, Kristen G Schaefer
No abstract text is available yet for this article.
March 27, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/29564902/-palliative-care-in-cardiology
#11
Martin Gřiva, Jiří Šťastný, Marie Lazárová, Helena Krejčíková
Chronic heart failure is a progressive disease with an increasing prevalence. In spite of all medical progress (or thanks to it), it is finally one of the most common causes of death. Palliative care is an approach aimed to improve the quality of life of patients and their families in cases of life-threatening illness. Therefore, the use of palliative care in cardiology is entirely relevant. Estimating the course and prognosis of a patient with chronic heart failure is difficult despite many prognostic tools...
2018: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/29526984/nationwide-survey-of-palliative-care-for-patients-with-heart-failure-in-japan
#12
Takashi Kuragaichi, Yuma Kurozumi, Shogo Ohishi, Yasuo Sugano, Akihiro Sakashita, Norihiko Kotooka, Makoto Suzuki, Taiki Higo, Dai Yumino, Yasuko Takada, Seiko Maeda, Saori Yamabe, Koichi Washida, Tomonori Takahashi, Tomohito Ohtani, Yasushi Sakata, Yukihito Sato
BACKGROUND: Palliative care for heart failure (HF) patients is recommended in Western guidelines, so this study aimed to clarify the current status of palliative care for HF patients in Japan.Methods and Results:A survey was sent to all Japanese Circulation Society-authorized cardiology training hospitals (n=1,004) in August 2016. A total of 544 institutions (54%) returned the questionnaire. Of them, 527 (98%) answered that palliative care is necessary for patients with HF. A total of 227 (42%) institutions held a palliative care conference for patients with HF, and 79% of the institutions had <10 cases per year...
April 25, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/29432261/an-outpatient-heart-failure-clinic-reduces-30-day-readmission-and-mortality-rates-for-discharged-patients-process-and-preliminary-outcomes
#13
Kristin Danielle Koser, Lisa S Ball, Jennifer K Homa, Vinay Mehta
BACKGROUND: The first outpatient heart failure clinic (HFC) in Western New York was developed within a large private cardiology practice with the objective of reducing 30-day all-cause rehospitalization and inpatient mortality. PURPOSE: The aim of this study was to analyze the process and patient outcomes of this independent outpatient HFC. The specific aims were to (a) describe the outpatient care strategies employed and (b) determine whether the HFC reduced 30-day all-cause rehospitalizations and inpatient mortality by comparing HFC data with census data...
February 9, 2018: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29412772/physician-perspectives-on-palliative-care-for-children-with-advanced-heart-disease-a-comparison-between-pediatric-cardiology-and-palliative-care-physicians
#14
Emily Morell Balkin, Lynn A Sleeper, James N Kirkpatrick, Keith M Swetz, Mary Katherine Coggins, Joanne Wolfe, Elizabeth D Blume
BACKGROUND: While the importance of pediatric palliative care (PPC) for children with life-threatening illness is increasingly recognized, little is known about physicians' attitudes toward palliative care for children with heart disease. OBJECTIVE: To compare the perspectives of PPC physicians and pediatric cardiologists regarding palliative care in pediatric heart disease. DESIGN: Cross-sectional web-based surveys. RESULTS: Responses from 183 pediatric cardiologists were compared to those of 49 PPC physicians (response rates 31% [183/589] and 28% [49/175], respectively)...
June 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29191503/management-of-adults-with-congenital-heart-disease-and-pulmonary-arterial-hypertension-in-the-uk-survey-of-current-practice-unmet-needs-and-expert-commentary
#15
MULTICENTER STUDY
Robert Tulloh, Kostas Dimopoulos, Robin Condliffe, Paul Clift
BACKGROUND: Pulmonary arterial hypertension (PAH) is a well-recognised complication of adult congenital heart disease (CHD). However, management is not currently standardised between centres and specific guidelines are lacking. In order to identify and understand the unmet needs related to PAH associated with CHD (PAH-CHD), a survey of physicians was performed. METHODS: An electronic survey was sent to two physician groups: (1) cardiologists registered in a UK cardiology directory; (2) specialist pulmonary hypertension (PH) physicians known to manage patients with adult PAH-CHD...
August 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29168884/transformation-of-a-geriatric-department-in-china
#16
Birong Dong, Jirong Yue, Li Cao, Ming Yang, Ning Ge, Hao Qiukui, Lujia He, Ying Wang, Joseph H Flaherty
China has the world's largest elderly population, and the oldest-old population, with a current disability rate greater than 50%, will triple in the next 35 years. The field of geriatrics is young, because almost all geriatric departments were established after 2000, and so faces many challenges. Management of diseases and hospital care is the focus. Senior physicians were trained in other subspecialties, such as pulmonary or cardiology, and junior physicians entered geriatrics departments as masters or doctorate students after medical school...
January 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29123346/estimation-of-need-for-palliative-care-among-noncancer-patients-attending-a-tertiary-care-hospital
#17
Parvathy Prasad, Sonali Sarkar, Biswajit Dubashi, S Adinarayanan
Context: Palliative care services, until recently, were mainly restricted to cancer patients with incurable diseases. Hence, evaluative studies of palliative care are sparse in areas other than oncology. Aims: To estimate what proportion of patients attending the Departments of Neurology, Cardiology, and Nephrology of Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, required palliative care and to identify the palliative care needs of those patients...
October 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29105683/-palliative-care-in-the-intensive-cardiac-care-unit-a-new-competence-for-the-cardiac-intensivist
#18
Massimo Romanò, Roberta Bertona, Federica Zorzoli, Rosvaldo Villani
Admissions to the intensive care unit at the end of life of patients with chronic non-malignant diseases are increasing. This involves the need for the development of palliative care culture and competence, also in the field of intensive cardiology. Palliative care should be implemented in the treatment of all patients with critical stages of disease, irrespective of prognosis, in order to improve the quality of care at the end of life.This review analyzes in detail the main clinical, ethical and communicational issues to move toward the introduction of basics of palliative care in cardiac intensive care units...
October 2017: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/28982637/pediatric-chronic-patients-at-outpatient-clinics-a-study-in-a-latin-american-university-hospital
#19
Renata A Alveno, Caroline V Miranda, Caroline G Passone, Aurora R Waetge, Elza S Hojo, Sylvia C L Farhat, Vicente Odone-Filho, Uenis Tannuri, Werther B Carvalho, Magda Carneiro-Sampaio, Clovis A Silva
OBJECTIVE: To describe the characteristics of children and adolescentes with chronic diseases of outpatient clinics at a tertiary university hospital. METHODS: A cross-sectional study was performed with 16,237 patients with chronic diseases followed-up in one year. The data were collected through the electronic system, according to the number of physician appointments in 23 pediatric specialties. Patients were divided in two groups: children (0-9 years) and adolescents (10-19 years)...
October 2, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/28982506/palliative-care-in-heart-failure-rationale-evidence-and-future-priorities
#20
REVIEW
Dio Kavalieratos, Laura P Gelfman, Laura E Tycon, Barbara Riegel, David B Bekelman, Dara Z Ikejiani, Nathan Goldstein, Stephen E Kimmel, Marie A Bakitas, Robert M Arnold
Patients with heart failure (HF) and their families experience stress and suffering from a variety of sources over the course of the HF experience. Palliative care is an interdisciplinary service and an overall approach to care that improves quality of life and alleviates suffering for those living with serious illness, regardless of prognosis. In this review, we synthesize the evidence from randomized clinical trials of palliative care interventions in HF. While the evidence base for palliative care in HF is promising, it is still in its infancy and requires additional high-quality, methodologically sound studies to clearly elucidate the role of palliative care for patients and families living with the burdens of HF...
October 10, 2017: Journal of the American College of Cardiology
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