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Cardiology Intervention

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https://www.readbyqxmd.com/read/30517389/clinical-epidemiological-aspects-of-patients-submitted-to-percutaneous-coronary-intervention-in-a-university-hospital
#1
Maria Solange Moreira de Lima, Rodrigo Assis Neves Dantas, Neyse Patrícia do Nascimento Mendes, Louise Constância de Melo Alves, Tamara Taynah Medeiros da Silva, Andréa Gomes da Rocha Brito, Daniele Vieira Dantas
OBJECTIVE: To outline the clinical-epidemiological profile of patients submitted to Percutaneous Coronary Intervention in a Reference Hospital in Urgent Cardiology Clinic of the state of Rio Grande do Norte. METHOD: This is a descriptive, exploratory, prospective study with a quantitative approach developed in a Brazilian University Hospital with patients submitted to Percutaneous Coronary Intervention. Data collection occurred between April and October 2017. RESULTS: The sample consisted of 222 patients, of whom 58...
November 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/30514144/prenatal-atrioventricular-septal-defect-avsd-as-a-planned-congenital-heart-disease-with-different-outcome-depending-on-the-presence-of-the-coexisting-extracardiac-abnormalities-eca-and-or-malformations-ecm
#2
Słodki Maciej, Soroka Małgorzata, Rizzo Giuseppe, Respondek-Liberska Maria
INTRODUCTION: Prenatal atrioventricular septal defect (AVSD) on frequent occasions coexists with other cardiac or extracardiac abnormalities or malformation which may change the prognosis and the management with the fetus and the newborn. The aim of the research was to assess the prognosis and the outcome of prenatally diagnosed AVSD based on the classification which also includes coexisting extracardiac abnormalities and malformations as well as its influence on the prenatal consultation...
December 4, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/30510427/anxiety-and-depression-in-patients-with-pulmonary-hypertension-impact-and-management-challenges
#3
REVIEW
Maurizio Bussotti, Marinella Sommaruga
Background: Anxiety and depression are frequent disorders in patients with pulmonary arterial hypertension (PAH), but despite this only less than one-fourth of them is treated. Our aim was to review the studies regarding the prevalence and the impact of anxiety and depression and to propose management challenges. Methods: A literature review regarding 1) anxiety and depression studies in PAH patients and caregivers, 2) psychological interventions, 3) slow breathing approach, and 4) pharmacological approach was performed, based on evidence of effectiveness through a search of the most well-known databases (Cochrane Library, Medline, PsychINFO [2004-2018])...
2018: Vascular Health and Risk Management
https://www.readbyqxmd.com/read/30509185/dietary-intervention-with-a-specific-micronutrient-combination-for-the-treatment-of-patients-with-cardiac-arrhythmias-the-impact-on-insulin-resistance-and-left-ventricular-function
#4
Elke Parsi, Norman Bitterlich, Anne Winkelmann, Daniela Rösler, Christine Metzner
BACKGROUND: Cardiac arrhythmias (CA) are very common and may occur with or without heart disease. Causes of these disturbances can be components of the metabolic syndrome (MetS) or deficits of micronutrients especially magnesium, potassium, B vitamins and coenzyme Q10. Both causes may also influence each other. Insulin resistance (IR) is a risk factor for diastolic dysfunction. One exploratory outcome of the present pilot study was to assess the impact of a dietary intervention with specific micronutrients on the lowering of IR levels in patients with CA with the goal to improve the left ventricular (LV) function...
December 3, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/30509144/improvement-of-low-density-lipoprotein-cholesterol-target-achievement-rates-through-cardiac-rehabilitation-for-patients-after-st-elevation-myocardial-infarction-or-non-st-elevation-myocardial-infarction-in-germany-results-of-the-patient-care-registry
#5
Bernhard Schwaab, Uwe Zeymer, Christina Jannowitz, David Pittrow, Anselm Gitt
AIMS: The PATIENT CARE registry aimed to document clinical characteristics of patients during cardiac rehabilitation after myocardial infarction, including the current pharmacological treatment, risk factor modification and achievement of treatment targets for low-density lipoprotein cholesterol (LDL-C). METHODS: Multicentre, prospective non-interventional study at 20 cardiac rehabilitation in-patient centres across Germany. RESULTS: A total of 1408 patients post myocardial infarction were analysed...
December 3, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/30506858/burnout-and-work-life-balance-among-pediatric-cardiologists-a-single-center-experience
#6
Soham Dasgupta, Ishaan Dave, Courtney E McCracken, Larry Mohl, Ritu Sachdeva, William Border
BACKGROUND: Physicians are exposed to workplace factors that may result in acute or chronic stress resulting in burnout. This may impact the productivity and result in suboptimal patient care practices. METHODS: We surveyed pediatric cardiology attending physicians at our institution to assess their perception of burnout and work-life balance using the Maslach Burnout Inventory and the Areas of Work-Life Survey. RESULTS: Forty-five out of the 50 pediatric cardiology attendings responded to the survey...
December 2, 2018: Congenital Heart Disease
https://www.readbyqxmd.com/read/30502220/clinical-impact-of-the-polypill-for-cardiovascular-prevention-in-latin-america-a-consensus-statement-of-the-inter-american-society-of-cardiology
#7
REVIEW
Álvaro Sosa-Liprandi, María Inés Sosa Liprandi, Erick Alexánderson, Álvaro Avezum, Fernando Lanas, José Patricio López-Jaramillo, Felipe Martínez, Carlos I Ponte-Negretti N, Fernando Wyss, José Ramón González Juanatey, Pablo Perel
The burden of cardiovascular diseases (CVD) is increasing, particularly in low-middle-income countries such as most of Latin America. This region presents specific socioeconomic characteristics, generating a high incidence of CVD despite efforts to control the problem. A consensus statement has been developed by Inter-American Society of Cardiology with the aim of answering some important questions related to CVD in this region and the role of the polypill in cardiovascular (CV) prevention as an intervention to address these issues...
November 27, 2018: Global Heart
https://www.readbyqxmd.com/read/30485612/effectiveness-of-the-european-society-of-cardiology-heart-failure-association-website-heartfailurematters-org-and-an-e-health-adjusted-care-pathway-in-patients-with-stable-heart-failure-results-of-the-e-vita-hf-randomized-controlled-trial
#8
Kim P Wagenaar, Berna D L Broekhuizen, Tiny Jaarsma, Ilse Kok, Arend Mosterd, Frank F Willems, Gerard C M Linssen, Willem R P Agema, Sander Anneveldt, Carolien M H B Lucas, Herman F J Mannaerts, Elly M C J Wajon, Kenneth Dickstein, Maarten J Cramer, Marcel A J Landman, Arno W Hoes, Frans H Rutten
BACKGROUND: Efficient incorporation of e-health in patients with heart failure (HF) may enhance health care efficiency and patient empowerment. We aimed to assess the effect on self-care of (i) the European Society of Cardiology/Heart Failure Association website 'heartfailurematters.org' on top of usual care, and (ii) an e-health adjusted care pathway leaving out 'in person' routine HF nurse consultations in stable HF patients. METHODS AND RESULTS: In a three-group parallel-randomized trial in stable HF patients from nine Dutch outpatient clinics, we compared two interventions ( heartfailurematters...
November 28, 2018: European Journal of Heart Failure
https://www.readbyqxmd.com/read/30481186/enhancing-the-prediction-of-acute-kidney-injury-risk-after-percutaneous-coronary-intervention-using-machine-learning-techniques-a-retrospective-cohort-study
#9
Chenxi Huang, Karthik Murugiah, Shiwani Mahajan, Shu-Xia Li, Sanket S Dhruva, Julian S Haimovich, Yongfei Wang, Wade L Schulz, Jeffrey M Testani, Francis P Wilson, Carlos I Mena, Frederick A Masoudi, John S Rumsfeld, John A Spertus, Bobak J Mortazavi, Harlan M Krumholz
BACKGROUND: The current acute kidney injury (AKI) risk prediction model for patients undergoing percutaneous coronary intervention (PCI) from the American College of Cardiology (ACC) National Cardiovascular Data Registry (NCDR) employed regression techniques. This study aimed to evaluate whether models using machine learning techniques could significantly improve AKI risk prediction after PCI. METHODS AND FINDINGS: We used the same cohort and candidate variables used to develop the current NCDR CathPCI Registry AKI model, including 947,091 patients who underwent PCI procedures between June 1, 2009, and June 30, 2011...
November 2018: PLoS Medicine
https://www.readbyqxmd.com/read/30474576/the-current-practice-and-care-of-paediatric-patients-post-cardiac-catheterisation
#10
Loren Brown, Karen Hinsley, Michelle Hurtig, Courtney L Porter, Jean A Connor
BACKGROUND: Literature is lacking to guide standardised care and assessment practices for paediatric patients post cardiac catheterisation. In response to this gap, we sought to describe the current state of practice in cardiology programmes performing paediatric cardiac catheterisations procedures in the United States of America.Materials and methodsA web-based survey was distributed to the Congenital Cardiovascular Interventional Study Consortium Listserv, with representation from 113 identified institutions...
November 26, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/30473970/welcome-to-the-new-era-a-completely-wireless-interventional-procedure
#11
Jesse T Martin, Paul C Hulsberg, Erik Soule, Michael Shabandi, Jerry Matteo
The number of minimally invasive interventional radiology (IR) and interventional cardiology vascular procedures performed increases every year. As the number of vascular procedures increases, the need for advanced technology and innovative devices increases as well. Traditionally, as a general rule, a catheter is used in conjunction with a guidewire in such procedures. The underlying principle of IR is to always use a guidewire prior to any advancement of a catheter. This article describes a revolutionary theory that utilizes a new technology and contradicts this basic principle...
September 19, 2018: Curēus
https://www.readbyqxmd.com/read/30467437/component-resolved-diagnosis-crd-of-food-anaphylaxis
#12
Małgorzata Bulanda, Magdalena Leśniak, Judyta Szałkowska, Weronika Madej, Agata Wojtyna, Maria Czarnobilska, Daniel Bulanda, Ewa Czarnobilska
Anaphylaxis is an increasing problem in public health. The food allergens (mainly milk, eggs, and peanuts) are the most frequent cause of anaphylaxis in children and youth. In order to define the cause of anaphylaxis, skin tests, the determination of the concentration of specific IgE in the blood and basophil activation test are conducted. In vitro tests are preferred due to the risk of allergic response during in vivo tests. Component-resolved diagnosis (CRD) is an additional tool in allergology, recommended in the third level of diagnostics when there are diagnostic doubts after the above mentioned tests have been carried out...
2018: Folia Medica Cracoviensia
https://www.readbyqxmd.com/read/30466795/diagnostic-and-interventional-imaging-services-are-significant-sources-of-medicare-revenue-for-highly-reimbursed-nonradiologist-providers
#13
Andrew J Degnan, Paul H Yi, Nathan Kim, John Swietlik, Eric Huh, Jie C Nguyen
INTRODUCTION: Nonradiologist providers increasingly perform diagnostic imaging examinations and imaging-guided interventions traditionally performed by radiologists, which have raised concerns regarding appropriate utilization and self-referral. The purpose of this study was to assess the contribution of imaging studies to Medicare reimbursements for highly compensated nonradiologist providers in specialties often performing imaging studies. METHODS: The Medicare Provider Utilization and Payment Database was queried for provider information regarding overall reimbursement for providers in anesthesiology, cardiology, emergency medicine, neurology, obstetrics and gynecology, orthopedic surgery, neurology, and vascular surgery...
November 2, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/30466523/women-in-medicine-addressing-the-gender-gap-in-interventional-cardiology
#14
Sonya Burgess, Elizabeth Shaw, Katherine Ellenberger, Liza Thomas, Cindy Grines, Sarah Zaman
No abstract text is available yet for this article.
November 27, 2018: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/30460675/rotational-atherectomy-in-everyday-clinical-practice-association-of-cardiovascular-interventions-of-the-polish-society-of-cardiology-asocjacja-interwencji-sercowo-naczyniowych-polskiego-towarzystwa-kardiologicznego-aisn-ptk-expert-opinion
#15
Sławomir Dobrzycki, Krzysztof Reczuch, Jacek Legutko, Tomasz Pawłowski, Marek Grygier, Andrzej Ochała, Jarosław Wójcik, Paweł Buszman, Dariusz Dudek, Mariusz Gąsior, Robert Gil, Maciej Lesiak, Krzysztof Kukuła, Adam Witkowski, Wojciech Zajdel, Paweł Kralisz, Wojciech Wojakowski, Stanisław Bartuś
The common use of stents, including antiproliferative drug-eluting stents, has been a major breakthrough in invasive cardiology. Nowadays, a change in the clinical presentation of patients treated with percutaneous coronary intervention (PCI) is observed. The typical clinical characteristics now include advanced age, diabetes, chronic kidney disease, heart failure, and multilevel atherosclerosis. Age, diabetes, and chronic kidney disease are the main predictors of coronary artery calcifications. Severe coronary artery calcifications are the main factor limiting the efficacy of PCI...
2018: Kardiologia Polska
https://www.readbyqxmd.com/read/30458937/improving-outcomes-in-patients-with-peripheral-arterial-disease
#16
Melissa Sutton, Kathryn Kreider, Julie Thompson, Samir Germanwala, Jonathan Greifenkamp
The benefits of risk-factor reduction associated with peripheral arterial disease (PAD) is established and supported by the literature. The purpose of this quality-improvement project was to reduce modifiable risk factors such as diabetes mellitus (DM), hypertension (HTN), hyperlipidemia (HLD), and tobacco use in patients with PAD, as well as to demonstrate improvement in quality of life (QoL) and 6-minute-walk distances. For this quality-improvement project, 29 patients from three providers within a cardiology office were identified over a 6-week period...
December 2018: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
https://www.readbyqxmd.com/read/30456630/-esc-eacts-guidelines-on-myocardial-revascularization-2018-the-most-important-innovations
#17
REVIEW
F-J Neumann, W Hochholzer, M Siepe
The guidelines on myocardial revascularization published in 2018 are a joint initiative of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery. To establish indications for myocardial revascularization by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), evidence of the functional relevance of coronary artery stenoses is needed either by non-invasive imaging function tests or intravascular hemodynamic measurements. The prognostic and symptomatic benefits of myocardial revascularization depend on whether complete revascularization can be achieved...
November 19, 2018: Herz
https://www.readbyqxmd.com/read/30456469/interpreting-the-athlete-s-ecg-current-state-and-future-perspectives
#18
REVIEW
Joyee Basu, Aneil Malhotra
Sudden cardiac death (SCD) is the leading cause of death in athletes. A large proportion of these deaths are associated with undiagnosed cardiovascular disease. Screening for high-risk individuals enables early detection of pathology, as well as permitting lifestyle modification or therapeutic intervention.ECG changes in athletes occur as a result of electrical and structural adaptations secondary to repeated bouts of exercise. Such changes are common and may overlap with patterns suggestive of underlying cardiovascular disease...
November 19, 2018: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/30455322/blood-pressure-goals-in-patients-with-chronic-kidney-disease-a-review-of-evidence-and-guidelines
#19
REVIEW
Alex R Chang, Meghan Lóser, Rakesh Malhotra, Lawrence J Appel
Hypertension affects the vast majority of patients with CKD and increases the risk of cardiovascular disease, ESKD, and death. Over the past decade, a number of hypertension guidelines have been published with varying recommendations for BP goals in patients with CKD. Most recently, the American College of Cardiology/American Heart Association 2017 hypertension guidelines set a BP goal of <130/80 mm Hg for patients with CKD and others at elevated cardiovascular risk. These guidelines were heavily influenced by the landmark Systolic Blood Pressure Intervention Trial (SPRINT), which documented that an intensive BP goal to a systolic BP <120 mm Hg decreased the risk of cardiovascular disease and mortality in nondiabetic adults at high cardiovascular risk, many of whom had CKD; the intensive BP goal did not retard CKD progression...
November 19, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/30451695/patient-focus-in-interventional-cardiology-the-eapci-initiative
#20
Andreas Baumbach
No abstract text is available yet for this article.
November 20, 2018: EuroIntervention
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