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Cardiology Intervention

Matthew W Buelow, Nancy Rudd, Jena Tanem, Pippa Simpson, Peter Bartz, Garick Hill
BACKGROUND: Single ventricle heart disease with aortic arch hypoplasia has high morbidity and mortality, with the greatest risk after stage 1 palliation. Residual lesions often require catheter-based or surgical reintervention to minimize risk. We sought to describe the types, frequency, and risk factors for re-intervention between stage 1 and stage 2 palliation, utilizing the National Pediatric Cardiology Quality Improvement Collaborative (NPC-QIC) registry. METHODS: The NPC-QIC registry, consisting of patients discharged after stage 1 palliation, was queried...
August 10, 2018: Congenital Heart Disease
Duk-Woo Park, Jung-Min Ahn, Seung-Jung Park, David P Taggart
Although coronary-artery bypass grafting (CABG) is the standard choice of revascularization for significant left main coronary artery (LMCA) disease, percutaneous coronary intervention (PCI) for LMCA disease has been widely expanded with adoption of drug-eluting stents (DES). Several small- and moderate-sized trials of CABG and first-generation DES showed that PCI might be a good alternative for selected patients with LMCA disease. However, these early trials were relatively underpowered and comparative results of contemporary DES and CABG were clearly required...
July 2018: Annals of Cardiothoracic Surgery
Tiffany Patterson, Alexander Perkins, Gavin D Perkins, Tim Clayton, Richard Evans, Hanna Nguyen, Karen Wilson, Mark Whitbread, Johanna Hughes, Rachael T Fothergill, Joanne Nevett, Iris Mosweu, Paul McCrone, Miles Dalby, Roby Rakhit, Philip MacCarthy, Divaka Perera, Jerry P Nolan, Simon R Redwood
BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is a global public health issue. There is wide variation in both regional and inter-hospital survival rates from OHCA and overall survival remains poor at 7%. Regionalization of care into cardiac arrest centers (CAC) improves outcomes following cardiac arrest from ST elevation myocardial infarction (STEMI) through concentration of services and greater provider experience. The International Liaison Committee on Resuscitation (ILCOR) recommends delivery of all post-arrest patients to a CAC, but that randomized controlled trials are necessary in patients without ST elevation (STE)...
August 6, 2018: American Heart Journal
Seung Woon Rha, Seung Hyuk Choi, Doo Il Kim, Dong Woon Jeon, Jae Hwan Lee, Kyung Soon Hong, Tae Joon Cha, Jang Hyun Cho, Sang Kon Lee, Yong Hwan Park, Woo Jung Park, Hyun Joo Kim, Young Joo Kim, Juneyoung Lee, Donghoon Choi
BACKGROUND AND OBJECTIVES: We aimed to investigate the history of medical resource consumption and quality of life (QoL) in peripheral arterial disease (PAD) patients in Korea. METHODS: This was a prospective, multi-center (23 tertiary-hospitals, division of cardiology), non-interventional study. Adult patients (age ≥20 years) suffering from PAD for the last 12-month were enrolled in the study if they met with any of following; 1) ankle-brachial index (ABI) ≤0...
June 18, 2018: Korean Circulation Journal
Giuseppe Tarantini, Giovanni Esposito, Giuseppe Musumeci, Chiara Fraccaro, Anna Franzone, Battistina Castiglioni, Alessio La Manna, Ugo Limbruno, Alfredo Marchese, Ciro Mauro, Stefano Rigattieri, Fabio Tarantino, Caterina Gandolfo, Gennaro Santoro, Roberto Violini, Flavio Airoldi, Remo Albiero, Manrico Balbi, Giorgio Baralis, Antonio Luca Bartorelli, Francesco Bedogni, Alberto Benassi, Andrea Berni, Giulio Bonzani, Alessandro Santo Bortone, Giuseppe Braito, Carlo Briguori, Elvis Brscic, Paolo Calabrò, Ivan Calchera, Maurizio Cappelli Bigazzi, Francesco Caprioglio, Fausto Castriota, Carlo Cernetti, Cinzia Cicala, Paolo Cioffi, Antonio Colombo, Virgilio Colombo, Gaetano Contegiacomo, Alberto Cremonesi, Maurizio D'Amico, Mauro De Benedictis, Alessandro De Leo, Maurizio Di Biasi, Domenico Di Girolamo, Emilio Di Lorenzo, Carlo Di Mario, Marcello Dominici, Federica Ettori, Maurizio Ferrario, Massimo Fioranelli, Dionigi Fischetti, Gabriele Gabrielli, Arturo Giordano, Pietro Giudice, Cesare Greco, Ciro Indolfi, Ornella Leonzi, Corrado Lettieri, Bruno Loi, Nicola Maddestra, Niccolò Marchionni, Cinzia Marrozzini, Massimo Medda, Bindo Missiroli, Luigi My, Jacopo Andrea Oreglia, Cataldo Palmieri, Paolo Pantaleo, Saro Roberto Paparoni, Guido Parodi, Anna Sonia Petronio, Luigi Piatti, Emanuela Piccaluga, Carlo Pierli, Andrea Perkan, Antonino Pitì, Arnaldo Poli, Angelo Bruno Ramondo, Maurizio Alessandro Reale, Bernhard Reimers, Flavio Luciano Ribichini, Roberta Rosso, Salvatore Saccà, Cosimo Sacra, Andrea Santarelli, Gennaro Sardella, Gaetano Satullo, Filippo Scalise, Massimo Siviglia, Leonardo Spedicato, Amerigo Stabile, Corrado Tamburino, Tullio Nicola Maria Tesorio, Salvatore Tolaro, Fabrizio Tomai, Carlo Trani, Renato Valenti, Orazio Valsecchi, Giuseppe Valva, Ferdinando Varbella, Carlo Vigna, Luigi Vignali, Sergio Berti
Transcatheter aortic valve implantation (TAVI) has revolutionized the management of patients with symptomatic severe aortic stenosis and has become the standard of care for inoperable patients and the preferred therapy for those at increased surgical risk with peculiar clinical and anatomic features. Technology advances, growing experience and accumulating data prompted the update of the 2011 Italian Society of Interventional Cardiology (SICI-GISE) position paper on institutional and operator requirements to perform TAVI...
September 2018: Giornale Italiano di Cardiologia
Gerald W Smetana, Jennifer Beach, Lewis Lipsitz, Howard Libman
Hypertension is prevalent and the most important risk factor for cardiovascular disease. Controversy exists regarding the optimum threshold above which to begin antihypertensive therapy and the optimum target blood pressure once medication is begun. This controversy is particularly true for older patients, who may be more likely to benefit from treatment because of their higher risk for cardiovascular events, but may also be more at risk for adverse effects of treatment. Two guidelines published in 2017 address this issue...
August 7, 2018: Annals of Internal Medicine
Goetz C Mueller, Ina Michel-Behnke, Walter Knirsch, Nikolaus A Haas, Hashim Abdul-Khaliq, Roland Gitter, Sven Dittrich, Ingo Dähnert, Frank Uhlemann, Stephan Schubert, Gleb Tarusinov, Christoph Happel, Harald Bertram, Ludger Sieverding, Andreas Eicken, Rainer Kozlik-Feldmann, Jochen Weil
AIMS: Endomyocardial biopsies (EMBs) are performed infrequently in children owing to significant past complication rates and controversial discussions about the therapeutic value of results. The objective of this study is to investigate the safety and feasibility of EMBs for suspected myocardial disease in relation to their clinical value. METHODS AND RESULTS: Retrospective multicentre review of the Working Group for Interventional Cardiology of the German Society for Paediatric Cardiology...
August 7, 2018: EuroIntervention
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
Philippe Timmermans, Filip Rega, Jan Bogaert, Marie-Christine Herregods
Neuroendocrine tumours are a rare malignancy, which can be complicated by a carcinoid syndrome and, in more rare cases, also valve destruction. The correct timing for surgical repair remains unknown. We report the first-in-men exercise cardiac magnetic resonance imaging with pulmonary artery catheter measurements in order to better understand the haemodynamic impact of isolated tricuspid valve insufficiency in a low symptomatic patient. Not pressure but volume overload is the key factor in the development of symptoms, as long as the right ventricular function is intact...
August 6, 2018: ESC Heart Failure
Mary M Quien, Muhamed Saric
Echocardiography has become a critical tool in clinical cardiology in evaluating cardiac physiology and diagnosing cardiac disease states. However, imaging artifacts are commonly encountered and often lead to misdiagnoses of life-threatening diseases, such as aortic dissection and ventricular thrombus. It is, thus, critical for clinicians to understand these artifacts to avoid these misdiagnoses and protect patients from undue intervention. Artifacts can be broken down into two categories: those from violation of ultrasound system assumptions and those from interference by external equipment and devices...
August 6, 2018: Echocardiography
Konrad Stępień, Karolina Połetek, Michał Komornik, Zbigniew Siudak, Tomasz Tokarek, Dariusz Dudek
INTRODUCTION: Interventional cardiology (IC) is a rapidly expanding field of medicine. Medical studies should provide students the necessary level of knowledge about new techniques in IC. The aim of the study was to assess the medical students' knowledge about various new areas of IC. MATERIAL AND METHODS: Self-designed questionnaire was used to assess student's knowledge. It contained 31 questions. The initial 3 questions concerned general information, the remaining ones were related to different IC techniques: Transcatheter Aortic Valve Implantation (TAVI), Bioresorbable Vascular Scaffold (BVS), percutaneous mitral regurgitation repair methods, Left Atrial Appendage Occlusion (LAAO), Renal DeNervation (RDN), Balloon Aortic Valvuloplasty (BAV) and Atrial Septal Defect/Persistent Foramen Ovale (ASD/PFO)...
2018: Folia Medica Cracoviensia
Annop Lekhakul, Eric R Fenstad, Chalailak Assawakawintip, Sorin V Pislaru, Assefa M Ayalew, Joseph F Maalouf, Vuyisile T Nkomo, Jeremy Thaden, Jae K Oh, Larry J Sinak, Garvan C Kane
OBJECTIVE: As invasive cardiovascular care has become increasingly complex, cardiac perforation leading to hemopericardium is a progressively prevalent complication. We sought to assess the frequency, etiology, and outcomes of hemorrhagic pericardial effusions managed through a nonsurgical echo-guided percutaneous strategy. PATIENTS AND METHODS: Over a 10-year period (January 1, 2007, to December 31, 2016), 1097 unique patients required pericardiocentesis for clinically important pericardial effusions...
August 2018: Mayo Clinic Proceedings
Geoffrey M Currie
Pharmacology principles provide key understanding that underpins the clinical and research roles of nuclear medicine practitioners. Indeed, the scope of practice of the nuclear medicine technologist demands knowledge and understanding of indications, contraindications, warnings, precautions, proper use, drug interactions, and adverse reactions for each medication to be used. This article is the third in a series of articles that aims to enhance the understanding of pharmacological principles relevant to nuclear medicine...
August 3, 2018: Journal of Nuclear Medicine Technology
Rajkumar Doshi, Nirav Patel, Rajat Kalra, Harpreet Arora, Navkaranbir S Bajaj, Garima Arora, Pankaj Arora
BACKGROUND: Coronary chronic total occlusion (CTO) using percutaneous coronary intervention (PCI) presents a distinct challenge in the field of cardiology owing to multiple reasons including the increased risk of peri-procedural complications. We sought to explore rates of hospitalization, outcomes, use of mechanical circulatory support devices, and economic burden associated with single-vessel coronary CTO undergoing PCI for stable coronary artery disease (CAD). METHODS: The National Inpatient Sample spanning from 2008 through 2014 was queried to identify hospitalizations associated with single-vessel coronary CTO-PCI for stable CAD by excluding hospitalizations with ST-elevation and non-ST elevation myocardial infarction...
July 19, 2018: International Journal of Cardiology
Mark D Huffman, Laine E Thomas
No abstract text is available yet for this article.
August 1, 2018: JAMA Cardiology
Napohn Chongprasertpon, John Joseph Coughlan, Ciara Cahill, Thomas John Kiernan
This was a retrospective observational analysis of all (n = 876) ST-segment elevation myocardial infarction (STEMI) patients treated with primary percutaneous coronary intervention (PPCI) at University Hospital Limerick (UHL) from 2012 to 2016 to determine whether chronological patterns existed in incidence and mortality at our center. Data were obtained from the electronic Cardiology STEMI database in UHL. Statistical analysis was performed using the Independent Samples t Test, ANOVA and Pearson's Chi-Squared test...
August 1, 2018: Chronobiology International
Mark R Jones, Sergey Karamnov, Richard D Urman
BACKGROUND: Many interventional procedures are performed under moderate procedural sedation (MPS). It is important to understand the nature of and factors contributing to adverse events (AEs). Little data exist examining reportable AEs during MPS across specialties. A study was conducted to investigate adverse events during MPS and to compare associated patient and provider characteristics. METHODS: In a retrospective review, 83 MPS cases in which safety incidents were reported (out of approximately 20,000 annual cases during a 12-year period at a tertiary medical center) were analyzed...
July 27, 2018: Joint Commission Journal on Quality and Patient Safety
Caleb Ferguson, Louise D Hickman, Jane Phillips, Phillip J Newton, Sally C Inglis, Lawrence Lam, Beata V Bajorek
BACKGROUND: There is a need to improve cardiovascular nurses' knowledge and practices related to stroke prevention, atrial fibrillation and anticoagulation therapy. AIMS: The aim of this study was to evaluate the efficacy of EVICOAG - a novel mHealth, smartphone-based, spaced-learning intervention on nurses' knowledge of atrial fibrillation and anticoagulation. METHODS: Nurses employed in four clinical specialties (neuroscience, stroke, rehabilitation, cardiology) across three hospitals were invited to participate...
August 1, 2018: European Journal of Cardiovascular Nursing
Majla Cibo, Lejla Brigic, Sanela Tukulija, Nihad Kukavica, Amer Iglica, Merita Tiric-Campara
Introduction: The dominant global public health challenge are non-communicable diseases. According to World Health Organization (WHO) data. The fifth leading causes of death in FB&H are diseases of the heart and coronary arteries: stroke, acute myocardial infarction, cardiac arrest, cardiomyopathy and essential hypertension. The prevention of these diseases has great importance in improving health in B&H. Objective: The aim of this study is in estimation of one-year survival and left heart systolic function after the treatment...
June 2018: Acta Informatica Medica: AIM
Anna Gu, Yu Yue, Joohae Kim, Edgar Argulian
BACKGROUND: The 2017 American College of Cardiology/American Heart Association (ACC/AHA) Guideline introduced new categories of high blood pressure. The vast majority of individuals in these newly defined categories are recommended for nonpharmacological intervention rather than antihypertensive therapy. OBJECTIVE: This study sought to determine the burden of potentially modifiable risk factors of hypertension among untreated adults in the newly defined categories of blood pressure...
July 26, 2018: American Journal of Medicine
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