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Surgery Cardiology

Filiz Dirikkan, Leyla Baysan Arabacı, Ece Mutlu
OBJECTIVE: This cross-sectional, descriptive study evaluated the relationship between the caregiver burden and the psychosocial adjustment of caregivers to cardiac failure patients. METHODS: Between November 18, 2015 and March 1, 2016, a preliminary information form, the Caregiver Burden Scale, and the Psychosocial Adjustment to Illness Scale were used to assess the caregivers of 200 patients being treated in the cardiology service of a university hospital. RESULTS: Among the caregivers, 75% were primary or secondary school graduates, 36% were housewives, and 43% were the patients' spouse...
December 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
H N Alshaikh, F Bohsali, F Gani, B Nejim, M Malas
Background: There is a lack of evidence for the association between intensive statin therapy and outcomes following vascular surgery. The aim of this study was to evaluate the association between perioperative statin intensity and in-hospital mortality following open abdominal aortic aneurysm (AAA) repair. Methods: Patients undergoing open AAA repair between 2009 and 2015 were identified from the Premier Healthcare Database. Statin use was classified into low, moderate and high intensity, based on American College of Cardiology/American Heart Association guidelines...
December 2018: BJS open
Denis S Tuter, Philippe Y Kopylov, Abram L Syrkin, Oleg S Glazachev, Roman N Komarov, Andrei I Katkov, Ljudmila P Severova, Ekaterina V Ivanova, Young Zhang, Hugo Saner
Background: Although remote ischaemic preconditioning (RIP) provides protection against myocardial ischaemia and reperfusion injury during cardiac surgery, it is not widely used. Systemic intermittent hypoxic-hyperoxic training (IHHT) may be a suitable alternative. Methods: This is a prospective, single-centre, randomised controlled trial. 127 patients with ischaemic heart disease and indication for coronary artery bypass graft (CABG) surgery from the Cardiology Clinic IM Sechenov First Moscow State Medical University were randomly assigned to IHHT, IHHT-control or RIP...
2018: Open Heart
David E Wang, Rishi K Wadhera, Deepak L Bhatt
Importance: The US News & World Report (USNWR) identifies the "Best Hospitals" for "Cardiology and Heart Surgery." These rankings may have significant influence on patients and hospitals. Objective: To determine whether USNWR top-ranked hospitals perform better than nonranked hospitals on mortality rates and readmission measures as well as patient satisfaction. Design, Setting, and Participants: This national retrospective cross-sectional study was conducted from 2017 to 2018 and included 3552 US hospitals...
November 28, 2018: JAMA Cardiology
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
Emily Mary O'Brien, David Law, David Celermajer, Peter Watson Grant, Jon Waites
OBJECTIVE: The number of adults with congenital heart disease has increased with improvements in surgical and medical management, posing a challenge for regional and rural settings, which might have difficulties accessing specialised professionals with congenital heart disease services. This study aims to ascertain the demographics and management of adults with congenital heart disease seen by a cardiology practice in regional Australia to better understand the needs of regional adults with congenital heart disease...
November 19, 2018: Australian Journal of Rural Health
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
Harish Chandra Neupane, Niki Shrestha, Bishow Kumar Shrestha
The need of subspecialty training has been acutely felt in Nepal now with the rapid advancement in the field of medical sciences, the changing burden of diseases, the acute shortage of highly specialized health professionals, the evolving concept of learning and medical education and the ever-increasing focus on right and safety of patients.Fellowship Training is obtained in a specific specialty or subspecialty. Fully academic 3-year Fellowship programsin Pulmonary and Critical Care Medicine, Hepatopancreatobiliary Surgery and Cardiologyhavebeen initiated for certification of the training for the first time in Nepal at Chitwan Medical College (CMC) and all three are recognized by the Nepal Medical Council...
October 30, 2018: Journal of Nepal Health Research Council
Jennifer L Lapum, Suzanne Fredericks, Barbara Bailey, Terrence M Yau, Jennifer Graham, Ariane J Marelli
OBJECTIVE: The number of adults with congenital heart disease (CHD) has increased substantially because of medical advances that are extending life expectancy beyond childhood. A historical investigation is timely not only because of this significant demographic shift, but also because stakeholder engagement is increasingly important in shaping research directions. The study questions were: From the perspective of stakeholders, what is known about the medical treatment for the adult CHD cohort in Canada and how has it changed over time? DESIGN/METHODS: We harnessed the use of historical research methods and conducted interviews with 21 key informants in order to articulate a contextualized understanding of the evolution of adult CHD treatment in Canada...
November 19, 2018: Congenital Heart Disease
Vidmi Taolam Martin, LiYuan Zeng, Jean Christian Nzengue, LiYe Mao, JingYin Huang, XiuFan Peng
Introduction: Portable ultrasound is a modality of medical ultrasonography that utilizes small and light devices, and is an established diagnostic method used in clinical settings such as Cardiology, Vascular Surgery, Radiology, Endocrinology, Pediatric and Obstetric & Gynecology. Presentation of cases: We present a case report of 86-years old patient who underwent surgical rib fixation for multiple rib fractures followed by falling from standing height and our management experience...
December 2018: Annals of Medicine and Surgery
Zeynep Karaman Özlü, Özlem Şahin Altun, Zeynep Olçun, Merve Kaya, Afife Yurttaş
PURPOSE: This study was conducted to examine the relationship between elective surgical patients' methods for coping with stress and sleeping status the night before an operation. DESIGN: This research was a descriptive and correlational study. METHODS: The study was conducted between November 2016 and February 2017 with 132 patients who were waiting to undergo elective surgery in the surgery clinics of a university hospital. The data were collected using a personal information form, the Richards-Campbell Sleep Questionnaire (RCSQ), and the Ways of Coping Inventory (WOC)...
December 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Wei Cheng, Qiaoying Kang, Qinghua Xiao
BACKGROUND: Artery stenting is an effective therapy for carotid artery stenosis to prevent ischemic stroke. We aimed to identify and analyze the 100 top-cited papers published on carotid artery stenting (CAS), to provide the achievements and development in this field. METHODS: Web of Knowledge (WoS) was searched up to May 3, 2018, using the terms "carotid artery stenting" or "CAS". Top 100 cited papers were extracted to analyze their characteristics...
November 15, 2018: World Neurosurgery
O Pereira da Costa Sobrinho, J Dantas de Lucena, R Silva Pessoa, N Andrade Veríssimo, L Martins Nunes, P Karline Rojas, Ê Simas Macedo, J Erivan Façanha Barreto, H Lopes Ribeiro Junior, D Viana Gondim, G Santos Cerqueira, H Freitas da Silveira
The left coronary artery is responsible for the irrigation of important heart structures. The objective of this study was to analyze the morphological characteristics of the main trunk of left coronary artery in the Brazilian population and its clinical implications. The study was carried out by using 63 adult human hearts of the human anatomy laboratory of the Federal university of Ceará, Brazil. The hearts were dissected for exposure and analysis of the left coronary artery and its branches. The data collected were statistically analyzed...
November 14, 2018: Morphologie: Bulletin de L'Association des Anatomistes
A Zapatero-Gaviria, R Gómez-Huelgas, J Canora-Lebrato, J Ena-Muñoz, M Romero-Sánchez, M Mendez-Bailón, J Marco-Martínez, R Barba-Martín
OBJECTIVES: Diabetes mellitus is associated with a marked increase in cardiovascular disease. In this study, we analysed the prevalence of diabetes mellitus in hospitalised patients in Spain in 2015 and the burden of associated cardiovascular disease. METHODS: By analysing the 2015 minimum basic data set (MBDS) of the Spanish Ministry of Health, we included all patients discharged with a diagnosis of diabetes mellitus. We describe the epidemiological characteristics, distribution by the various hospital departments and the presence of cardiovascular disease...
November 15, 2018: Revista Clínica Española
Rameez Sayyed, Mian Bilal Alam
The ability to identify and guide evaluation of the patient with cardiac disease represents a necessary skill for success in surgery of the foot and ankle. Common risk factors, such as diabetes and peripheral arterial disease, are encountered in podiatric practice. Recognition of patients at risk for cardiac disease and a predilection for sustaining a major adverse cardiac event perioperatively advocates for preoperative cardiology consultation. Identification of risk factors, assessment of functional capacity, and appropriate work-up mitigate any untoward cardiac events surrounding surgery...
January 2019: Clinics in Podiatric Medicine and Surgery
Vickram Singh, Mesbah Rahman, Alan G Fraser
A 29-year-old man crashed at high speed into another vehicle at traffic lights. He was able to get out of his van but then collapsed after running a few metres. On arrival in the emergency department he was conscious, with a pulse of 140 beats/min and blood pressure of 110/32 mm Hg. He had collapsing arterial pulses and an early diastolic murmur. He had a chest radiograph (figure 1A) and a skeletal survey which demonstrated multiple fractures, involving his left hand, right femur, right calcaneus, and left first and second ribs...
November 15, 2018: Heart: Official Journal of the British Cardiac Society
Khadija Mzoughi, I Zairi, Marwa Daly, Jalel Ziadi, Sofien Kamoun, Fethia Ben Moussa, Sana Fennira, Sondos Kraiem
BACKGROUND: Due to the increase in average life expectancy and the higher incidence of cardiovascular disease, more elderly patients present for cardiac surgery nowadays. At the same time, age has been considered a predictor of morbidity and mortality. AIM: To evaluate the short-term outcomes of cardiac surgery in elderly patients. METHODS: We conducted a descriptive retrospective study including elderly patients who underwent cardiac surgery from January 2012 to 31st of December 2016...
April 2018: La Tunisie Médicale
Norbert Guettler, Edward D Nicol, Joanna d'Arcy, Rienk Rienks, Dennis Bron, Eddie D Davenport, Olivier Manen, Gary Gray, Thomas Syburra
This manuscript focuses on the broad aviation medicine considerations that are required to optimally manage aircrew following non-coronary surgery or percutaneous cardiology interventions (both pilots and non-pilot aviation professionals). Aircrew may have pathology identified earlier than non-aircrew due to occupational cardiovascular screening and while aircrew should be treated using international guidelines, if several interventional approaches exist, surgeons/interventional cardiologists should consider which alternative is most appropriate for the aircrew role being undertaken; liaison with the aircrew medical examiner is strongly recommended prior to intervention to fully understand this...
January 2019: Heart: Official Journal of the British Cardiac Society
N D Bunyatyan, S M Drogovoz, A V Kononenko, A B Prokofiev
Carboxytherapy (the treatment based on carbon dioxide injections) is a multipurpose and widely used medical technology. The use of CO2 injections (intracutaneous, subcutaneous, and pneumopuncture) have substantially supplemented and increased the practical relevance of carboxytherapy as a method for the treatment of many diseases. Thanks to it physiological properties, CO2 has antihypoxic, antioxidant, vasodilatory, anti-inflammatory, analgesic, and spasmolytic activities; moreover, it improves blood viscosity, stimulates neoangiogenesis, and regenerative processes...
2018: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
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