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https://www.readbyqxmd.com/read/27858115/-the-new-esc-guidelines-for-acute-and-chronic-heart-failure-2016
#1
C U Oeing, C Tschöpe, B Pieske
The new guidelines for the diagnosis and treatment of acute and chronic heart failure (HF) were presented in May 2016 during the congress of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) in Florence. An important amendment affects the classification of HF which now differentiates between HF with preserved ejection fraction (HFpEF) and left ventricular EF (LVEF) > 50%, HF with reduced ejection fraction (HFrEF, LVEF < 40%) and the new entity HF with mid-range ejection fraction (HFmrEF, LVEF 40-49%)...
December 2016: Herz
https://www.readbyqxmd.com/read/27762510/long-term-mortality-in-patients-with-permanent-pacemaker-implantation
#2
Abraham Speedie, Cinosh Mathew, Ramgopal S Shahi, Rajneesh Calton
INTRODUCTION: The development of implantable technology for cardiac rhythm management remains one of the seminal achievements of the second half of the 20th century. The development of artificial pacemakers for the electrical control of the cardiac rhythm has greatly enhanced the physician's ability to treat cardiac dysrhythmias. An ageing population and the extension of indications will in all probability result in an increasing number of cardiac device implantations. OBJECTIVE OF STUDY: To study mortality and morbidity in patients with permanent pacemaker implantation at a tertiary care hospital in North India...
September 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27708487/the-use-of-continuous-electrocardiographic-holter-monitoring-in-pediatric-cardiology
#3
Zijo Begic, Edin Begic, Senka Mesihovic-Dinarevic, Izet Masic, Senad Pesto, Mirza Halimic, Almira Kadic, Amra Dobraca
OBJECTIVE: To show the place and role of continuous electrocardiographic twenty-four-hour ECG monitoring in daily clinical practice of pediatric cardiologists. METHODS: According to protocol, 2753 patients underwent dynamic continuous ECG Holter monitoring (data collected from the "Register of ECG Holter monitoring" of Pediatric Clinic, UCC Sarajevo in period April 2003- April 2015). RESULTS: There were 50,5% boys and 49,5% girls, aged from birth to 19 years (1,63% - neonates and infants, 2,6% - toddlers, 9,95% - preschool children, 35,5% - gradeschoolers and 50,3% children in puberty and adolescence)...
July 16, 2016: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/26961569/pediatric-cardiology-boot-camp-description-and-evaluation-of-a-novel-intensive-training-program-for-pediatric-cardiology-trainees
#4
Scott R Ceresnak, David M Axelrod, Kara S Motonaga, Emily R Johnson, Catherine D Krawczeski
The transition from residency to subspecialty fellowship in a procedurally driven field such as pediatric cardiology is challenging for trainees. We describe and assess the educational value of a pediatric cardiology "boot camp" educational tool designed to help prepare trainees for cardiology fellowship. A two-day intensive training program was provided for pediatric cardiology fellows in July 2015 at a large fellowship training program. Hands-on experiences and simulations were provided in: anatomy, auscultation, echocardiography, catheterization, cardiovascular intensive care (CVICU), electrophysiology (EP), heart failure, and cardiac surgery...
June 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/26217963/robust-detection-of-heart-beats-in-multimodal-records-using-slope-and-peak-sensitive-band-pass-filters
#5
Urška Pangerc, Franc Jager
In this work, we present the development, architecture and evaluation of a new and robust heart beat detector in multimodal records. The detector uses electrocardiogram (ECG) signals, and/or pulsatile (P) signals, such as: blood pressure, artery blood pressure and pulmonary artery pressure, if present. The base approach behind the architecture of the detector is collecting signal energy (differentiating and low-pass filtering, squaring, integrating). To calculate the detection and noise functions, simple and fast slope- and peak-sensitive band-pass digital filters were designed...
August 2015: Physiological Measurement
https://www.readbyqxmd.com/read/26005828/-non-fatal-hyperkalemia-in-lactic-acidosis-due-to-metformin-overdose-report-of-one-case
#6
Rienzi Díaz, Jorge Vega, Helmuth Goecke
We report a 74-year-old man with diabetes mellitus type 2 and hypertension, who recently underwent coronary bypass surgery due to severe triple vessel disease receiving cardiological and combined antidiabetic therapy, including metformin 4 g/day. He was admitted with abdominal pain, nausea, vomiting, diarrhea and loss of consciousness. At admission, he was disoriented and agitated with signs of poor perfusion. His blood pressure was 80/70 mmHg, pulse rate 40 beats/min, respiratory rate 20-breaths/min, and axillary temperature 35 °C...
March 2015: Revista Médica de Chile
https://www.readbyqxmd.com/read/25547557/can-diagnostic-and-procedural-skills-required-to-practice-cardiology-as-a-specialist-be-mastered-in-3-years
#7
Eric H C Yu, Parvathy Nair, Matthew G Sibbald, Douglas S Lee, Paul Dorian
Cognitive and procedural skills required of cardiologists have increased in the past 10 years. What is unknown is whether residents consistently meet recommended volumes during training and what their own subjective assessments of their competency are after training. The purpose of this study was to (1) determine whether current training provides residents with opportunities to develop skills to function independently and (2) identify whether residents perceive gaps in their skills. We surveyed current and recent graduates of adult cardiology programs in Canada...
January 2015: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/25352408/intermittent-left-bundle-branch-block-an-overlooked-cause-of-electrocardiographic-changes-that-mimic-high-grade-stenosis-of-the-left-anterior-descending-coronary-artery
#8
Melissa A Kershaw, Felix J Rogers
CONTEXT: The electrocardiographic (ECG) pattern of high-grade stenosis of the left anterior descending coronary artery (LAD) is important clinically because of the high risk of myocardial infarction and cardiac death if the pattern is not recognized. Although the recognition of this pattern is currently widespread, false-positive ECG changes that mimic this pattern are infrequently reported. OBJECTIVE: To demonstrate that ECG changes from intermittent left bundle branch block (LBBB) and cardiac memory can mimic anterior ischemia...
November 2014: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/24924458/-a-multi-center-survey-on-the-therapeutic-status-of-patients-with-acute-myocardial-infarction-in-wuxi-city-of-china
#9
MULTICENTER STUDY
Suxia Guo, Zhenyu Yang, Dingye Wu, Chengjian Yang, Yijia Tao, Feng Chen, Wei Su, Ruolong Zheng, Song Yang, Xudong Li, Jingkai Chen
OBJECTIVE: To explore the characteristics and therapies of patients with acute myocardial infarction (AMI) in Wuxi city, China. METHODS: A network was established to obtain information of patients with AMI who were admitted to 9 designated hospitals between 2011 and 2012. A total of 1 714 patients were enrolled (1 334 males, 754 smokers, 1 076 hypertension, 270 hyperlipidemia and 398 diabetes) including 1 410 patients with acute ST-segment elevation myocardial infarction (STEMI) and 304 patients with acute non ST-segment elevation myocardial infarction (NSTEMI)...
April 2014: Zhonghua Xin Xue Guan Bing za Zhi
https://www.readbyqxmd.com/read/24565193/anesthetic-management-and-complications-of-percutaneous-aortic-valve-implantation
#10
Tailur Alberto Grando, Rogério Sarmento-Leite, Paulo Roberto Lunardi Prates, Claudio Roberto Gomes, Fabiana Specht, Alessandra Sarturi Gheller, Guilherme Bernardi
BACKGROUND AND OBJECTIVE: Aortic stenosis is a highly prevalent and life-threatening disease. In elderly patients with comorbidities, percutaneous valve implantation is an option. The aim of the study was to describe the anesthetic management and complications of general anesthesia METHOD: Case series with 30-day and 24-month follow-ups after implantation of the CoreValve device performed at the Institute of Cardiology/University Foundation of Cardiology between December 2008 and January 2012...
May 2013: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/24332196/pharmacokinetic-and-safety-profile-of-ivabradine-in-healthy-chinese-men-a-phase-i-randomized-open-label-increasing-single-and-multiple-dose-study
#11
RANDOMIZED CONTROLLED TRIAL
Juanjuan Jiang, Lei Tian, Yiling Huang, Yishi Li, Li Xu
BACKGROUND: Ivabradine is a pure heart rate-lowering agent that acts by inhibiting I(f), an important ionic current involved in pacemaker activity in the cells of the sinoatrial node. In the 2012 European Society of Cardiology Guidelines on Heart Failure, it was recommended that patients with a persistently high heart rate, despite treatment with an evidence-based dose of a β-blocker, should be considered for treatment with ivabradine. OBJECTIVE: The aim of this study was to explore the pharmacokinetic/pharmacodynamic properties and safety profile of ivabradine in healthy Chinese men...
December 2013: Clinical Therapeutics
https://www.readbyqxmd.com/read/23683744/cardiologic-predictors-of-sudden-death-in-patients-with-myotonic-dystrophy-type-1
#12
Vidosava Rakocevic Stojanovic, Stojan Peric, Teodora Paunic, Sanja Pavlovic, Edita Cvitan, Ivana Basta, Marina Peric, Milena Milicev, Dragana Lavrnic
The aim of this study was to analyze survival, causes of death and cardiologic predictors of sudden death in a large cohort of patients with myotonic dystrophy type 1 (DM1). The study was comprised of 171 adult DM1 patients hospitalized at the Neurology Clinic in a 20-year period. Severe electrocardiographic (ECG) abnormality included at least one of the following: rhythm other than sinus, PR interval of ≥240 ms, QRS complex duration of 120 ms or more, and second-degree or third-degree atrioventricular (AV) block...
July 2013: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/23683452/anesthetic-management-and-complications-of-percutaneous-aortic-valve-implantation
#13
Tailur Alberto Grando, Rogério Sarmento-Leite, Paulo Roberto Lunardi Prates, Claudio Roberto Gomes, Fabiana Specht, Alessandra Sarturi Gheller, Guilherme Bernardi
BACKGROUND AND OBJECTIVE: Aortic stenosis is a highly prevalent and life-threatening disease. In elderly patients with comorbidities, percutaneous valve implantation is an option. The aim of the study was to describe the anesthetic management and complications of general anesthesia. METHOD: Case series with 30-day and 24-month follow-ups after implantation of the CoreValve device performed at the Institute of Cardiology/University Foundation of Cardiology between December 2008 and January 2012...
May 2013: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/23224923/mami-registration-report-1996-2010
#14
MULTICENTER STUDY
Francisco García Urra, Antonio O Luque Lezcano
BACKGROUND: To summarize the results of MAMI registration and compare them to other national and foreign records published. METHODS: Observational, prospective and multicenter study based on a wide source of data incoming from 50 Intensive Care Units in Spain during 15 years, from April 1996 to December 2010. Demographic, clinical, etiological and electrocardiographic (ECG) variables were collected before pacemaker implantation. Type of intervention, electrical measurement at implantation, model and serial number of devices and electrodes as well as early complications (before hospital discharge) were also recorded...
2012: Cardiology Journal
https://www.readbyqxmd.com/read/22318853/identifying-arrhythmias-in-adults-with-congenital-heart-disease-by-24-h-ambulatory-electrocardiography
#15
COMPARATIVE STUDY
Fred H Rodriguez, Douglas S Moodie, Marc Neeland, Gerald J Adams, Christopher S Snyder
Adults with congenital heart disease (CHD) are at risk for the development of arrhythmias. This study aimed to assess the incidence of unsuspected arrhythmias among adults with CHD identified on electrocardiograms (ECGs) and 24-h ambulatory electrocardiographic monitoring (Holter monitoring). A review of the cardiology database at the authors' institution from July 2004 through December 2007 identified all clinic patients 18 years old or older who had a recent ECG and Holter monitoring. Data collection included diagnosis, ECG and Holter monitoring results, arrhythmias, and the presence or absence of symptoms...
April 2012: Pediatric Cardiology
https://www.readbyqxmd.com/read/21776309/heart-failure-prognostic-model
#16
L Axente, C Sinescu, G Bazacliu
Heart failure (HF) is a common, costly, disabling and deadly syndrome. Heart failure is a progressive disease characterized by high prevalence in society, significantly reducing physical and mental health, frequent hospitalization and high mortality (50% of the patients survive up to 4 years after the diagnosis, the annual mortality varying from 5% to 75%). The purpose of this study is to develop a prognostic model with easily obtainable variables for patients with heart failure. METHODS AND RESULTS. Our lot included 101 non-consecutive hospitalized patients with heart failure diagnosis...
May 15, 2011: Journal of Medicine and Life
https://www.readbyqxmd.com/read/21523455/-what-is-new-in-the-2009-esc-guidelines
#17
W von Scheidt, K Seidl
The 2009 ESC guideline emphasizes active risk stratification and the diagnostic strategy of prolonged ECG monitoring using an implantable loop recorder. The initial evaluation aims at establishing a prima vista diagnosis or at least a diagnostic hypothesis and risk stratification according to ECG criteria and clinical findings. Carotid sinus massage as a diagnostic procedure remains controversial. Electrophysiological study for evaluation of suspected arrhythmogenic syncope is of decreasing relevance. The loop recorder enables documentation of the rhythm during a subsequent syncope...
June 2011: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/21164416/-general-surgical-procedures-in-patients-with-electrical-pacemaker
#18
A V Sazhin, A E Tiagunov, E V Pervova, A N Aleksandrov, K A Rogov, A D Zlotnikova, A M Zhdanov
Work of the implanted electric pacemaker (EP) was assessed in 99 patients, aged 62.4±9.6 years, during non-cardiological surgery. Inhibition of the EP stimuli was registered in 9 (9.1%) patients, short episodes of uneffective stimulation with synchronization disturbation--in 2 (2%) patients and change of stimulation regimen was registered in the same number of patients by electocoagulation. Episodes of myopotential inhibition not assotiated with electrocoagulation was registered in 4 cases. The ascertained rhythm disturbances require a thorough preoperative check-up, intraoperative ECG control and short use of monopolar electrocoagulation...
2010: Khirurgiia
https://www.readbyqxmd.com/read/21112225/cardiac-asystole-during-a-cluster-of-right-temporo-parietal-seizures
#19
Anna Serafini, Philippe Gelisse, Velizarova Reana, Arielle Crespel
Ictal bradycardia and asystole can appear during an epileptic seizure. They must be promptly recognized and treated due to their potential life threatening consequences. Indeed, they have been implicated in the pathogenesis of sudden unexpected death in epilepsy (SUDEP). We report the case of a 33 year-old woman with a right temporo-parietal lobe epilepsy who presented a 19 s asystole during a cluster of seizures. Careful interview revealed appearance of numerous episodes of fall in the previous years. The patient underwent cardiological investigations including echocardiography and His bundle electrography that resulted to be normal...
March 2011: Seizure: the Journal of the British Epilepsy Association
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