keyword
https://read.qxmd.com/read/38301853/a-cadaver-study-evaluating-intraluminal-anomalies-of-the-left-common-iliac-vein
#21
JOURNAL ARTICLE
Celeste M Murtha, Richard D Coats, Grace E Thiel, Morgan L McBride, Larry Segars, Anthony B Olinger
OBJECTIVE: Intraluminal anomalies within the left common iliac vein, characteristic of iliac vein compression syndrome, are thought to result from compression by and pulsation of the overlying right common iliac artery. This cadaver study was designed to expand on the existing literature by surveying and photographing these spurs in addition to exploring whether certain factors, inherent to the cadaver, are associated with spur presence. METHODS: Dissection to expose the aorta, inferior vena cava, and common iliac arteries and veins was performed in 51 cadavers...
January 30, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38293946/noninvasive-advanced-cardiovascular-magnetic-resonance-derived-fontan-hemodynamics-are-associated-with-reduced-kidney-function-but-not-albuminuria
#22
JOURNAL ARTICLE
Jef Van den Eynde, Jos J M Westenberg, Mark G Hazekamp, Hildo J Lamb, Monique R M Jongbloed, Jolanda J Wentzel, Sasa Kenjeres, Ilona A Dekkers, Alexander Van De Bruaene, Friso M Rijnberg, Arno A W Roest
BACKGROUND: Kidney disease is the most important predictor of death in patients with a Fontan circulation, yet its clinical and hemodynamic correlates have not been well established. METHODS AND RESULTS: A total of 53 ambulatory patients with a Fontan circulation (median age, 16.2 years, 52.8% male patients) underwent advanced cardiovascular magnetic resonance assessment, including 4-dimensional flow imaging and computational fluid dynamics. Estimated glomerular filtration rate (eGFR) <90 mL/min per 1...
January 31, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38276999/echocardiographic-characteristics-in-neonates-with-septic-shock
#23
JOURNAL ARTICLE
Kumari Gunjan, Manoj Modi, Anup Thakur, Arun Soni, Satish Saluja
Clinical parameters used for hemodynamic assessment and titration of vasopressor therapy in neonates with septic shock have several limitations. Functional echocardiography is an emerging tool for bedside assessment of cardiac function and may be useful for diagnosis of shock and assessing the response to therapy. Data regarding echocardiographic parameters in neonates with shock is lacking. This prospective observational study was conducted in a Level III NICU with the primary objective of comparing echocardiographic characteristics of neonates with septic shock at diagnosis, following fluid boluses, and after maximum inotropic support [A1]...
January 26, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38213692/comments-on-efficacy-of-inferior-vena-cava-collapsibility-index-and-caval-aorta-index-in-predicting-the-incidence-of-hypotension-after-spinal-anaesthesia-a-prospective-blinded-observational-study
#24
JOURNAL ARTICLE
Sumit R Chowdhury, Priyankar Kumar Datta
No abstract text is available yet for this article.
November 2023: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38204844/prognostic-value-of-baseline-echocardiographic-parameters-in-heart-failure-with-improved-vs-nonrecovered-ejection-fraction
#25
JOURNAL ARTICLE
Gusti Ngurah Prana Jagannatha, Luh Oliva Saraswati Suastika, Anastasya Maria Kosasih, Bryan Gervais de Liyis, Mirani Ulfa Yusrika, Stanly Kamardi, Jonathan Adrian, I Wayan Agus Surya Pradnyana, Alif Hakim Alamsyah, Yosep Made Pius Cardia, Rizky Darmawan, Anastasia Victoria Rumangu, Putu Febry Krisna Pertiwi
BACKGROUND: Ejection fraction (EF) is often used as a prognostic indicator and for classifying heart failure (HF) patients. This study evaluates the association of echocardiographic parameters with HF with improved EF (HFimpEF). METHODS: This single-centre study retrospectively included patients with HF with reduced EF (HFrEF) from a cohort of admitted patients over 2018-2020, who were then followed up prospectively until 2023. The control group was categorized as patients with non-recovered HFrEF, and the population group was categorized as patients with HFimpEF...
December 2023: CJC open
https://read.qxmd.com/read/38180888/in-vitro-investigation-of-axial-mechanical-support-devices-implanted-in-the-novel-convergent-cavopulmonary-connection-fontan
#26
JOURNAL ARTICLE
Vincent Cleveland, Jacqueline Contento, Paige Mass, Priyanka Hardikar, Qiyuan Wu, Xiaolong Liu, Seda Aslan, Yue-Hin Loke, Axel Krieger, Scott Lunos, Laura Olivieri, Pranava Sinha
OBJECTIVES: The two opposing inflows and two outflows in a total cavopulmonary connection (TCPC) makes mechanical circulatory support (MCS) extremely challenging. We have previously reported a novel convergent cavopulmonary connection (CCPC) Fontan design that improves baseline characteristics and provides a single inflow and outflow, thus simplifying MCS. This study aims to assess the feasibility of MCS of this novel configuration using axial flow pumps in an in vitro benchtop model...
January 5, 2024: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/38166871/evaluation-of-extravascular-lung-water-and-cardiac-function-in-normal-vaginal-delivery-by-intrapartum-bedside-ultrasound
#27
JOURNAL ARTICLE
Shi-Jie Zhang, Shao-Zheng He, Jing-Jing Wu, Yong-Jian Chen, Guo-Rong Lyu
BACKGROUND: Healthy parturients may experience pulmonary edema and disturbed cardiac function during labor. We aimed to evaluate the extravascular lung water (EVLW), intravascular volume, and cardiac function of normal parturients during spontaneous vaginal delivery by bedside ultrasound. And to explore the correlation between EVLW and intravascular volume, cardiac function. METHODS: This was a prospective observational study including 30 singleton-term pregnant women undergoing spontaneous vaginal delivery...
January 2, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38149485/comparing-preoperative-fasting-and-ultrasound-measured-intravascular-volume-status-in-elective-surgery-enhanced-recovery-patients-versus-inpatient-urgent-surgery-patients-and-the-ability-of-ivc-collapsibility-to-predict-post-induction-hypotension
#28
JOURNAL ARTICLE
Jacob R Wrobel, Justin C Magin, David Williams, Xinming An, Jacob D Acton, Alexander S Doyal, Shawn Jia, James Krakowski, Ricardo Serrano, Stuart A Grant, David N Flynn, Duncan J McLean
Hypotension following induction of general anaesthesia has been shown to result in increased complications and mortality postoperatively. Patients admitted to the hospital undergoing urgent surgery are often fasted from fluids for significant periods compared to elective patients subject to Enhanced Recovery After Surgery protocols despite guidelines stating that a two-hour fast is sufficient. The aim of this prospective, observational study was to compare fasting times and intravascular volume status between elective surgery patients subject to enhanced recovery protocols and inpatient, urgent surgery patients and to assess differences in the incidence of post-induction hypotension...
December 27, 2023: Journal of Perioperative Practice
https://read.qxmd.com/read/38148768/volume-status-assessment-by-lung-ultrasound-in-end-stage-kidney-disease-a-systematic-review
#29
REVIEW
Aileen Kharat, Faissal Tallaa, Marc-Antoine Lepage, Emilie Trinh, Rita S Suri, Thomas A Mavrakanas
PURPOSE OF REVIEW: Lung ultrasound is a noninvasive bedside technique that can accurately assess pulmonary congestion by evaluating extravascular lung water. This technique is expanding and is easily available. Our primary outcome was to compare the efficacy of volume status assessment by lung ultrasound with clinical evaluation, echocardiography, bioimpedance, or biomarkers. The secondary outcomes were all-cause mortality and cardiovascular events. SOURCES OF INFORMATION: We conducted a MEDLINE literature search for observational and randomized studies with lung ultrasound in patients on maintenance dialysis...
2023: Canadian Journal of Kidney Health and Disease
https://read.qxmd.com/read/38143539/tuberculosis-presenting-as-ruptured-liver-abscess-and-inferior-vena-cava-thrombosis-in-a-pediatric-patient
#30
Nadia Nazir Jatoi, Marium Ashraf, Varisha Fatima Shaikh, Sharmeen Nasir, Hafsa Nazir Jatoi
Background: Tuberculosis is a leading cause of mortality and morbidity in many countries across the world, including Pakistan. While systemic tuberculosis can involve any organ of the body, tubercular liver abscess is a rare presentation. Case Report: We report the case of an 8-year-old female from a developing country where tuberculosis poses a significant burden on the health care system. The patient presented with fever and weight loss for 6 months and abdominal pain for 14 days. On examination, she had tenderness and guarding over the right hypochondrium...
2023: Ochsner Journal
https://read.qxmd.com/read/38133810/use-of-pocus-for-the-assessment-of-dehydration-in-pediatric-patients-a-narrative-review
#31
REVIEW
Anna Maria Musolino, Lorenzo Di Sarno, Danilo Buonsenso, Manuel Murciano, Antonio Chiaretti, Elena Boccuzzi, Maria Alessia Mesturino, Alberto Villani
In pediatric practice, POCUS (point-of-care ultrasound) has been mostly implemented to recognize lung conditions and pleural and pericardial effusions, but less to evaluate fluid depletion. The main aim of this review is to analyze the current literature on the assessment of dehydration in pediatric patients by using POCUS. The size of the inferior vena cava (IVC) and its change in diameter in response to respiration have been investigated as a tool to screen for hypovolemia. A dilated IVC with decreased collapsibility (< 50%) is a sign of increased right atrial pressure...
December 22, 2023: European Journal of Pediatrics
https://read.qxmd.com/read/38114949/inferior-vena-cava-collapsibility-index-as-a-predictor-of-hypotension-after-induction-of-general-anesthesia-in-hypertensive-patients
#32
JOURNAL ARTICLE
Mohamed Metwaly Fathy, Rehab A Wahdan, Amal Abdul Azeem Salah, Abeer M Elnakera
BACKGROUND: Hypertensive patients are more susceptible to develop hypotension after the induction of general anesthesia (GA), most likely due to hypovolemia. An inferior vena cava collapsibility index (IVCCI) > 40-50% can predict hypotension after the induction of GA in the general population by variable accuracies. The current study aimed to investigate IVCCI% as a predictor of postinduction hypotension in hypertensive patients undergoing noncardiac surgery. METHODS: Ultrasound IVCCI % was assessed for all controlled hypertensive patients immediately before induction of GA...
December 19, 2023: BMC Anesthesiology
https://read.qxmd.com/read/38108366/acute-pancreatitis-associated-with-pleural-effusion-mdct-manifestations-and-anatomical-basis
#33
JOURNAL ARTICLE
Zhi-Guo Bao, Qing Zhou, Sen Zhao, Wen-Yan Ren, Sen Du, Yan Li, Hang-Yu Wang
BACKGROUND: Acute pancreatitis (AP) is a severe condition with complications that can impact multiple organ systems throughout the body. Specifically, the diffusion of peripancreatic effusion to the pleural cavity is a significant phenomenon in AP. However, its pathways and implications for disease severity are not fully understood. OBJECTIVE: This study aims to investigate the anatomical routes of peripancreatic effusion diffusion into the pleural cavity in patients with AP and to analyze the correlation between the severity of pleural effusion (PE) and the computed tomography severity index (CTSI) and acute physiology and chronic health evaluation II (APACHE II) scoring system...
November 23, 2023: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://read.qxmd.com/read/38104754/usefulness-of-combined-ultrasound-assessment-of-e-e-ratio-pulmonary-pressure-and-cava-vein-status-in-patients-with-acute-heart-failure
#34
JOURNAL ARTICLE
Alberto Palazzuoli, Alessandra Cartocci, Filippo Pirrotta, Maria Cristina Tavera, Francesco Morrone, Francesca Vannuccini, Alessandro Campora, Gaetano Ruocco
Congestion is poorly investigated by ultrasound scans during acute heart failure (AHF) and systematic studies evaluating ultrasound indexes of cardiac pulmonary and systemic congestion during early hospital admission are lacking. We aim to investigate the prevalence of ultrasound cardiac pulmonary and systemic congestion in a consecutive cohort of hospitalized AHF patients, analyzing the relevance of each ultrasound congestion component (cardiac, pulmonary and systemic) in predicting the risk of death and rehospitalization...
December 15, 2023: American Journal of Cardiology
https://read.qxmd.com/read/38104216/a-clinical-assessment-of-portable-point-of-care-testing-for-quick-cortisol-assay-during-adrenal-vein-sampling
#35
JOURNAL ARTICLE
Ko Aiga, Mitsuhiro Kometani, Shigehiro Karashima, Seigo Konishi, Takuya Higashitani, Daisuke Aono, Xurong Mai, Mikiya Usukura, Takahiro Asano, Ayako Wakayama, Yuko Noda, Wataru Koda, Tetsuya Minami, Satoshi Kobayashi, Toshinori Murayama, Takashi Yoneda
This study assessed the clinical performance of point-of-care testing (POCT) for quick cortisol assay (QCA) during adrenal vein sampling (AVS) using a newly invented portable quantitative assay instrument. An observational study was conducted prospectively at two centres in Japan. Forty-eight patients with primary aldosteronism considered for adrenalectomy were enrolled in this study and underwent AVS. Three basal adrenal vein samples from each adrenal vein and two from the inferior vena cava were collected sequentially...
December 16, 2023: Scientific Reports
https://read.qxmd.com/read/38101705/improved-prognostication-using-the-inferior-vena-cava-collapsibility-index-a-tool-validated-for-adults-with-congenital-heart-disease
#36
EDITORIAL
Andrew Constantine, Nada Al-Sakini, Konstantinos Dimopoulos
No abstract text is available yet for this article.
December 14, 2023: International Journal of Cardiology
https://read.qxmd.com/read/38100102/statin-use-and-the-risk-of-venous-thromboembolism-in-women-taking-hormone-therapy
#37
JOURNAL ARTICLE
John W Davis, Susan C Weller, Laura Porterfield, Lu Chen, Gregg S Wilkinson
IMPORTANCE: Although hormone therapy (HT) in perimenopausal women is associated with increased risk for venous thromboembolism (VTE), it is unclear to what extent statins may mitigate this HT-associated risk. OBJECTIVE: To estimate VTE risk in women aged 50 to 64 years taking HT with or without statins. DESIGN, SETTING, AND PARTICIPANTS: This nested case-control study analyzed data from a commercially insured claims database in the US. Eligible participants included women aged 50 to 64 years with at least 1 year of continuous enrollment between 2008 and 2019...
December 1, 2023: JAMA Network Open
https://read.qxmd.com/read/38099231/cardioneuroablation-for-successful-treatment-of-symptomatic-bradycardia-in-a-12-year-old-child-after-a-6-month-follow-up
#38
JOURNAL ARTICLE
Xin Xu, Shuang He, Qian Liu, Ruixi Liu, Lei Zhang, Weijie Chen, Yuehui Yin, Tiewei Lu
BACKGROUND: Cardioneuroablation (CNA) is recognized as a promising therapeutic option for adults with severe symptomatic bradycardia caused by excessive vagal tone. However, no pediatric cases have been reported to date. Therefore, the aim of this study is to evaluate the feasibility and efficacy of CNA in children. METHODS: A 12-year-old male patient was hospitalized with symptoms of fatigue, palpitations, and syncope for more than 2 months, and was definitively diagnosed with functional sinoatrial node dysfunction by using a 12-lead electrocardiogram, 24-h Holter monitoring, loading dose of atropine test (0...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38094531/could-dry-weight-be-estimated-using-changes-in-blood-viscosity-in-children-on-chronic-hemodialysis
#39
EDITORIAL
Emre Leventoğlu, Zeynep Ural, Sevcan A Bakkaloğlu
Kidney failure patients on chronic hemodialysis are at risk for cardiovascular complications. Dry weight (DW), one of the dialysis parameters, should be optimized to reduce the complications caused by high blood pressure. By definition, DW is the lowest weight at which patients are clinically euvolemic, not hypotensive or hypertensive after dialysis, and do not require antihypertensives. In hemodialysis patients, DW is achieved by removing fluid from the body through ultrafiltration. Although it is usually determined by trial and error in clinical practice, more objective data are needed...
November 2023: Curēus
https://read.qxmd.com/read/38081258/development-of-in-vitro-pulsatile-flow-generator-for-evaluating-the-performance-of-hemodialysis-catheters
#40
JOURNAL ARTICLE
Seongsu Cho, Jihyeong Lee, Sun Cheol Park, Hoon Suk Park, Dae Hee Lee, Jinkee Lee
Hemodialysis (HD) using an HD catheter is performed widely on renal failure patients. The catheter was evaluated using the recirculation ratio in pre-clinical status, which is a crucial index indicating its performance. However, pre-clinical in-vivo experiments have limitations: high cost, and ethical issues. Hence, computational and in-vitro methods have been developed as alternatives. However, computational methods require fluid dynamic knowledge, whereas in-vitro experiments are complicated and expensive...
April 1, 2023: Review of Scientific Instruments
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