keyword
https://read.qxmd.com/read/38533653/tabernacl-temporary-hemodynamic-stabilization-in-vivo
#21
JOURNAL ARTICLE
Rim N Halaby, Christopher G Bruce, D Korel Yildirim, Dogangun Uzun, Toby Rogers, Jaffar M Khan, Andi E Jaimes, Laurie P Grant, Vasilis C Babaliaros, Adam B Greenbaum, Robert J Lederman
BACKGROUND: Acute aortic regurgitation is life-threatening with few nonsurgical options for immediate stabilization. We propose Trans-Aortic Balloon to Ease Regurgitation Applying Counter-Pulsation (TABERNACL), a simple, on-table temporary valve using commercially available equipment to temporize acute severe aortic regurgitation. METHODS: We hypothesize that an appropriately sized commercial balloon dilatation catheter-straddling the aortic annulus and connected to a counterpulsation console-can serve as a temporizing valve to restore hemodynamic stability in acute aortic regurgitation...
March 27, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38533133/non-tamponade-indications-for-pericardial-drainage-a-case-report-of-acute-streptococcus-pneumoniae-purulent-pericarditis
#22
Toyin Ingram, Aarti Narayan, Noah Ene, Iheoma Kwazemem-Opara, Chika Okafor
Pericardial drainage is a procedure completed to evacuate fluid from the pericardial space. This can be completed by pericardiocentesis or pericardial window. These procedures are most often done in the setting of cardiac tamponade, typically to correct low blood pressure due to low stroke volume from extrinsic compression of the heart chambers by the pericardial fluid. Elective pericardiocentesis can be done in cases where fluid accumulation is secondary to pathological processes, including hemopericardium secondary to complications of trauma to the chest, toxins, myocardial infarction, cardiac surgery, serosanguinous pericardial effusion due to malignancy, right heart failure, acute pericarditis, chemotherapeutic agents, metabolic derangements like uremia, and autoimmune disorders...
February 2024: Curēus
https://read.qxmd.com/read/38532263/diagnostic-and-prognostic-value-of-cardiac-troponins-in-emergency-department-patients-presenting-after-a-fall-a-prospective-multicenter-study
#23
JOURNAL ARTICLE
Tanguy Espejo, Lukas Terhalle, Alexandra Malinovska, Henk B Riedel, Laura Arntz, Livia Hafner, Karen Delport-Lehnen, Joanna Zuppinger, Nicolas Geigy, Jörg Leuppi, Rajan Somasundaram, Roland Bingisser, Christian H Nickel
BACKGROUND: Emergency department (ED) presentations after a ground-level fall (GLF) are common. Falls were suggested to be another possible presenting feature of a myocardial infarction (MI), as unrecognized MIs are common in older adults. Elevated high-sensitivity cardiac troponin (hs-cTn) concentrations could help determine the etiology of a GLF in ED. We investigated the prevalence of both MI and elevated high-sensitivity cardiac troponin T (hs-cTnT) and I (hs-cTnI), as well as the diagnostic accuracy of hs-cTnT and hs-cTnI regarding MI, and their prognostic value in older ED patients presenting after a GLF...
March 26, 2024: Academic Emergency Medicine
https://read.qxmd.com/read/38531800/the-value-of-combined-detection-of-serum-bnp-cardiac-troponin-i-and-dynamic-electrocardiogram-in-early-clinical-diagnosis-and-prognosis-of-patients-with-acute-myocardial-infarction
#24
JOURNAL ARTICLE
Qinxia Yu, Shuyan Yu
BACKGROUND: Acute myocardial infarction (AMI) is a prevalent cardiovascular disease resulting from myocardial ischemia and necrosis due to coronary artery occlusion. AMI is characterized by a sudden onset and high mortality, underscoring the significance of early diagnosis and treatment for improving patient prognosis. This study endeavors to assess the utility of a combined assessment involving serum brain natriuretic peptide (BNP), cardiac troponin-I (cTnI), and dynamic electrocardiogram (ECG) in the early clinical diagnosis and prognosis prediction of AMI...
March 2024: Discovery Medicine
https://read.qxmd.com/read/38531709/palliative-care-in-the-cardiovascular-intensive-care-unit-a-systematic-review-of-current-literature
#25
REVIEW
Agastya D Belur, Aryan Mehta, Mridul Bansal, Patrick M Wieruszewski, Rachna Kataria, Marwan Saad, Annaliese Clancy, Daniel J Levine, Neel R Sodha, Douglas M Burtt, Gregory S Rachu, J Dawn Abbott, Saraschandra Vallabhajosyula
BACKGROUND: There has been an evolution in the disease severity and complexity of patients presenting to the cardiac intensive care unit (CICU). There are limited data evaluating the role of palliative care in contemporary CICU practice. METHODS: PubMed Central, CINAHL, EMBASE, Medline, Cochrane Library, Scopus, and Web of Science databases were evaluated for studies on palliative care in adults (≥18 years) admitted with acute cardiovascular conditions - acute myocardial infarction, cardiogenic shock, cardiac arrest, advanced heart failure, post-cardiac surgery, spontaneous coronary artery dissection, Takotsubo cardiomyopathy, and pulmonary embolism - admitted to the CICU, coronary care unit or cardiovascular intensive care unit from 1/1/2000 to 8/8/2022...
March 24, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38531708/in-hospital-outcomes-and-trends-of-patients-with-autoimmune-diseases-undergoing-percutaneous-coronary-intervention-a-nationwide-analysis
#26
JOURNAL ARTICLE
Akanimo Antia, Kessiena Aomreore, Ndausung Udongwo, Sharika Menon, Uzoma Ibebuogu
BACKGROUND: The risk of coronary artery disease is exaggerated in patients with autoimmune diseases (AID). A higher risk of complications has been reported during and after percutaneous coronary intervention (PCI) in these patients. We aimed to analyze the in-hospital outcomes and trends of patients with AID, including rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) and inflammatory bowel disease (IBD) undergoing PCI. METHOD: We identified all PCI procedures using the National In-patient Sample database from 2016 to 2020...
March 9, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38530682/national-trends-and-outcomes-of-acute%C3%A2-myocardial-infarction-after-transcatheter-aortic-valve-replacement
#27
JOURNAL ARTICLE
Tanush Gupta, Joshua Zimmer, Rony N Lahoud, Hannah R Murphy, Alyssa H Harris, Dhaval Kolte, Fuyuki Hirashima, Harold L Dauerman
BACKGROUND: Prior studies have reported decreased use of an invasive approach for acute myocardial infarction (AMI) in patients undergoing transcatheter aortic valve replacement (TAVR). OBJECTIVES: The aim of this study was to determine whether prior TAVR affects the use of subsequent coronary revascularization and outcomes of AMI in a contemporary national data set. METHODS: Consecutive TAVR patients from 2016 to 2022 were identified from the U...
March 9, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38529635/prevalence-and-outcomes-of-patients-with-acute-ischemic-stroke-with-concomitant-st-elevation-myocardial-infarction-results-from-national-inpatient-sample-2016-2019
#28
JOURNAL ARTICLE
Shivani Mehta, Nikolaos Kakouros, Tanveer Mir, Stacy Loree, Waqas Qureshi
BACKGROUND: Acute myocardial infarction may concomitantly occur with acute ischemic stroke. The prevalence, complications, and outcomes of acute ST-segment-elevation myocardial infarction (STEMI) in patients hospitalized with acute ischemic stroke are not well studied. METHODS: We examined hospitalized patients with acute ischemic stroke who were included in the National Inpatient Sample from 2016 to 2019. Acute ischemic stroke and STEMI were defined by using the International Classification of Diseases-Tenth Revision diagnostic codes...
March 26, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38529334/stress-hyperglycemia-and-poor-outcomes-in-patients-with-st-elevation-myocardial-infarction-a-systematic-review-and-meta-analysis
#29
Abdul Hakim Alkatiri, Nurul Qalby, Idar Mappangara, Ahmad Taufik F Zainal, Maarten J Cramer, Pieter A Doevendans, Andriany Qanitha
BACKGROUND: Hyperglycemia, characterized by elevated blood glucose levels, is frequently observed in patients with acute coronary syndrome, including ST-elevation myocardial infarction (STEMI). There are conflicting sources regarding the relationship between hyperglycemia and outcomes in STEMI patients. We aimed to compile evidence to assess the association between hyperglycemia and adverse outcomes. METHODS: We conducted a comprehensive search for articles on PubMed and Embase using search strategies which yielded 4,061 articles...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38528580/fibrinogen-to-hdl-cholesterol-ratio-as-a-predictor-of-mortality-risk-in-patients-with-acute-myocardial-infarction
#30
JOURNAL ARTICLE
Congzhuo Jia, Wanying Wu, Huan Lu, Jin Liu, Shiqun Chen, Guoxiao Liang, Yang Zhou, Sijia Yu, Linfang Qiao, Jinming Chen, Ning Tan, Yong Liu, Jiyan Chen
BACKGROUND: Acute myocardial infarction (AMI) is characterized by inflammation, oxidative stress, and atherosclerosis, contributing to increased mortality risk. High-density lipoprotein (HDL) takes a crucial part in mitigating atherosclerosis and inflammation through its diverse functionalities. Conversely, fibrinogen is implicated in the development of atherosclerotic plaques. However, the mortality risk predictive capacity of fibrinogen to HDL-cholesterol ratio (FHR) in AMI patients remains unexplored...
March 25, 2024: Lipids in Health and Disease
https://read.qxmd.com/read/38528542/association-of-sodium-glucose-cotransporter-2-inhibitors-with-risk-of-major-adverse-cardiovascular-events-in-type-2-diabetes-patients-with-acute-coronary-syndrome-a-propensity-score%C3%A2-matched-analysis
#31
JOURNAL ARTICLE
Tao Liu, Zeyuan Fan, Bing Xiao, Chang He, Shicong Wang
BACKGROUND: This study aimed to investigate the association of sodium-glucose cotransporter 2 inhibitors (SGLT2i) use with cardiovascular (CV) clinical outcomes in type 2 diabetes (T2D) patients with acute coronary syndrome (ACS). METHODS: Data of T2D patients hospitalized for ACS at Civil Aviation General Hospital from January 2019 to December 2022 were collected. Based on SGLT2i use or not, patients were stratified as SGLT2i group and SGLT2i-free group. A 1:1 nearest-neighbor propensity score-matched (PSM) was performed to adjust for the confounding factors and facilitate the robust comparisons between groups...
March 25, 2024: Cardiovascular Diabetology
https://read.qxmd.com/read/38528469/a-nomogram-model-for-predicting-intramyocardial-hemorrhage-post-pci-based-on-syntax-score-and-clinical-features
#32
JOURNAL ARTICLE
Yin-Shuang Yang, De-Yang Xi, Yang Duan, Miao Yu, Kai Liu, Yan-Kai Meng, Chun-Feng Hu, Shu-Guang Han, Kai Xu
OBJECTIVE: The aim of this study is to develop a nomogram model for predicting the occurrence of intramyocardial hemorrhage (IMH) in patients with Acute Myocardial Infarction (AMI) following Percutaneous Coronary Intervention (PCI). The model is constructed utilizing clinical data and the SYNTAX Score (SS), and its predictive value is thoroughly evaluated. METHODS: A retrospective study was conducted, including 216 patients with AMI who underwent Cardiac Magnetic Resonance (CMR) within a week post-PCI...
March 25, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38528077/nuciferine-reduces-vascular-leakage-and-improves-cardiac-function-in-acute-myocardial-infarction-by-regulating-the-pi3k-akt-pathway
#33
JOURNAL ARTICLE
Wei Xie, Shumin Chen, Wenzhe Wang, Xichun Qin, Chuiyu Kong, Dongjin Wang
The destruction of the microvascular structure and function can seriously affect the survival and prognosis of patients with acute myocardial infarction (AMI). Nuciferine has a potentially beneficial effect in the treatment of cardiovascular disease, albeit its role in microvascular structure and function during AMI remains unclear. This study aimed to investigate the protective effect and the related mechanisms of nuciferine in microvascular injury during AMI. Cardiac functions and pathological examination were conducted in vivo to investigate the effect of nuciferine on AMI...
March 26, 2024: Scientific Reports
https://read.qxmd.com/read/38527579/time-to-tweak-the-definition-of-type-2-myocardial-infarction
#34
EDITORIAL
John A Ambrose, Richard Kiel, Asseel AlBayati
The Universal definition (UD) of Myocardial Infarction (MI) has been an important contribution to the literature and has, among other aims, helped explain the significance of elevated troponin levels. The clinician caring for patients admitted to the hospital must determine the etiology of the troponin elevation and whether or not it meets criteria for acute MI. The concept of a Type 2 MI- an MI due to a supply/demand mismatch and not to athero thrombosis is one of the most important contributions of the UD...
March 23, 2024: American Journal of Cardiology
https://read.qxmd.com/read/38527440/the-impact-of-statin-treatment-duration-on-the-risk-of-new-onset-diabetes-mellitus-and-recurrent-vascular-events-in-ischemic-stroke-patients-a-linked-data-analysis
#35
JOURNAL ARTICLE
Tae Jung Kim, Ji Sung Lee, Jae Sun Yoon, Mi Sun Oh, Ji-Woo Kim, Soo-Hyun Park, Kyung-Ho Yu, Byung-Chul Lee, Sang-Bae Ko, Byung-Woo Yoon
INTRODUCTION: Although statin therapy reduces cardiovascular events, statin use is associated with the risk of new-onset diabetes mellitus (NODM). Using a linked dataset, we evaluated the effect of statin treatment on vascular outcomes and NODM development in patients with ischemic stroke. METHODS: From the dataset, we identified 20,250 patients with acute ischemic stroke who had neither a prior history of DM nor a previous history of statin use before the index stroke...
March 25, 2024: Cerebrovascular Diseases
https://read.qxmd.com/read/38527130/scrutinizing-the-role-of-venoarterial-extracorporeal-membrane-oxygenation-has-clinical-practice-outpaced-the-evidence
#36
REVIEW
Enzo Lüsebrink, Leonhard Binzenhöfer, Daniel Hering, Laura Villegas Sierra, Benedikt Schrage, Clemens Scherer, Walter S Speidl, Aitor Uribarri, Manel Sabate, Marko Noc, Elena Sandoval, Andrejs Erglis, Federico Pappalardo, Frederic De Roeck, Guido Tavazzi, Jordi Riera, Roberto Roncon-Albuquerque, Benjamin Meder, Peter Luedike, Tienush Rassaf, Jörg Hausleiter, Christian Hagl, Sebastian Zimmer, Dirk Westermann, Alain Combes, Uwe Zeymer, Steffen Massberg, Andreas Schäfer, Martin Orban, Holger Thiele
The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for temporary mechanical circulatory support in various clinical scenarios has been increasing consistently, despite the lack of sufficient evidence regarding its benefit and safety from adequately powered randomized controlled trials. Although the ARREST trial (Advanced Reperfusion Strategies for Patients with Out-of-Hospital Cardiac Arrest and Refractory Ventricular Fibrillation) and a secondary analysis of the PRAGUE OHCA trial (Prague Out-of-Hospital Cardiac Arrest) provided some evidence in favor of VA-ECMO in the setting of out-of-hospital cardiac arrest, the INCEPTION trial (Early Initiation of Extracorporeal Life Support in Refractory Out-of-Hospital Cardiac Arrest) has not found a relevant improvement of short-term mortality with extracorporeal cardiopulmonary resuscitation...
March 26, 2024: Circulation
https://read.qxmd.com/read/38527077/body-mass-index-and-mortality-in-cardiogenic-shock
#37
JOURNAL ARTICLE
Maya Guglin, Elric Zweck, Manreet Kanwar, Shashank S Sinha, Arvind Bhimaraj, Borui Li, Jacob Abraham, Saraschandra Vallabhajosyula, Jaime Hernandez-Montfort, Rachna Kataria, Daniel Burkhoff, Navin K Kapur
We explored the association of body mass index (BMI) with mortality in cardiogenic shock (CS). Using the Cardiogenic Shock Working Group registry, we assessed the impact of BMI on mortality using restricted cubic splines in a multivariable logistic regression model adjusting for age, gender, and race. We also assessed mortality, device use, and complications in BMI categories, defined as underweight (<18.5 kg/m2), normal (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), obese (30-39.9 kg/m2), and severely obese (>40 kg/m2) using univariable logistic regression models...
March 25, 2024: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://read.qxmd.com/read/38526749/echocardiography-in-the-recognition-and-management-of-mechanical-complications-of-acute-myocardial-infarction
#38
REVIEW
Robert S Zhang, Richard Ro, Daniel Bamira, Alan Vainrib, Lily Zhang, Ambika C Nayar, Muhamed Saric, Samuel Bernard
PURPOSE OF REVIEW: Although rare, the development of mechanical complications following an acute myocardial infarction is associated with a high morbidity and mortality. Here, we review the clinical features, diagnostic strategy, and treatment options for each of the mechanical complications, with a focus on the role of echocardiography. RECENT FINDINGS: The growth of percutaneous structural interventions worldwide has given rise to new non-surgical options for management of mechanical complications...
March 25, 2024: Current Cardiology Reports
https://read.qxmd.com/read/38526603/global-longitudinal-strain-in-long-term-risk-prediction-after-acute-coronary-syndrome-an-investigation-of-added-prognostic-value-to-ejection-fraction
#39
JOURNAL ARTICLE
Joel Lenell, Bertil Lindahl, David Erlinge, Tomas Jernberg, Jonas Spaak, Tomasz Baron
AIMS: This study aimed to investigate the additional value of global longitudinal strain (GLS) on top of left ventricular ejection fraction (LVEF) in long-term risk prediction of combined death and heart failure (HF) re-hospitalization after acute coronary syndrome (ACS). METHOD AND RESULTS: This retrospective study included patients admitted with ACS between 2008 and 2014 from the three participating university hospitals. LVEF and GLS were assessed at a core lab from images acquired during the index hospital stay...
March 25, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38526359/-ten-questions-about-myocardial-infarction-with-non-obstructed-coronary-arteries
#40
JOURNAL ARTICLE
Giuseppe Ciliberti, Luca Bergamaschi, Pasquale Paolisso, Filippo Zilio, Carmine Pizzi
The term "MINOCA" refers to myocardial infarction with non-obstructed coronary arteries and has been used to define acute myocardial infarction with no angiographic evidence of significant epicardial coronary artery stenosis. Patients with MINOCA represent a rather heterogeneous group of acute coronary syndrome, and this may account for the wide variation in the incidence of MINOCA in different studies. Several pathogenic mechanisms have been suggested to underlie MINOCA, but the condition continues to represent a diagnostic and therapeutic challenge for the cardiologist...
April 2024: Giornale Italiano di Cardiologia
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