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Cardiology epidemiology

Ioannis Vogiatzis, Irena Dapcevic, Antonis Datsios, Kostas Koutsambasopoulos, Argirios Gontopoulos, Savas Grigoriadis
INTRODUCTION: The propeptide of brain natriuretic peptide (ProBNP) is used for the diagnosis of left ventricle dysfunction and heart failure. In patients with an Acute Coronary Syndrome (ACS) it can contribute to both short and long term prognosis of cardiovascular events that could be very important for management and therapy of these patients. AIM: The aim of this study was to evaluate the prognostic value of ProBNP for the clinical course after an acute coronary syndrome, compared with that of cardiac troponine T (cTnT) and the risk stratification of patients with acute coronary syndrome, both during hospitalization and six months later...
July 27, 2016: Medical Archives
Rubab Munir, Sajjad Hussain, Azhar Mahmood Kayani
OBJECTIVE: To describe the demographics, risk factors, and clinical presentation in Pakistani patients with peripartum cardiomyopathy. STUDY DESIGN: A descriptive observational study. PLACE AND DURATION OF STUDY: Rawalpindi Institute of Cardiology, Rawalpindi, from June 2014 to June 2015. METHODOLOGY: Seventy patients meeting criteria of peripartum cardiomyopathy were included in the study. Adetailed history, physical examination and investigations were done...
September 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Antonio Sánchez Andrés, Inmaculada Salvador Mercader, Julia Seller Moya, José Ignacio Carrasco Moreno
INTRODUCTION: Kawasaki disease (KD) is an acute vasculitis of unknown origin and predominant in males. The long-term effects of the disease depend on whether there are coronary lesions, particularly aneurysms. The prognosis of patients with giant aneurysms is very poor due to their natural progression to coronary thrombosis or severe obstructive lesions. OBJECTIVES: A series of 8 cases is presented where the epidemiology and diagnostic methods are described. The treatment of the acute and long-term cardiovascular sequelae is also reviewed...
September 16, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Bartłomiej Górski, Ewa Nargiełło, Grzegorz Opolski, Ewa Ganowicz, Renata Górska
BACKGROUND: Many epidemiological studies have proven that local infection may influence the levels of systemic lipid profile and inflammatory mediators. OBJECTIVES: The aim of this research was to evaluate the association between the state of the oral cavity, lipids and inflammatory mediator concentrations in Poles after acute myocardial infarction (MI). MATERIAL AND METHODS: A total of 134 subjects with a mean age of 54.3 years (± 8.1) were included in the study...
July 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Karl J Neff, Gregory Baud, Violeta Raverdy, Robert Caiazzo, Helene Verkindt, François Pattou, Carel W le Roux, Christian Noel
PURPOSE: This study examines the effect of Roux-en-Y gastric bypass (RYGB) and laparoscopic adjustable gastric banding (LAGB) on renal function for at least 5 years post-operatively in a tertiary referral center for bariatric surgery. MATERIALS AND METHODS: This prospective cohort study of patients undergoing RYGB and LAGB measured renal function, blood pressure, and diabetes status pre-operatively and then 1 and 5 years post-operatively. Renal function was assessed using the Modification of Diet in Renal Disease (MDRD), Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), and Cockcroft-Gault formulae...
September 14, 2016: Obesity Surgery
Tracy K Paul, Kaartiga Sivanesan, Joshua Schulman-Marcus
The existence of sex differences in the epidemiology, presentation, diagnosis, and management of coronary artery disease (CAD) has been a subject of growing inquiry for the past several decades. The prevailing paradigm is that the prevalence of anatomically obstructive disease of the epicardial coronary arteries is less common in women than similarly aged men, while nonobstructive and microvascular ischemic disease is more prevalent in women. Although both "patterns" of coronary atherosclerosis are associated with angina and cardiovascular events, the dominant diagnostic and therapeutic tools used in cardiology have focused on the male-predominant pattern of anatomically obstructive epicardial CAD...
August 11, 2016: Trends in Cardiovascular Medicine
Konstantinos E Panagiotopoulos, Eleni E Panagiotopoulou, Konstantinos Katsaros, Georgios Noikokirakis, Maria Mpouziou, Angeliki Stamelou, Savvas Toumanidis
BACKGROUND: Community based registries are particularly valuable tools to Preventive Cardiology as they summarize epidemiological data of ischemic heart disease risk factors, medications and lifestyle characteristics. METHODS: We enrolled 1191 patients, from an outpatient community based cardiology network, dedicated to cover medically, office based professionals. We recorded demographic and lifestyle characteristics, risk factors for ischemic heart disease, all clinical entities diagnosed and therapies which were prescribed for hypertension and lipid disorders specifically...
November 15, 2016: International Journal of Cardiology
Patrick Y Jay, Ehiole Akhirome, Rachel A Magnan, M Rebecca Zhang, Lillian Kang, Yidan Qin, Nelson Ugwu, Suk Dev Regmi, Julie M Nogee, James M Cheverud
Despite decades of progress, congenital heart disease remains a major cause of mortality and suffering in children and young adults. Prevention would be ideal, but formidable biological and technical hurdles face any intervention that seeks to target the main causes, genetic mutations in the embryo. Other factors, however, significantly modify the total risk in individuals who carry mutations. Investigation of these factors could lead to an alternative approach to prevention. To define the risk modifiers, our group has taken an "experimental epidemiologic" approach via inbred mouse strain crosses...
November 5, 2016: Molecular and Cellular Endocrinology
Miriam B Vos, Jill L Kaar, Jean A Welsh, Linda V Van Horn, Daniel I Feig, Cheryl A M Anderson, Mahesh J Patel, Jessica Cruz Munos, Nancy F Krebs, Stavra A Xanthakos, Rachel K Johnson
BACKGROUND: Poor lifestyle behaviors are leading causes of preventable diseases globally. Added sugars contribute to a diet that is energy dense but nutrient poor and increase risk of developing obesity, cardiovascular disease, hypertension, obesity-related cancers, and dental caries. METHODS AND RESULTS: For this American Heart Association scientific statement, the writing group reviewed and graded the current scientific evidence for studies examining the cardiovascular health effects of added sugars on children...
August 22, 2016: Circulation
(no author information available yet)
No abstract text is available yet for this article.
August 24, 2016: Zhonghua Xin Xue Guan Bing za Zhi
Deborah Rohm Young, Marie-France Hivert, Sofiya Alhassan, Sarah M Camhi, Jane F Ferguson, Peter T Katzmarzyk, Cora E Lewis, Neville Owen, Cynthia K Perry, Juned Siddique, Celina M Yong
Epidemiological evidence is accumulating that indicates greater time spent in sedentary behavior is associated with all-cause and cardiovascular morbidity and mortality in adults such that some countries have disseminated broad guidelines that recommend minimizing sedentary behaviors. Research examining the possible deleterious consequences of excess sedentary behavior is rapidly evolving, with the epidemiology-based literature ahead of potential biological mechanisms that might explain the observed associations...
September 27, 2016: Circulation
Yoshinori Ohta, Izumi Miki, Takeshi Kimura, Mitsuru Abe, Mio Sakuma, Kaoru Koike, Takeshi Morimoto
OBJECTIVES: There have been epidemiological studies of adverse events (AEs) among general patients but those of patients cared by cardiologist are not well scrutinized. We investigated the occurrence of AEs and medical errors (MEs) among adult patients with cardiology in Japan. METHODS: We conducted a cross-sectional study of adult outpatients at a Japanese teaching hospital from February through November 2006. We measured AE and ME incidents from patient report, which were verified by medical records, laboratory data, incident reports, and prescription queries...
July 26, 2016: Journal of Patient Safety
John G F Cleland, Jufen Zhang, Pierpaolo Pellicori, Ben Dicken, Riet Dierckx, Ahmad Shoaib, Kenneth Wong, Alan Rigby, Kevin Goode, Andrew L Clark
IMPORTANCE: Detailed information on the prevalence, associations, and consequences of anemia and iron deficiency in epidemiologically representative outpatients with chronic heart failure (HF) is lacking. OBJECTIVE: To investigate the epidemiology of anemia and iron deficiency in a broad range of patients referred to a cardiology clinic with suspected HF. DESIGN, SETTING, AND PARTICIPANTS: We collected clinical data, including hemoglobin, serum iron, transferrin saturation, and serum ferritin concentrations, on consecutive patients referred with suspected HF to a single outpatient clinic serving a local community from January 1, 2001, through December 31, 2010...
August 1, 2016: JAMA Cardiology
Richard A Krasuski, Thomas M Bashore
No abstract text is available yet for this article.
July 12, 2016: Circulation
Charles Lugero, Davis Kibirige, James Kayima, Charles Kizza Mondo, Jurgen Freers
BACKGROUND: Atrial fibrillation (AF) is the most common type of sustained cardiac arrhythmia in adults, accounting for one-third of hospitalizations due to arrhythmia and related complications worldwide. Previously, rheumatic heart disease was documented as the commonest cause of AF in sub-Saharan Africa. However, due to the prevailing epidemiological transition in sub-Saharan Africa, the risk factors and ensuing complications of AF have changed and are on the increase. METHODS: This was a descriptive cross-sectional study involving 102 patients presenting with AF who were recruited from the cardiology unit of Mulago National Referral Hospital, Uganda, over 3 months...
2016: International Journal of General Medicine
Christopher B Johnson, Margot K Davis, Angeline Law, Jeffrey Sulpher
The cardiovascular toxicity of cancer therapy has raised awareness of the importance of heart disease in cancer care among oncologists and cardiologists, leading to the new interdisciplinary field of cardio-oncology. Evidence is accumulating to suggest that risk factors associated with cardiovascular disease are also related to an increased incidence of cancer and excess cancer mortality. We review the epidemiologic evidence that smoking, obesity, poor diet, and inactivity can cause both heart disease and cancer...
July 2016: Canadian Journal of Cardiology
Maria G Crespo-Leiro, Stefan D Anker, Aldo P Maggioni, Andrew J Coats, Gerasimos Filippatos, Frank Ruschitzka, Roberto Ferrari, Massimo Francesco Piepoli, Juan F Delgado Jimenez, Marco Metra, Candida Fonseca, Jaromir Hradec, Offer Amir, Damien Logeart, Ulf Dahlström, Bela Merkely, Jaroslaw Drozdz, Eva Goncalvesova, Mahmoud Hassanein, Ovidiu Chioncel, Mitja Lainscak, Petar M Seferovic, Dimitris Tousoulis, Ausra Kavoliuniene, Friedrich Fruhwald, Emir Fazlibegovic, Ahmet Temizhan, Plamen Gatzov, Andrejs Erglis, Cécile Laroche, Alexandre Mebazaa
AIMS: The European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT-R) was set up with the aim of describing the clinical epidemiology and the 1-year outcomes of patients with heart failure (HF) with the added intention of comparing differences between participating countries. METHODS AND RESULTS: The ESC-HF-LT-R is a prospective, observational registry contributed to by 211 cardiology centres in 21 European and/or Mediterranean countries, all being member countries of the ESC...
June 2016: European Journal of Heart Failure
Richard A Brown, Eduard Shantsila, Chetan Varma, Gregory Y H Lip
Despite falling age-adjusted mortality rates coronary artery disease (CAD) remains the leading cause of death worldwide. Advanced diffuse CAD is becoming an important entity of modern cardiology as more patients with historical revascularisation no longer have suitable anatomy for additional procedures. Advances in the treatment of diffuse obstructive CAD are hampered by a poor understanding of its development. Although the likelihood of developing clinically significant (obstructive) CAD is linked to traditional risk factors, the morphology of obstructive CAD among individuals is highly variable - some patients have diffuse stenotic disease, while others have a focal stenosis...
June 9, 2016: Annals of Medicine
Thomas Weber, Irene Lang, Robert Zweiker, Sabine Horn, Rene R Wenzel, Bruno Watschinger, Jörg Slany, Bernd Eber, Franz Xaver Roithinger, Bernhard Metzler
High blood pressure is a major modifiable risk factor for all clinical manifestations of coronary artery disease (CAD). In people without known cardiovascular disease, the lowest systolic (down to 90-114 mmHg) and the lowest diastolic (down to 60-74 mmHg) pressures are associated with the lowest risk for developing CAD. Although diastolic blood pressure is the strongest predictor of CAD in younger and middle-aged people, this relationship becomes inverted and pulse pressure shows the strongest direct relationship with CAD in people above 60 years of age...
July 2016: Wiener Klinische Wochenschrift
Despοina Ntiloudi, George Giannakoulas, Despοina Parcharidou, Theofilos Panagiotidis, Michael A Gatzoulis, Haralambos Karvounis
Increasing survival rates for patients with congenital heart disease (CHD) represent a major achievement of modern medicine. Despite incredible progress been made in diagnosis, follow-up, early treatment and management in adulthood, many patients are faced with long-term complications, such as arrhythmia, thromboembolism, heart failure, pulmonary hypertension, endocarditis and/or the need for reoperation. In parallel, half of the patients are female, most of childbearing age, and, thus warrant specialist reproductive counseling and appropriate obstetric care...
September 1, 2016: International Journal of Cardiology
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