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https://www.readbyqxmd.com/read/27884358/application-of-3-dimensional-computed-tomographic-image-guidance-to-watchman-implantation-and-impact-on%C3%A2-early-operator-learning-curve-single-center-experience
#1
Dee Dee Wang, Marvin Eng, Daniel Kupsky, Eric Myers, Michael Forbes, Mehnaz Rahman, Mohammad Zaidan, Sachin Parikh, Janet Wyman, Milan Pantelic, Thomas Song, Jeff Nadig, Patrick Karabon, Adam Greenbaum, William O'Neill
OBJECTIVES: The aim of this study was to examine the impact of 3-dimensional (3D) computed tomographic (CT) guided procedural planning for left atrial appendage (LAA) occlusion on the early operator WATCHMAN learning curve. BACKGROUND: Traditional WATCHMAN implantation is dependent on 2-dimensional transesophageal echocardiographic (TEE) sizing and intraprocedural guidance. METHODS: LAA occlusion with the WATCHMAN device was performed in 53 patients...
November 28, 2016: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/27862911/effect-of-post-primary-percutaneous-coronary-intervention-bivalirudin-infusion-on-net-adverse-clinical-events-and-mortality-a-comprehensive-pairwise-and-network-meta-analysis-of-randomized-controlled-trials
#2
Rahman Shah, Khalid Matin, Kelly C Rogers, Sunil V Rao
OBJECTIVE: To compare the efficacies of various post-percutaneous coronary intervenetion (PCI) bivalirudin doses on net adverse clinical events (NACEs) and mortality. BACKGROUND: In primary PCI, lower risk of bleeding with bivalirudin (vs. unfractionated heparin [UFH]) is counterbalanced by an increased risk of acute stent thrombosis (ST). Several randomized clinical trials (RCTs) and a recent meta-analysis suggest that acute ST risk may be eliminated without compromising the bleeding benefit, but only if the full dose, not a low dose, of bivalirudin is continued post-PCI...
November 10, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27826348/complete-heart-block-in-association-with-dengue-hemorrhagic-fever
#3
Hafeez Ul Hassan Virk, Faisal Inayat, Zia Ur Rahman
Dengue virus infection affects the heart structurally and functionally. Clinical manifestations of cardiac complications secondary to dengue virus infection vary from self-limiting arrhythmias to severe myocardial infarction, leading to hypotension, pulmonary edema, and cardiogenic shock. However, we report a case of dengue hemorrhagic fever (DHF) complicated by a complete heart block. A female with DHF due to dengue virus serotype 2, presented to the emergency department with fever, headache, rash, and fatigue followed by an episode of syncope...
November 2016: Korean Circulation Journal
https://www.readbyqxmd.com/read/27807307/demographic-and-echocardiographic-predictors-of-anatomic-site-and-outcomes-of-surgical-interventions-for-cardiogenic-limb-emboli
#4
Gregory J Landry, Rakendu Shukla, Auddri Rahman, Amir F Azarbal, Erica L Mitchell, Timothy K Liem, Gregory L Moneta
We sought to determine if symptomatic cardiogenic limb emboli have a random distribution or if there are demographic or echocardiographic factors that predict site of embolization, limb salvage and mortality. Upper (UE) and lower extremity (LE) emboli were evaluated over a 16-year period (1996-2012). Demographic (age, gender, smoking, medical comorbidities) and echocardiographic data were analyzed to determine predictors of embolic site. All symptomatic patients underwent surgical revascularization. Limb salvage and mortality were compared with Kaplan-Meier analysis...
December 2016: Vascular Medicine
https://www.readbyqxmd.com/read/27799028/right-heart-catheterization-through-persistent-left-superior-vena-cava-an-extremely-rare-procedure-and-review-of-current-literature
#5
Abdel Rahman Al Emam, Ahmed Abuzaid, Mohammad Chamsi Pasha
Persistent left superior vena cava (PLSVC) is encountered occasionally during angiographic procedures. It usually coexists with right superior vena cava and drains to the right atrium through the coronary sinus, but multiple variations are described. Although PLSVC is extensively reported in the literature, there are very few articles addressing right heart catheterization in patients with isolated PLSVC. We present a patient with absent right superior vena cava and PLSVC draining to a dilated coronary sinus diagnosed during right heart catheterization in the setting of pulmonary hypertension...
October 28, 2016: Current Cardiology Reviews
https://www.readbyqxmd.com/read/27688672/predictors-of-cardio-pulmonary-resuscitation-outcome-in-postoperative-cardiac-children
#6
Bana Agha Nasser, Julinar Idris, Abdu Rahman Mesned, Tageldein Mohamad, Mohamed S Kabbani, Ali Alakfash
BACKGROUND: Outcomes of cardiopulmonary resuscitation (CPR) in children with congenital heart disease have improved and many children have survived after an in-hospital cardiac arrest. AIM: The purpose of this study is to determine predictors of poor outcome after CPR in critical children undergoing cardiac surgery. METHODS: We conducted a retrospective chart review and data analysis of all CPR records and charts of all postoperative cardiac children who had a cardiac arrest and required resuscitation from 2011 until 2015...
October 2016: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/27676325/the-effect-of-chronic-activation-of-the-novel-endocannabinoid-receptor-gpr18-on-myocardial-function-and-blood-pressure-in-conscious-rats
#7
Asmaa I Matouk, Ashraf Taye, Mohamed A El-Moselhy, Gehan H Heeba, Abdel A Abdel-Rahman
While acute activation of the novel endocannabinoid receptor GPR18 causes hypotension, there are no reports on GPR18 expression in the heart or its chronic modulation of cardiovascular function. In this study, after demonstrating GPR18 expression in the heart, we show that chronic (2 weeks) GPR18 activation with its agonist abnormal cannabidiol (abn-cbd; 100 µg/kg/day; i.p) produced hypotension, suppressed the cardiac sympathetic dominance, and improved left ventricular (LV) function (increased the contractility index dp/dtmax, and reduced LV end diastolic pressure, LVEDP) in conscious rats...
September 20, 2016: Journal of Cardiovascular Pharmacology
https://www.readbyqxmd.com/read/27674309/safely-preserving-the-breast-in-patients-with-cardiac-pacing-devices
#8
Z Rahman, M G Trombetta, M Cowher, D Trombetta, T B Julian
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/27663179/clinical-outcomes-associated-with-per-operative-discontinuation-of-aspirin-in-patients-with-coronary-artery-disease-a-systematic-review-and-meta-analysis
#9
Faraz Khan Luni, Haris Riaz, Abdur Rahman Khan, Talha Riaz, Muhammad Husnain, Irbaz Bin Riaz, Muhammad Shahzeb Khan, Mohammed Taleb, Yusuf Kanjwal, Christopher J Cooper, Sadik A Khuder
BACKGROUND: Postoperative state is characterized by increased thrombotic risk by virtue of platelet activation. Whether aspirin ameliorates this risk in patients with established coronary artery disease undergoing cardiac or noncardiac surgery is unknown. We conducted a systematic review and meta-analysis to compare the risk of major adverse cardiac events (MACE) and the risk of bleeding in patients with early (3-5 or more days before surgery) vs. late discontinuation(<3-5 days)/no discontinuation of aspirin...
September 24, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27642115/meta-analysis-comparing-complete-revascularization-versus-infarct-related-only-strategies-for-patients-with-st-segment-elevation-myocardial-infarction-and-multivessel-coronary-artery-disease
#10
Rahman Shah, Chalak Berzingi, Mubashir Mumtaz, John B Jasper, Rohan Goswami, Mohamed S Morsy, Kodangudi B Ramanathan, Sunil V Rao
Several recent randomized controlled trials (RCTs) demonstrated better outcomes with multivessel complete revascularization (CR) than with infarct-related artery-only revascularization (IRA-OR) in patients with ST-segment elevation myocardial infarction. It is unclear whether CR should be performed during the index procedure (IP) at the time of primary percutaneous coronary intervention (PCI) or as a staged procedure (SP). Therefore, we performed a pairwise meta-analysis using a random-effects model and network meta-analysis using mixed-treatment comparison models to compare the efficacies of 3 revascularization strategies (IRA-OR, CR-IP, and CR-SP)...
August 23, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27612893/b-type-natriuretic-peptide-assay-in-differentiating-congestive-heart-failure-from-lung-disease-in-patients-presenting-with-dyspnea
#11
M A Islam, M S Bari, M N Islam, M A Bari, S R Siddique, M Z Islam, M S Begum, S U Ahammed, M A Rahman
This cross-sectional analytical study was conducted in Cardiology & Medicine Department of Mymensingh Medical College Hospital. After fulfilling the exclusion & inclusion criteria, B-type natriuretic peptide concentrations were measured in a convenience sample of 100 predominantly male (94%) dyspnic patients who got admitted in Cardiology & Medicine Department of Mymensingh Medical College & Hospital from November 2013 to October 2014. The diagnosis of Congestive Heart Failure (CHF) was based on generally accepted Framingham criteria with corroborative information including hospital course (response to diuretics, vasodilators, inotropes or hemodynamic monitoring) and results of further cardiac testing, including echocardiography...
July 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/27574379/spontaneous-coronary-artery-dissection-one-disease-variable-presentations-and-different-management-approaches
#12
REVIEW
Abdel Rahman A Al Emam, Ahmed Almomani, Syed A Gilani, Wissam I Khalife
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome. It occurs predominantly among younger females, typically in the absence of atherosclerotic coronary artery disease. Presentations vary greatly and this condition can be fatal. Given its rarity, there are no management guidelines. We present six patients with SCAD with different presentations and treatment approaches as examples in our literature review. Two patients presented with ST elevation myocardial infarction (STEMI), two with non-STEMI (NSTEMI), and two with cardiac arrest...
September 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/27484489/nutrition-therapy-in-critically-ill-patients-following-cardiac-surgery-defining-and-improving-practice
#13
Adam Rahman, Ravi Agarwala, Claudio Martin, Dave Nagpal, Michael Teitelbaum, Daren K Heyland
BACKGROUND: Malnutrition is a predictor of poor outcome following cardiac surgery. We define nutrition therapy after cardiac surgery to identify opportunities for improvement. METHODS: International prospective studies in 2007-2009, 2011, and 2013 were combined. Sites provided institutional and patient characteristics from intensive care unit (ICU) admission to ICU discharge for a maximum of 12 days. Patients had valvular, coronary artery bypass graft (CABG) surgery, or combined procedures and were mechanically ventilated and staying in the ICU for ≥3 days...
August 1, 2016: JPEN. Journal of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/27451348/symptom-to-balloon-time-is-a-strong-predictor-of-adverse-events-following-primary-percutaneous-coronary-intervention-results-from-the-australian-capital-territory-pci-registry
#14
Jaya Chandrasekhar, Paul Marley, Christopher Allada, Darryl McGill, Simon O'Connor, Moyazur Rahman, Ren Tan, Ata Doost Hosseiny, Bruce Shadbolt, Ahmad Farshid
BACKGROUND: Notwithstanding improvements in door-to-balloon time, adverse event rates after primary PCI have remained steady. We analysed the effect of symptom-to-balloon (STB) time, a reflection of total ischaemic time, on major adverse cardiovascular events (MACE) and explored predictors of prolonged STB time. METHODS: The study population included 1002 consecutive patients (22.4% women) with a mean age of 62.3±13.2 years, who underwent primary PCI during 2008-2014...
June 27, 2016: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/27428256/reasons-for-hospitalization-among-emergency-department-patients-with-syncope
#15
Olivia G Cook, Muhammad A Mukarram, Omair M Rahman, Soo-Min Kim, Kirtana Arcot, Kednapa Thavorn, Monica Taljaard, Marco L A Sivilotti, Brian H Rowe, Venkatesh Thiruganasambandamoorthy
BACKGROUND: Variations in syncope management exist. Our objective was to identify the reasons for consultations and hospitalizations and outcomes among emergency department (ED) syncope patients. METHODS: We conducted a prospective cohort study to enroll adult syncope patients at five EDs. We collected baseline characteristics, reasons for consultation and hospitalization, and hospital length of stay. Adjudicated 30-day serious adverse events (SAEs) including death, myocardial infarction, arrhythmia, structural heart disease, pulmonary embolism, significant hemorrhage, and procedural intervention...
November 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27413203/nutritional-and-therapeutic-perspectives-of-chia-salvia-hispanica-l-a-review
#16
REVIEW
Rahman Ullah, M Nadeem, A Khalique, M Imran, S Mehmood, A Javid, J Hussain
The ancient grain is becoming enormously popular in modern food regimen in many countries; the higher proportion of α-linolenic acid makes chia the superb source of omega-3 fatty (about 65 % of the oil content). Omega-3 fatty acid has been associated with a large number of physiological functions in human body. Chia seed is a potential source of antioxidants with the presence of chlorogenic acid, caffeic acid, myricetin, quercetin, and kaempferol which are believed to have cardiac, hepatic protective effects, anti-ageing and anti-carcinogenic characteristics...
April 2016: Journal of Food Science and Technology
https://www.readbyqxmd.com/read/27382481/process-techniques-for-human-thoracic-electrical-bio-impedance-signal-in-remote-healthcare-systems
#17
Muhammad Zia Ur Rahman, Shafi Shahsavar Mirza
Analysis of thoracic electrical bio-impedance (TEB) facilitates heart stroke volume in sudden cardiac arrest. This Letter proposes several efficient and computationally simplified adaptive algorithms to display high-resolution TEB component. In a clinical environment, TEB signal encounters with various physiological and non-physiological phenomenon, which masks the tiny features that are important in identifying the intensity of the stroke. Moreover, computational complexity is an important parameter in a modern wearable healthcare monitoring tool...
June 2016: Healthcare Technology Letters
https://www.readbyqxmd.com/read/27371732/phospholipase-c-%C3%AE%C2%B5-signaling-mediates-endothelial-cell-inflammation-and-barrier-disruption-in-acute-lung-injury
#18
Kaiser M Bijli, Fabeha Fazal, Spencer A Slavin, Antony Leonard, Valerie Grose, William B Alexander, Alan V Smrcka, Arshad Rahman
Phospholipase C-ε (PLC-ε) is a unique PLC isoform that can be regulated by multiple signaling inputs from both Ras family GTPases and heterotrimeric G proteins and has primary sites of expression in the heart and lung. Whereas the role of PLC-ε in cardiac function and pathology has been documented, its relevance in acute lung injury (ALI) is unclear. We used PLC-ε(-/-) mice to address the role of PLC-ε in regulating lung vascular inflammation and injury in an aerosolized bacterial LPS inhalation mouse model of ALI...
August 1, 2016: American Journal of Physiology. Lung Cellular and Molecular Physiology
https://www.readbyqxmd.com/read/27368743/imaging-diagnoses-and-outcome-in-patients-presenting-for-primary-angioplasty-but-no-obstructive-coronary-artery-disease
#19
Tarun K Mittal, Luise Reichmuth, Ben Ariff, Praveen P G Rao, Aigul Baltabaeva, Shelley Rahman-Haley, Tito Kabir, Joyce Wong, Miles Dalby
OBJECTIVE: A proportion of patients with suspected ST-elevation myocardial infarction (STEMI) presenting for primary percutaneous coronary intervention (PPCI) do not have obstructive coronary disease and other conditions may be responsible for their symptoms and ECG changes. In this study, we set out to determine the prevalence and aetiology of alternative diagnoses in a large PPCI cohort as determined with multimodality imaging and their outcome. METHODS: From 2009 to 2012, 5238 patients with suspected STEMI were referred for consideration of PPCI...
November 1, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/27323597/mumps-myocarditis-a-forgotten-disease
#20
Sheraz Hussain, Mohammad Faizan Zahid, Arshalooz Jamila Rahman, Mehnaz Atiq Ahmed, Shahnaz Hamid Ibrahim
Mumps is an acute viral illness that follows a self-limiting course but up to 10% of cases have a complicated course with the involvement of other organ systems. Myocarditis is reported as a complication but the incidence has greatly fallen ever since the development of the mumps vaccine. A child presented to our department with parotid swelling and fever. Persistent tachycardia with irregular pulse led to further cardiac work up which showed decreased ejection fraction and raised serum cardiac enzymes, indicating myocardial damage...
January 2016: Journal of Ayub Medical College, Abbottabad: JAMC
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