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Cardiac follow up programs

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https://www.readbyqxmd.com/read/27910804/sudden-cardiac-death-a-nationwide-cohort-study-among-the-young
#1
Bjarke Risgaard
Sudden cardiac death (SCD) is a tragic event affecting millions of individuals worldwide. Although several studies have investigated the epidemiology of SCD, these studies may have been affected by reporting and referral biases, which are reflected in the very different incidence rates and causes of deaths that have previously been reported. Among SCD victims aged < 36 years, inherited cardiac diseases are well known to play an important role. However, the extent to which inherited cardiac diseases also play a role in SCD victims aged < 50 years has not been completely described...
December 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27886928/cardiac-resynchronization-therapy-how-to-decrease-nonresponders
#2
REVIEW
José María Tolosana, Lluís Mont
Nonresponse to cardiac resynchronization therapy (CRT) is still a major issue in therapy expansion. The description of fast, simple, cost-effective methods to optimize CRT could help in adapting pacing intervals to individual patients. A better understanding of the importance of appropriate patient selection, left ventricular lead placement, and device programming, together with a multidisciplinary approach and an optimal follow-up of the patients, may reduce the percentage of nonresponders.
January 2017: Heart Failure Clinics
https://www.readbyqxmd.com/read/27885414/clinical-implementation-of-an-emergency-department-coronary-computed-tomographic-angiography-protocol-for-triage-of-patients-with-suspected-acute-coronary-syndrome
#3
Brian B Ghoshhajra, Richard A P Takx, Pedro V Staziaki, Harshna Vadvala, Phillip Kim, Tomas G Neilan, Nandini M Meyersohn, Daniel Bittner, Sumbal A Janjua, Thomas Mayrhofer, Jeffrey L Greenwald, Quyhn A Truong, Suhny Abbara, David F M Brown, James L Januzzi, Sanjeev Francis, John T Nagurney, Udo Hoffmann
OBJECTIVES: To evaluate the efficiency and safety of emergency department (ED) coronary computed tomography angiography (CTA) during a 3-year clinical experience. METHODS: Single-center registry of coronary CTA in consecutive ED patients with suspicion of acute coronary syndrome (ACS). The primary outcome was efficiency of coronary CTA defined as the length of hospitalization. Secondary endpoints of safety were defined as the rate of downstream testing, normalcy rates of invasive coronary angiography (ICA), absence of missed ACS, and major adverse cardiac events (MACE) during follow-up, and index radiation exposure...
November 24, 2016: European Radiology
https://www.readbyqxmd.com/read/27881758/cardiac-rehabilitation-following-an-acute-coronary-syndrome-trends-in-referral-predictors-and-mortality-outcome-in-a-multicenter-national-registry-between-years-2006-2013-report-from-the-working-group-on-cardiac-rehabilitation-the-israeli-heart-society
#4
Fernando Chernomordik, Avi Sabbag, Boaz Tzur, Eran Kopel, Ronen Goldkorn, Shlomi Matetzky, Ilan Goldenberg, Nir Shlomo, Robert Klempfner
BACKGROUND: Utilization of cardiac rehabilitation is suboptimal. The aim of the study was to assess referral trends over the past decade, to identify predictors for referral to a cardiac rehabilitation program, and to evaluate the association with one-year mortality in a large national registry of acute coronary syndrome patients. DESIGN AND METHODS: Data were extracted from the Acute Coronary Syndrome Israeli Survey national surveys between 2006-2013. A total of 6551 patients discharged with a diagnosis of acute coronary syndrome were included...
November 23, 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27832460/investigating-the-differences-of-body-mass-index-and-waist-circumference-in-the-follow-up-assessment-of-patients-to-cardiac-rehabilitation-with-acute-coronary-syndrome
#5
Hui Zhao, Jun Ma, Qiru Zhou, Wei Chen, Wei Zhu, Zekun Cai, Hongqiang Lei, Yu Deng, Lin Xu, Jian Qiu
Obesity management is a key point during cardiac rehabilitation. The effect of new index, waist circumference (WC), in the obesity management of cardiac rehabilitation is not clear yet. Therefore, our study compared the WC index to the body mass index (BMI) in the evaluation of obesity management for the patients with acute coronary syndrome (ACS) in a well-designed cardiac rehabilitation program (CRP). Totally 61 patients were enrolled into our study between October 2013 and January 2014 in our hospital. All these patients were requested to participate in the CRP actively for 6 months...
November 10, 2016: Australasian Physical & Engineering Sciences in Medicine
https://www.readbyqxmd.com/read/27826738/transcription-factor-pex1-modulates-extracellular-matrix-turnover-through-regulation-of-mmp-9-expression
#6
Alicia Jurado Acosta, Jaana Rysä, Zoltan Szabo, Anne-Mari Moilanen, Hiba Komati, Mona Nemer, Heikki Ruskoaho
The phenylephrine-induced complex-1 (PEX1) transcription factor, also known as zinc-finger protein 260 (Zfp260), is an effector of endothelin-1 and α1-adrenergic signaling in cardiac hypertrophy. However, the role of PEX1 in transcriptional regulation of myocardial remodeling remains largely unknown. In the present study, we used PEX1 gain- and loss-of-function to examine the effects of PEX1 on left ventricular remodeling. Adenoviral constructs expressing PEX1, antisense PEX1, or LacZ were delivered by local injection into the anterior wall of the left ventricle in Sprague-Dawley rats...
November 8, 2016: Cell and Tissue Research
https://www.readbyqxmd.com/read/27822083/the-danish-cardiac-rehabilitation-database
#7
REVIEW
Ann-Dorthe Zwisler, Henriette Knold Rossau, Anne Nakano, Sussie Foghmar, Regina Eichhorst, Eva Prescott, Charlotte Cerqueira, Anne Merete Boas Soja, Gunnar H Gislason, Mogens Lytken Larsen, Ulla Overgaard Andersen, Ida Gustafsson, Kristian K Thomsen, Lene Boye Hansen, Signe Hammer, Lone Viggers, Bo Christensen, Birgitte Kvist, Cecilie Lindström Egholm, Ole May
AIM OF DATABASE: The Danish Cardiac Rehabilitation Database (DHRD) aims to improve the quality of cardiac rehabilitation (CR) to the benefit of patients with coronary heart disease (CHD). STUDY POPULATION: Hospitalized patients with CHD with stenosis on coronary angiography treated with percutaneous coronary intervention, coronary artery bypass grafting, or medication alone. Reporting is mandatory for all hospitals in Denmark delivering CR. The database was initially implemented in 2013 and was fully running from August 14, 2015, thus comprising data at a patient level from the latter date onward...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27808563/exercise-based-cardiac-rehabilitation-in-surgically-treated-type-a-aortic-dissection-patients
#8
Simon Fuglsang, Johan Heiberg, Vibeke E Hjortdal, Sussie Laustsen
OBJECTIVES: Surgically treated type-A aortic dissection patients are often restricted from physical exercise due to a lack of knowledge about the blood pressure increase. Our aims were to evaluate the hemodynamic responses during exercise, and to assess changes in peak oxygen uptake, maximal workload, and quality-of-life after completion of an exercise-based cardiac rehabilitation program. DESIGN: Three subgroups were retrospectively identified based on their different eligibility criteria...
November 3, 2016: Scandinavian Cardiovascular Journal: SCJ
https://www.readbyqxmd.com/read/27808527/dissonance-based-eating-disorder-program-reduces-cardiac-risk-a-preliminary-trial
#9
Melinda A Green, Mary Willis, Kristen Fernandez-Kong, Shuhan Reyes, Ruby Linkhart, Molly Johnson, Tyler Thorne, Emily Kroska, Halley Woodward, Jessica Lindberg
Objective: We conducted a randomized, controlled preliminary trial to examine the effect of a dissonance-based eating disorder program on eating disorder symptoms and cardiac risk indices in a community sample of women with subclinical and clinical symptoms (N = 47), examining the efficacy of the program in both the indicated prevention and treatment realms. Method: Eating disorder symptoms, body mass index, and biomarkers of cardiac risk were examined in dissonance and assessment-only control conditions at baseline, postintervention, and 2-month follow-up...
November 3, 2016: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/27796963/the-frailty-in-elderly-patients-receiving-cardiac-interventional-procedures-fraser-program-rational-and-design-of-a-multicenter-prospective-study
#10
Gianluca Campo, Rita Pavasini, Elisa Maietti, Elisabetta Tonet, Paolo Cimaglia, Giulia Scillitani, Giulia Bugani, Matteo Serenelli, Fatima Zaraket, Cristina Balla, Filippo Trevisan, Simone Biscaglia, Biagio Sassone, Marcello Galvani, Roberto Ferrari, Stefano Volpato
BACKGROUND: Frailty has become a high-priority issue in cardiovascular medicine because of the aging of cardiovascular patients. Simple and reproducible tools to assess frailty in elderly patients are clearly on demand. Their application may help physicians in the selection of invasive and medical treatments and in the timing and modality of the follow-up. The frailty in elderly patients receiving cardiac interventional procedures (FRASER) program is designed with the aim to validate the use of the short physical performance battery (SPPB) as prognostic tools in patients admitted to hospital for acute coronary syndrome (ACS)...
October 28, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27771274/continuous-positive-airway-pressure-versus-oxygen-therapy-in-the-cardiac-surgical-ward-a-randomized-trial
#11
Luigi Olper, Elena Bignami, Ambra L Di Prima, Santina Albini, Simona Nascimbene, Luca Cabrini, Giovanni Landoni, Ottavio Alfieri
BACKGROUND: Noninvasive ventilation (NIV) is a common technique to manage patients with acute respiratory failure in the intensive care unit. However, use of NIV in general wards is less well described. The authors' aim was to demonstrate efficacy of NIV, applied in a cardiac surgery ward, in improving oxygenation in patients who developed hypoxemic acute respiratory failure after being discharged from the intensive care unit. DESIGN: Randomized, open-label trial...
August 10, 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27749513/the-utility-of-brain-natriuretic-peptide-in-pediatric-cardiology-a-review
#12
Ana L Neves, Tiago Henriques-Coelho, Adelino Leite-Moreira, José C Areias
OBJECTIVE: The aim of this article is to evaluate the clinical utility of brain natriuretic peptide in pediatric patients, examining the diagnostic value, management, and prognostic relevance, by critical assessment of the literature. DATA SOURCES: In December 2015, a literature search was performed (PubMed access to MEDLINE citations; http://www.ncbi.nlm.nih.gov/PubMed/) and included these Medical Subject Headings and text terms for the key words: "brain natriuretic peptide," "amino-terminal pro-brain natriuretic peptide," "children," "neonate/s," "newborn/s," "infant/s," and "echocardiography...
November 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27738057/clinically-guided-pacemaker-choice-and-setting-pacemaker-expert-programming-study
#13
Matteo Ziacchi, Pietro Palmisano, Ernesto Ammendola, Gabriele Dell'era, Federico Guerra, Stefano Aquilani, Vittorio Aspromonte, Giuseppe Boriani, Michele Accogli, Giuseppe Del Giorno, Eraldo Occhetta, Alessandro Capucci, Renato Pietro Ricci, Giampiero Maglia, Mauro Biffi
AIM: The aim of this multicentre, observational, transversal study was to evaluate pacemaker (PM) choice and setting in a large number of patients, in order to understand their relationship with the patients' clinical characteristics. METHODS AND RESULTS: The study enrolled a total of 1858 patients (71 ± 14 years, 54% male), consecutively evaluated during scheduled PM follow-up visits in 7 Italian cardiac arrhythmia centres. To evaluate the appropriateness of PM choice in relation to the patients' clinical characteristics, we analysed their rhythm disorders at the time of device implantation and the characteristics of the devices implanted...
October 13, 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/27730342/myocardial-and-liver-iron-overload-assessed-using-t2-magnetic-resonance-imaging-with-an-excel-spreadsheet-for-post-processing-in-tunisian-thalassemia-major-patients
#14
Monia Ouederni, Monia Ben Khaled, Fethi Mellouli, Elhem Ben Fraj, Nawel Dhouib, Ismehen Ben Yakoub, Selem Abbes, Nejla Mnif, Mohamed Bejaoui
Thalassemia is a common genetic disorder in Tunisia. Early iron concentration assessment is a crucial and challenging issue. Most of annual deaths due to iron overload occurred in underdeveloped regions of the world. Limited access to liver and heart MRI monitoring might partially explain these poor prognostic results. Standard software programs are not available in Tunisia. This study is the first to evaluate iron overload in heart and liver using the MRI T2* with excel spreadsheet for post processing. Association of this MRI tool results to serum ferritin level, and echocardiography was also investigated...
October 12, 2016: Annals of Hematology
https://www.readbyqxmd.com/read/27677745/transition-from-paediatric-to-adult-care-of-adolescent-patients-with-congenital-heart-disease-a%C3%A2-pathway-to-optimal-care
#15
A M M Strijbosch, R Zwart, N A Blom, B J Bouma, M Groenink, S M Boekholdt, R de Winter, B J M Mulder, A P Backx
INTRODUCTION: Adolescents with congenital heart disease transition from a paediatric to an adult setting. This is associated with loss-to-follow-up and suboptimal care. Increasing numbers of patients justify a special program. In this study we evaluated the cooperative program between paediatric and adult cardiology departments in a tertiary referral centre. METHODS: In this retrospective study, patients with congenital heart disease with at least one appointment scheduled at the transition program between January 2010 and January 2015 were included...
November 2016: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27676943/effect-of-a-mixed-6-week-training-period-on-body-fat-in-moderately-to-severely-obese-patients-without-caloric-restriction-with-a-3-month-follow-up
#16
Julien Feurer
OBJECTIVE: Obesity, being a world epidemic, is responsible for an increased risk of mortality and various comorbidities. The loss of weight, particularly of body fat, would lower this risk. This is why we have developed an aerobic, resistance and interval training program over a 6-week period whose main goal is to reduce body fat by 5%. MATERIAL/PATIENTS AND METHODS: We have assessed the evolution of body fat by bioelectrical impedance analysis, of [Formula: see text] by a cardiac stress test on a cycle ergometer, of leg muscular strength, of quality of life by the SF-36 health survey, in 20 sedentary, moderately to severely obese patients between the age of 18 and 70years old, before and after a 6-week training program mixing aerobic, resistance and interval training exercises for 45minutes, twice daily and 5days per week, with a food rebalancing with normocaloric diet...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676162/comparison-between-iegm-based-approach-and-echocardiography-in-av-pv-and-vv-delay-optimization-in-crt-d-recipients-quicksept-study
#17
REVIEW
Massimo Giammaria, Gianluca Quirino, Enrico Cecchi, Gaetano Senatore, Paolo Pistelli, Mario Bocchiardo, Roberto Mureddu, Paolo Diotallevi, Eraldo Occhetta, Andrea Magnani, Mauro Bensoni, Catia Checchinato, Valentina Conti, Sandra Badolati, Antonio Mazza
BACKGROUND: AtrioVentricular (AV) and InterVentricular (VV) delay optimization can improve ventricular function in Cardiac Resynchronization Therapy (CRT) and is usually performed by means of echocardiography. St Jude Medical has developed an automated algorhythm which calculates the optimal AV and VV delays (QuickOpt™) based on Intracardiac ElectroGrams, (IEGM), within 2 min. So far, the efficacy of the algorhythm has been tested acutely with standard lead position at right ventricular (RV) apex...
March 2016: Indian Pacing and Electrophysiology Journal
https://www.readbyqxmd.com/read/27629408/nonaccidental-out-of-hospital-cardiac-arrest-in-an-urban-area-as-a-potential-source-of-uncontrolled-organ-donors
#18
Krzysztof Pabisiak, Arkadiusz Krejczy, Grażyna Dutkiewicz, Krzysztof Safranow, Jerzy Sienko, Romuald Bohatyrewicz, Kazimierz Ciechanowski
BACKGROUND Donation after cardiac death offers the possibility of increasing the pool of organs for transplantation by up to 30%. Maastricht category type 3 (M3) dominates in most countries with active DCD programs. During preparations to introduce a permanent program for uncontrolled donation after circulatory death in Szczecin, Poland, the donor pool has been estimated. In Poland, Maastricht category type 2 (M2) is considered a basic source for organ recovery. MATERIAL AND METHODS This was a retrospective cohort study of out-of-hospital cardiac arrests (OHCA) reported to local Emergency Medical Services (EMS) between 1 December 2014 and 30 November 2015...
2016: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://www.readbyqxmd.com/read/27618336/assessment-of-risk-factors-for-a-sustainable-on-table-extubation-program-in-pediatric-congenital-cardiac-surgery-5-year-experience
#19
Reena Khantwal Joshi, Neeraj Aggarwal, Mridul Agarwal, Veronique Dinand, Raja Joshi
OBJECTIVE: To delineate risk factors for failure of extubation in the operating room among pediatric cardiac surgery patients. DESIGN: Prospective, observational study. SETTING: Single center, tertiary care, teaching hospital. PARTICIPANTS: The study comprised 448 congenital cardiac surgery patients who were enrolled for intended extubation in the pediatric cardiac operating room over 5 years. INTERVENTIONS: The airways of enrolled patients were extubated in the operating room if predetermined suitability criteria were met...
December 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27572253/usefulness-of-testing-for-coronary-artery-spasm-and-programmed-ventricular-stimulation-in-survivors-of-out-of-hospital-cardiac-arrest
#20
Masayasu Komatsu, Jun Takahashi, Koji Fukuda, Yusuke Takagi, Takashi Shiroto, Makoto Nakano, Masateru Kondo, Ryuji Tsuburaya, Kiyotaka Hao, Kensuke Nishimiya, Taro Nihei, Yasuharu Matsumoto, Kenta Ito, Yasuhiko Sakata, Satoshi Miyata, Hiroaki Shimokawa
BACKGROUND: Optimal therapy for patients resuscitated from out-of-hospital cardiac arrest (OHCA) who are not found to have structural heart disease remains to be established, especially regarding the use of implantable cardioverter-defibrillators. Coronary artery spasm (CAS) and lethal ventricular arrhythmias are important causes of OHCA. METHODS AND RESULTS: In 47 consecutive OHCA survivors without structural heart disease who had fully recovered (M/F 44/3, 43±13 years...
September 2016: Circulation. Arrhythmia and Electrophysiology
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