keyword
https://read.qxmd.com/read/38387758/modes-of-death-in-patients-with-cardiogenic-shock-in-the-cardiac-intensive-care-unit-a-report-from-the-critical-care-cardiology-trials-network
#21
JOURNAL ARTICLE
David D Berg, Sachit Singal, Michael Palazzolo, Vivian M Baird-Zars, Fadel Bofarrag, Erin A Bohula, Sunit-Preet Chaudhry, Mark W Dodson, Dustin Hillerson, Patrick R Lawler, Shuangbo Liu, Connor G O'Brien, Barbara A Pisani, Lekha Racharla, Robert O Rowsell, Kevin S Shah, Michael A Solomon, Lakshmi Sridharan, Andrea D Thompson, Sean van Diepen, Jason N Katz, David A Morrow
BACKGROUND: There are limited data on how patients with cardiogenic shock (CS) die. METHODS: CCCTN is a research network of cardiac intensive care units coordinated by the TIMI Study Group (Boston, MA). Using standardized definitions, site investigators classified direct modes of in-hospital death for CS admissions (10/2021-09/2022). Mutually exclusive categories included 4 modes of cardiovascular death and 4 modes of non-cardiovascular death. Subgroups defined by CS type, preceding cardiac arrest (CA), use of temporary mechanical circulatory support (tMCS), and transition to comfort measures were evaluated...
February 20, 2024: Journal of Cardiac Failure
https://read.qxmd.com/read/38381695/current-gaps-in-the-provision-of-safe-and-effective-anticoagulation-in-atrial-fibrillation-and-the-potential-for-factor-xi-directed-therapeutics
#22
JOURNAL ARTICLE
Shaun G Goodman, Denis Roy, Charles V Pollack, Kori Leblanc, Kevin F Kwaku, Geoffrey D Barnes, Marc P Bonaca, Mellanie True Hills, Elena Campello, John Fanikos, Jean M Connors, Jeffrey I Weitz
The global prevalence of atrial fibrillation is rapidly increasing, in large part due to the aging of the population. Atrial fibrillation is known to increase the risk of thromboembolic stroke by five times, but it has been evident for decades that well-managed anticoagulation therapy can greatly attenuate this risk. Despite advances in pharmacology (such as the shift from vitamin K antagonists to direct oral anticoagulants) that have increased the safety and convenience of chronic oral anticoagulation in atrial fibrillation, a preponderance of recent observational data indicates that protection from stroke is poorly achieved on a population basis...
February 21, 2024: Critical Pathways in Cardiology
https://read.qxmd.com/read/38369218/variation-in-risk-adjusted-cardiac-intensive-care-unit-cicu-length-of-stay-and-the-association-with-in-hospital-mortality-an-analysis-from-the-critical-care-cardiology-trials-network-ccctn-registry
#23
JOURNAL ARTICLE
Daniel M Koerber, Jason N Katz, Erin Bohula, Jeong-Gun Park, Mark W Dodson, Daniel A Gerber, Dustin Hillerson, Shuangbo Liu, Matthew J Pierce, Rajnish Prasad, Scott W Rose, Pablo A Sanchez, Jeffrey Shaw, Jeffrey Wang, Jacob C Jentzer, L Kristin Newby, Lori B Daniels, David A Morrow, Sean van Diepen
BACKGROUND: Previous studies have suggested that there is wide variability in cardiac intensive care unit (CICU) length of stay (LOS); however, these studies are limited by the absence of detailed risk assessment at the time of admission. Thus, we evaluated inter-hospital differences in CICU LOS, and the association between LOS and in-hospital mortality. METHODS: Using data from the Critical Care Cardiology Trials Network (CCCTN) registry, we included 22,862 admissions between 2017 and 2022 from 35 primarily tertiary and quaternary CICUs that captured consecutive admissions in annual two-month snapshots...
February 16, 2024: American Heart Journal
https://read.qxmd.com/read/38369209/topic-precision-medicine-approaches-in-cardiology-personalized-therapies-for-improved-patient-outcomes-a-systematic-review
#24
REVIEW
Hyma Bamba, Gurmehar Singh, Jobby John, Pugazhendi Inban, Priyadarshi Prajjwal, Haitham Alhussain, Mohammed Dheyaa Marsool Marsool
Personalized medicine is a novel and rapidly evolving approach to clinical practice that involves making decisions about disease prediction, prevention, diagnosis, and treatment by utilizing modern technologies. The concepts of precision medicine have grown as a result of ongoing developments in genomic analysis, molecular diagnostics, and technology. These advancements have enabled a deeper understanding and interpretation of the human genome, allowing for a personalized approach to clinical care. The primary objective of this research is to assess personalized medicine in terms of its indications, advantages, practical clinical uses, potential future directions, problems, and effects on healthcare...
February 16, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38361889/role-of-pro-bnp-in-predicting-outcome-in-acute-heart-failure-patient-presenting-to-a-medical-emergency-an-observational-study-from-north-india
#25
JOURNAL ARTICLE
Arjun K Singhal, Gaurav Singh, S K Singh, Busi Karunanand, Sonu Agrawal
BACKGROUND: Acute heart failure (AHF) is a clinical syndrome defined as the new onset or acutely decompensated heart failure (ADHF) leading to signs and symptoms of heart failure (HF). The critical cut-off values for these biomarkers that suggest high mortality are not clearly defined in previous studies. More studies are required to better understand the correlation of Pro- BNP and its association with HF. The primary objective is to study the role of Pro-BNP and critical factors in predicting outcomes in AHF patients presenting to a medical emergency...
December 2023: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/38352139/training-paradigms-in-critical-care-cardiology-a-scoping-review-of-current-literature
#26
JOURNAL ARTICLE
Saraschandra Vallabhajosyula, Aryan Mehta, Mridul Bansal, Jacob C Jentzer, Willard N Applefeld, Shashank S Sinha, Bram J Geller, Ann E Gage, Scott W Rose, Christopher F Barnett, Jason N Katz, David A Morrow, Robert O Roswell, Michael A Solomon
BACKGROUND: Over the past decade there has been increasing interest in critical care medicine (CCM) training for cardiovascular medicine (CV) physicians either in isolation (separate programs in either order [CV/CCM], integrated critical care cardiology [CCC] training) or hybrid training with interventional cardiology (IC)/heart failure/transplant (HF) with targeted CCC training. OBJECTIVE: To review the contemporary landscape of CV/CCM, CCC, and hybrid training...
March 2024: JACC Adv
https://read.qxmd.com/read/38346104/opportunities-in-the-postpartum-period-to-reduce-cardiovascular-disease-risk-after-adverse-pregnancy-outcomes-a-scientific-statement-from-the-american-heart-association
#27
REVIEW
Jennifer Lewey, Theresa M Beckie, Haywood L Brown, Susan D Brown, Vesna D Garovic, Sadiya S Khan, Eliza C Miller, Garima Sharma, Laxmi S Mehta
Adverse pregnancy outcomes are common among pregnant individuals and are associated with long-term risk of cardiovascular disease. Individuals with adverse pregnancy outcomes also have an increased incidence of cardiovascular disease risk factors after delivery. Despite this, evidence-based approaches to managing these patients after pregnancy to reduce cardiovascular disease risk are lacking. In this scientific statement, we review the current evidence on interpregnancy and postpartum preventive strategies, blood pressure management, and lifestyle interventions for optimizing cardiovascular disease using the American Heart Association Life's Essential 8 framework...
February 13, 2024: Circulation
https://read.qxmd.com/read/38344049/calcium-channel-blocker-overdose
#28
JOURNAL ARTICLE
Jessica G Andrusaitis, Alan Givertz
AUDIENCE: Emergency medicine residents and medical students on emergency medicine rotation. BACKGROUND: Calcium channel blocker (CCB) overdoses can be severe with potentially serious adverse outcomes. CCBs work by blocking the calcium channels on smooth and cardiac muscle tissue. At low dose ranges, dihydropyridine CCBs (such as nifedipine, amlodipine, and nicardipine) block the L-type calcium receptors in the peripheral vasculature, whereas non-dihydropyridine CCBs (such as: verapamil and diltiazem) affect the L-type calcium receptors in the myocardium...
January 2024: Journal of education & teaching in emergency medicine
https://read.qxmd.com/read/38334831/idiopathic-ventricular-fibrillation-is-it-a%C3%A2-case-for-genetic-testing
#29
REVIEW
S N van der Crabben, A A M Wilde
Idiopathic ventricular fibrillation (IVF) is a diagnosis of exclusion in sudden cardiac arrest (SCA) survivors. Although there are clear guidelines on the clinical work-up of SCA survivors, less than one in five patients receives a complete work-up. This increases the chances of erroneously labelling these patients as having IVF, while 10-20% of them have an inherited cardiac condition (ICC). Diagnoses of ICC increase over time due to (additional) deep phenotyping or as a result of spontaneous expression of ICC over time...
February 9, 2024: Herzschrittmachertherapie & Elektrophysiologie
https://read.qxmd.com/read/38313911/extensive-intracranial-meningioma-with-dehiscences-a-case-report
#30
Corneliu Toader, Luca-Andrei Glavan, Razvan-Adrian Covache-Busuioc, Bogdan-Gabriel Bratu, Horia-Petre Costin, Antonio-Daniel Corlatescu, Alexandru Vladimir Ciurea
This case report elucidates the clinical and surgical journey of a 62-year-old patient with a history of multiple comorbidities including a severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) infection, presenting with temporospatial disorientation, bradypsychia, and bradyphasia, without motor deficits, diagnosed with sarcomatous meningioma and skull lysis. Amidst the complexities of managing primary brain tumors, this report underscores the significance of thorough morphopathological examination, while considering patient demographics and tumor localization in assessing the nature of the neoplasm...
January 2024: Curēus
https://read.qxmd.com/read/38313388/venous-doppler-flow-patterns-venous-congestion-heart-disease-and-renal-dysfunction-a-complex-liaison
#31
EDITORIAL
Alessio Di Maria, Rossella Siligato, Marta Bondanelli, Fabio Fabbian
The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on. We focused our attention on venous congestion. In intensive care settings, it is now widely accepted that venous congestion is an important clinical feature worthy of investigation. Evaluating venous Doppler profile abnormalities at multiple sites could suggest adequate treatment and monitor its efficacy. Renal dysfunction could trigger or worsen fluid overload in heart disease, and cardio-renal syndrome is a well-characterized spectrum of disorders describing the complex interactions between heart and kidney diseases...
January 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38309547/key-hypertension-breakthroughs-and-emerging-trends-from-the-aha-scientific-sessions
#32
REVIEW
Sashwath Srikanth, Avilash Mondal, Sanjana Aaggarwal, Naga Ruthvika Alle, Olufemi Odugbemi, Parth R Nayak, Ankit Vyas, Rupak Desai
We aim to summarize selected late-breaking science on hypertension management strategies and disease presented at the 2023 American Heart Association (AHA) conference. The trials discussed below encompass stricter goals of blood pressure management and were expanded into different population groups from different countries with varied socioeconomic backgrounds and settings, collectively advancing our understanding of hypertension treatment and its impact on public health. We summarized the China Rural Health Care Project (CRHCP), a four-year study involving over 34,000 participants in rural China, emphasizing the potential of stricter blood pressure goals in lowering the incidence of all-cause dementia and cognitive impairment...
February 1, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38309543/moving-from-left-ventricular-ejection-fraction-to-deformation-imaging-in-mitral-valve-regurgitation
#33
REVIEW
Stylianos Daios, Vasileios Anastasiou, Maria-Anna Bazmpani, Stella-Maria Angelopoulou, Theodoros Karamitsos, Thomas Zegkos, Matthaios Didagelos, Christos Savopoulos, Antonios Ziakas, Vasileios Kamperidis
The increasing prevalence of valvular heart diseases, specifically mitral regurgitation (MR), underscores the need for a careful and timely approach to intervention. Severe MR, whether primary or secondary, when left untreated leads to adverse outcomes, emphasizing the critical role of a timely surgical or transcatheter intervention. While left ventricular ejection fraction (LVEF) remains the guideline-recommended measure for assessing left ventricle damage, emerging evidence raises concerns regarding its reliability in MR due to its volume-dependent nature...
April 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38308652/price-for-waiting-the-adverse-outcomes-of-boarding-critically-ill-elderly-medical-patients-in-the-emergency-department
#34
JOURNAL ARTICLE
Kuang-Wen Huang, Chun-Hao Yin, Renin Chang, Jin-Shuen Chen, Yao-Shen Chen
PURPOSE: Boarding, the period in which a patient spends in the emergency department (ED) before admission, may be hazardous to critically ill patients, particularly the elderly. This study investigated the associations of boarding with hospital course, prognosis, and medical expenditure in older patients. METHODS: From January 2019 to December 2021, the medical records of older patients (age ≥ 65) visiting the ED of a tertiary referral hospital who were admitted to the medical intensive care unit (ICU) were retrospectively reviewed...
February 2, 2024: Postgraduate Medical Journal
https://read.qxmd.com/read/38306485/-etiology-and-evolution-of-anemia-in-patients-submitted-to-cardiovascular-surgery
#35
JOURNAL ARTICLE
Gonzalo M Fernández-Villar, Mauricio Delgado-Gaete, Marco A Borja-Yenchong, Emiliano Rossi, Elsa M Nucifora, Vadim Kotowicz, Rodolfo Pizarro
INTRODUCTION: Anemia is associated with increased mortality in patients undergoing major surgeries. OBJECTIVE: The aim of this study is to evaluate the prevalence of anemia in the preoperative period of cardiovascular surgery, its postoperative incidence and its evolution during the first month in our setting. METHODS: A prospective cohort study was carried out in which all patients undergoing central cardiovascular surgery operated during the period 09/01/2021-09/01/2022 in a university hospital were included...
February 2, 2024: Archivos de Cardiología de México
https://read.qxmd.com/read/38302391/position-paper-on-sustainability-in-cardiac-pacing-and-electrophysiology-from-the-working-group-of-cardiac-pacing-and-electrophysiology-of-the-french-society-of-cardiology
#36
REVIEW
Frédéric Sacher, Raoul Bacquelin, Francis Bessiere, Geoffroy Ditac, Josselin Duchateau, Mina Ait-Said, Serge Boveda, Fabrice Extramiana, Laura Delsarte, Laurent Fauchier, Estelle Gandjbakhch, Rodrigue Garcia, Didier Klug, Nicolas Lellouche, Eloi Marijon, Raphael Martins, Philipe Maury, Carole Mette, Olivier Piot, Jerome Taieb, Pascal Defaye
Sustainability in healthcare, particularly within the domain of cardiac electrophysiology, assumes paramount importance for the near future. The escalating environmental constraints encountered necessitate a proactive approach. This position paper aims to raise awareness among physicians, spark critical inquiry and identify potential solutions to enhance the sustainability of our practice. Reprocessing of single-use medical devices has emerged as a potential solution to mitigate the environmental impact of electrophysiology procedures, while also offering economic advantages...
January 15, 2024: Archives of Cardiovascular Diseases
https://read.qxmd.com/read/38301919/evaluation-of-warfarin-management-in-primary-health-care-centers-in-qatar-a-retrospective-cross-sectional-analysis-of-the-national-dataset
#37
REVIEW
Alshihab Safaa, Ibrahim Mi Mohamed, Abdul Hadi Muhammad, Syed Abdullah, Rahman Arabi Abdul, Al-Qahtani Awad, Al Mujalli Hanan, Rafie Ihsan, Gaith Al-Kuwari Mohamed, Kandy Mujeeb, Al-Zaidan Manal
BACKGROUND: Warfarin management is associated with severe complications, highlighting the critical need to evaluate the quality of its administration. OBJECTIVES: To evaluate the quality of warfarin management for patients managed in primary healthcare centers by measuring the percentage of Time in Therapeutic Range (TTR) and the proportion of extreme out-of-range international normalized ratio (INR) values. METHODS: This is a cross-sectional study...
January 30, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38300014/child-health-needs-and-the-pediatric-cardiology-workforce-2020-2040
#38
JOURNAL ARTICLE
Lowell H Frank, Julie Glickstein, David W Brown, Richard B Mink, Robert D Ross
This article evaluates the pediatric cardiology (PC) workforce and forecasts its future supply. Produced as part of a supplement in Pediatrics, this effort represents a collaboration among the American Board of Pediatrics Foundation, the University of North Carolina at Chapel Hill's Carolina Health Workforce Research Center, the Strategic Modeling and Analysis Ltd., and members of the pediatric subspecialty community. PC is a complex subspecialty including care from fetal life through adulthood and in practice settings that range from the outpatient clinic to procedural settings to the cardiac ICU...
February 1, 2024: Pediatrics
https://read.qxmd.com/read/38300007/forecasting-the-future-supply-of-pediatric-subspecialists-in-the-united-states-2020-2040
#39
JOURNAL ARTICLE
Erin Fraher, Andy Knapton, Emily McCartha, Laurel K Leslie
Concerns persist about whether the United States has an adequate supply of pediatric subspecialists and whether they are appropriately distributed across the nation to meet children's health needs. This article describes the data and methods used to develop a workforce projection model that estimates the future supply of 14 pediatric subspecialities certified by the American Board of Pediatrics at the national and US census region and division levels from 2020 to 2040. The 14 subspecialties include adolescent medicine, pediatric cardiology, child abuse pediatrics, pediatric critical care medicine, developmental-behavioral pediatrics, pediatric emergency medicine, pediatric endocrinology, pediatric gastroenterology, pediatric hematology-oncology, pediatric infectious diseases, neonatal-perinatal medicine, pediatric nephrology, pediatric pulmonology, and pediatric rheumatology...
February 1, 2024: Pediatrics
https://read.qxmd.com/read/38289347/-application-and-control-of-intravenous-fluids-in-german-intensive-care-units-a%C3%A2-national-survey-among-critical-care-physicians
#40
JOURNAL ARTICLE
J Porth, J Ajouri, M Kleinlein, M Höckel, G Elke, P Meybohm, C Culmsee, R M Muellenbach
BACKGROUND: The administration of intravenous fluids includes various indications, e.g., fluid replacement, nutritional therapy or as a solvent for drugs and is a common routine in the intensive care unit (ICU); however, overuse of intravenous fluids can lead to fluid overload, which can be associated with a poorer outcome in critically ill patients. OBJECTIVE: The aim of this survey was to find out the current status of the use and management of intravenous fluids as well as the interprofessional cooperation involving clinical pharmacists on German ICUs...
February 2024: Anaesthesiologie
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