keyword
https://read.qxmd.com/read/38524021/intraoperative-acute-cardiac-tamponade-as-a-result-of-intracardiac-perforation-requiring-emergency-continuous-pericardiocentesis-and-open-sternotomy-a-case-report-and-literature-review-of-a-rare-but-fatal-complication
#21
Christopher M Russo, Mitchell E Harrison, Nathaniel M Harry, John R Benjamin, Christian Popa
Intraoperative acute cardiac tamponade associated with iatrogenic intracardiac perforation from percutaneous interventional cardiac procedures is a rare but potentially catastrophic complication. We report a case of intraoperative acute hemopericardium caused by a left atrial (LA) perforation resulting in cardiac tamponade in a patient undergoing a baffling procedure for the correction of two anomalous pulmonary veins draining into her superior vena cava (SVC) that required continuous pericardiocentesis with autologous blood transfusion via the femoral vein and an emergency intraoperative transfer from the interventional cardiology cath lab to the cardiac operating room for an open sternotomy and primary repair...
February 2024: Curēus
https://read.qxmd.com/read/38523340/lymphocytic-myocarditis-with-increased-left-ventricular-thickness-a-rare-presentation-mimicking-cardiac-amyloidosis
#22
JOURNAL ARTICLE
Xueting Duan, Liangzhen Qu, Han Chen
BACKGROUND Lymphocytic myocarditis is an inflammatory condition of the heart that may present with a wide spectrum of symptoms and signs, ranging from asymptomatic to life-threatening cardiogenic shock and ventricular arrhythmia. Lymphocytic myocarditis usually presents as chamber dilation. However, increased left ventricular thickness is relatively rare. We present a case of lymphocytic myocarditis with increased left ventricular thickness which mimics the presentation of cardiac amyloidosis. CASE REPORT An 80-year-old Chinese man presented to the emergency room due to recurrent chest tightness...
March 25, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38522770/prevalence-and-impact-of-pulmonary-hypertension-on-acute-decompensated-heart-failure-with-preserved-ejection-fraction-hospitalizations-a-five-year-retrospective-analysis
#23
REVIEW
Omar Al Wahadneh, Qusai Alitter, Apoorva Raju, Nmair Alziadin, Abdullah H Alshurafa, Hamdi Osama Aldabbas, Ibrahim Shaik
Heart Failure with Preserved Ejection Fraction (HFpEF) is a major and common cardiovascular condition with widely variable clinical outcomes. Pulmonary hypertension (PH) often co-exists with HFpEF and tends to affect patient outcomes; this study aims to identify the impact of PH on the clinical outcome of patients admitted to the hospital with acute HFpEF exacerbations. We analyzed data from the National Inpatient Sample between 2016 and 2020, focusing on 464,438 acute HFpEF exacerbation hospitalizations. Outcomes were compared between those with PH (27...
March 22, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38522736/the-impact-of-alternate-defibrillation-strategies-on-shock-refractory-and-recurrent-ventricular-fibrillation-a-secondary-analysis-of-the-dose-vf-cluster-randomized-controlled-trial
#24
JOURNAL ARTICLE
Sheldon Cheskes, Ian R Drennan, Linda Turner, Sandeep V Pandit, Paul Dorian
BACKGROUND: The DOSE VF randomized controlled trial (RCT) employed a pragmatic definition of refractory ventricular fibrillation (VF after three successive shocks). However, it remains unclear whether the underlying rhythm during the first three shocks was shock-refractory or recurrent VF. OBJECTIVE: To explore the relationship between alternate defibrillation strategies employed during the DOSE VF RCT and the type of VF, either shock-refractory VF or recurrent VF, on patient outcomes...
March 22, 2024: Resuscitation
https://read.qxmd.com/read/38521897/predictors-of-improvement-in-left-ventricular-systolic-function-after-catheter-ablation-in-patients-with-persistent-atrial-fibrillation-complicated-with-heart-failure
#25
JOURNAL ARTICLE
Xinliang Zhao, Xiaoqin Hu, Wei Bao, Shuo Huang, Fei Li, Chen Liu, Liqi Ge, Quan Zhang, Chaoqun Zhang, Chengzong Li
AIMS: The current management of patients with atrial fibrillation (AF) and concomitant heart failure (HF) remains a significant challenge. Catheter ablation (CA) has been shown to improve left ventricular ejection fraction (LVEF) in these patients, but which patients can benefit from CA is still poorly understood. The aim of our study was to determine the predictors of improved ejection fraction in patients with persistent atrial fibrillation (PeAF) complicated with HF undergoing CA. METHODS AND RESULTS: A total of 435 patients with persistent AF underwent an initial CA between January 2019 and March 2023 in our hospital...
March 23, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38521289/predictors-of-mortality-and-burden-of-arrhythmias-in-endstage-heart-failure
#26
REVIEW
Endurance Evbayekha, Akanimo Antia, Brittany Dixon, Craig K Reiss, Shane Larue
BACKGROUND: Heart failure (HF) is a significant cause of morbidity and mortality in the United States, contributing to approximately 1 in 8 deaths. Individuals with end-stage HF (eHF) experience debilitating symptoms leading to poor quality of life (QoL). METHODS: We used the ICD-10 code for eHF (I5084) from the National Inpatient Sample (NIS) (2016-2020) to identify all patients with eHF. We used a multivariable logistic regression model to adjust for confounders and estimate the mortality probability in each arrhythmia cohort...
March 21, 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38519840/quantitative-assessment-of-left-ventricular-myocardial-work-in-patients-with-different-types-of-atrial-fibrillation-by-non-invasive-pressure-strain-loop-technique
#27
JOURNAL ARTICLE
Tingting Liu, Hailan Liu, Yan Song, Yulin Huang, Chunquan Zhang
OBJECTIVE: This study aimed to analyze myocardial work in patients with atrial fibrillation (AF) using a noninvasive pressure strain loop (PSL) technique to provide a basis for the quantitative assessment of left ventricular (LV) systolic function. METHODS: LV myocardial work of 107 AF patients (56 with paroxysmal atrial fibrillation and 51 with persistent atrial fibrillation) and 55 healthy individuals were assessed by the noninvasive PSL and then compared. RESULTS: Global longitudinal strain (GLS) in absolute values, global work index (GWI), global constructive work (GCW), and global work efficiency (GWE) were significantly lower in the AF group than control group, whereas peak strain dispersion (PSD) and global wasted work (GWW) were significantly higher (P < ...
March 2024: Echocardiography
https://read.qxmd.com/read/38519537/prediction-of-pacemaker-induced-cardiomyopathy-using-a-convolutional-neural-network-based-on-clinical-findings-prior-to-pacemaker-implantation
#28
JOURNAL ARTICLE
Mitsunori Oida, Takuya Mizutani, Eriko Hasumi, Katsuhito Fujiu, Kosaku Goto, Kunihiro Kani, Tsukasa Oshima, Takumi J Matsubara, Yu Shimizu, Gaku Oguri, Toshiya Kojima, Issei Komuro
Risk factors for pacemaker-induced cardiomyopathy (PICM) have been previously reported, including a high burden of right ventricular pacing, lower left ventricular ejection fraction, a wide QRS duration, and left bundle branch block before pacemaker implantation (PMI). However, predicting the development of PICM remains challenging. This study aimed to use a convolutional neural network (CNN) model, based on clinical findings before PMI, to predict the development of PICM. Out of a total of 561 patients with dual-chamber PMI, 165 (mean age 71...
March 22, 2024: Scientific Reports
https://read.qxmd.com/read/38518405/comparative-analysis-of-the-clinical-features-of-nonvalvular-atrial-fibrillation-among-tibetan-han-and-hui-patients-in-qinghai-province-china
#29
JOURNAL ARTICLE
Jiandong Cao, Xiaofeng Ma, Yong Deng, Hong Wang, Shengqi Zhang, Longxiang Zhao, Feifei Cao
Global nonvalvular AF rises, impacting health severely. In Qinghai, China's diverse setting, studying AF among varied ethnic groups is crucial OBJECTIVES: The purpose of this study was to compares cardiac features in AF among Tibetan, Han, and Hui patients to develop tailored prevention and treatment strategies for this region, the goal was to enhance the understanding of AF and provide an empirical basis for developing prevention and treatment strategies specific to this region METHODS: This study included a total of 3445 Tibetan, Han, and Hui patients diagnosed with nonvalvular atrial fibrillation and treated at the Qinghai Cardiovascular and Cerebrovascular Specialist Hospital, China, between January 2019 and January 2021...
March 21, 2024: Heart & Lung: the Journal of Critical Care
https://read.qxmd.com/read/38516437/surgical-anatomical-structure-of-uterine-artery-caudal-space-for-robot-assisted-extrafascial-hysterectomy-with-ureterohypogastric-nerve-fascia-preservation-a-case-description
#30
Koji Shimabukuro, Maiko Ichikawa, Takafumi Tsukada, Seiichi Endo, Masae Sakamoto
A surgical technique has been developed using a robot-assisted system to create the surgical anatomical structure of the uterine artery caudal space (UACS), a landmark for performing extrafascial hysterectomy, enabling a safe and easy parametrial resection to prevent ureteral injury and cervical sidewall bleeding at hysterectomy. UACS is created to preserve the ureterohypogastric nerve fascia (UHNF), which envelopes the ureter and the hypogastric nerve, and the vesicohypogastric fascia (VF), which wraps the uterine artery and veins...
February 2024: Curēus
https://read.qxmd.com/read/38516356/incidence-and-predictors-of-virological-failure-among-children-receiving-first-line-anti-retroviral-treatment-in-public-comprehensive-specialized-hospitals-found-in-northeast-ethiopia-a-retrospective-follow-up-study
#31
JOURNAL ARTICLE
Estifanos Belay Abebe, Meseret Ekubay Gebregeorgis, Fuad Ahmed Seid, Alemu Birara Zemariam, Tadesse Mamo Dejene, Seteamlak Adane Masresha
BACKGROUND: Despite anti-retroviral treatment coverage in resource-limited countries being highly appreciated, the occurrence of first-line virological failure remains a priority agenda. Therefore, this study serves as an input for evidence of virological failure among children. OBJECTIVE: This study aimed to assess the incidence and predictors of virological failure among children receiving first-line anti-retroviral treatment in public comprehensive specialized hospitals found in Northeast Ethiopia through a retrospective follow-up study...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38514992/impact-of-heart-rate-changes-during-hospitalization-on-outcome-in-heart-failure-with-preserved-ejection-fraction
#32
JOURNAL ARTICLE
Dan Liu, Xiaotong Cui, Yamei Xu, Lei Xu, Zhonglei Xie, Shuai Yuan, Peng Wang, Yanyan Wang, Sanli Qian, Hui Gong, Peter Nordbeck, Jiefu Yang, Jingmin Zhou, Junbo Ge, Aijun Sun
AIMS: The benefits of lowering heart rate (HR) in heart failure (HF) with preserved ejection fraction (HFpEF) patients are still a matter of debate. This study aimed to investigate the relationship between changes in HR during hospitalization and cardiovascular (CV) events and all-cause death in hospitalized HFpEF patients. METHODS AND RESULTS: Hospitalized HF patients between January 2017 and December 2021 were consecutively enrolled in a national, multicentred, and prospective registry database, the China Cardiovascular Association Database-HF Center Registry...
March 21, 2024: ESC Heart Failure
https://read.qxmd.com/read/38514158/flecainide-causing-elevated-capture-thresholds-on-pacemaker-implantation
#33
JOURNAL ARTICLE
Kevin Chee-Theng Leow, Wooi Ye Lim, Audrey Lee, Moyazur Rahman, Ren Tan
Flecainide is a Vaughan Williams class 1c antiarrhythmic used to treat supraventricular and ventricular arrhythmias. It has been described as a rare cause for increased pacemaker capture thresholds. We describe a report of a patient, in her early 80s, presenting with tachy-brady syndrome on a background of permanent atrial fibrillation. She was treated with metoprolol and flecainide by her private cardiologist. Permanent right ventricular chamber pacing was recommended for her slow heart rate. At insertion of her single chamber pacemaker, she was noted to have elevated capture thresholds despite appropriate lead positioning...
March 21, 2024: BMJ Case Reports
https://read.qxmd.com/read/38513112/comparison-of-mixed-venous-oxygen-saturation-and-premembranous-venous-oxygen-saturation-in-patients-on-peripheral-venous-arterial-extracorporeal-membrane-oxygenation
#34
JOURNAL ARTICLE
Kevin J John, Dinesh J Belani, Navin K Kapur, Leslie Lussier, Haval Chweich
In patients on veno-arterial extracorporeal membrane oxygenation (ECMO) premembranous venous oxygen saturation (Spm-vO2) is continuously displayed on the ECMO console. However, the concordance between Spm-vO2 and mixed venous oxygen saturation (SvO2) remains largely unexplored. Our single-center retrospective study included adult patients who had paired SvO2 and Spm-vO2 readings within 15 minutes of each other, on peripherally cannulated Vf ivc-A ECMO and a pulmonary artery using catheter (PAC). The 82 pairs of observations showed a mean difference of 11...
March 22, 2024: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://read.qxmd.com/read/38512023/association-of-impaired-left-ventricular-mitral-filling-from-4d-flow-cardiac-mri-and-prognosis-of-hypertrophic-cardiomyopathy
#35
JOURNAL ARTICLE
Hichem Sakhi, Gilles Soulat, Damian Craiem, Umit Gencer, Jérôme Lamy, Valentina Stipechi, Tania Puscas, Jean-Sébastien Hulot, Albert Hagege, Elie Mousseaux
Purpose To investigate whether the peak early filling rate normalized to the filling volume (PEFR/FV) estimated from four-dimensional (4D) flow cardiac MRI may be used to assess impaired left ventricular (LV) filling and predict clinical outcomes in individuals with hypertrophic cardiomyopathy (HCM). Materials and Methods Cardiac MRI with a 4D flow sequence and late gadolinium enhancement (LGE), as well as echocardiography, was performed in 88 individuals: 44 participants with HCM from a French prospective registry (ClinicalTrials...
April 2024: Radiology. Cardiothoracic imaging
https://read.qxmd.com/read/38510375/endovascular-aortic-occlusion-improves-return-of-spontaneous-circulation-after-longer-periods-of-cardiopulmonary-resuscitation-a-translational-study-in-pigs
#36
JOURNAL ARTICLE
Steven Siemieniak, Tanner Greiving, Nola Shepard, Jason Rall, Craig Nowadly
INTRODUCTION: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as an adjunct to CPR for nontraumatic cardiac arrest (NTCA). This translational study investigated the impact of varying low-flow duration (15- vs 30-mins) on REBOA's hemodynamic performance and ability to achieve return of spontaneous circulation (ROSC) in a porcine model. METHODS: Thirty-two pigs were anesthetized and placed into ventricular fibrillation. All animals received a 4-min no-flow period before CPR was initiated...
June 2024: Resuscitation plus
https://read.qxmd.com/read/38508153/evaluation-of-optic-nerve-head-microcirculation-in-open-angle-glaucoma-patients-with-unilateral-visual-field-defect
#37
JOURNAL ARTICLE
Pei-Wen Lin, Li-Wen Chiu
INTRODUCTION: Microcirculation of optic nerve head (ONH) in open-angle glaucoma (OAG) patients with unilateral visual field (VF) loss has yet to be fully investigated, especially the perimetrically unaffected fellow eyes. METHODS: Thirty-eight OAG patients with VF defect in one eye and normal VF in the other eye, and thirty-one healthy participants were analyzed. All participants underwent laser speckle flowgraphy (LSFG), spectral-domain optical coherence tomography (SD-OCT) imaging, and VF test for further analyses...
March 20, 2024: Ophthalmic Research
https://read.qxmd.com/read/38506850/natural-history-and-risk-factors-for-glaucoma-progression-in-chinese-patients-with-normal-tension-glaucoma
#38
JOURNAL ARTICLE
De-Fu Chen, Chenmin Wang, Yuqing Si, Xiaonan Lu, Weihe Zhou, Qiangjie Huang, Jingjing Zuo, Gangwei Cheng, Dexter Y L Leung, Ningli Wang, David S Friedman, Yuanbo Liang
PURPOSE: To characterize the natural history of normal-tension glaucoma (NTG) in Chinese patients. METHODS: The prospective observational cohort study included patients with untreated NTG with a minimum follow-up of 2 years. Functional progression was defined by visual field (VF) deterioration, while structural progression was characterized by thinning of the retinal nerve fiber layer (RNFL) or ganglion cell inner plexiform layer (GCIPL). RESULTS: Among 84 participants (mean age, 60...
March 5, 2024: Investigative Ophthalmology & Visual Science
https://read.qxmd.com/read/38506836/iris-cerclage-to-treat-persistent-mydriasis-following-acute-angle-closure-glaucoma-improves-visual-quality
#39
JOURNAL ARTICLE
Xianhuai Wang, Tianhui Li, Xinyu Guo, Qing Feng, Xincheng Sun
PRCIS: We developed a modified iris cerclage technique that improves best corrected visual acuity, pupillary parameters, self-assessed photophobia, and visual function index-14 questionnaire scores in patients with acute primary angle closure and permanent mydriasis after cataract surgery. PURPOSE: To evaluate the efficacy of a modified iris cerclage technique in patients with acute primary angle closure (PAC) and permanent mydriasis after cataract surgery. PATIENTS AND METHODS: 12 eyes of 12 patients with acute PAC and permanent mydriasis at more than 3 months after phacoemulsification combined with intraocular lens (IOL) implantation underwent modified iris cerclage...
March 7, 2024: Journal of Glaucoma
https://read.qxmd.com/read/38506104/comparison-of-novel-telemonitoring-system-using-the-single-lead-electrocardiogram-patch-with-conventional-telemetry-system
#40
JOURNAL ARTICLE
Soonil Kwon, Eue-Keun Choi, So-Ryoung Lee, Seil Oh, Hee-Seok Song, Young-Shin Lee, Sang-Jin Han, Hong Euy Lim
BACKGROUND AND OBJECTIVES: Although a single-lead electrocardiogram (ECG) patch may provide advantages for detecting arrhythmias in outpatient settings owing to user convenience, its comparative effectiveness for real-time telemonitoring in inpatient settings remains unclear. We aimed to compare a novel telemonitoring system using a single-lead ECG patch with a conventional telemonitoring system in an inpatient setting. METHODS: This was a single-center, prospective cohort study...
March 2024: Korean Circulation Journal
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