keyword
Keywords Heart failure, acute coronary ...

Heart failure, acute coronary syndromes, echocardiography

https://read.qxmd.com/read/38510556/nt-probnp-in-patients-presenting-with-myocardial-infarction-and-non-obstructive-coronary-arteries-without-left-ventricular-systolic-dysfunction
#1
JOURNAL ARTICLE
Robert Sykes, Daniel Doherty, Andrew Morrow, Kenneth Mangion, Ahsan Rushd, Colin Berry
BACKGROUND: Myocardial infarction and non-obstructive coronary arteries (MINOCA) affects 1 in 9 patients with acute coronary syndrome and has no evidence-based therapy. NT-proBNP is an established biomarker associated with prognosis in heart failure and ischemic heart disease, although there is a paucity of data in patients with MINOCA. METHODS: Prospective study of the diagnostic and clinical utility of measuring NT-proBNP in patients with MINOCA without left ventricular dysfunction or heart failure...
September 2023: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38490639/prognostic-value-of-e-e-ratio-and-its-change-over-time-in-st-segment-elevation-myocardial-infarction-with-preserved-left-ventricular-ejection-fraction-in-the-reperfusion-era
#2
JOURNAL ARTICLE
Makoto Miyake, Chisato Izumi, Hiroki Watanabe, Neiko Ozasa, Takeshi Morimoto, Hayato Matsutani, Shuichi Takahashi, Yuya Ohtani, Megumi Baba, Jiro Sakamoto, Yodo Tamaki, Soichiro Enomoto, Hirokazu Kondo, Toshihiro Tamura, Yoshihisa Nakagawa, Takeshi Kimura
BACKGROUND: The ratio of early diastolic mitral inflow velocity to mitral annular velocity (E/e') is a prognostic factor in patients with ST-segment elevation myocardial infarction (STEMI). However, data are lacking on long-term outcomes and longitudinal changes in E/e' in patients with preserved left ventricular ejection fraction (LVEF) in the reperfusion era. METHODS: This is a pre-specified echocardiographic substudy of a randomized controlled trial evaluating the efficacy of beta-blockers in STEMI patients with LVEF ≥40 % after primary percutaneous coronary intervention (PCI)...
March 13, 2024: Journal of Cardiology
https://read.qxmd.com/read/38479829/giant-coronary-sinus-aneurysm-an-incidental-discovery-in-a-case-of-acute-coronary-syndrome
#3
JOURNAL ARTICLE
Raghav Nagpal, Kanhai Lalani, Padmakumar Ramachandran
Coronary sinus (CS) anomalies, although infrequent, are increasingly diagnosed with advances in interventional procedures and imaging techniques. Most cases are asymptomatic and incidentally diagnosed. We present a case of an elderly male without comorbidities who presented with acute angina. Coronary catheterisation revealed a double-vessel disease, but incidentally, sequential angiograms captured contrast filling in the levophase of CS, revealing a giant CS. Primary percutaneous angioplasty of the right coronary artery was performed successfully...
March 13, 2024: BMJ Case Reports
https://read.qxmd.com/read/38440097/stress-cardiomyopathy-in-the-paediatric-population-a-case-series
#4
Nadine Annino, Aymeric Cantais, Etienne Javouhey, Florent Baudin
BACKGROUND: Stress cardiomyopathy (Takotsubo syndrome) defined as Takotsubo syndrome is defined as a reversible acute myocardial syndrome with myocardial injury with regional wall motion abnormality and no coronary explanations in the context of stress. The pathophysiology remains partially unknown, and these cases are probably underestimated in paediatrics. We report six cases of Takotsubo probably secondary to neurological damage. CASE SUMMARY: Six patients (10, 13, 16, 10, and 9 years and 5 months) presented with haemodynamic lability with echocardiography data leading to suspicion of Takotsubo syndrome...
March 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38399553/acquired-cardiovascular-diseases-in-patients-with-pulmonary-hypertension-due-to-congenital-heart-disease-a-case-report
#5
Eglė Ereminienė, Mantvydas Stuoka, Rasa Ordienė, Jurgita Plisienė, Skaidrius Miliauskas, Eglė Tamulėnaitė
Background: Advances in the diagnosis and treatment of congenital heart diseases (CHDs) have resulted in improved survival rates for CHD patients. Up to 90% of individuals with mild CHD and 40% with complex CHD now reach the age of 60. Previous studies have indicated an elevated risk of atherosclerotic cardiovascular disease (ASCVD) and associated risk factors, morbidity, and mortality in adults with congenital heart disease (ACHD). However, there were no comprehensive guidelines for the prevention and management of acquired cardiovascular diseases (CVDs) in ACHD populations until recently...
February 3, 2024: Medicina
https://read.qxmd.com/read/38349103/-not-available
#6
JOURNAL ARTICLE
Joshua Ravindran, Eirik Hornes Halvorsen, Andreas Kongsvik, Sigurd Birkeland, Einar Gude, Alessandro Müller De Bortoli
BACKGROUND: Ventricular septal rupture (VSR) following acute myocardial infarction is rare in the modern revascularisation era. Nevertheless, clinical awareness is paramount, as presentation may vary. CASE PRESENTATION: A middle-aged male with no history of cardiovascular disease developed progressive heart failure symptoms while travelling abroad. Initial workup revealed a prominent systolic murmur, but findings were inconsistent with acute coronary syndrome. Transthoracic echocardiogram showed a small hypokinetic area in the basal septum, preserved left ventricular function and no significant valvulopathy...
February 13, 2024: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
https://read.qxmd.com/read/38348611/tricuspid-annular-disjunction-with-varying-degrees-of-tricuspid-regurgitation-in-the-setting-of-takotsubo-syndrome
#7
Benjamin Gaylard, Angela Montaño-Krawczuk, Kristina Haugaa, Magnus Bäck
Tricuspid annular disjunction (TAD) is concomitant in approximately half of mitral annular disjunction (MAD) cases. Here we report a case of echocardiographically isolated TAD detected during Takotsubo syndrome (TTS) complicated by a transient aggravation of tricuspid regurgitation. An 87-year-old female was admitted at the emergency department with ST segment elevation. Coronary angiography findings were consistent with TTS. Transthoracic echocardiography (TTE) showed a left ventricular apical aneurysm with incidental finding of TAD with 'torrential' tricuspid regurgitation...
February 13, 2024: ESC Heart Failure
https://read.qxmd.com/read/38341623/histological-and-functional-assessment-of-a-takotsubo-cardiomyopathy-model-established-by-immobilization-stress
#8
JOURNAL ARTICLE
Quanwei Pei, Jiemei Yang, Bin Li, Pengqi Lin, Lina Zou, Junpei Zhang, Hongpeng Yin, Jingmei Sun, Xin Wang, Nevzorova Vera A, Zengxiang Dong, Dechun Yin
INTRODUCTION: Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, resembles acute heart failure syndrome but lacks disease-specific diagnosis and treatment strategies. TTC accounts for approximately 5-6% of all suspected cases of acute coronary syndrome in women. At present, animal models of TTC are often created by large amounts of exogenous catecholamines such as isoproterenol. However, isoproterenol injection cannot fully simulate the onset of stress-induced cardiomyopathy in humans since stress is not an instantaneous event...
March 2024: Pacing and Clinical Electrophysiology: PACE
https://read.qxmd.com/read/38321818/persistent-convex-st-segment-elevation-in-a-patient-with-a-history-of-prior-intracerebral-haemorrhage
#9
Jian Jiang, Chengjiang Jin, Shuo Yu, Yunxian Cheng, Yinggang Wu, Hong Ma
Management of patients with acute chest pain poses a significant challenge in identifying those requiring urgent coronary reperfusion. Electrocardiogram (ECG) constitutes the cornerstone in making prompt clinical decisions by identifying ST-segment elevation, commonly associated with ST-segment elevation myocardial infarction. It is important to note that ST-segment elevation can also be a manifestation of various cardiac and non-cardiac conditions, from acute myocarditis, early repolarization syndrome, acute pericarditis, and left bundle branch block to unknown origins...
February 6, 2024: ESC Heart Failure
https://read.qxmd.com/read/38253114/the-many-faces-of-takotsubo-syndrome-a-review
#10
REVIEW
Taha Ahmed, Samra Haroon Lodhi, Peter J Haigh, Vincent L Sorrell
Takotsubo syndrome is a state of an acute heart failure featuring reversible left ventricular dysfunction. In recent years, the incidence of Takotsubo syndrome has risen 8-fold. In this case series and literature review, we present the rare presentations or complications of Takotsubo syndrome and highlight diagnostic or management strategies. We aim to raise the awareness on the pathologic spectrum of takotsubo syndrome for the clinicians encountering this challenging diagnosis.
March 2024: Current Problems in Cardiology
https://read.qxmd.com/read/38204993/incidence-of-mace-in-patients-treated-with-car-t-cell-therapy-a-prospective-study
#11
JOURNAL ARTICLE
Bénédicte Lefebvre, Yu Kang, Azin Vakilpour, Takeshi Onoue, Noelle V Frey, Priya Brahmbhatt, Brian Huang, Kemi Oladuja, Daniel Koropeckyj-Cox, Courteney Wiredu, Amanda M Smith, Jesse Chittams, Joseph Carver, Marielle Scherrer-Crosbie
BACKGROUND: Previous retrospective studies have shown that chimeric antigen receptor T (CAR-T) cell therapy may be associated with major adverse cardiovascular events (MACE), especially in the context of cytokine-release syndrome (CRS) events. OBJECTIVES: The aim of this prospective observational study was to define the occurrence of MACE in adults undergoing treatment with CAR-T cell therapy and identify associated risk factors. METHODS: Vital signs, blood samples, and an echocardiogram were collected prior to and 2 days, 1 week, 1 month, and 6 months after CAR-T cell infusion, and charts were consulted at 12 months...
December 2023: JACC CardioOncology
https://read.qxmd.com/read/38184640/intra-aortic-balloon-pump-still-has-a-role-in-late-onset-myocardial-infarction-complicated-by-ventricular-septal-rupture-with-intractable-heart-failure-a-case-report
#12
JOURNAL ARTICLE
Mochamad Yusuf Alsagaff, Oky Revianto, Yan Efrata Sembiring, Muhammad Insani Ilman, Ryan Enast Intan
BACKGROUND: The current guidelines have discouraged the routine use of intra-aortic balloon pump (IABP) in cardiogenic shock complicating acute coronary syndrome (ACS). Since then, the trend of IABP utilization in ACS has been declining. Nevertheless, the guidelines still preserve the recommendation of IABP use in hemodynamic instability or cardiogenic shock caused by post myocardial infarction (MI) ventricular septal rupture (VSR). CASE PRESENTATION: A 46-years-old diabetic Southeast Asian female was referred from a peripheral facility with intractable heart failure despite treatment with vasoactive agents and diuretics for five days...
January 7, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38140053/circulating-biomarkers-for-monitoring-chemotherapy-induced-cardiotoxicity-in-children
#13
REVIEW
Luigia Meo, Maria Savarese, Carmen Munno, Peppino Mirabelli, Pia Ragno, Ornella Leone, Mariaevelina Alfieri
Most commonly diagnosed cancer pathologies in the pediatric population comprise leukemias and cancers of the nervous system. The percentage of cancer survivors increased from approximatively 50% to 80% thanks to improvements in medical treatments and the introduction of new chemotherapies. However, as a consequence, heart disease has become the main cause of death in the children due to the cardiotoxicity induced by chemotherapy treatments. The use of different cardiovascular biomarkers, complementing data obtained from electrocardiogram, echocardiography cardiac imaging, and evaluation of clinical symptoms, is considered a routine in clinical diagnosis, prognosis, risk stratification, and differential diagnosis...
November 30, 2023: Pharmaceutics
https://read.qxmd.com/read/38130556/one-patient-two-variants-of-takotsubo-cardiomyopathy
#14
Mohamed Ramzi Almajed, Ahmed Babwi, Mustafa Mohammed, Sarah Gorgis, Zain Azzo, Sachin Parikh
Takotsubo cardiomyopathy (TCM) is a form of non-ischemic cardiomyopathy that can present with signs of heart failure and volume overload; it often mimics acute coronary syndrome. It is characterized by stress-induced transient left ventricular (LV) dysfunction. Echocardiography classically demonstrates LV apical ballooning and akinesis in typical TCM, although other less common variants exist. Patients typically present with one variant. A 32-year-old woman with a past medical history of alcohol use disorder, anxiety, and hypertension presented to the hospital with chest pain, shortness of breath, nausea, vomiting, and diarrhea...
November 2023: Curēus
https://read.qxmd.com/read/38069861/shark-fin-ecg-pattern-in-a-patient-with-takotsubo-syndrome-case-study-and-literature-review
#15
JOURNAL ARTICLE
Waldemar Elikowski, Patryk Szczęśniewski, Natalia Fertała, Magdalena Zawodna-Marszałek, Joanna Albrecht, Marcin Żytkiewicz
Shark fin or triangular QRS-ST-T waveform ECG pattern, also known as lambda-wave ST elevation or giant R wave syndrome, is a particular ECG presentation where QRS complex, ST-segment and T-wave are fused in a unique complex. Originally described in some patients with ST-segment elevation myocardial infarction (STEMI) during the acute phase, it has been found to be associated with a high risk of ventricular fibrillation and cardiogenic shock as well as with a high in-hospital mortality. However, shark fin ECG pattern has also been reported in patients with non-acute coronary syndrome related ST-elevation (NASTEP), including stress-induced takotsubo syndrome (TTS)...
2023: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://read.qxmd.com/read/38022415/coronary-flow-reserve-changes-after-angiotensin-receptor-neprilysin-inhibitor-treatment-in-heart-failure-with-reduced-ejection-fraction
#16
JOURNAL ARTICLE
Ekrem Bilal Karaayvaz, Göksel Güz
BACKGROUND: Sacubitril/valsartan has been shown to reduce hospital admissions and even mortality for heart failure. In heart failure and acute coronary syndrome, the effects of sacubitril/valsartan have been studied, but the effect on coronary artery flow is not known. OBJECTIVE: We aimed to understand the effect of sacubitril/valsartan on coronary artery flow by using echocardiographic coronary flow reserve (CFR). METHODS: Thirty-six patients (17 ischemic and 19 non-ischemic) with heart failure with reduced ejection fraction (EF of < 40%) eligible for sacubitril/valsartan treatment and 21 normal controls were recruited...
November 2023: Acta Cardiologica Sinica
https://read.qxmd.com/read/38021968/takotsubo-cardiomyopathy-induced-by-stress-from-amyotrophic-lateral-sclerosis-and-a-mechanical-fall
#17
Nicholas R Munoz, Chibuike C Agwuegbo, Ali Ghorbani, John M Vincent Coralde, Robin Abdelmalik
Named after the Japanese octopus trap, Takotsubo cardiomyopathy is an acute myocardial condition characterized by a reversible ventricular dysfunction with ballooning of the left ventricle (LV) during systole. A catecholamine surge is likely the primary mechanism responsible for myocardial damage in this condition. The association between amyotrophic lateral sclerosis (ALS) and Takotsubo cardiomyopathy has not been well established. We present a unique case of Takotsubo cardiomyopathy diagnosed in a patient with ALS who presented after a fall with shortness of breath, generalized weakness, and hypotension...
October 2023: Curēus
https://read.qxmd.com/read/37803874/takotsubo-syndrome-before-and-during-the-covid-19-pandemic-in-austria-a-retrospective-cohort-study-tosca-19
#18
JOURNAL ARTICLE
Edita Pogran, David Zweiker, Laura Gargiulo, Ahmed Abd El-Razek, Ivan Lechner, Ivan Vosko, Stefan Rechberger, Heiko Bugger, Günter Christ, Diana Bonderman, Evelyn Kunschitz, Andreas Zirlik, Axel Bauer, Bernhard Metzler, Thomas Lambert, Clemens Steinwender, Kurt Huber
AIMS: This study aims to investigate the prevalence of Takotsubo syndrome (TTS) as a percentage of the total number of acute coronary syndrome (ACS), including non-STE-elevation myocardial infarction and ST-elevation myocardial infarction, as well as the short-term outcome of TTS patients before and during the COVID-19 pandemic. METHODS AND RESULTS: We compared patients from two different periods: (i) Period 1 (before the COVID-19 pandemic): 1 March to 30 December 2019, and (ii) Period 2 (during the COVID-19 pandemic): 1 March to 30 December 2020...
October 6, 2023: ESC Heart Failure
https://read.qxmd.com/read/37774948/the-diagnostic-accuracy-of-two-dimensional-strain-imaging-echocardiography-to-detect-the-severity-of-coronary-artery-disease-in-non-st-segment-elevation-acute-coronary-syndrome
#19
JOURNAL ARTICLE
Sourabh Goswami, Rahul Choudhary, Surender Deora, Atul Kaushik
OBJECTIVE: Strain imaging by two-dimensional speckle tracking echocardiography can detect severe coronary artery disease (CAD). This study aims to assess the diagnostic accuracy of various strain parameters in patients with non-ST segment acute coronary syndrome to detect the angiographic severity of CAD and also to compare among them. METHODS: This hospital-based observational study was conducted on 178 patients with NSTEACS and preserved left ventricular ejection fraction who presented in emergency or outdoor from July 2021 to December 2022...
September 28, 2023: Indian Heart Journal
https://read.qxmd.com/read/37642018/differentiating-the-prognostic-determinants-of-myocardial-steatosis-for-heart-failure-with-preserved-ejection-fraction-by-cardiac-magnetic-resonance-imaging
#20
JOURNAL ARTICLE
Ting-Tse Lin, Chih-Kuo Lee, Kuan-Chih Huang, Cho-Kai Wu, Jen-Kuang Lee, Chen-Wei Lan, Mao-Yuan M Su, Juey-Jen Hwang, Yi-Chih Wang, Lian-Yu Lin
Background Myocardial steatosis and fibrosis may play a role in the pathophysiology of heart failure with preserved ejection fraction. We therefore investigated the prognostic significance of epicardial fat (epicardial adipose tissue [EAT]) and myocardial diffuse fibrosis. Methods and Results Myocardial fibrosis, estimated as extracellular volume (ECV), and EAT were measured using cardiac magnetic resonance imaging in 163 subjects with heart failure with preserved ejection fraction. We also evaluated cardiac structure and diastolic and systolic function by echocardiography and cardiac magnetic resonance imaging...
August 29, 2023: Journal of the American Heart Association
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