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Heart failure, acute coronary syndromes, echocardiography

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https://www.readbyqxmd.com/read/27773401/crusade-bleeding-score-as-a-predictor-of-bleeding-events-in-patients-with-acute-coronary-syndrome-in-zagazig-university-hospital
#1
Mohamed M Al-Daydamony, El-Sayed M Farag
AIM: To examine the value of CRUSADE bleeding score in predicting bleeding events in our local patients with acute coronary syndrome (ACS) in Zagazig University Hospitals. METHODS: Our study included 240 patients with ACS. They underwent history and clinical examination; 12-lead electrocardiography; echocardiography; troponin I, hematocrit value; estimated glomerular filtration rate (eGFR); application of CRUSADE score; and follow-up of the hospital stay and documentations of events...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27729057/takotsubo-like-syndrome-triggered-by-fludrocortisone-overdose-for-addison-s-disease-a-case-report
#2
Radu Campean, Matthias Hasun, Claudia Stöllberger, Johannes Bucher, Josef Finsterer, Christoph Schnack, Franz Weidinger
BACKGROUND: Reversible left ventricular dysfunction, also termed Takotsubo cardiomyopathy, is rarely reported in Addison's disease after initiation of hormone replacement therapy. The pathogenesis of this cardiomyopathy is unknown. CASE PRESENTATION: A 41-year-old white woman with a history of autoimmune Hashimoto thyroiditis diagnosed 3 years earlier and acute adrenal insufficiency diagnosed 3 weeks earlier presented with new onset of heart failure New York Heart Association class IV, which had started shortly after initiation of hormone replacement therapy with hydrocortisone 20 mg/day and fludrocortisone 0...
October 12, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27583241/clostridium-difficile-infection-and-takotsubo-cardiomyopathy-is-there-a-relation
#3
Hafeez Ul Hassan Virk, Faisal Inayat
CONTEXT: Takotsubo cardiomyopathy (TCM) mimics acute coronary syndrome and is accompanied by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery stenosis. It is a transient condition that typically precedes physical or emotional triggers. CASE REPORT: We describe the case of a 65-year-old woman who presented to our institution with symptomatic Clostridium difficile infection. 24 hours after admission, the patient complained of severe, retrosternal chest pain...
July 2016: North American Journal of Medical Sciences
https://www.readbyqxmd.com/read/27488569/in-hospital-measurement-of-left-ventricular-ejection-fraction-and-one-year-outcomes-in-acute-coronary-syndromes-results-from-the-immediate-trial
#4
Jayanta T Mukherjee, Joni R Beshansky, Robin Ruthazer, Hadeel Alkofide, Madhab Ray, David Kent, Warren J Manning, Gordon S Huggins, Harry P Selker
BACKGROUND: In patients with acute coronary syndrome (ACS), reduced left ventricular ejection fraction (LVEF) is a known marker for increased mortality. However, the relationship between LVEF measured during index ACS hospitalization and mortality and heart failure (HF) within 1 year are less well-defined. METHODS: We performed a retrospective analysis of 445 participants in the IMMEDIATE Trial who had LVEF measured by left ventriculography or echocardiogram during hospitalization...
August 3, 2016: Cardiovascular Ultrasound
https://www.readbyqxmd.com/read/27186156/gender-inequality-in-acute-coronary-syndrome-patients-at-omdurman-teaching-hospital-sudan
#5
Hyder O Mirghani, Mohammed A Elnour, Akasha M Taha, Abdulateef S Elbadawi
BACKGROUND: Gender differences among patients with the acute coronary syndrome is still being debated, no research has been done on gender inequality among coronary syndrome patients in Sudan. OBJECTIVES: To study gender differences in presentation, management, and outcomes of acute coronary syndrome in Sudan. SUBJECTS AND METHODS: This cross-sectional descriptive longitudinal study was conducted in Omdurman Teaching Hospital between July 2014 and August 2015...
May 2016: Journal of Family & Community Medicine
https://www.readbyqxmd.com/read/27130218/inverted-stress-induced-cardiomyopathy-as-a-unusual-variant-of-acute-heart-failure-after-cesarean-delivery-a-case-report
#6
Anna Ledakowicz-Polak, Jarosław Bartodziej, Agata Majos, Marzenna Zielińska
BACKGROUND: Stress- induced cardiomyopathy is acute, reversible left ventricle mainly apical dysfunction in patients with normal coronary angiography. Rarely it regards basal segments, therefore defined as "inverted stress- induced cardiomyopathy". While classic form mostly affects postmenopausal women, inverted variant occurs essentially in younger females, always triggered by stress. It can also develop after medical procedures and surgery. Herein we report such unique case of 36- year old woman after cesarean delivery...
2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27056654/inverted-takotsubo-cardiomyopathy-after-attempted-suicidal-hanging-two-cases
#7
Shantanu Sengupta, Kunda Mungulmare, Nitin Wadaskar, Abhishek Pande
We report two cases of "Inverted Takotsubo cardiomyopathy" following attempted suicidal hanging. Both the patients presented with heart failure and had desaturation 8-12h after the suicidal attempt. Electrocardiography (ECG) showed ischemic changes. On echocardiography, the left ventricle (LV) showed ballooning and hypokinesia of the basal segments with apical sparing. Both patients underwent coronary angiograms considering the possibility of acute coronary syndrome. However, their coronary angiograms were normal...
April 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/26932701/hyperuricemia-as-a-risk-factors-of-major-adverse-cardiac-events-in-patients-with-acute-coronary-syndrome-a-retrospective-cohort-study
#8
Birry Karim, Sally A Nasution, Ika P Wijaya, Kuntjoro Harimurti
AIM: to investigate the MACE-free survivals difference between hyperuricemic and normouricemic patients and to determine its role as risk factor for MACE occurrence in hospitalized acute coronary syndrome patients. METHODS: retrospective cohort study with survival analysis approach was conducted in 251 patients with acute coronary syndrome who were treated in ICCU Cipto Mangunkusumo Hospital during period from January 2009 to December 2011. Clinical data, laboratory results, electrocardiography result, echocardiography result, and coronary angiography were collected...
October 2015: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/26910053/the-use-of-echocardiography-in-certified-chest-pain-units-results-from-the-german-chest-pain-unit-registry
#9
Frank Breuckmann, Matthias Hochadel, Thomas Voigtländer, Michael Haude, Claus Schmitt, Thomas Münzel, Evangelos Giannitsis, Harald Mudra, Gerd Heusch, Burghard Schumacher, Sebastian Barth, Gerhard Schuler, Birgit Hailer, Dirk Walther, Jochen Senges
OBJECTIVES: To analyze the current usage of transthoracic echocardiography (TTE) as a rapid, noninvasive tool in the early stratification of acute chest pain in certified German chest pain units (CPUs). METHODS: A total of 23,997 patients were enrolled. Analyses comprised TTE evaluation rates in relation to clinical presentation, risk profile, left ventricular impairment, final diagnosis and invasive management. Critical times were assessed. Multivariable analyses for independent determinants for the use of TTE were performed...
2016: Cardiology
https://www.readbyqxmd.com/read/26866978/prevalence-and-prognostic-impact-of-metabolic-syndrome-in-asymptomatic-stage-a-and-b-heart-failure-patients
#10
Salvatore La Carrubba, Francesco Antonini-Canterin, Iacopo Fabiani, Paolo Colonna, Nicola Riccardo Pugliese, Pio Caso, Lorenzo Conte, Frank Benedetto, Concetta Zito, Rodolfo Citro, Scipione Carerj, Vitantonio Di Bello
BACKGROUND: Metabolic syndrome (MS) has an increased risk of cardiovascular events. Its relationship with asymptomatic left ventricular dysfunction (LVD) and prognosis has not been completely clarified. OBJECTIVES: To determine, in asymptomatic patients (Stage A, B heart failure, HF), whether MS is associated with left ventricular systolic dysfunction (LVSD) and left ventricular diastolic dysfunction and its predictive role for cardiovascular events. MATERIALS AND METHODS: We included 1920 nonconsecutive patients without symptoms of HF, with at least one cardiovascular risk factor, undergoing echocardiographic evaluation as preventive screening...
April 2016: Metabolic Syndrome and related Disorders
https://www.readbyqxmd.com/read/26823931/strain-echocardiography-in-acute-cardiovascular-diseases
#11
REVIEW
Mark Favot, Cheryl Courage, Robert Ehrman, Lyudmila Khait, Phillip Levy
Echocardiography has become a critical tool in the evaluation of patients presenting to the emergency department (ED) with acute cardiovascular diseases and undifferentiated cardiopulmonary symptoms. New technological advances allow clinicians to accurately measure left ventricular (LV) strain, a superior marker of LV systolic function compared to traditional measures such as ejection fraction, but most emergency physicians (EPs) are unfamiliar with this method of echocardiographic assessment. This article discusses the application of LV longitudinal strain in the ED and reviews how it has been used in various disease states including acute heart failure, acute coronary syndromes (ACS) and pulmonary embolism...
January 2016: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26618982/takotsubo-cardiomyopathy-following-acute-cerebral-events
#12
Christelle Blanc, Marianne Zeller, Yves Cottin, Benoit Daubail, Anne-Laure Vialatte, Maurice Giroud, Yannick Béjot
OBJECTIVE: Takotsubo cardiomyopathy (TCM) is characterized by transient apical ventricular dysfunction typically induced by acute stress. Acute cerebral events including ischemic stroke (IS) or epileptic events (EEs) may be associated with massive catecholamine release. We aimed to identify the characteristics and outcomes of patients who experienced the Takotsubo syndrome complicated by IS or EE. METHODS: Between 2008 and 2013, 87 patients were admitted to our intensive care unit for TCM...
2015: European Neurology
https://www.readbyqxmd.com/read/26548235/-utility-of-ultrasonography-in-point-of-care-for-cardiovascular-disease
#13
REVIEW
Tomoko Ishizu, Yasushi Kawakami
Echocardiography is a powerful noninvasive cardiovascular diagnostic tool. In the emergency room, an outpatient setting, and the intensive care unit, physician-performed point-of-care (POC) echocardiography is particularly important to understand the concurrent pathophysiology of unstable patients. In POC echocardiography, the purpose of examination should be clearly decided in advance by performing careful symptom assessment and physical examination, including heart and lung auscultation. In this article, heart failure, cardiac murmur-, ischemic heart disease, and acute pulmonary artery thromboembolism are selected and overviewed to assess the utility of POC cardiovascular ultrasound...
June 2015: Rinsho Byori. the Japanese Journal of Clinical Pathology
https://www.readbyqxmd.com/read/26350480/remote-ischemic-conditioning-in-st-elevation-myocardial-infarction-as-adjuvant-to-primary-angioplasty-ric-stemi-study-protocol-for-a-randomized-controlled-trial
#14
RANDOMIZED CONTROLLED TRIAL
António Gaspar, Miguel Álvares Pereira, Pedro Azevedo, André Lourenço, Jorge Marques, Adelino Leite-Moreira
BACKGROUND: ST-elevation myocardial infarction (STEMI) accounts for nearly one third of acute coronary syndromes. Despite improved STEMI patient care, mortality remains high, contributing significantly to the ischemic heart disease burden. This may partly be related to ischemia-reperfusion injury (IRI). Remote ischemic conditioning (RIC), through short cycles of ischemia-reperfusion applied to a limb, has been shown to reduce IRI in various clinical settings. Our primary hypothesis is that RIC will reduce adverse events related to STEMI when applied as adjunctive therapy to primary percutaneous coronary intervention (PCI)...
September 8, 2015: Trials
https://www.readbyqxmd.com/read/26304563/prognostic-significance-of-nt-probnp-3d-la-volume-and-lv-dyssynchrony-in-patients-with-acute-stemi-undergoing-primary-percutaneous-intervention
#15
C Siva Sankara, D Rajasekhar, V Vanajakshamma, B S Praveen Kumar, A Vamsidhar
OBJECTIVES: The aim of the present study was to assess the short term prognostic significance of N-terminal pro BNP (NT-proBNP), 3D left atrial volume (LAV) and left ventricular (LV) dyssynchrony in patients of acute ST-elevation myocardial infarction (STEMI) who underwent primary Percutaneous intervention (PCI). BACKGROUND: NT-proBNP, LV dyssynchrony and LAV in patients with acute coronary syndrome have been associated with PCI outcomes and predict the short and long-term prognosis...
July 2015: Indian Heart Journal
https://www.readbyqxmd.com/read/26194596/condition-specific-streaming-versus-an-acuity-based-model-of-cardiovascular-care-a-historically-controlled-quality-improvement-study-evaluating-the-association-with-early-clinical-events
#16
COMPARATIVE STUDY
Derek P Chew, Matthew Horsfall, Andrew D McGavigan, Philip Tideman, Julian C Vaile, Catherine O'Shea, Belinda Moyes, Carmine De Pasquale
BACKGROUND: Ensuring optimal evidence translation is challenging when health-service design has not kept pace with developments in care. Differences in patient outcomes were evident when specific cardiac conditions were discordant with the subspecialty of the cardiologists managing their care. We prospectively explored the clinical and health service implications of a "condition-based" redesign in cardiac care delivery, rather than acuity-based, within a tertiary hospital. METHODS: Prospective evaluation of a disease-specific streaming model of care compared to propensity-matched historical controls, among cardiac patients admitted to a tertiary hospital cardiology unit was undertaken...
January 2016: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/25746495/high-sensitive-troponin-t-in-adult-congenital-heart-disease
#17
Jannet A Eindhoven, Jolien W Roos-Hesselink, Annemien E van den Bosch, Isabella Kardys, Jin M Cheng, Jesse F Veenis, Judith A A E Cuypers, Maarten Witsenburg, Ron H N van Schaik, Eric Boersma
BACKGROUND: Adult congenital heart disease (ACHD) patients are at risk of late complications including arrhythmias, heart failure and sudden death. High-sensitive troponin-T (hs-TnT) is the standard for diagnosing acute coronary syndrome, but is also associated with cardiac function and prognosis in other cardiac diseases. We aimed to describe hs-TnT level in ACHD patients, and determine its relationship with cardiac function and other biomarkers. METHODS: Consecutive ACHD patients, visiting the outpatient clinic, underwent echocardiography, exercise testing and venipuncture on the same day...
April 1, 2015: International Journal of Cardiology
https://www.readbyqxmd.com/read/25590933/focused-cardiac-ultrasound-using-a-pocket-size-device-in-the-emergency-room
#18
Frederico José Neves Mancuso, Vicente Nicoliello Siqueira, Valdir Ambrósio Moisés, Aécio Flavio Teixeira Gois, Angelo Amato Vincenzo de Paola, Antonio Carlos Camargo Carvalho, Orlando Campos
BACKGROUND: Cardiovascular urgencies are frequent reasons for seeking medical care. Prompt and accurate medical diagnosis is critical to reduce the morbidity and mortality of these conditions. OBJECTIVE: To evaluate the use of a pocket-size echocardiography in addition to clinical history and physical exam in a tertiary medical emergency care. METHODS: One hundred adult patients without known cardiac or lung diseases who sought emergency care with cardiac complaints were included...
December 2014: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25588444/availability-of-highly-sensitive-troponin-assays-and-acute-coronary-syndrome-care-insights-from-the-snapshot-registry
#19
Louise Cullen, John K French, Tom G Briffa, Julie Redfern, Christopher J K Hammett, David B Brieger, William A Parsonage, Jeffrey Lefkovits, Chris Ellis, Carolyn Astley, Tegwen Eleanor Howell, John M Elliott, Derek P B Chew
OBJECTIVES: To examine differences in care and inhospital course of patients with possible acute coronary syndrome (ACS) in Australia and New Zealand based on whether a highly sensitive (hs) troponin assay was used at the hospital to which they presented. DESIGN, SETTING AND PATIENTS: A snapshot study of consecutive patients presenting to hospitals in Australia and New Zealand from 14 to 27 May 2012 with possible ACS. MAIN OUTCOME MEASURES: Rates of major adverse cardiac events (inhospital death, new or recurrent myocardial infarction, stroke, cardiac arrest or worsening heart failure); association between assay type and outcome (via propensity score matching and a generalised estimating equation [GEE]; averages of the predicted outcomes among patients who were treated with and without the availability of an hs assay (via inverse probability-weighting [IPW] with regression-adjusted estimators)...
January 19, 2015: Medical Journal of Australia
https://www.readbyqxmd.com/read/25559610/the-n-terminal-propeptide-of-type-iii-procollagen-in-patients-with-acute-coronary-syndrome-a-link-between-left-ventricular-end-diastolic-pressure-and-cardiovascular-events
#20
Cheng-Hung Lee, Wen-Chen Lee, Shang-Hung Chang, Ming-Shien Wen, Kuo-Chun Hung
BACKGROUND: Despite the usefulness of N-terminal propeptide of type III procollagen (PIIINP) in detecting enhanced collagen turnover in patients with congestive heart failure, the value added by PIIINP to the use of clinical variables and echocardiography in relation to directly measured left ventricular (LV) end-diastolic pressure (EDP) and the outcome of acute coronary syndrome (ACS) has not been clearly defined. METHODS AND RESULTS: This study involved 168 adult patients with ACS, who underwent echocardiography, measurement of serum PIIINP levels, and cardiac catheterization...
2015: PloS One
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