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Atrial cardiopathy

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https://www.readbyqxmd.com/read/27847992/-esc-guidelines-on-atrial-fibrillation-2016-summary-of-the-most-relevant-recommendations-and-modifications
#1
L Eckardt, K G Häusler, U Ravens, M Borggrefe, P Kirchhof
The first European Society of Cardiology (ESC) guidelines on atrial fibrillation (AF) developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) were published in August 2016. These guidelines replace the revised guidelines from 2012 and contain some interesting new aspects. The topics range from the pathophysiology through diagnostics, therapy and stroke prevention up to special clinical situations, such as atrial fibrillation in cardiopathy, sport and pregnancy. Early screening, patient informed consent, individualized therapy and the modification of factors promoting atrial fibrillation are of particular importance...
December 2016: Herz
https://www.readbyqxmd.com/read/26559982/palliative-senning-in-the-treatment-of-congenital-heart-disease-with-severe-pulmonary-hypertension
#2
Juliano Gomes da Penha, Leina Zorzanelli, Antonio Augusto Barbosa-Lopes, Edimar Atik, Leonardo Augusto Miana, Carla Tanamati, Luiz Fernando Caneo, Nana Miura, Vera Demarchi Aiello, Marcelo Biscegli Jatene
BACKGROUND: Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level. OBJECTIVE: Report our institutional experience with the palliative Senning procedure in children diagnosed with TGA and double outlet right ventricle with severe pulmonary vascular disease, and to evaluate the early and late clinical progression of the palliative Senning procedure...
October 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/26482625/-partial-anomalous-pulmonary-venous-return-in-a-64-year-old-woman
#3
F Aboukhoudir, I Aboukhoudir, M Pansieri, B Khennine, J L Hirsch, S Rekik
Partial anomalous pulmonary venous return (PAPVR) represents 3 % of the congenital cardiopathies. Diagnosis in adults is challenging as clinical symptomatology is non-specific and echocardiographic signs are discrete and misleading potentially confusing with idiopathic pulmonary hypertension. We report the case of a 64-year-old woman in whom we diagnosed PAPVR associated with sinus venosus atrial septal defect. We describe medical history, clinical signs, investigations and postoperative evolution.
November 2015: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/26476588/atrial-cardiopathy-and-cryptogenic-stroke-a-cross-sectional-pilot-study
#4
Shadi Yaghi, Amelia K Boehme, Rebecca Hazan, Eldad A Hod, Alberto Canaan, Howard F Andrews, Hooman Kamel, Randolph S Marshall, Mitchell S V Elkind
BACKGROUND: There is increasing evidence that left atrial dysfunction or cardiopathy is associated with ischemic stroke risk independently of atrial fibrillation. We aimed to determine the prevalence of atrial cardiopathy biomarkers in patients with cryptogenic stroke. METHODS: We included consecutive patients with ischemic stroke enrolled in the New York Columbia Collaborative Specialized Program of Translational Research in Acute Stroke registry between December 1, 2008, and April 30, 2012...
January 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/26291842/palliative-senning-in-the-treatment-of-congenital-heart-disease-with-severe-pulmonary-hypertension
#5
Juliano Gomes da Penha, Leina Zorzanelli, Antonio Augusto Barbosa-Lopes, Edimar Atik, Leonardo Augusto Miana, Carla Tanamati, Luiz Fernando Caneo, Nana Miura, Vera Demarchi Aiello, Marcelo Biscegli Jatene
BACKGROUND: Transposition of the great arteries (TGA) is the most common cyanotic cardiopathy, with an incidence ranging between 0.2 and 0.4 per 1000 live births. Many patients not treated in the first few months of life may progress with severe pulmonary vascular disease. Treatment of these patients may include palliative surgery to redirect the flow at the atrial level. OBJECTIVE: Report our institutional experience with the palliative Senning procedure in children diagnosed with TGA and double outlet right ventricle with severe pulmonary vascular disease, and to evaluate the early and late clinical progression of the palliative Senning procedure...
August 18, 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/26179566/electrocardiographic-left-atrial-abnormality-and-stroke-subtype-in-the-atherosclerosis-risk-in-communities-study
#6
Hooman Kamel, Wesley T O'Neal, Peter M Okin, Laura R Loehr, Alvaro Alonso, Elsayed Z Soliman
OBJECTIVE: The aim of this study was to assess the relationship between abnormally increased P-wave terminal force in lead V1 , an electrocardiographic (ECG) marker of left atrial abnormality, and incident ischemic stroke subtypes. We hypothesized that associations would be stronger with nonlacunar stroke, given that we expected left atrial abnormality to reflect the risk of thromboembolism rather than in situ cerebral small-vessel occlusion. METHODS: Our cohort comprised 14,542 participants 45 to 64 years of age prospectively enrolled in the Atherosclerosis Risk in Communities study and free of clinically apparent atrial fibrillation (AF) at baseline...
November 2015: Annals of Neurology
https://www.readbyqxmd.com/read/26147524/the-murine-model-of-mucopolysaccharidosis-iiib-develops-cardiopathies-over-time-leading-to-heart-failure
#7
Gabriele Giacomo Schiattarella, Giuliana Cerulo, Valeria De Pasquale, Pasquale Cocchiaro, Orlando Paciello, Luigi Avallone, Maria Paola Belfiore, Francesca Iacobellis, Daniele Di Napoli, Fabio Magliulo, Cinzia Perrino, Bruno Trimarco, Giovanni Esposito, Paola Di Natale, Luigi Michele Pavone
Mucopolysaccharidosis (MPS) IIIB is a lysosomal disease due to the deficiency of the enzyme α-N-acetylglucosaminidase (NAGLU) required for heparan sulfate (HS) degradation. The disease is characterized by mild somatic features and severe neurological disorders. Very little is known on the cardiac dysfunctions in MPS IIIB. In this study, we used the murine model of MPS IIIB (NAGLU knockout mice, NAGLU(-/-)) in order to investigate the cardiac involvement in the disease. Echocardiographic analysis showed a marked increase in left ventricular (LV) mass, reduced cardiac function and valvular defects in NAGLU(-/-) mice as compared to wild-type (WT) littermates...
2015: PloS One
https://www.readbyqxmd.com/read/26021638/atrial-cardiopathy-a-broadened-concept-of-left-atrial-thromboembolism-beyond-atrial-fibrillation
#8
REVIEW
Hooman Kamel, Peter M Okin, W T Longstreth, Mitchell S V Elkind, Elsayed Z Soliman
Atrial fibrillation (AF) has long been associated with a heightened risk of ischemic stroke and systemic thromboembolism, but recent data require a re-evaluation of our understanding of the nature of this relationship. New findings about the temporal connection between AF and stroke, alongside evidence linking markers of left atrial abnormalities with stroke in the absence of apparent AF, suggest that left atrial thromboembolism may occur even without AF. These observations undermine the hypothesis that the dysrhythmia that defines AF is necessary and sufficient to cause thromboembolism...
May 2015: Future Cardiology
https://www.readbyqxmd.com/read/25702240/-echographic-diagnosis-of-systolic-murmur-among-280-young-french-militaries-implications-for-the-expertise-in-military-medicine
#9
U Vinsonneau, L Vermeulen, V Griffet, A Delluc, N Paleiron, F Le Ven, G Rohel, Y Jobic, M Piquemal, J Mansourati, P Paule
UNLABELLED: Clinically discovering a systolic murmur is frequent among the young military population. When this murmur does not sound benign, a transthoracic echocardiography (TTE) is made to detect any cardiopathy, which could cause sudden cardiac death. The aim of this study was to evaluate the interest of systematic TTE in the assessment of any cardiac systolic murmur (CSM) among militaries. METHODS: We ran a retrospective monocentric study in the "Clermont-Tonnerre" military hospital in Brest...
April 2015: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/25052322/p-wave-morphology-and-the-risk-of-incident-ischemic-stroke-in-the-multi-ethnic-study-of-atherosclerosis
#10
Hooman Kamel, Elsayed Z Soliman, Susan R Heckbert, Richard A Kronmal, W T Longstreth, Saman Nazarian, Peter M Okin
BACKGROUND AND PURPOSE: Emerging data suggest that left atrial disease may cause ischemic stroke in the absence of atrial fibrillation or flutter (AF). If true, this condition may provide a cause for many strokes currently classified as cryptogenic. METHODS: Among 6741 participants in the Multi-Ethnic Study of Atherosclerosis who were free of clinically apparent cerebrovascular or cardiovascular disease (including AF) at baseline, we examined the association between markers of left atrial abnormality on a standard 12-lead ECG-specifically P-wave area, duration, and terminal force in lead V1-and the subsequent risk of ischemic stroke while accounting for incident AF...
September 2014: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/24998101/simultaneous-transcatheter-treatment-of-perimembranous-ventricular-septal-defect-and-other-congenital-cardiopathies
#11
Xu-Dong Xu, Yuan Bai, Xiao-Li Chen, Su-Xuan Liu, Xian-Xian Zhao, Yong-Wen Qin
OBJECTIVE: To assess the efficacy and safety of simultaneous transcatheter corrections of perimembranous ventricular septal defect (VSD) and other congenital cardiopathies. PATIENTS/METHODS: From 2004 to 2012, 56 patients (25 male, 31 female), aged 14.2±10.1, with compound congenital cardiovascular abnormalities underwent simultaneous transcatheter interventional procedure. Of the 56 patients, 32 had VSD and atrial septal defects (ASD); 17 had VSD and patent ductus arteriosus (PDA); and seven had VSD and pulmonary valve stenosis (PS)...
December 2014: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/24831764/ablation-of-typical-atrial-flutter-a-prospective-study-of-cooled-tip-versus-8-mm-tip-catheters
#12
MULTICENTER STUDY
M Iori, N Bottoni, F Quartieri, B Sassone, S Guerzoni
AIM: Both ablation catheters with irrigated system and 8mm tip-catheters have shown to be more effective for typical atrial flutter radiofrequency (RF) ablation when compared to conventional 4 mm tip catheter. The purpose of this prospective study was to compare the efficiency of radiofrequency catheter ablation (RFA) of the cavotricuspid isthmus using a new type of open irrigation-tip catheter versus 8 mm tip-catheters to eliminate atrial flutter (AFL). METHODS: Sixty consecutive patients, matched for age, presence of cardiopathy, atrial dimensions and comorbidity, underwent RF ablation of cavotricuspid isthmus (CTI) for the treatment of typical atrial flutter, using an open irrigated tip catheter - Surround Flow™ - (N...
June 2014: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/24594551/comprehensive-geriatric-assessment-and-2-year-mortality-in-elderly-patients-hospitalized-for-heart-failure
#13
Carlos Rodriguez-Pascual, Emilio Paredes-Galan, Arturo Vilches-Moraga, Ana Isabel Ferrero-Martinez, Marta Torrente-Carballido, Fernando Rodriguez-Artalejo
BACKGROUND: In older adults hospitalized for heart failure, a poor score on a comprehensive geriatric assessment (CGA) is associated with worse prognosis during hospitalization and at 1 month after discharge. However, the association between the CGA score and long-term mortality is uncertain. METHODS AND RESULTS: This is a prospective study of 487 patients aged ≥75 years admitted for decompensated heart failure. At discharge, a CGA score (range, 0-10) was calculated based on limitation in activities of daily living, mobility limitation, comorbidity, cognitive decline, and previous medication use...
March 2014: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/24286964/simplified-progressive-approach-for-the-ablation-of-scar-related-atrial-macroreentrant-tachycardias
#14
Santiago Nava, Pedro Iturralde-Torres, Manlio F Márquez, Jorge Gómez-Flores, Bernardo Cline, Luis Colin-Lizalde, Diana Victoria, Antonio G Hermosillo
INTRODUCTION: Radiofrequency ablation of scar related right atrial flutter is challenging. Long procedures, prolonged fluoroscopic times and high percentages of recurrences are of concern. We present a simple and progressive approach based on a single electroanatomic map of the right atrium. METHODS: Twenty-two consecutive patients with atrial flutter and history of cardiac surgery were included. An electrophysiologic study was performed to define localization (left or right) and cavo-tricuspid isthmus participation using entrainment mapping...
October 2013: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/23702813/relationship-between-left-atrial-volume-and-diastolic-dysfunction-in-500-brazilian-patients
#15
Lilia Maria Mameri El Aouar, Diana Meyerfreud, Pedro Magalhães, Sérgio Lamêgo Rodrigues, Marcelo Perim Baldo, Yara Brasil, Sumaya Mameri El Aouar, Nabih Amin El Aouar, José Geraldo Mill, Orlando Campos Filho
BACKGROUND: Left atrial volume index (LAVI) increase has been associated to left ventricle (LV) diastolic dysfunction (DD), a marker of cardiovascular events (atrial fibrillation, stroke, heart failure, death). OBJECTIVE: To evaluate the relationship between LAVI and diferente grades od DD in Brazilian patients submitted to echocardiogram, studying LAVI increase determinants in this sample. METHODS: We have selected 500 outpatients submitted to echocardiography, after excluding arrhythmia, valvar or congenital cardiopathy, permanent pacemaker or inadequate ecocardiographic window...
July 2013: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/23352689/stroke-subtypes-and-comorbidity-among-ischemic-stroke-patients-in-brasilia-and-cuenca-a-brazilian-spanish-cross-cultural-study
#16
Francisco Javier Carod-Artal, Jardiel Omar Casanova Lanchipa, Luis Miguel Cruz Ramírez, Noelia Sánchez Pérez, Fátima M Siacara Aguayo, Isabel Gómez Moreno, Lourdes Gómez Romero, Luciene Ferreira Coral, Daniele Stieven Trizotto, Clarissa Menezes Moreira
BACKGROUND: With the increase in life expectancy worldwide, changes in stroke subtypes and burden of stroke population are expected in both developing and developed countries. Prevalence of stroke subtypes and comorbidity in ischemic stroke patients was assessed in Brasilia, Brazil, and Cuenca, Spain. METHODS: This was an international (Brazilian-Spanish) cross-sectional study. Stroke subtypes were assessed by means of Trial of ORG 10172 in Acute Stroke Treatment (TOAST) classification...
January 2014: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/23350334/-the-segmentary-classification-of-complex-congenital-heart-disease-or-how-the-embryology-simplified-the-study-of-these-cardiopathies-the-morphology-of-side-by-syde-great-arteries
#17
José Ramón Berrazueta Fernández
In the 60-70 years of last century began the systematic study of complex congenital heart disease. The group of Dr. de la Cruz at the National Heart Institute of Mexico, based the segmental analysis of these heart in experimental study of embryological development. We could include exceptions to the complex cadiopathies, adding to the segmental classification, atrial situs, ventricular loop pedicle of the great arteries, the infundibular analysis. This presentation describes for the first time as a separate entity in the segmental analysis cadiopathies with great arteries side by side as a group with a different developmental mechanism to transposition and normally related or crossed great arteries...
2011: Anales de la Real Academia Nacional de Medicina
https://www.readbyqxmd.com/read/23104909/management-of-ventricular-and-atrial-arrhythmias-in-humans-towards-a-patient-specific-approach
#18
REVIEW
Jean-Yves Le Heuzey, Eloi Marijon, Thomas Lavergne, Akli Otmani
The strategy of sudden cardiac death prevention by implantable cardioverter defibrillator, in primary prevention, is mainly based on the value of ejection fraction. That means that the approach is not really patient specific. A lot of implanted patients will not receive any shock. The implantation of large categories of patients is interesting on a global therapeutical point of view but, when considering the economical aspects, it would be more useful to have better selection criteria in order to obtain a more patient-specific approach, avoiding implanting patients who will never receive shocks...
November 2012: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/22945415/preterm-birth-and-congenital-heart-defects-a-population-based-study
#19
Enora Laas, Nathalie Lelong, Anne-Claire Thieulin, Lucile Houyel, Damien Bonnet, Pierre-Yves Ancel, Gilles Kayem, François Goffinet, Babak Khoshnood
BACKGROUND AND OBJECTIVES: Preterm birth (PTB) and congenital heart defect (CHD) are 2 major causes of mortality and disability of perinatal origin. There are limited data on the relation between CHD and PTB. Our objective was to use population-based data to estimate the risk of PTB in newborns with CHD and to study specific associations between categories of CHD and PTB. METHODS: We used data from a population-based cohort study of CHD (EPIdémiologique sur le devenir des enfants porteurs de CARDiopathies congénitales study), including 2189 live births with CHD (excluding isolated atrial septal defects) born between 2005 and 2008...
October 2012: Pediatrics
https://www.readbyqxmd.com/read/22866671/health-related-quality-of-life-in-different-clinical-subgroups-with-typical-afl-who-have-undergone-cavo-tricuspid-isthmus-ablation
#20
COMPARATIVE STUDY
Javier García Seara, Francisco Gude, Pilar Cabanas, José L Martínez-Sande, Xesús Fernández López, Antonio Hernández Madrid, Concepción Moro, José R González Juanatey
BACKGROUND: To evaluate changes in health-related quality of life (HRQOL) in different sub-groups of a cohort of patients with typical atrial flutter (AFL) treated with cavotricuspid isthmus (CTI) radiofrequency catheter ablation. METHODS: 95 consecutive patients due to undergo CTI ablation were enrolled in a study involving their completion of two SF-36 HRQOL questionnaires, before ablation and at one-year follow-up. RESULTS: 88 of the initial 95 patients finished the study...
2012: Health and Quality of Life Outcomes
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