journal

Heart

journal
https://read.qxmd.com/read/31932287/coronary-artery-disease-and-acute-coronary-syndrome-in-women
#1
REVIEW
Julinda Mehilli, Patrizia Presbitero
There are important dissimilarities in clinical presentation, aggregation of comorbidities, cardiovascular risk factors and the quality of delivery of medical care among men and women with acute coronary syndrome (ACS). Compared with men, despite the well-known older age and more pronounced frailty, women with ACS present later from symptom onset and are at high bleeding risk after invasive procedures. In addition, autoimmune/inflammatory disease, fibromuscular dysplasia, polycystic ovary, early menopause and history of pre-eclampsia are risk factors preceding ACS among younger women...
January 13, 2020: Heart
https://read.qxmd.com/read/31932286/financial-and-resource-costs-of-transvenous-lead-extraction-in-a-high-volume-lead-extraction-centre
#2
Justin Gould, Baldeep S Sidhu, Bradley Porter, Benjamin J Sieniewicz, Scott Freeman, Evelien Cj de Wilt, Julia C Glover, Reza Razavi, Christopher A Rinaldi
OBJECTIVES: Transvenous lead extraction (TLE) poses a significant economic and resource burden on healthcare systems; however, limited data exist on its true cost. We therefore estimate real-world healthcare reimbursement costs of TLE to the UK healthcare system at a single extraction centre. METHODS: Consecutive admissions entailing TLE at a high-volume UK centre between April 2013 and March 2018 were prospectively recorded in a computer registry. In the hospital's National Health Service (NHS) clinical coding/reimbursement database, 447 cases were identified...
January 13, 2020: Heart
https://read.qxmd.com/read/31932285/infective-endocarditis-complicating-transcatheter-aortic-valve-implantation
#3
REVIEW
Daniel Harding, Thomas J Cahill, Simon R Redwood, Bernard D Prendergast
Infective endocarditis complicating transcatheter aortic valve implantation (TAVI-IE) is a relatively rare condition with an incidence of 0.2%-3.1% at 1 year post implant. It is frequently caused by Enterococci , Staphylococcus aureus and c oagulase negative staphylococci While the incidence currently appears to be falling, the absolute number of cases is likely to rise substantially as TAVI expands into low risk populations following the publication of the PARTNER 3 and Evolut Low Risk trials. Important risk factors for the development of TAVI-IE include a younger age at implant and significant residual aortic regurgitation...
January 13, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31932284/cloudy-forecast-for-appropriate-use-criteria
#4
EDITORIAL
Steven Bradley
No abstract text is available yet for this article.
January 13, 2020: Heart
https://read.qxmd.com/read/31924714/disparity-in-implantable-cardioverter-defibrillator-therapy-among-minority-south-asians-in-the-united-kingdom
#5
Amar Mistry, Zakariyya Vali, Bharat Sidhu, Charley Budgeon, Matthew F Yuyun, Vivetha Pooranachandran, Xin Li, Michelle Newton, Jamie Watts, Kamlesh Khunti, Nilesh J Samani, G Andre Ng
OBJECTIVE: There are large geographical differences in implantable cardioverter defibrillator (ICD) implantation rates for reasons not completely understood. In an increasingly multiethnic population, we sought out to investigate whether ethnicity influenced ICD implantation rates. METHODS: This was a retrospective, cohort study of new ICD implantation or upgrade to ICD from January 2006 to February 2019 in recipients of Caucasian or South Asian ethnicity at a single tertiary centre in the UK...
January 10, 2020: Heart
https://read.qxmd.com/read/31924713/walking-the-tightrope-cardiovascular-risk-prediction-in-patients-after-acute-coronary-syndrome
#6
EDITORIAL
Peter J Gallacher, Anoop S V Shah
No abstract text is available yet for this article.
January 10, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31924712/coronary-slow-flow-is-associated-with-a-worse-clinical-outcome-in-patients-with-takotsubo-syndrome
#7
Rocco A Montone, Leonarda Galiuto, Maria Chiara Meucci, Marco Giuseppe Del Buono, Federico Vergni, Massimiliano Camilli, Tommaso Sanna, Daniela Pedicino, Antonino Buffon, Domenico D'Amario, Luca Giraldi, Carlo Trani, Giovanna Liuzzo, Antonio G Rebuzzi, Giampaolo Niccoli, Filippo Crea
OBJECTIVE: Patients with Takotsubo syndrome (TTS) present an acute microvascular dysfunction that leads to an impaired myocardial perfusion and, in more severe forms, an impaired epicardial flow. However, clinical relevance of a delayed coronary flow, the coronary slow flow (CSF), has never been investigated. We studied the prognostic value of CSF occurring in the acute phase of TTS. METHODS: This cohort study prospectively evaluated patients with a diagnosis of TTS...
January 10, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31911507/accuracy-of-a-smartwatch-based-single-lead-electrocardiogram-device-in-detection-of-atrial-fibrillation
#8
Kevin Rajakariar, Anoop N Koshy, Jithin K Sajeev, Sachin Nair, Louise Roberts, Andrew W Teh
OBJECTIVE: The AliveCor KardiaBand (KB) is an Food and Drug Administration-approved smartwatch-based cardiac rhythm monitor that records a lead-Intelligent ECG (iECG). Despite the appeal of wearable integrated ECG devices, there is a paucity of data evaluating their accuracy in diagnosing atrial fibrillation (AF). We evaluated whether a smartwatch-based device for AF detection is an accurate tool for diagnosing AF when compared with 12-lead ECG. METHODS: A prospective, multi-centre, validation study was conducted in an inpatient hospital setting...
January 7, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31911506/noac-dosing-and-monitoring-really-as-simple-as-it-seems
#9
EDITORIAL
Xiaoxi Yao, Peter Noseworthy
No abstract text is available yet for this article.
January 7, 2020: Heart
https://read.qxmd.com/read/31911505/machine-learning-a-long-way-from-implementation-in-cardiovascular-disease
#10
EDITORIAL
Suliang Chen, Amitava Banerjee
No abstract text is available yet for this article.
January 7, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31911504/should-we-give-up-on-motivational-interviewing-not-so-fast
#11
EDITORIAL
Jessica Y Breland, Michael V Stanton
No abstract text is available yet for this article.
January 7, 2020: Heart
https://read.qxmd.com/read/31911503/decline-in-renal-function-and-oral-anticoagulation-dose-reduction-among-patients-with-atrial-fibrillation
#12
Taku Inohara, DaJuanicia N Holmes, Karen Pieper, Rosalia G Blanco, Larry A Allen, Gregg C Fonarow, Bernard J Gersh, Elaine M Hylek, Michael D Ezekowitz, Peter R Kowey, James A Reiffel, Gerald V Naccarelli, Paul S Chan, Kenneth W Mahaffey, Daniel E Singer, James V Freeman, Benjamin A Steinberg, Eric D Peterson, Jonathan P Piccini
OBJECTIVE: Non-vitamin K oral anticoagulants (NOACs) require dose adjustment for renal function. We sought to investigate change in renal function over time in patients with atrial fibrillation (AF) and whether those on NOACs have appropriate dose adjustments according to its decline. METHODS: We included patients with AF enrolled in the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation II registry treated with oral anticoagulation. Worsening renal function (WRF) was defined as a decrease of >20% in creatinine clearance (CrCl) from baseline...
January 7, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31911502/simple-cardiac-shunts-in-adults-atrial-septal-defects-ventricular-septal-defects-patent-ductus-arteriosus
#13
Daniel Tobler, Matthias Greutmann
No abstract text is available yet for this article.
January 7, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31911501/identification-of-novel-pheno-groups-in-heart-failure-with-preserved-ejection-fraction-using-machine-learning
#14
Åsa K Hedman, Camilla Hage, Anil Sharma, Mary Julia Brosnan, Leonard Buckbinder, Li-Ming Gan, Sanjiv J Shah, Cecilia M Linde, Erwan Donal, Jean-Claude Daubert, Anders Mälarstig, Daniel Ziemek, Lars Lund
OBJECTIVE: Heart failure with preserved ejection fraction (HFpEF) is a heterogeneous syndrome. We aimed to derive HFpEF phenotype-based groups ('phenogroups') based on clinical and echocardiogram data using machine learning, and to compare clinical characteristics, proteomics and outcomes across the phenogroups. METHODS: We applied model-based clustering to 32 echocardiogram and 11 clinical and laboratory variables collected in stable condition from 320 HFpEF outpatients in the Karolinska-Rennes cohort study (56% female, median 78 years (IQR: 71-83))...
January 7, 2020: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31857356/can-we-improve-the-appropriateness-of-pci
#15
EDITORIAL
Suzanne V Arnold
No abstract text is available yet for this article.
December 19, 2019: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31857355/three-dimensional-and-four-dimensional-flow-assessment-in-congenital-heart-disease
#16
REVIEW
Evangeline Warmerdam, Gregor J Krings, Tim Leiner, Heynric B Grotenhuis
Congenital heart disease (CHD) is the most common form of congenital defects, with an incidence of 8 per 1000 births. Due to major advances in diagnostics, perioperative care and surgical techniques, the survival rate of patients with CHD has improved dramatically. Conversely, although 70%-95% of infants with CHD survive into adulthood, the rate of long-term morbidity, which often requires (repeat) intervention, has increased. Recently, the role of altered haemodynamics in cardiac development and CHD has become a subject of interest...
December 19, 2019: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31857354/keep-it-simple-the-ecg-and-sudden-cardiac-death-risk
#17
EDITORIAL
Moritz F Sinner, Konstantinos D Rizas, Stefan Kääb
No abstract text is available yet for this article.
December 19, 2019: Heart: Official Journal of the British Cardiac Society
https://read.qxmd.com/read/31857353/sex-differences-of-resource-utilisation-and-outcomes-in-patients-with-atrial-arrhythmias-and-heart-failure
#18
Laura Ueberham, Sebastian König, Sven Hohenstein, Rene Mueller-Roething, Michael Wiedemann, Anja Schade, Melchior Seyfarth, Armin Sause, Hans Neuser, Alexander Staudt, Udo Zacharzowsky, Christopher Reithmann, Dong-In Shin, Rene Andrie, Ulrike Wetzel, Jürgen Tebbenjohanns, Carsten Wunderlich, Ralf Kuhlen, Gerhard Hindricks, Andreas Bollmann
OBJECTIVE: Atrial fibrillation or atrial flutter (AF) and heart failure (HF) often go hand in hand and, in combination, lead to an increased risk of death compared with patients with just one of both entities. Sex-specific differences in patients with AF and HF are under-reported. Therefore, the aim of this study was to investigate sex-specific catheter ablation (CA) use and acute in-hospital outcomes in patients with AF and concomitant HF in a retrospective cohort study. METHODS: Using International Statistical Classification of Diseases and Related Health Problems and Operations and Procedures codes, administrative data of 75 hospitals from 2010 to 2018 were analysed to identify cases with AF and HF...
December 19, 2019: Heart
https://read.qxmd.com/read/31857352/association-between-procedure-appropriateness-and-patient-reported-outcomes-after-percutaneous-coronary-intervention
#19
Jesse Xiaolong Yang, Margaret J Stevenson, Linda Valsdottir, Kalon Ho, John A Spertus, Robert W Yeh, Jordan B Strom
OBJECTIVE: The Appropriate Use Criteria (AUC) has been used to identify individuals who are likely to benefit from percutaneous coronary intervention (PCI) for stable ischaemic heart disease. However, whether physicians reliably grade PCI appropriateness and whether AUC categories stratify symptomatic improvement in real-world practice are unclear. METHODS: Patient-reported outcomes measures (PROMs) for angina (Seattle Angina Questionnaire (SAQ-7)), dyspnoea (Rose Dyspnea Scale (RDS)) and depression (Patient Health Questionnaire-2 (PHQ-2)) were collected on patients undergoing elective coronary angiography at an academic medical centre...
December 19, 2019: Heart
https://read.qxmd.com/read/31843877/quality-evaluation-and-future-priorities-for-delivering-acute-myocardial-infarction-care-in-sri-lanka
#20
Abi Beane, Walithotage Gotabhaya Ranasinghe, Thamal Dasitha Palligoda Vithanage, Gamage Dona Dilanthi Priyadarshani, Don Dhanushka Eranga Colombage, Chandrike Janminda Ponnamperuma, Suneth Karunarathne, Constance Schultsz, Arjen M Dondorp, Rashan Haniffa
AIM: This study evaluates the quality of care for patients admitted with acute myocardial infarction (AMI) in a tertiary hospital in Colombo using the European Society of Cardiology Quality of Care Working Group's guidelines (2017). METHODS: A recently implemented electronic AMI registry m-Health tool was used for prospective data collection. Each patient was assessed for eligibility for each of the six domains of quality. Global Registry of Acute Coronary Events Risk Model for predicted probability of mortality, and scores for risk of bleeding complications (CRUSADE) and severity of heart failure (Killip classification) were calculated as per published guidelines...
December 16, 2019: Heart
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