journal
https://read.qxmd.com/read/36947946/impact-of-biopsy-proven-liver-fibrosis-on-patients-undergoing-evaluation-and-treatment-for-advanced-heart-failure-surgical-therapies
#1
JOURNAL ARTICLE
Amandeep Goyal, Tarun Dalia, Sagar Ranka, Andrew J Sauer, Jinxiang Hu, Colin Cernik, Abdulelah Nuqali, Jonathan Chandler, Nikhil Parimi, Katie Dennis, Monil Majmundar, Taher Tayeb, Jennifer Haglund, Zubair Shah, Andrija Vidic, Bhanu Gupta, Nicholas A Haglund
There is a paucity of data regarding the impact of liver fibrosis on patients with stage D heart failure (HF). We conducted a retrospective study (January 1, 2017 to December 12, 2020) in patients with stage D HF who underwent liver biopsy as part of their advanced HF therapy evaluation. Baseline characteristics and 1-year outcomes were compared between no- or mild-to-moderate-fibrosis (grade 0 to 2) and advanced-fibrosis (grade 3 to 4) groups. Of 519 patients with stage D HF, 136 who underwent liver biopsy (113 [83%] no or mild-to-moderate fibrosis and 23 [17%] advanced fibrosis) were included...
March 20, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36940560/the-quality-and-safety-of-sedation-and-monitoring-in-adults-undergoing-nonoperative-transesophageal-echocardiography
#2
JOURNAL ARTICLE
Cooper B Kersey, Abhijit V Lele, Matthew N Johnson, Andrew M Pattock, Linda Liu, Gary S Huang, James N Kirkpatrick, Sula Mazimba, Sulayman Jobarteh, Younghoon Kwon
Sedation is an essential component of the transesophageal echocardiography (TEE) procedure for patient comfort. The use and the clinical implications of cardiologist-supervised (CARD-Sed) versus anesthesiologist-supervised sedation (ANES-Sed) are unknown. We reviewed nonoperative TEE records from a single academic center over a 5-year period and identified CARD-Sed and ANES-Sed cases. We evaluated the impact of patient co-morbidities, cardiac abnormalities on transthoracic echocardiogram, and the indication for TEE on sedation practice...
March 18, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36934550/contemporary-trends-in-acute-myocardial-infarction-in-the-american-indian-alaska-native-u-s-population-2000-to-2018
#3
JOURNAL ARTICLE
Joy A Stouffer, Michael J Hendrickson, Sameer Arora, John P Vavalle
Coronary heart disease is disproportionately prevalent in the American Indian/Alaska Native (AI/AN) population. As care for acute myocardial infarction (AMI) continues to advance, equitable distribution and access for the AI/AN population is essential. Primary AMI hospitalizations for adults ≥18 years of age were identified from the Healthcare Cost and Utilization Project National Inpatient Sample from 2000 to 2018. Related co-morbidities, procedures of interest, and in-hospital mortality were also identified...
March 17, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36931164/cancer-and-myocardial-infarction-in-women
#4
JOURNAL ARTICLE
Priya Panday, Anaïs Hausvater, Mitchell Pleasure, Nathaniel R Smilowitz, Harmony R Reynolds
Women who present with myocardial infarction (MI) are more likely to be diagnosed with nonobstructive coronary arteries (MINOCAs), spontaneous coronary artery dissection (SCAD), and takotsubo syndrome (TS) than men. Malignancy may predispose to MI and TS through shared risk factors and inflammatory mediators. This study aimed to determine the prevalence of cancer in women presenting with clinical syndrome of MI and the association between cancer and mechanism of MI presentation. Among 520 women with MI who underwent coronary angiography at NYU Langone Health from March 2016 to March 2020 or September 2020 to September 2021, 122 (23%) had a previous diagnosis of cancer...
March 14, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36925398/management-of-left-ventricular-thrombus
#5
EDITORIAL
Christopher A Heid
No abstract text is available yet for this article.
March 14, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36924641/patterns-of-care-and-outcomes-of-ambulatory-endovascular-interventions-in-lower-extremity-peripheral-arterial-disease
#6
JOURNAL ARTICLE
Abhishek Chaturvedi, Yulanka Castro-Dominguez, Zachary M Gertz, Barbara D Lawson, Parul Chandrika, Rahul Gupta, Ioannis Milioglou, Jonathan G Sung, Nihar R Desai, George Vetrovec, Ajar Kochar, Avirup Guha
Lower extremity endovascular intervention (LE-EVI) is gaining popularity as the primary treatment modality for patients with symptomatic peripheral artery disease refractory to noninvasive management. We examined the contemporary patterns of care, regional variation, and outcomes of ambulatory LE-EVI in the United States. The National Ambulatory Surgery Sample was analyzed to identify 266,563 records with peripheral artery disease and LE-EVI between January 1, 2016 and December 31, 2017. The mean age of the study cohort was 68...
March 14, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36922314/when-it-ain-t-broke-but-still-needs-some-fixin
#7
EDITORIAL
Amit Alam, Brian Hsi, Shelley Hall
No abstract text is available yet for this article.
March 13, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36921423/three-year-outcomes-of-balloon-expandable-transcatheter-aortic-valve-implantation-according-to-annular-size
#8
JOURNAL ARTICLE
Abdelrahman I Abushouk, Nikolaos Spilias, Toshiaki Isogai, Tikal Kansara, Ankit Agrawal, Essa Hariri, Omar Abdelfattah, Amar Krishnaswamy, Grant W Reed, Rishi Puri, James Yun, Samir Kapadia
Data on the association between annular size and transcatheter aortic valve implantation (TAVI) outcomes beyond 1 year are limited. The present study assessed the association between the aortic annulus size and TAVI clinical and hemodynamic outcomes at 3 years of follow-up. Patients were classified according to the aortic annulus size as having small, intermediate, and large annuli (size <400, 400 to 574, and ≥575 mm2 , respectively). The co-primary endpoints were all-cause mortality and heart failure hospitalization...
March 13, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36914508/racial-differences-in-fatal-out-of-hospital-coronary-heart-disease-and-the-role-of-income-in-the-atherosclerosis-risk-in-communities-cohort-study-1987-to-2017
#9
JOURNAL ARTICLE
Duygu Islek, Alvaro Alonso, Wayne Rosamond, Cameron S Guild, Kenneth R Butler, Mohammed K Ali, Amita Manatunga, Ashley I Naimi, Viola Vaccarino
Black patients have higher incident fatal coronary heart disease (CHD) rates than do their White counterparts. Racial differences in out-of-hospital fatal CHD could explain the excess risk in fatal CHD among Black patients. We examined racial disparities in in- and out-of-hospital fatal CHD among participants with no history of CHD, and whether socioeconomic status might play a role in this association. We used data from the ARIC (Atherosclerosis Risk in Communities) study, including 4,095 Black and 10,884 White participants, followed between 1987 and 1989 until 2017...
March 11, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36913903/comparison-of-long-term-clinical-outcomes-of-elective-percutaneous-coronary-intervention-between-complex-and-high-risk-intervention-in-indicated-patients-chip-versus-non-chip
#10
JOURNAL ARTICLE
Yudai Fujimoto, Kenichi Sakakura, Hiroyuki Jinnouchi, Yousuke Taniguchi, Takunori Tsukui, Yusuke Watanabe, Kei Yamamoto, Masaru Seguchi, Hiroshi Wada, Hideo Fujita
Recently, there has been a growing interest in complex and high-risk intervention in indicated patients (CHIP) in the contemporary percutaneous coronary intervention (PCI). CHIP is composed of the following 3 factors: (1) patient factors, (2) complicated heart disease, and (3) complex PCI. However, there are few studies that investigated the long-term outcomes of CHIP-PCI. The purpose of this study was to compare the incidence of long-term major adverse cardiovascular events (MACEs) among the definite CHIP, possible CHIP, and non-CHIP groups in complex PCI...
March 11, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36905689/predictors-of-maintenance-of-sinus-rhythm-after-radiofrequency-catheter-ablation-for-long-standing-persistent-atrial-fibrillation
#11
JOURNAL ARTICLE
Kohei Ukita, Yasuyuki Egami, Shodai Kawanami, Hiroki Sugae, Akito Kawamura, Hitoshi Nakamura, Koji Yasumoto, Masaki Tsuda, Naotaka Okamoto, Yasuharu Matsunaga-Lee, Masamichi Yano, Masami Nishino, Jun Tanouchi
Little has been reported on the predictors of maintenance of sinus rhythm (SR) after radiofrequency catheter ablation (RFCA) for long-standing persistent atrial fibrillation (AF). We enrolled 151 patients with long-standing persistent AF (defined as AF lasting more than 12 months) who underwent an initial RFCA between October 2014 and December 2020 in our hospital. These patients were categorized into 2 groups on the basis of the absence and presence of the late recurrence (LR, defined as a recurrence of atrial tachyarrhythmia between 3 and 12 months after RFCA): SR group and LR group...
March 9, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36905688/acute-coronary-syndrome-after-transcatheter-aortic-valve-implantation-results-from-over-40-000-patients
#12
JOURNAL ARTICLE
Takuya Ogami, Dustin E Kliner, Catalin Toma, Saurabh Sanon, Anson J Conrad Smith, Derek Serna-Gallegos, Yisi Wang, Amber Makani, Nandini Doshi, James A Brown, Sarah Yousef, Ibrahim Sultan
Acute coronary syndrome (ACS) encompasses a broad category of presentations from unstable angina to ST-elevation myocardial infarctions. Most patients undergo coronary angiography upon presentation for diagnosis and treatment. However, the ACS management strategy after transcatheter aortic valve implantation (TAVI) may be complicated because of challenging coronary access. The National Readmission Database was reviewed to identify all patients who were readmitted with ACS within 90 days after TAVI between 2012 and 2018...
March 9, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36905687/a-systematic-review-of-periprocedural-risk-prediction-scores-in-chronic-total-occlusion-percutaneous-coronary-intervention
#13
REVIEW
Bahadir Simsek, Athanasios Rempakos, Spyridon Kostantinis, Judit Karacsonyi, Bavana V Rangan, Olga C Mastrodemos, Urvi A Patel, Salman Allana, Lorenzo Azzalini, Kathleen E Kearney, Taishi Hirai, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is associated with high incidence of complications. We queried PubMed and the Cochrane Library (last search: October 26, 2022) for CTO PCI-specific periprocedural complication risk scores. We identified 8 CTO PCI-specific risk scores: (1) Angiographic coronary artery perforation (OPEN-CLEAN [Outcomes, Patient Health Status, and Efficiency iN (OPEN) Chronic Total Occlusion (CTO) Hybrid Procedures - CABG, Length (occlusion), EF <50%, Age, CalcificatioN] perforation, c-statistic 0...
March 9, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36898244/severe-heart-failure-resulting-from-healed-myocardial-infarction-preferentially-involving-the-ventricular-septum-and-leading-to-orthotopic-heart-transplantation
#14
William C Roberts, Shrita Jayanthi, Minseob Jeong
Described herein are 4 patients who underwent orthotopic heart transplant (OHT) because of heart failure caused by acute myocardial infarcts which healed. These healed infarcts were the result of preferential severe narrowing of the left anterior descending coronary artery. In all 4 cases, the myocardial infarct caused severe scarring of the ventricular septum (VS), more than that observed in the left ventricular free wall where most myocardial infarcts secondary to coronary artery narrowing typically occur...
March 8, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36893548/differences-in-cardiac-mechanics-and-exercise-physiology-among-heart-failure-with-preserved-ejection-fraction-phenomapping-subgroups
#15
JOURNAL ARTICLE
Debra D Dixon, Lauren Beussink-Nelson, Rahul Deo, Sanjiv J Shah
Unsupervised machine learning (phenomapping) has been used successfully to identify novel subgroups (phenogroups) of heart failure with preserved ejection fraction (HFpEF). However, further investigation of pathophysiological differences between HFpEF phenogroups is necessary to help determine potential treatment options. We performed speckle-tracking echocardiography and cardiopulmonary exercise testing (CPET) in 301 and 150 patients with HFpEF, respectively, as part of a prospective phenomapping study (median age 65 [25th to 75th percentile 56 to 73] years, 39% Black individuals, 65% female)...
March 6, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36881942/long-term-cause-of-death-in-patients-who-underwent-transcatheter-aortic-valve-implantation
#16
JOURNAL ARTICLE
Lauge Østergaard, Nana Køber, Jeppe Kofoed Petersen, Andreas Dalsgaard Jensen, Ole De Backer, Lars Køber, Emil Loldrup Fosbøl
As our knowledge on treatment with transcatheter aortic valve implantation (TAVI) increases and more implantations are conducted, we need knowledge on how TAVI affects the end of life. Long-term causes of death remain sparsely described. The aim of the study was to examine differences in the cause of death according to time from TAVI. All patients who underwent TAVI in Denmark from 2008 to 2017 were matched on gender, age, and calendar year with controls from the background population (1:4). Mortality and the proportion of cardiovascular and noncardiovascular death was assessed at 1-year time points during follow-up...
March 5, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36881941/sex-differences-in-extensive-mitral-annular-calcification-with-associated-mitral-valve-dysfunction
#17
JOURNAL ARTICLE
Timothy W Churchill, Evin Yucel, Samuel Bernard, Mayooran Namasivayam, Yasufumi Nagata, Emily S Lau, Sebastien Deferm, Wei He, Jacqueline S Danik, Danita Y Sanborn, Michael H Picard, Robert A Levine, Judy Hung, Philippe B Bertrand
Mitral annular calcification (MAC)-related mitral valve (MV) dysfunction is an increasingly recognized entity, which confers a high burden of morbidity and mortality. Although more common among women, there is a paucity of data regarding how the phenotype of MAC and the associated adverse clinical implications may differ between women and men. A total of 3,524 patients with extensive MAC and significant MAC-related MV dysfunction (i.e., transmitral gradient ≥3 mm Hg) were retrospectively analyzed from a large institutional database, with the goal of defining gender differences in clinical and echocardiographic characteristics and the prognostic importance of MAC-related MV dysfunction...
March 5, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36878056/outcomes-of-chronic-total-occlusion-percutaneous-coronary-intervention-of-the-left-anterior-descending-artery
#18
JOURNAL ARTICLE
Michael Megaly, Samer Zakhour, Judit Karacsonyi, Mir B Basir, Katherine Kunkel, Ankur Gupta, Saroj Neupane, Mohammad Alqarqaz, Emmanouil S Brilakis, Khaldoon Alaswad
The left anterior descending artery (LAD) subtends a large myocardial territory. The outcomes of LAD chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have received limited study. We performed a retrospective analysis of all patients who underwent LAD CTO PCI at a high-volume single center. Outcomes included in-hospital and long-term major adverse cardiovascular events (MACEs) and changes in left ventricular ejection fraction (LVEF). We performed a subgroup analysis of patients with ischemic cardiomyopathy, defined as an LVEF of 40% or less...
March 4, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36878055/physician-perspectives-on-the-use-of-beta-blockers-in-heart-failure-with-preserved-ejection-fraction
#19
JOURNAL ARTICLE
Mahad Musse, Jennifer D Lau, Brian Yum, Laura C Pinheiro, Hannah Curtis, Timothy Anderson, Michael A Steinman, Markus Meyer, Michael Dorsch, Scott L Hummel, Parag Goyal
β-blockers are commonly used in heart failure with preserved ejection fraction (HFpEF), even in the absence of a compelling indication and despite the potential to cause harm. Identifying reasons for β-blocker prescription in HFpEF could permit the development of strategies to reduce unnecessary use and potentially improve medication prescribing patterns in this vulnerable population. We administered an online survey regarding β-blocker prescribing behavior to physicians trained in internal medicine or geriatrics (noncardiology physicians) and to cardiologists at 2 large academic medical centers...
March 4, 2023: American Journal of Cardiology
https://read.qxmd.com/read/36871531/outcomes-of-chronic-total-occlusion-percutaneous-coronary-intervention-after-a-previous-failed-attempt
#20
JOURNAL ARTICLE
Athanasios Rempakos, Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, James W Choi, Paul Poommipanit, Jaikirshan J Khatri, Wissam Jaber, Stephane Rinfret, William Nicholson, Sevket Gorgulu, Farouc A Jaffer, Raj Chandwaney, Luiz F Ybarra, Rodrigo Bagur, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskii, Dimitrios Karmpaliotis, Barry F Uretsky, Korhan Soylu, Ufuk Yildirim, Srinivasa Potluri, Bavana V Rangan, Olga C Mastrodemos, Salman Allana, Yader Sandoval, Nicholas M Burke, Emmanouil S Brilakis
The impact of a previous failure on procedural techniques and outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has received limited study. We examined the clinical and angiographic characteristics and procedural outcomes of 9,393 patients who underwent 9,560 CTO PCIs at 42 United States and non-United States centers between 2012 and 2022. A total of 1,904 CTO lesions (20%) had a previous failed PCI attempt. Patients who underwent reattempt CTO PCI were more likely to have a family history of coronary artery disease (37% vs 31%, p <0...
March 3, 2023: American Journal of Cardiology
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