journal
https://read.qxmd.com/read/38614313/unlocking-sex-specific-therapies-in-aortic-stenosis-a-leap-forward-with-angiotensin-ii-receptor-blockers
#1
EDITORIAL
Elizabeth Hillier, Judy Luu
No abstract text is available yet for this article.
April 11, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38604339/heart-failure-with-preserved-ejection-fraction-in-the-elderly-basic-mechanisms-and-clinical-considerations
#2
REVIEW
Kimia Gharagozloo, Mozhdeh Mehdizadeh, George Heckman, Robert A Rose, Jonathan Howlett, Susan E Howlett, Stanley Nattel
Heart failure (HF) with preserved ejection fraction (HFpEF) refers to a clinical condition in which the signs of HF, such as pulmonary congestion, peripheral edema and increased natriuretic-peptide levels, are present despite normal ejection-fractions and the absence of other causes (e.g. pericardial disease). The ejection-fraction cutoff for the definition of HFpEF has varied in the past, but recent society guidelines have settled on a consensus of 50%. HFpEF is particularly common in the elderly. The aim of this narrative review is to summarize the available literature regarding HFpEF in the elderly in terms of evidence for the age-dependence, specific clinical features and underlying mechanisms...
April 9, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38604338/optimal-transfusion-threshold-for-anemic-patients-presenting-with-myocardial-infarction-and-heart-failure-dream-or-reality
#3
EDITORIAL
Ren Jie Robert Yao, Christopher B Fordyce
No abstract text is available yet for this article.
April 9, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38604337/right-ventricular-assist-device-with-an-oxygenator-for-the-management-of-combined-right-ventricular-and-respiratory-failure-a-systematic-review
#4
REVIEW
Juliette Beaulieu, Christine Vu, Sanjog Kalra, Hamza Ouazani Chahdi, Julie Cousineau, Alexis Matteau, Samer Mansour, E Marc Jolicoeur, Sabrina Jacques, Bénédicte Nauche, Renata Podbielski, Pasquale Ferraro, Charles Poirier, Brian J Potter
BACKGROUND: Severe lung disease frequently presents with both refractory hypoxemia and right ventricular (RV) failure. OxyRVAD is an extra-corporeal membrane oxygenation (ECMO) configuration of RV bypass that also supplements gas exchange. This systematic review summarizes the available literature regarding the use of OxyRVAD in the setting of severe lung disease with associated RV failure. METHODS: PubMed, Embase, and Google Scholar were queried on September 27th , 2023, for articles describing the use of an OxyRVAD configuration...
April 9, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38604336/addressing-the-increasing-cardiac-surgery-case-complexity-for-residency-training-a-proposed-approach
#5
EDITORIAL
Kenza Rahmouni, Saurabh Gupta, Talal Al-Atassi
No abstract text is available yet for this article.
April 9, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38604335/pattern-recognition-and-inductive-deductive-reasoning-two-cornerstones-of-electrocardiogram-teaching
#6
JOURNAL ARTICLE
Shyla Gupta, Parm Khakh, Andres F Miranda-Arboleda, Jorge E Romero, Ana C Berni, Manlio F Marquez, Leo Pozzer, Carina Hardy, Andres Enriquez, Anthony Kashou, Adrian Baranchuk
Almost half of physicians report being uncomfortable with ECG interpretation, underscoring the need for high-quality ECG training. There are two major strategies for teaching ECG interpretation. Pattern recognition involves reading ECGs solely as graphic images, after being taught the underlying pathophysiology behind the ECG patterns. Inductive-deductive reasoning requires logical thought mechanisms, using clinical context and algorithms, to reach a correct diagnosis. It is important for ECG educators to choose between these teaching strategies, depending on the clinical scenario...
April 9, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38593915/socioeconomic-disparities-in-women-s-cardiovascular-health-in-united-states-and-canada
#7
REVIEW
Gurleen Kaur, Diane Masket, Tina Reddy, Shruti Revankar, Priyanka Satish, Amelie Paquin, Sharon Mulvagh, Michelle L O'Donoghue, Shelley Zieroth, Michael Farkouh, Martha Gulati
Cardiovascular disease has been the leading cause of death in the United States and Canada for decades. Although it affects millions across a multitude of backgrounds, notable disparities in cardiovascular health are observed among women, and become more apparent when accounting for race and socioeconomic status. While intrinsic sex-specific physiological differences predispose women to poorer outcomes, social determinants of health (SDOH) and biases at both the individual provider and larger healthcare system, play an equal, if not greater, role...
April 7, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38588794/interpreting-wide-complex-tachycardia-using-artificial-intelligence
#8
JOURNAL ARTICLE
Benjamin J W Chow, Najmeh Fayyazifar, Saad Balamane, Nishita Saha, Owen Clarkin, Martin Green, Andrew Maiorana, Mehrdad Golian, Girish Dwivedi
BACKGROUND: Adopting artificial intelligence in medicine may improve speed and accuracy in patient diagnosis. We sought to develop an artificial intelligence (AI) algorithm to interpret wide complex tachycardia (WCT) electrocardiograms (ECG) and compare its diagnostic accuracy to cardiologists. METHODS: Using 3330 WCT ECGs (2906 SVT and 424 VT), we created a training/validation (3131) and test set (199 ECGs). A convolutional neural network (CNN) structure using a modification of differentiable architecture search (DARTS), ZeroLess-DARTS, was developed to differentiate between SVT and VT...
April 6, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38583706/the-impact-of-social-determinants-of-health-on-transition-from-pediatric-to-adult-cardiology-care
#9
REVIEW
Diana L Cabrera Fernandez, Keila N Lopez, Katia Bravo-Jaimes, Andrew S Mackie
Social determinants of health (SDoH) are the economic, social, environmental, and psychosocial factors that influence health. Adolescents and young adults with congenital heart disease (CHD) require lifelong cardiology follow-up and therefore coordinated transition from pediatric to adult healthcare systems. However, gaps in care are common during transition, and driven in part by pervasive disparities in SDoH including race, ethnicity, socioeconomic status, access to insurance, and remote location of residence...
April 5, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38579965/genetic-determinants-of-vascular-dementia
#10
REVIEW
Nazia Pathan, Muskaan Kaur Kharod, Sajjha Nawab, Matteo Di Scipio, Guillaume Paré, Michael Chong
Vascular dementia (VaD) is a prevalent form of cognitive impairment with underlying vascular etiology. In this review, we examine recent genetic advancements in our understanding of VaD, encompassing a range of methodologies including genome-wide association studies (GWAS), polygenic risk scores (PRS), heritability estimates, and family studies for monogenic disorders revealing the complex and heterogeneous nature of the disease. We report well-known genetic associations and highlight potential pathways and mechanisms implicated in VaD and its pathological risk factors, including stroke, cerebral small vessel diseases and cerebral amyloid angiopathy...
April 3, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38579964/ethanol-infusion-into-the-vein-of-marshall-of-a-transplanted-heart
#11
JOURNAL ARTICLE
Mikael Laredo, Rosanna Landes, Pierre-Léo Laporte, Xavier Waintraub, Alexis Hermida
No abstract text is available yet for this article.
April 3, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38579963/defining-success-of-transcatheter-device-closure-for-mitral-paravalvular-leak-why-it-s-important
#12
EDITORIAL
Bryan J Har
No abstract text is available yet for this article.
April 3, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38579962/my-big-fat-coronary-bypass-surgery-sex-obesity-and-post-operative-atrial-fibrillation
#13
EDITORIAL
Martin Aguilar
No abstract text is available yet for this article.
April 3, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38570114/safety-and-efficacy-of-mini-invasive-left-atrial-appendage-closure-a-propensity-score-analysis
#14
JOURNAL ARTICLE
Catherine Denis, Guillaume Clerfond, Aurélie Chalard, Clément Riocreux, Bruno Pereira, Ouarda Lamallem, Taieb Guizani, Pierre-Antoine Catalan, Antoine Boudias, Frédéric Jean, Marion Bouchant-Pioche, Saer Abu-Alrub, Nicolas Combaret, Géraud Souteyrand, Pascal Motreff, Matthieu Jabaudon, Emmanuel Futier, Grégoire Massoullie, Romain Eschalier
BACKGROUND: Left atrial appendage closure (LAAC) for stroke prevention is validated in patients with non-valvular atrial fibrillation (NVAF) contraindicated to oral anticoagulation. General anesthesia (GA) is often used for procedural guidance by trans-oesophageal echocardiography (TEE); however, its use may be challenging in some patients. The aim of the study was to evaluate the safety and the mid-term efficacy of a mini-invasive LAAC strategy using micro-TEE under procedural sedation...
April 1, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38556124/reply-to-association-between-prosthesis-patient-mismatch-and-valve-thrombosis-an-independent-link
#15
LETTER
Eric Durand, Thomas Levesque, Charles Fauvel, Philippe Pibarot, Hélène Eltchaninoff
No abstract text is available yet for this article.
March 29, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38555028/low-density-neutrophils-and-neutrophil-extracellular-traps-nets-are-new-inflammatory-players-in-heart-failure
#16
JOURNAL ARTICLE
Benjamin L Dumont, Paul-Eduard Neagoe, Elcha Charles, Louis Villeneuve, Sandro Ninni, Jean-Claude Tardif, Agnès Räkel, Michel White, Martin G Sirois
BACKGROUND: Heart failure with reduced (HFrEF) or preserved ejection fraction (HFpEF) is characterized by low-grade chronic inflammation. Circulating neutrophils regroup two subtypes termed high- and low-density neutrophils (HDNs and LDNs). LDNs represent less than 2% of total neutrophil under physiological conditions, but their count increase in multiple pathologies, releasing more inflammatory cytokines and neutrophil extracellular traps (NETs). The aims of this study were to assess the differential count and role of HDNs, LDNs and NETs-related activities in HF patients...
March 28, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38552791/minimally-invasive-approaches-to-mitral-valve-surgery-where-are-we-now-a-narrative-review
#17
REVIEW
Ryaan El-Andari, Abeline R Watkins, Nicholas M Fialka, Jimmy Jh Kang, Sabin J Bozso, Ali Fatehi Hassanabad, Vishnu Vasanthan, Corey Adams, Richard Cook, Michael C Moon, Jeevan Nagendran, William Kent
Minimally invasive mitral valve surgery (MiMVS) has been increasing in prevalence. This review will focus on the approaches, the clinical outcomes, and patient selection for MiMVS. There are four minimally invasive approaches to the mitral valve: Right mini-thoracotomy, both video-assisted and fully endoscopic, robotic mitral surgery, and transapical, beating heart off-pump neochordal repair. Advantages over conventional surgery include less blood loss and transfusion, improved postoperative mobility, shorter length of stay, less postoperative atrial fibrillation, fewer surgical site infections, and improved cosmesis...
March 27, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38548014/approaches-to-comparing-the-impact-of-socioeconomic-disadvantage-on-acute-myocardial-infarction-care-within-and-across-countries-a-scoping-review
#18
REVIEW
Leo E Akioyamen, Dennis T Ko, Peter Cram, Bruce E Landon
BACKGROUND: Understanding how cardiovascular disease treatment and outcomes differ for socioeconomically disadvantaged patients across countries may reveal insights into the impact of countries' policy initiatives on health equity. However, methods of undertaking these studies are poorly characterized. METHODS: We performed a scoping review to identify studies describing between-country comparisons of socioeconomic inequalities in the care of acute myocardial infarction (AMI)...
March 26, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38537672/myocarditis-and-pericarditis-following-mrna-covid-19-vaccination-2024-status-and-management-update
#19
JOURNAL ARTICLE
Michael A McDonald, Tahir S Kafil, Michael Khoury, Adriana C Luk, Meredith K Wright, Nathaniel M Hawkins
In 2021, the Canadian Journal of Cardiology published a "Practical Clinical Practice Update" to address emerging concerns about myocarditis and pericarditis following mRNA COVID-19 vaccines.1 Since publication, researchers have underscored the importance of standardizing diagnostic criteria and evaluation of incident cases. In this brief review, we summarize new evidence about the epidemiology and outcomes of patients with mRNA COVID-19 post-vaccine myocarditis and pericarditis. We also provide consensus guidance for evaluation, management, and follow-up...
March 25, 2024: Canadian Journal of Cardiology
https://read.qxmd.com/read/38537671/socioeconomic-and-ethnic-disparities-in-the-process-of-care-and-outcomes-among-cancer-patients-with-acute-coronary-syndrome
#20
REVIEW
Mohamed Mohamed, Arjun K Ghosh, Amitava Banerjee, Mamas Mamas
Cancer and acute coronary syndrome (ACS) are the leading causes of morbidity and mortality globally, with many shared risk factors between both conditions. There are several challenges to the management of patients with cancer presenting with ACS due to their higher baseline risk profile, the complexities of their cancer-related therapies and prognosis, and their higher risk of adverse outcomes after ACS. Although previous studies have demonstrated disparities in the care of both cancer and ACS among patients from ethnic minorities and socioeconomic deprivation, there is limited evidence around the magnitude of such disparities specifically in cancer patients presenting with ACS...
March 25, 2024: Canadian Journal of Cardiology
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