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Journals Current Treatment Options in C...

Current Treatment Options in Cardiovascular Medicine

https://read.qxmd.com/read/34075291/echocardiography-for-the-pregnant-heart
#21
REVIEW
Henrietta A Afari, Esther F Davis, Amy A Sarma
Purpose of review: Pregnancy is associated with significant hemodynamic changes, making it a potentially high-risk period for women with underlying cardiovascular disease. Echocardiography remains the preferred modality for diagnosis and monitoring of pregnant women with cardiovascular disease as it is widely available and does not require radiation. This paper reviews the role of echocardiography along the continuum of pregnancy in at-risk patients, with a focus on key cardiac disease states in pregnancy...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/34054288/hypertrophic-cardiomyopathy-updates-through-the-lens-of-sports-cardiology
#22
REVIEW
Bradley S Lander, Dermot M Phelan, Matthew W Martinez, Elizabeth H Dineen
Purpose of review: This review will summarize the distinction between hypertrophic cardiomyopathy (HCM) and exercise-induced cardiac remodeling (EICR), describe treatments of particular relevance to athletes with HCM, and highlight the evolution of recommendations for exercise and competitive sport participation relevant to individuals with HCM. Recent findings: Whereas prior guidelines have excluded individuals with HCM from more than mild-intensity exercise, recent data show that moderate-intensity exercise improves functional capacity and indices of cardiac function and continuation of competitive sports may not be associated with worse outcomes...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33994774/contemporary-catheter-based-treatment-options-for-management-of-acute-pulmonary-embolism
#23
REVIEW
Maninder Singh, Irfan Shafi, Parth Rali, Joseph Panaro, Vladimir Lakhter, Riyaz Bashir
Introduction: Acute pulmonary embolism (PE) remains an important cause of cardiovascular mortality and morbidity in the USA and worldwide. Catheter-based therapies are emerging as a new armamentarium for improving outcomes in these patients. Purpose of review: The purpose of this review is to familiarize the clinicians with (1) various types of catheter-based modalities available for patients with acute PE, (2) advantages, disadvantages, and appropriate patient selection for the use of these devices, and (3) evidence base and the relevance of such therapies in the COVID-19 pandemic...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33994773/evidence-based-approach-to-out-of-hospital-cardiac-arrest
#24
REVIEW
Mohammad Amin Kashef, Amir S Lotfi
PURPOSE OF REVIEW: Out-of-hospital cardiac arrest (OHCA) is a leading cause of death. Despite improvements in the cardiac disease management, OHCA outcomes remain poor. The purpose of this review is to provide information on the management of OHCA survivors, evidence-based treatments, and current gaps in the knowledge. RECENT FINDINGS: Most common cause of death from OHCA is neurological injury followed by shock and multiorgan failure. Prognostication tools are available to help with the clinical decision-making...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33776402/a-critical-review-of-hemodynamically-guided-therapy-for-cardiogenic-shock-old-habits-die-hard
#25
REVIEW
Iyad N Isseh, Ran Lee, Rola Khedraki, Karlee Hoffman
PURPOSE OF REVIEW: Here, we review the importance of using hemodynamic data to guide therapy and risk stratification in cardiogenic shock as well as the various definitions of this syndrome that have been used in prior studies. Furthermore, we provide perspective regarding the controversy surrounding pulmonary artery (PA) catheter use as well as current society guidelines and scientific statements. Lastly, we review the technical aspects for accurate interpretation of data of cardiogenic shock...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33776401/new-approaches-to-donor-selection-and-preparation-in-heart-transplantation
#26
REVIEW
Calvin K W Tong, Kiran K Khush
Purpose of review: With increasing survival of patients with stage D heart failure, the demand for heart transplantation has increased. The supply of donor hearts remains relatively limited. Strategies have been investigated and new technologies have been developed to expand the current donor pool. These new approaches will be discussed herein. Recent findings: Donor hearts are often considered "marginal" due to risk factors such as older age, size mismatch with the intended recipient, prolonged ischemic time, presence of left ventricular hypertrophy, and hepatitis B/C infection...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33758493/case-selection-during-the-covid-19-pandemic-who-should-go-to-the-cardiac-catheterization-laboratory
#27
REVIEW
Evangelia Vemmou, Ilias Nikolakopoulos, Emmanouil S Brilakis, Payam Dehghani, Santiago Garcia
Purpose of review: To summarize the best available evidence and recommendations regarding case selection for cardiac catheterization laboratory (CCL) during the coronavirus disease 2019 (COVID-19) pandemic with emphasis on ST segment elevation myocardial infarction (STEMI) management. Recent findings: The restructuring of cardiovascular services to preserve hospital beds and personal protective equipment during the COVID-19 pandemic had a profound effect on healthcare delivery around the world with unintended consequences...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33746507/contemporary-cardiovascular-imaging-advancements-and-social-media
#28
REVIEW
Pedro Covas, Haneen Ismail, Joseph Krepp, Brian G Choi, Jannet F Lewis, Richard J Katz, Andrew D Choi
Purpose of review: Social media (SoMe) as a means of knowledge dissemination has grown significantly in cardiovascular imaging in recent years. This media platform allows for a free exchange of ideas, the development of new communities, and the ability to disseminate advancements rapidly. While the social media platforms offer limitless potential, their public domain necessitates several important suggestions around best practices. Recent findings: In cardiovascular imaging, specific hashtags have emerged to encompass the major modalities to include #EchoFirst, #YesCCT, #WhyCMR, and #CVNuc...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33642850/sustainable-resumption-of-cardiac-catheterization-laboratory-procedures-and-the-importance-of-testing-during-endemic-covid-19
#29
REVIEW
Mahvash Zaman, Denise Tiong, Jacqueline Saw, Sarah Zaman, Matthew J Daniels
Purpose: As second and third waves of the COVID-19 pandemic challenge healthcare in North America and Europe once again, we analyze the impact of the first wave on routine elective cardiovascular care, and the differential COVID risk emerging within our patient groups and staff. Perspective: We describe the need to sustainably resume, and temporarily expand, routine elective cardiac services in the face of resurgent COVID-19. Some, but not all, cardiac patient groups are particularly vulnerable to adverse outcomes following COVID-19 infection...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33488049/digital-health-applications-in-heart-failure-a-critical-appraisal-of-literature
#30
REVIEW
Medhat Farwati, Haris Riaz, W H Wilson Tang
Purpose of the review: Despite advancements in the diagnostic and therapeutic armamentarium, heart failure (HF) remains a major public health concern in the USA and worldwide. Digital health applications hold promise to bridge this gap and improve HF care. This review will provide the reader with a concise overview of the current digital health applications in HF, the main challenges to its use, and discuss the future of digital health for promoting care for HF patients. Recent findings: Emerging evidence continues to support the potential role of digital health across the continuum of HF disease process including primary prevention, early detection, disease management, and reducing associated morbidity...
2021: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/35296064/the-association-of-adverse-pregnancy-outcomes-and-cardiovascular-disease-current-knowledge-and-future-directions
#31
JOURNAL ARTICLE
Anum S Minhas, Wendy Ying, S Michelle Ogunwole, Michael Miller, Sammy Zakaria, Arthur J Vaught, Allison G Hays, Andreea A Creanga, Ari Cedars, Erin D Michos, Roger S Blumenthal, Garima Sharma
Purpose of review: Adverse pregnancy outcomes are associated with increased risk for future cardiovascular disease. The goal of this review is to share what is currently known about the increased risk and to identify areas for future research. Recent findings: Severe studies have identified a strong association between adverse pregnancy outcomes and cardiovascular disease such as heart failure, valvular disease, ischemic heart disease, stroke, hypertension, and metabolic syndrome...
December 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/34177246/a-hidden-threat-anomalous-aortic-origins-of-the-coronary-arteries-in-athletes
#32
JOURNAL ARTICLE
Jason Tso, Casey G Turner, Jonathan H Kim
Purpose of Review: Anomalous aortic origins of the coronary arteries (AAOCA) are a primary cause of sudden cardiac death in athletes. This review will detail the epidemiology, pathophysiology, and risk stratification of AAOCA, while also highlighting return-to-play considerations for athletes. Recent Findings: Sport pre-participation cardiovascular screening methods lack sensitivity and specificity in the identification of AAOCA. For the symptomatic athlete, clinicians must maintain a heightened clinical suspicion for AAOCA in order to proceed with appropriate cardiac imaging and functional assessments...
December 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/33707937/refocusing-on-the-primary-prevention-of-heart-failure
#33
JOURNAL ARTICLE
Lua A Jafari, Rachel M Suen, Sadiya S Khan
Purpose of review: The burden of heart failure (HF) is a significant national and global public health problem, with prevalence rates on the rise. Given the significant morbidity, mortality, and healthcare costs attributable to HF, it is of utmost importance to utilize preventive strategies to prevent the development of HF. Therefore, we sought to address how a multi-modal risk assessment approach can be used to stratify patients for HF risk and guide implementation of therapeutic strategies to prevent HF...
July 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/32056029/balloon-pulmonary-angioplasty-as-a-treatment-in-chronic-thromboembolic-pulmonary-hypertension-past-present-and-future
#34
REVIEW
Panagiotis Karyofyllis, Eftychia Demerouti, Varvara Papadopoulou, Vassilis Voudris, Hiromi Matsubara
PURPOSE OF REVIEW: Chronic thromboembolic pulmonary hypertension (CTEPH) is a major cause of precapillary pulmonary hypertension leading to right heart failure and death if left untreated. In addition to pulmonary endarterectomy, which is considered the standard of care, and specific drug therapy that is not however expected to offer relief from the mechanical component of the disease, the therapeutic options for CTEPH have expanded with the development of balloon pulmonary angioplasty (BPA)...
February 13, 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/32034505/percutaneous-coronary-intervention-for-coronary-bifurcation-lesions-latest-evidence
#35
REVIEW
Sean Tan, John Ramzy, Sonya Burgess, Sarah Zaman
PURPOSE OF REVIEW: This paper provides a synopsis of the best evidence to guide bifurcation percutaneous coronary intervention (PCI), with a focus on recent studies. This is with the aim of guiding the interventional cardiologist in choosing the best, evidence-based technique, to treat commonly encountered coronary bifurcations. RECENT FINDINGS: Current evidence supports the use of provisional stenting for most anatomically suitable bifurcation lesions. Newer techniques for side branch protection in provisional stenting have been developed...
February 8, 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/32016641/cardiac-imaging-in-the-athlete-shrinking-the-gray-zone
#36
REVIEW
Mario R Caruso, Lohit Garg, Matthew W Martinez
PURPOSE OF THE REVIEW: This review will explore frequently encountered diagnostic challenges and summarize the role cardiac imaging plays in defining the boundaries of what constitutes the athlete's heart syndrome versus pathology. RECENT FINDINGS: Investigations have predominantly focused on differentiating the athlete's heart from potentially lethal pathological conditions that may produce a similar cardiac morphology. Guidelines have identified criteria for identifying definitive pathology, but difficulty arises when individuals fall in the gray zone of expected athletic remodeling and pathology...
February 3, 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/31997019/mechanical-circulatory-support-in-patients-with-cardiogenic-shock
#37
REVIEW
Mohamad Alkhouli, Mohammed Osman, Mohamed Farouk A Elsisy, Akram Kawsara, Chalak O Berzingi
PURPOSE OF REVIEW: To provide a contemporary concise overview of the currently available mechanical circulatory support (MCS) devices and the emerging concepts in the management of cardiogenic shock (CS). RECENT FINDINGS: New classification of CS has emerged and is hoped to allow a unified approach to research and clinical management of CS. A number of MCS devices have also become available for clinical use in the last 2 decades. Those devices have different hemodynamic targets, provide various levels of support, and are associated with specific requirements and potential complications...
January 30, 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/31989331/creating-a-multidisciplinary-pregnancy-heart-team
#38
REVIEW
Sarah Rae Easter, Anne Marie Valente, Katherine E Economy
PURPOSE OF REVIEW: Cardiovascular disease (CVD) is the leading cause of maternal death and cases of cardiovascular death are often associated with failure to provide timely risk-appropriate care. This review outlines considerations for creation of a team focused on the care of women with CVD during pregnancy and beyond. RECENT FINDINGS: Improved outcomes for women with complex medical or obstetric conditions managed by a multidisciplinary care team inspired national guidelines advising the creation of a Pregnancy Heart Team for women with CVD in pregnancy...
January 27, 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/31938936/distal-radial-and-ulnar-arteries-the-alternative-forearm-access
#39
REVIEW
Analkumar Parikh, Kelly Q Jia, Sumeet K Lall, Ravi S Shah, Ian C Gilchrist
PURPOSE OF REVIEW: Radial artery access for catheter-based procedures has demonstrated improved margins of safety and patient comfort without a loss of efficacy compared with femoral access. Unfortunately, radial access is not always available, so a review of the alternatives such as the ulnar artery and distal radial artery has been completed to understand alternative access sites that may preserve the benefits of distal forearm access without losing the efficacy of traditional transradial access...
January 15, 2020: Current Treatment Options in Cardiovascular Medicine
https://read.qxmd.com/read/31938934/physiological-assessment-of-coronary-lesions-in-2020
#40
REVIEW
Mohsin Chowdhury, Eric A Osborn
PURPOSE OF REVIEW: Physiological assessment of coronary artery disease (CAD) is an essential component of the interventional cardiology toolbox. However, despite long-term data demonstrating improved outcomes, physiology-guided percutaneous coronary intervention (PCI) remains underutilized in current practice. This review outlines the indications and technical aspects involved in evaluating coronary stenosis physiology, focusing on the latest developments in the field. RECENT FINDINGS: Beyond fractional flow reserve (FFR), non-hyperemic pressure ratios (NHPR) that assess coronary physiology at rest without hyperemia now abound...
January 15, 2020: Current Treatment Options in Cardiovascular Medicine
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