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Journals Methodist DeBakey Cardiovascul...

Methodist DeBakey Cardiovascular Journal

https://read.qxmd.com/read/38765218/bruegel-s-landscape-with-the-fall-of-icarus
#1
JOURNAL ARTICLE
Justin C Cordova, James B Young
Ovid's Metamorphoses tells the story of Icarus - his tragic flight with man-made wings, the melting of the wax that bound them, and the ensuing fall to his death. This moment has been immortalized across the arts and through several mediums, but none are more notable than Bruegel's Landscape with the Fall of Icarus . Described as a "painter for poets," Bruegel's work served as inspiration for several writers, with this piece in particular providing the basis for ekphrastic poems by W.H. Auden and William Carlos Williams...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765217/pulmonary-embolism-triage-when-to-do-what
#2
REVIEW
Kathryn M Donovan
Anticoagulation has been the standard therapy for treating pulmonary embolism. However, newly developed pharmacological and interventional treatment options have been shown to provide benefit for certain patient populations, depending on how they present. This column highlights the use of massive pulmonary embolism risk stratification in determining the presence of cor pulmonale and offers several key points to remember when caring for patients with a pulmonary embolism.
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765216/pulmonary-embolism-and-cardiovascular-care-revolutionary-advances-for-the-decade-ahead
#3
EDITORIAL
Thomas M Loh, Alan B Lumsden
Introductory overview for Methodist DeBakey Cardiovascular Journal Issue 20.3 on Pulmonary Embolism, written by the issues' guest editors.
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765215/catheter-interventions-for-pulmonary-embolism-mechanical-thrombectomy-versus-thrombolytics
#4
REVIEW
Nicolas J Mouawad
Pulmonary embolism is a debilitating and potentially life-threatening disease characterized by high mortality and long-term adverse outcomes. Traditional treatment options are fraught with serious bleeding risks and incomplete thrombus removal, necessitating the development of innovative treatment strategies. While new interventional approaches offer promising potential for improved outcomes with fewer serious complications, their rapid development and need for more comparative clinical evidence makes it challenging for physicians to select the optimal treatment for each patient among the many options...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765214/intervention-versus-medical-management-of-pulmonary-embolism
#5
REVIEW
Thomas M Loh
With a multitude of options for pulmonary embolism management, we review the most common diagnostic tools available for assessing risk as well as how each broad risk category is typically treated. Right heart dysfunction is the cornerstone for triage of these patients and should be the focus for decision-making, especially in challenging patients. We aim to provide a modern, clinical perspective for PE management in light of the multitude of intervention options.
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765213/from-trendelenburg-to-perts-evolution-in-the-management-of-massive-pulmonary-embolism
#6
REVIEW
Pavan Thangudu
Massive pulmonary embolism (MPE) is a serious condition affecting the pulmonary arteries and is difficult to diagnose, triage, and treat. The American College of Chest Physicians (AHA) and the European Society of Cardiology (ESC) have different classification approaches for PE, with the AHA defining three subtypes and the ESC four. Misdiagnosis is common, leading to delayed or inadequate treatment. The incidence of PE-related death rates has been increasing over the years, and mortality rates vary depending on the subtype of PE, with MPE having the highest mortality rate...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765212/new-diagnostic-tools-for-pulmonary-embolism-detection
#7
REVIEW
Jacob Shapiro, Adam Reichard, Patrick E Muck
The presentation of pulmonary embolism (PE) varies from asymptomatic to life-threatening, and management involves multiple specialists. Timely diagnosis of PE is based on clinical presentation, D-dimer testing, and computed tomography pulmonary angiogram (CTPA), and assessment by a Pulmonary Embolism Response Team (PERT) is critical to management. Artificial intelligence (AI) technology plays a key role in the PE workflow with automated detection and flagging of suspected PE in CTPA imaging. HIPAA-compliant communication features of mobile and web-based applications may facilitate PERT workflow with immediate access to imaging, team activation, and real-time information sharing and collaboration...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765211/inferior-vena-cava-filters-an-overview
#8
REVIEW
Paul Haddad, Jasmine Peng, Madeline Drake, Maham Rahimi
For patients with existing venous thromboembolisms (VTEs), anticoagulation remains the standard of care recommended across multiple professional organizations. However, for patients who developed a deep venous thrombosis (DVT) and/or a pulmonary embolism and cannot tolerate anticoagulation, inferior vena cava (IVC) filters must be considered among other alternative treatments. Although placement of a filter is considered a low-risk intervention, there are important factors and techniques that surgeons and interventionalists should be aware of and prepared to discuss...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765210/anticoagulation-management-post-pulmonary-embolism
#9
REVIEW
Joseph J Naoum
Pulmonary embolus (PE) carries a significant impending morbidity and mortality, especially in intermediate and high-risk patients, and the choice of initial anticoagulation that allows for therapeutic adjustment or manipulation is important. The preferred choice of anticoagulation management includes direct oral anticoagulants. Vitamin K antagonists and low-molecular-weight heparin are preferred in special populations or selected patients such as breastfeeding mothers, those with end-stage renal disease, or obese patients, among others...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765209/balloon-pulmonary-angioplasty-for-the-treatment-of-chronic-thromboembolic-pulmonary-hypertension
#10
REVIEW
Lauren N Carlozzi, C Huie Lin, Zachary L Steinberg
Chronic thromboembolic pulmonary hypertension is a rare form of pulmonary hypertension in patients who have evidence of chronic thromboembolic occlusion of the pulmonary vasculature. Historically, surgical pulmonary thromboendarterectomy has been the treatment of choice. However, with up to 40% of patients deemed inoperable, balloon pulmonary angioplasty has emerged as an additional treatment strategy. Balloon pulmonary angioplasty is a complementary strategy alongside surgical pulmonary thromboendarterectomy and offers the opportunity for pulmonary revascularization in patients who have more distal disease, higher comorbidities, or residual obstruction following operative intervention...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38765208/turbulent-waters
#11
EDITORIAL
Philip Alexander
Philip Alexander, MD, is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38618611/swiss-cheese-heart-a-tale-of-multiple-valve-perforations
#12
Hussam Al Hennawi, Shayan Iqbal Khan, Aamna Khan, Usama Sadiq, Sung-Hae Cho
Gerbode defect, an anomalous connection between the left ventricle and right atrium, is often congenital but can be acquired or iatrogenically formed. We present an exceedingly rare case of this defect associated with multiple valve perforation in an otherwise healthy patient with bicuspid aortic valve and endocarditis.
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38618610/percutaneous-intervention-of-lvad-outflow-graft-obstruction-and-thrombosis
#13
Andrew Takla, Fahad Eid, Mostafa Elbanna, Mohamed Magdi Eid, Akshay Joshi, Abdallah Bitar, Ryan Lydon, Scott Feitell
Left ventricular assist devices serve as a salvage therapy for patients with advanced heart failure. Complications such as thrombosis and obstruction can lead to acute device malfunction, posing significant clinical risks. A multidisciplinary approach is crucial for management. Few cases in the literature have demonstrated the safety and efficacy of percutaneous intervention, which holds significant value due to its less invasive nature and minimal risk of morbidity, especially in high-risk surgical patients...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38618609/all-that-doesn-t-enhance-isn-t-a-thrombus-pitfalls-using-cardiac-mri-ti-600-sequence-to-distinguish-between-cardiac-thrombus-versus-myxoma
#14
Aakash D Rana, Srikanth Vallurupalli, Mark Mitchell, David Duncan, Jack Xu
A 51-year-old male with a complicated medical history presented with shortness of breath. Preoperative workup confirmed the presence of a large atrial mass. However, delayed gadolinium enhancement CMR with long inversion time (TI 600) showed lack of enhancement, which was suggestive of a thrombus. During cardiac magnetic resonance imaging, delayed gadolinium enhancement sequences with long inversion time (TI 600) are commonly used to distinguish between an avascular thrombus versus a vascular tumor.
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38618608/left-upper-extremity-pain-right-coronary-artery-culprit-a-puzzling-path-to-aneurysm-discovery
#15
Moath Said Alfawara, Vivek Modi, Min-Fang Chao, Malek Nayfeh, Fares Alahdab, Mahmoud Alrifai, Mouaz Al-Mallah
Giant coronary artery aneurysm (GCA) is a rare disease afflicting 0.2% of the population. It is primarily attributed to atherosclerosis in adults and Kawasaki disease in children. Other uncommon etiologies include Takayasu arteritis and post-percutaneous coronary intervention.1,2 GCA lacks a universally accepted definition, with proposed criteria including a diameter exceeding 2 cm, 5 cm, or four times the normal vessel size.3 While the majority of GCAs are asymptomatic, a subset of patients present with angina, myocardial infarction from embolization or compression, heart failure due to fistula formation, or even sudden death...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38495667/primary-prevention-of-cardiovascular-disease-in-women
#16
REVIEW
Izza Shahid, Eleonora Avenatti, Anoop Titus, Sadeer Al-Kindi, Khurram Nasir
Cardiovascular disease (CVD) remains a leading cause of mortality in women, necessitating innovative primary prevention strategies. Contemporary guidelines on primary prevention of CVD highlight the increasing prevalence of CVD risk factors and emphasize the significance of female-specific risk enhancers that substantially augment the future risk of CVD. These risk factors occur throughout a woman's life cycle, such as hormonal contraception, hypertensive disorders of pregnancy, and menopause, all of which confer an added layer of risk in women beyond the conventional risk factors...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38495666/the-impact-of-pregnancy-in-patients-with-thoracic-aortic-disease-epidemiology-risk-assessment-and-management-considerations
#17
REVIEW
Valeria E Duarte, Jessica N Richardson, Michael N Singh
Thoracic aortic disease (TAD) poses substantial risks during pregnancy, particularly for women with genetic conditions such as Marfan syndrome, Loeys-Dietz syndrome, and vascular Ehlers-Danlos syndrome. This review examines the epidemiology, risk assessment, and management of TAD in pregnancy. Preconception counseling is vital considering the hereditary nature of TAD and potential pregnancy-related complications. Genetic testing and imaging surveillance aid in risk assessment. Medical management, including beta-blockade and strict blood pressure control, is essential throughout pregnancy...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38495665/women-and-the-heart-gender-related-differences-in-cardiovascular-care
#18
EDITORIAL
Valeria E Duarte
No abstract text is available yet for this article.
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38495664/pulmonary-hypertension-in-women
#19
REVIEW
Eunwoo Park, Zeenat Safdar
Pulmonary arterial hypertension (PAH) is a rare devastating disease characterized by elevated pulmonary artery pressure and increased pulmonary vascular resistance. Females have a higher incidence of PAH, which is reflected globally across registries in the United States, Europe, and Asia. However, despite female predominance, women had better outcomes compared with male patients, a finding that has been labeled the "estrogen paradox." Special considerations should be given to women with PAH regarding sexual health, contraception, family planning, and treatment before, during, and after pregnancy...
2024: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/38495663/country-living
#20
JOURNAL ARTICLE
Philip Alexander
Philip Alexander, MD, is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and former music professor, he often performs as an oboe soloist for the Brazos Valley Symphony Orchestra. He began exploring visual art in 1980, evolving from pencil sketches-including an official White House portrait of President Ronald Reagan-to the computer-generated drawings featured in this journal...
2024: Methodist DeBakey Cardiovascular Journal
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