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Journals Methodist DeBakey Cardiovascul...

Methodist DeBakey Cardiovascular Journal

https://read.qxmd.com/read/37636318/left-atrial-thrombus-in-the-setting-of-mitral-stenosis
#21
JOURNAL ARTICLE
Ola Abdelkarim, Yehia Saleh, Faisal Nabi
A 56-year-old man with no significant past medical history presented with exertional shortness of breath. Echocardiogram, cardiac magnetic resonance, and computed tomography showed mitral stenosis and a left atrial thrombus. Left atrial thrombus formation is a well-known complication of severe mitral stenosis that can lead to systemic thromboembolism. The patient underwent mitral valve replacement, left atrial thrombus resection, and left atrial appendage closure that resulted in significant improvement in breathing...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37636317/fungal-endocarditis-a-rare-cause-of-left-ventricular-outflow-obstruction
#22
Elia El Hajj, Alexander Glaser, David Yancey, Allen Byl, Mehnaz Rahman
A 53-year-old male presented with worsening fever, chest pain, and dyspnea during the past 2 weeks. He was hypoxic, tachycardic, and hypotensive on admission. Labs were notable for high-sensitivity troponin of 657 pg/mL and B-type natriuretic peptide of 1,648 pg/mL. Chest imaging was consistent with acute respiratory distress syndrome. Transthoracic echocardiography revealed an ejection fraction of 30% to 35% and a mobile 1.5 cm x 1.6 cm hyperechoic mass on the ventricular surface of the aortic valve (AV) with left ventricular outflow obstruction and mean pressure gradient of 38...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37600449/shock-and-awe-successful-revascularization-with-intravascular-lithotripsy-in-recurrent-st-elevation-myocardial-infarction-secondary-to-stent-under-expansion
#23
Pramod Kumar Ponna, Akhilesh Gonuguntla, Ramya Krishna Botta, Sruthi Kotaru, Tim A Fischell, Adnan Alexander Kassier, Yashwant Agrawal
We report a case of recurrent ST-segment elevation myocardial infarction (STEMI) due to a previously implanted under-expanded stent with in-stent thrombosis refractory to traditional interventional techniques. We underscore the utility of bail-out shockwave intravascular lithotripsy to tackle previously under-expanded stents in this acute setting.
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37576086/stealing-from-the-heart-a-rare-case-of-chest-pain-post-coronary-artery-bypass-grafting
#24
Prasanti A Kotta, Joshua R Hirsch, Umair Khalid, Ali E Denktas
A 70-year-old veteran with prior triple vessel coronary artery bypass grafting (CABG) presented with exertional chest pain. His work-up revealed > 40 mm Hg bilateral upper extremity blood pressure difference. Chest computed tomography and invasive angiography revealed severe stenosis at the ostium of the left subclavian artery, proximal to the origin of the left internal mammary artery to left anterior descending artery graft (LIMA-LAD). A diagnosis of coronary subclavian steal syndrome (CSSS) was made, and carotid-subclavian bypass was performed...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547903/optimizing-nutritional-status-of-patients-prior-to-major-surgical-intervention
#25
REVIEW
Raul M Sanchez Leon, Anjana Rajaraman, Mitzi N Kubwimana
In patients undergoing elective cardiovascular and thoracic surgery, malnutrition and the deterioration of nutritional status are associated with negative outcomes. Recognition of the contributory factors and the complications stemming from surgical stress is important for the prevention and management of these patients. We have reviewed the literature available and focused on the nutritional and metabolic aspects affecting surgical patients, with emphasis on the recommendations of enhanced recovery protocols...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547902/acute-respiratory-distress-syndrome-in-patients-with-cardiovascular-disease
#26
REVIEW
Asma Zainab, Megan Gooch, Divina M Tuazon
Heart and lung interaction within the thoracic cavity is well known during inhalation and exhalation, both spontaneously and during mechanical ventilation. Disease and dysfunction of one organ affect the function of the other. A review of the cause-and-effect relationship between cardiovascular disease and acute respiratory distress syndrome (ARDS) is of significance, as the disease burden of both conditions has both a national and global impact on health care. This literature review examines the relationship between cardiovascular disease and ARDS over the past 25 years...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547901/blood-pressure-goals-in-critically-ill-patients
#27
REVIEW
Karuna Puttur Rajkumar, Megan Henley Hicks, Bryan Marchant, Ashish K Khanna
Blood pressure goals in the intensive care unit (ICU) have been extensively investigated in large datasets and have been associated with various harm thresholds at or greater than a mean pressure of 65 mm Hg. While it is difficult to perform interventional randomized trials of blood pressure in the ICU, important evidence does not support defense of a higher pressure, except in retrospective database analyses. Perfusion pressure may be a more important target than mean pressure, even more so in the vulnerable patient population...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547900/extracorporeal-membrane-oxygenation-in-postcardiotomy-cardiogenic-shock
#28
REVIEW
Bassel Akbik, Lin-Chiang P Chou, Janardhana Gorthi
Postcardiotomy extracorporeal membrane oxygenation (PC-ECMO), the most frequent indication for ECMO in the United States, is increasingly used as the first-line mechanical circulatory support in patients who are refractory to conventional treatment. Despite increasing use of PC-ECMO, limited evidence is available regarding its safety, efficacy, and optimal timing for initiation and weaning. The decision to use PC-ECMO often is made in the absence of robust clinical data, leading to variability in patient selection, management, and outcomes across different institutions...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547899/clinical-approach-to-evaluation-of-underlying-cardiac-device-infection-in-patients-hospitalized-with-bacteremia
#29
REVIEW
Dierdre B Axell-House, Sarwat Khalil, M Rizwan Sohail
More than 400,000 cardiac implantable electronic devices (CIEDs), including permanent pacemakers, implantable cardioverter-defibrillators, and cardiac resynchronization therapy devices, are implanted every year in the United States (US). Infection is a serious complication of CIED therapy and is associated with high morbidity and mortality. While CIED pocket infection can be diagnosed based on clinical exam findings, positive blood culture may be the only manifestation of CIED lead infection. Thus, management of bacteremia in patients living with CIEDs requires special consideration...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547898/integrating-a-virtual-icu-with-cardiac-and-cardiovascular-icus-managing-the-needs-of-a-complex-and-high-acuity-specialty-icu-cohort
#30
REVIEW
Atiya Dhala, Mario V Fusaro, Faisal Uddin, Divina Tuazon, Steven Klahn, Roberta Schwartz, Farzan Sasangohar, Jefferson Alegria, Faisal Masud
A long-standing shortage of critical care intensivists and nurses, exacerbated by the coronavirus disease (COVID-19) pandemic, has led to an accelerated adoption of tele-critical care in the United States (US). Due to their complex and high-acuity nature, cardiac, cardiovascular, and cardiothoracic intensive care units (ICUs) have generally been limited in their ability to leverage tele-critical care resources. In early 2020, Houston Methodist Hospital (HMH) launched its tele-critical care program called Virtual ICU, or vICU, to improve its ICU staffing efficiency while providing high-quality, continuous access to in-person and virtual intensivists and critical care nurses...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547897/summer-dreams
#31
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...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547896/marantic-endocarditis-in-metastatic-lung-adenocarcinoma
#32
Anirudh Palicherla, Suma Pusapati, Dixitha Anugula, Abhishek Thandra
Marantic endocarditis is a rare condition associated with autoimmune disease, malignancy, and hypercoagulable states. It is characterized by sterile friable vegetations composed of fibrin and platelets that confer a high risk of systemic embolism. Here we showcase imaging that led to the diagnosis of an interesting case of marantic endocarditis secondary to metastatic malignancy.
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547895/icu-delirium-in-cardiac-patients
#33
REVIEW
Hina Faisal, Souha Farhat, Navneet K Grewal, Faisal N Masud
Delirium is a prevalent complication in critically ill medical and surgical cardiac patients. It is associated with increased morbidity and mortality, prolonged hospitalizations, cognitive impairments, functional decline, and hospital costs. The incidence of delirium in cardiac patients varies based on the criteria used for the diagnosis, the population studied, and the type of surgery (cardiac or not cardiac). Delirium experienced when cardiac patients are in the intensive care unit (ICU) is likely preventable in most cases...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547894/cardiac-critical-care-from-past-achievements-to-future-advances
#34
EDITORIAL
Faisal N Masud
No abstract text is available yet for this article.
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547893/vasoplegia-a-review
#35
REVIEW
Iqbal Ratnani, Rohan Kumar Ochani, Asim Shaikh, Hafsa Nazir Jatoi
Vasoplegia is a condition characterized by persistent low systemic vascular resistance despite a normal or high cardiac index, resulting in profound and uncontrolled vasodilation. Vasoplegia may occur due to various conditions, including cardiac failure, sepsis, and post-cardiac surgery. In the cardiac cohort, multiple risk factors for vasoplegia have been identified. Several factors contribute to the pathophysiology of this condition, and various mechanisms have been proposed, including nitric oxide, adenosine, prostanoids, endothelins, the renin-angiotensin-aldosterone system, and hydrogen sulfide...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547892/emerging-applications-for-computer-vision-and-artificial-intelligence-in-management-of-the-cardiovascular-patient
#36
REVIEW
Peter Osztrogonacz, Ponraj Chinnadurai, Alan B Lumsden
Artificial intelligence and telemedicine promise to reshape patient care to an unprecedented extent, leading to a safer and more sustainable work environment and improved patient care. In this article, we summarize how these emerging technologies can be used in the care of cardiovascular patients in such ways as fall detection and prevention, virtual nursing, remote case support, automation of instrument counts in the operating room, and efficiency optimization in the cardiovascular suite.
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547891/immediate-postoperative-management-of-cardiac-surgery-patients
#37
JOURNAL ARTICLE
Konya Keeling-Johnson, David Baker, Todd Want, Divina M Tuazon
Cardiac surgery is quite common in the United States. Outcomes after cardiac surgery are not only dependent on how the surgery went and how the anesthesia care was provided intraoperatively but also on the optimal management in the postoperative critical care setting. It is of paramount importance that the cardiac intensivist has a comprehensive understanding of cardiopulmonary physiology and the sequelae of cardiopulmonary bypass. Most preventable deaths after cardiac surgery have been linked to postoperative problems in the intensive care unit (ICU)...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37547890/truman-capote-as-a-poet
#38
JOURNAL ARTICLE
James B Young
Truman Capote (1924-1984) was a fascinating, entertaining, and much ballyhooed American character who came of age in the mid-Twentieth Century. Some would say he led a tragic life. Often described as a notable novelist, he was more generally a polymath dabbling in nonfiction between his parties. He also was a screenwriter, playwright, actor, and short-story writer. His literary classics include the novella Breakfast at Tiffany's (1958, movie 1961) and true crime nonfiction "novel" (as Capote described it) In Cold Blood (1965, movie 1967)...
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37213884/up-hill-an-allegory
#39
JOURNAL ARTICLE
James B Young
The Christina Rossetti poem "Up-Hill" (1862) is an exemplary poem of the Victorian era by one of the rare female poets of the time, including Emily Brontë, Elizabeth Browning, Katherine Tynan, and Alice Meynell. Rossetti, typical of the era and the Victorian genre, wrote allegories about faith and love. She came from a distinguished literary family. "Up-Hill" was one of her better-known works.
2023: Methodist DeBakey Cardiovascular Journal
https://read.qxmd.com/read/37213883/percutaneous-structural-interventions-in-adult-congenital-heart-disease-state-of-the-art-review
#40
REVIEW
Rody G Bou-Chaaya, Zhihao Zhu, Valeria E Duarte, Chun Huie Lin
Structural interventions play a crucial role in the management of adult congenital heart disease (ACHD). In recent years, this field has seen significant advancements in catheter-based procedures despite limited investment from industry and lack of device development specific to this population. Because each patient is unique in their anatomy, pathophysiology, and surgical repair, many devices are used off-label with a "best fit" strategy. Therefore, continuous innovation is needed to adapt what is available to ACHD and to increase collaboration with industry and regulatory bodies to develop dedicated equipment...
2023: Methodist DeBakey Cardiovascular Journal
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