journal
https://read.qxmd.com/read/38456069/development-and-validation-of-a-nomogram-model-for-predicting-the-risk-of-pre-hospital-delay-in-patients-with-acute-myocardial-infarction
#21
JOURNAL ARTICLE
Jiao-Yu Cao, Li-Xiang Zhang, Xiao-Juan Zhou
BACKGROUND: Acute myocardial infarction (AMI) is a severe cardiovascular disease caused by the blockage of coronary arteries that leads to ischemic necrosis of the myocardium. Timely medical contact is critical for successful AMI treatment, and delays increase the risk of death for patients. Pre-hospital delay time (PDT) is a significant challenge for reducing treatment times, as identifying high-risk patients with AMI remains difficult. This study aims to construct a risk prediction model to identify high-risk patients and develop targeted strategies for effective and prompt care, ultimately reducing PDT and improving treatment outcomes...
February 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38456068/cardiac-rehabilitation-after-cardiac-surgery-an-important-underutilized-treatment-strategy
#22
EDITORIAL
Christos Kourek, Stavros Dimopoulos
Physical inactivity remains in high levels after cardiac surgery, reaching up to 50%. Patients present a significant loss of functional capacity, with prominent muscle weakness after cardiac surgery due to anesthesia, surgical incision, duration of cardiopulmonary bypass, and mechanical ventilation that affects their quality of life. These complications, along with pulmonary complications after surgery, lead to extended intensive care unit (ICU) and hospital length of stay and significant mortality rates. Despite the well-known beneficial effects of cardiac rehabilitation, this treatment strategy still remains broadly underutilized in patients after cardiac surgery...
February 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38456067/current-knowledge-for-the-risk-factors-of-early-permanent-pacemaker-implantation-following-transcatheter-aortic-valve-replacement-and-what-is-next-for-the-primary-prevention
#23
EDITORIAL
Gen-Min Lin, Wei-Chun Huang, Chih-Lu Han
In this editorial, we comprehensively summarized the preoperative risk factors of early permanent pacemaker implantation after transcatheter aortic valve replacement (TAVR) among patients with severe aortic stenosis from several renowned clinical studies and focused on the primary prevention of managing the modifiable factors, e.g. , paroxysmal atrial fibrillation before the TAVR.
February 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38456066/inflammation-as-a-cause-of-acute-myocardial-infarction-in-patients-with-myeloproliferative-neoplasm
#24
EDITORIAL
Amedeo Tirandi, Elisa Schiavetta, Elia Maioli, Fabrizio Montecucco, Luca Liberale
Myeloproliferative neoplasms (MPN) are a group of diseases characterized by the clonal proliferation of hematopoietic progenitor or stem cells. They are clinically classifiable into four main diseases: chronic myeloid leukemia, essential thrombocythemia, polycythemia vera, and primary myelofibrosis. These pathologies are closely related to cardio- and cerebrovascular diseases due to the increased risk of arterial thrombosis, the most common underlying cause of acute myocardial infarction. Recent evidence shows that the classical Virchow triad (hypercoagulability, blood stasis, endothelial injury) might offer an explanation for such association...
February 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38313392/left-bundle-branch-pacing-vs-biventricular-pacing-in-heart-failure-patients-with-left-bundle-branch-block-a-systematic-review-and-meta-analysis
#25
JOURNAL ARTICLE
Farah Yasmin, Abdul Moeed, Rohan Kumar Ochani, Hamna Raheel, Malik Ali Ehtsham Awan, Ayesha Liaquat, Arisha Saleem, Muhammad Aamir, Nael Hawwa, Salim Surani
BACKGROUND: Left bundle branch pacing (LBBP) is a novel pacing modality of cardiac resynchronization therapy (CRT) that achieves more physiologic native ventricular activation than biventricular pacing (BiVP). AIM: To explore the validity of electromechanical resynchronization, clinical and echocardiographic response of LBBP-CRT. METHODS: Systematic review and Meta-analysis were conducted in accordance with the standard guidelines as mentioned in detail in the methodology section...
January 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38313391/unveiling-the-silent-link-normal-tension-glaucoma-s-enigmatic-bond-with-cardiac-blood-flow
#26
REVIEW
Prasanna Venkatesh Ramesh, Arvind Kumar Morya, Ajanya K Aradhya, Pavithra Pannerselvam, Sai Thaejesvi Gopalakrishnan, Shruthy Vaishali Ramesh, Aji Kunnath Devadas, Navaneeth Krishna
This comprehensive review embarks on a captivating journey into the complex relationship between cardiology and normal-tension glaucoma (NTG), a condition that continues to baffle clinicians and researchers alike. NTG, characterized by optic nerve damage and visual field loss despite normal intraocular pressure, has long puzzled clinicians. One emerging perspective suggests that alterations in ocular blood flow, particularly within the optic nerve head, may play a pivotal role in its pathogenesis. While NTG shares commonalities with its high-tension counterpart, its unique pathogenesis and potential ties to cardiovascular health make it a fascinating subject of exploration...
January 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38313390/development-of-pulmonary-hypertension-remains-a-major-hurdle-to-corrective-surgery-in-down-syndrome
#27
EDITORIAL
Akash Batta, Juniali Hatwal
Down syndrome is the most common chromosomal abnormality encountered in clinical practice with 50% of them having associated congenital heart disease (CHD). Shunt lesions account for around 75% of all CHDs in Down syndrome. Down syndrome patients, especially with large shunts are particularly predisposed to early development of severe pulmonary hypertension (PH) compared with shunt lesions in general population. This necessitates timely surgical correction which remains the only viable option to prevent long term morbidity and mortality...
January 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38313389/safety-and-effectiveness-of-neuromuscular-electrical-stimulation-in-cardiac-surgery-a-systematic-review
#28
JOURNAL ARTICLE
Christos Kourek, Marios Kanellopoulos, Vasiliki Raidou, Michalis Antonopoulos, Eleftherios Karatzanos, Irini Patsaki, Stavros Dimopoulos
BACKGROUND: Lack of mobilization and prolonged stay in the intensive care unit (ICU) are major factors resulting in the development of ICU-acquired muscle weakness (ICUAW). ICUAW is a type of skeletal muscle dysfunction and a common complication of patients after cardiac surgery, and may be a risk factor for prolonged duration of mechanical ventilation, associated with a higher risk of readmission and higher mortality. Early mobilization in the ICU after cardiac surgery has been found to be low with a significant trend to increase over ICU stay and is also associated with a reduced duration of mechanical ventilation and ICU length of stay...
January 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38313388/venous-doppler-flow-patterns-venous-congestion-heart-disease-and-renal-dysfunction-a-complex-liaison
#29
EDITORIAL
Alessio Di Maria, Rossella Siligato, Marta Bondanelli, Fabio Fabbian
The World Journal of Cardiology published an article written by Kuwahara et al that we take the pleasure to comment on. We focused our attention on venous congestion. In intensive care settings, it is now widely accepted that venous congestion is an important clinical feature worthy of investigation. Evaluating venous Doppler profile abnormalities at multiple sites could suggest adequate treatment and monitor its efficacy. Renal dysfunction could trigger or worsen fluid overload in heart disease, and cardio-renal syndrome is a well-characterized spectrum of disorders describing the complex interactions between heart and kidney diseases...
January 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38313387/do-changes-in-intracoronary-pressure-aid-coronary-spasm-diagnosis-using-the-spasm-provocation-test
#30
JOURNAL ARTICLE
Hiroki Teragawa, Chikage Oshita, Yuko Uchimura
BACKGROUND: Although the spasm provocation test (SPT) can diagnose coronary spasms, it would be helpful if it could also predict their occurrence. AIM: To investigate whether coronary spasms can be predicted using changes in intracoronary artery pressure measured using a pressure wire during the SPT. METHODS: Seventy patients underwent SPTs with pressure-wire measurement of intracoronary artery pressure. During each SPT, the pressure wire was advanced into the distal portion of the right coronary artery (RCA) and left anterior descending coronary artery, and the ratio of intracoronary pressure to aortic pressure (Pd/Pa) was monitored...
January 26, 2024: World Journal of Cardiology
https://read.qxmd.com/read/38173907/efficacy-and-prognostic-impact-of-pericarpium-trichosanthis-injection-combined-with-nicorandil-for-intractable-angina-pectoris-in-elderly-patients-a-retrospective-study
#31
JOURNAL ARTICLE
Jun Li, Mo-Wei Kong, Yu-Yu Xie, Ze-Bi Wang, Li Xu, Guo-Xiang He
BACKGROUND: Coronary artery disease (CAD) is a leading cause of global cardiovascular mortality. Refractory angina pectoris, a manifestation of CAD, requires effective drug treatments. Pericarpium Trichosanthis injection, a traditional Chinese medicine, improves cardiovascular symptoms, while nicorandil alleviates spasms and angina. Both have potential in treating CAD. AIM: To investigate the therapeutic effects of combining Pericarpium Trichosanthis injection and nicorandil in elderly patients suffering from refractory angina caused by coronary heart disease...
December 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38173906/inherited-arrhythmias-and-gene-therapy-are-there-any-ethical-considerations-to-take-into-account
#32
EDITORIAL
Michael Spartalis, Eleftherios Spartalis, Gerasimos Siasos
Interventional electrophysiology represents a relatively recent subspecialty within the field of cardiology. In the past half-century, there has been significant advancement in the development and implementation of innovative ablation treatments and approaches. However, the treatment of arrhythmias continues to be inadequate. Several arrhythmias, such as ventricular tachycardia and atrial fibrillation, pose significant challenges in terms of therapeutic efficacy, whether through interventional procedures or the administration of antiarrhythmic drugs...
December 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38173905/r-i-subtype-single-right-coronary-artery-with-congenital-absence-of-left-coronary-system-a-case-report
#33
Ya-Ping Zhou, Lin-Li Wang, Yuan-Gang Qiu, Shu-Wei Huang
BACKGROUND: Isolated single coronary artery is a rare congenital anomaly. R-I subtype single coronary artery is even rarer. In this subtype, a very large right coronary artery extends in the coronary sulcus to the anterior base of the heart where it produces the left anterior descending coronary artery. Currently, only a few case reports are available in the literature for this anomaly. CASE SUMMARY: Here, we report the case of a 62-year-old woman who presented to the cardiology clinic with decreased exercise tolerance and poor blood pressure control...
December 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38173904/quo-vadis-cardiac-rehabilitation-the-role-of-comprehensive-cardiac-rehabilitation-in-modern-cardiology
#34
EDITORIAL
Nenad Lakušić, Ivana Sopek Merkaš
In accordance with the guidelines established by prominent European and global cardiology associations, comprehensive cardiac rehabilitation (CR) stands as an officially endorsed and highly recommended therapeutic approach (class I recommendations; level of evidence A) for a diverse spectrum of cardiac patients. Nevertheless, it is a cause for concern to observe that fewer than 50% of eligible patients are being effectively referred for CR, whether in an outpatient or inpatient setting. Concurrently, studies reveal that a substantial proportion of individuals with atherosclerotic cardiovascular disease maintain unhealthy lifestyles and exhibit suboptimal management of modifiable cardiovascular risk factors, including hypertension, lipid levels, and diabetes...
December 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38173903/pulmonary-and-tricuspid-regurgitation-after-tetralogy-of-fallot-repair-a-case-report
#35
Jing-Yi Cao, Xiao-Ping Ning, Guang-Wei Zhou, Bai-Ling Li, Fan Qiao, Lin Han, Zhi-Yun Xu, Fang-Lin Lu
BACKGROUND: Tetralogy of Fallot (TOF) is one of the most common congenital heart defects, and surgery is the primary treatment. There are no precise guidelines on the treatment protocol for tricuspid regurgitation (TR) as a common complication of TOF repair. The timing for treatment in patients presenting with valve regurgitation after TOF repair is often difficult to determine. Here, we report the first case of sequential treatment of pulmonary and TR using interventional therapy. CASE SUMMARY: We present the case of a 52-year-old female patient, who had a history of TOF repair at a young age...
December 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38058402/down-syndrome-child-with-multiple-heart-diseases-a-case-report
#36
Mo-Wei Kong, Yi-Jing Li, Jun Li, Zhen-Ying Pei, Yu-Yu Xie, Guo-Xiang He
BACKGROUND: Down syndrome, also known as trisomy 21 syndrome, is commonly associated with congenital heart disease, and can often result in early formation of pulmonary hypertension. The development of pulmonary hypertension can result from factors such as intracardiac and macrovascular shunts, and upper airway obstruction or hypoplasia of lung tissue. Individuals with Down syndrome and congenital heart disease have a significantly lower average life expectancy, with surgical intervention being the most viable treatment option to improve longevity...
November 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38058401/acute-myocardial-infarction-in-myeloproliferative-neoplasms
#37
REVIEW
Muhammad Romail Manan, Vincent Kipkorir, Iqra Nawaz, Maryann Wanjiku Waithaka, Bahadar Singh Srichawla, Amelia Maria Găman, Camelia Cristina Diaconu, Mihnea-Alexandru Găman
Myeloproliferative neoplasms (MPNs) are a heterogeneous group of hematologic malignancies characterized by an abnormal proliferation of cells of the myeloid lineage. Affected individuals are at increased risk for cardiovascular and thrombotic events. Myocardial infarction (MI) may be one of the earliest clinical manifestations of MPNs or may be a thrombotic complication that develops during the natural course of the disease. In the present review, we examine the epidemiology, pathogenesis, clinical presentation, and management of MI in MPNs based on the available literature...
November 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38058400/hypertrophic-cardiomyopathy-secondary-to-deficiency-in-lysosome-associated-membrane-protein-2-a-case-report
#38
Ye-Tong Zhao, Xiu-Qun Cao, Xiao-Lin Mu
BACKGROUND: Danon disease (DD), in which mutations in the X-linked lysosome-associated membrane protein-2 (LAMP-2) gene result in hypertrophic cardiomyopathy, is a rare disease, reported primarily in small samples or cases. However, with the development of cardiac magnetic resonance imaging and genetic technology in recent years, the number of reports has increased. CASE SUMMARY: We report a case of DD in an adolescent male patient, confirmed by genetic testing...
November 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38058399/novel-predictors-of-permanent-pacemaker-implantation-following-transcatheter-aortic-valve-replacement
#39
JOURNAL ARTICLE
Somto Nwaedozie, Haibin Zhang, Javad Najjar Mojarrab, Param Sharma, Paul Yeung, Peter Umukoro, Deepa Soodi, Rachel Gabor, Kelley Anderson, Romel Garcia-Montilla
BACKGROUND: Conduction and rhythm abnormalities requiring permanent pacemakers (PPM) are short-term complications following transcatheter aortic valve replacement (TAVR), and their clinical outcomes remain conflicting. Potential novel predictors of post-TAVR PPM, like QRS duration, QTc prolongation, and supraventricular arrhythmias, have been poorly studied. AIM: To evaluate the effects of baseline nonspecific interventricular conduction delay and supraventricular arrhythmia on post-TAVR PPM requirement and determine the impact of PPM implantation on clinical outcomes...
November 26, 2023: World Journal of Cardiology
https://read.qxmd.com/read/38058398/clinical-impact-of-portal-vein-pulsatility-on-the-prognosis-of-hospitalized-patients-with-acute-heart-failure
#40
JOURNAL ARTICLE
Naoya Kuwahara, Tomoyuki Honjo, Naohiko Sone, Junichi Imanishi, Kazuhiko Nakayama, Kohei Kamemura, Masanori Iwahashi, Soichiro Ohta, Kenji Kaihotsu
BACKGROUND: Heart failure (HF) causes extracardiac organ congestion, including in the hepatic portal system. Reducing venous congestion is essential for HF treatment, but evaluating venous congestion is sometimes difficult in patients with chronic HF. The portal vein (PV) flow pattern can be influenced by right atrial pressure. Ultrasound images of the PV are quite easy to obtain and are reproducible among sonographers. However, the association between PV pulsatility and the condition of HF remains unclear...
November 26, 2023: World Journal of Cardiology
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