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Atrial Fibrillation And Gender

Jun Tang, Jian-Zhu Zhao, Kai-Ming Ren, Fu-Shuang Zheng, Xi-Wen Wang, Hai-Jun Liu, Jun-Gang Zhao, Ji-Bin Lu
BACKGROUND: Atrial fibrillation (AF) is a common complication after radical surgery of esophageal cancer. The aim of this study was to explore AF risk factors after radical surgery of esophageal carcinoma. METHOD: The data of 335 patients with esophageal cancer who were admitted in our hospital from January 2014 to August 2016 for the first time were retrospectively analyzed. We retrieved the papers in some data banks using the search terms including English and Chinese search terms, and obtained 13 factors which were mentioned in more than 6 papers...
March 14, 2019: Journal of Cardiothoracic Surgery
George Lazaros, Alexios S Antonopoulos, Massimo Imazio, Eirini Solomou, Emilia Lazarou, Dimitrios Vassilopoulos, Yehuda Adler, Christodoulos Stefanadis, Dimitris Tousoulis
The clinical significance of pleural effusions (PLEs) in the setting of acute pericarditis remains poorly investigated. We sought to identify predictive factors for PLEs and their association with the short- and long-term prognosis of patients with acute pericarditis. We enrolled 177 patients hospitalized with a first episode of acute pericarditis. In all cases an extensive clinical, biochemical, and diagnostic work-up to detect PLEs and establish etiological diagnosis was performed. All patients included were prospectively followed for a maximum of 18 months (median 12, range 1-18) and complications were recorded...
March 13, 2019: Internal and Emergency Medicine
Alam Sarfraz, Parveen Akhtar, Syed N Hassan Rizvi, Musa Karim
Introduction Coexistence of atrial fibrillation (AF) in patients with heart failure (HF) is a common phenomenon associated with poor prognosis. Therefore, this study was designed with an aim to estimate the different risk factors of atrial fibrillation (AF) in patients with HF. Methods In this study, patients of either gender, 18 to 80 years of age, and with echocardiographic confirmation of HF presenting at the adult cardiology department of the National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan were consecutively included...
December 24, 2018: Curēus
Shuangbing Yan, Qing Li, Zhen Xia, Sujuan Yan, Yichun Wei, Kui Hong, Yanqing Wu, Juxiang Li, Xiaoshu Cheng
The risk of thromboembolism in patients with CHA2DS2-VASc score of 0 to 1 was low, and the anticoagulant therapy was not recommended. Although the CHA2DS2-VASc score was low, there were still many patients suffered from thrombotic events and stroke. We aim to investigate the risk factors of thrombotic events in nonvalvular atrial fibrillation (NVAF) patients with low CHA2DS2-VASc score.We retrospectively enrolled 595 consecutive NVAF patients with low CHA2DS2-VASc score (male: CHA2DS2-VASc = 0, female: CHA2DS2-VASc = 1)...
February 2019: Medicine (Baltimore)
Gabriel Coll-de-Tuero, Marc Comas-Cufí, Antonio Rodríguez-Poncelas, Joan Barrot-de-la Puente, Jordi Blanch, Josep Figa-Vaello, Maria A Barceló, Marc Saez
BACKGROUND: Our objective of this study was to determine if rate of eGFR decline and its intensity was associated with cardiovascular risk and death in hypertensive patients whose baseline estimated glomerular filtration rate (eGFR) was higher than 60 mL/min/1.73m2. METHODS: This study comprised 2,516 hypertensive patients who had had at least two serum creatinine measurements over a four-year period. An eGFR reduction of ≥10% per year has been deemed as high-eGFR and a reduction in eGFR of less than 10% per year as a low decline...
February 22, 2019: American Journal of Hypertension
Ting-Yu Wang, Ely Gracia, Susan Callahan, Thomas Bilfinger, Henry Tannous, Robert Pyo, Smadar Kort, Hal Skopicki, Jonathan Weinstein, Neal Patel, Daniel Montellese, Giridhar Korlipara, Shamim Khan, Joanna Chikwe, Puja B Parikh
The impact of gender on management and early outcomes after transcatheter aortic valve implantation (TAVI) in the setting of newer generation transcatheter heart valves (THVs) is not well known. We evaluated gender-specific differences on clinical management and in-hospital outcomes in adults who underwent TAVI with newer generation THVs. The study population included 298 consecutive patients who underwent TAVI and received a newer generation THV (Sapien 3 [Edwards Lifesciences, Irvine, California] or Corevalve Evolut R or Evolut Pro [Medtronic, Minneapolis, Minnesota]) from December 2015 to June 2018 at an academic tertiary medical center...
February 10, 2019: American Journal of Cardiology
Ana López-de-Andrés, Manuel Méndez-Bailón, Napoleon Perez-Farinos, Valentín Hernández-Barrera, Javier de Miguel-Díez, Nuria Muñoz-Rivas, Rodrigo Jiménez-García
BACKGROUND: we aim to examine trends in the incidence of surgical aortic valve replacement (SAVR) among women and men in Spain from 2001 to 2015; compare in-hospital outcomes for mechanical and bioprosthetic SAVR by gender and; to identify factors associated with in-hospital mortality (IHM) after SAVR. METHODS: We performed a retrospective study using the Spanish National Hospital Discharge Database, 2001-15. We included patients that had SAVR as procedure in their discharge report...
February 18, 2019: European Journal of Public Health
Giulia Renda, Giuseppe Patti, Irene Marthe Lang, Jolanta M Siller-Matula, Elaine M Hylek, Giuseppe Ambrosio, Sylvia Haas, Raffaele De Caterina
Thrombotic and bleeding risks, as well as the incidence and presentation of cardiovascular events and related outcomes, appear to differ between genders, partly in relation to variability in age, comorbidities and body size. Women experience frequent fluctuations of pro-thrombotic activity during their lifetime, related to menstrual cycles, the use of oral contraceptives, pregnancy, menopause, and hormone replacement therapy, all with potential impact on the clinical manifestations of atherosclerotic disease...
February 8, 2019: International Journal of Cardiology
Yusuke Ebana, Tetsushi Furukawa
Atrial fibrillation (AF) can be initiated from arrhythmogenic foci within the muscular sleeves that extend not only into the pulmonary veins but also into both vena cavae. Patients with SVC-derived AF have the common clinical and genetic risk factors. Bayesian network analysis is a probabilistic model in which a qualitative dependency relationship among random variables is represented by a graph structure and a quantitative relationship between individual variables is expressed by a conditional probability...
March 2019: IJC Heart & Vasculature
Byeoung-Hoon Chung, Seon-Hee Heo, Yang-Jin Park, Young-Wook Kim, Shin-Young Woo, Dong-Ik Kim
BACKGROUND: Primary closure (PC) and patch angioplasty (PA) during carotid endarterectomy (CEA) have been disputed in many studies. Some studies announced that PC is associated with a higher restenosis rate. The aim of this study was to evaluate the outcomes of PC and PA using propensity score matching (PSM). METHODS: Between November 1994 and October 2016, 1044 patients underwent primary CEA procedures at our institution and were retrospectively analyzed. The study endpoints included rates of ipsilateral stroke, any clinical stroke, cranial nerve palsy, hematoma, bleeding warranting repeat surgery within 30 postoperative days...
February 11, 2019: Annals of Vascular Surgery
Aníbal García-Sempere, Isabel Hurtado, Daniel Bejarano-Quisoboni, Clara Rodríguez-Bernal, Yared Santa-Ana, Salvador Peiró, Gabriel Sanfélix-Gimeno
BACKGROUND: Worldwide, there is growing evidence that quality of international normalized ratio (INR) control in atrial fibrillation patients treated with Vitamin K Antagonists (VKA) is suboptimal. However, sex disparities in population-based real-world settings have been scarcely studied, as well as patterns of switching to second-line Non-VKA oral anticoagulants (NOAC). We aimed to assess the quality of INR control in atrial fibrillation patients treated with VKA in the region of Valencia, Spain, for the whole population and differencing by sex, and to identify factors associated with poor control...
2019: PloS One
Kolia Milojevic, Alexandra Beltramini, Mohsen Nagash, Alexandre Muret, Olivier Richard, Yves Lambert
BACKGROUND: Recent-onset atrial fibrillation (RAF) is the most frequent supraventricular dysrhythmia in emergency medicine. Severely compromised patients require acute treatment with injectable drugs OBJECTIVE: The main purpose of this external validity study was to compare the short-term efficacy of esmolol with that of amiodarone to treat severe RAF in an emergency setting. METHODS: This retrospective survey was conducted in mobile intensive care units by analyzing patient records between 2002 and 2013...
January 30, 2019: Journal of Emergency Medicine
Lingmin Wu, Erpeng Liang, Siyang Fan, Lihui Zheng, Zhongpeng Du, Shangyu Liu, Feng Hu, Xiaohan Fan, Gang Chen, Ligang Ding, Yan Yao
Left atrial appendage (LAA) morphology is considered to be associated with ischemic stroke, non-Chicken Wing LAA morphology increases the risk of thromboembolic events. However, existing classification of LAA morphology remains not well quantifiable and therefore may leave room for substantial subjective interpretation. This study aimed to assess interobserver and intraobserver agreements in LAA morphology and its real value in stroke prediction. A total of 2,264 atrial fibrillation patients who underwent computed tomography to explore the LAA anatomy were enrolled...
January 23, 2019: American Journal of Cardiology
J Antonio González-Hermosillo, Manuel A Baños-González, Milton E Guevara-Valdivia, Jorge A Vázquez-Acosta, Manuel Odín de Los Ríos Ibarra, Kulio A Aguilar-Linares, Carlos Cantú-Brito, José L Leiva-Pons, Gerardo Pozas-Garza, Eddie A Favela-Pérez, Manlio F Márquez
Background: Atrial Fibrillation (AF) is associated with an increased risk of stroke and systemic embolism. Several studies have suggested that female AF patients could have a greater risk for stroke. There is scarce information about clinical characteristics and use of antithrombotic therapies in Latin American patients with nonvalvular AF. Objective: To describe the gender differences in clinical characteristics, thromboembolic risk, and antithrombotic therapy of patients with nonvalvular AF recruited in Mexico, an upper middle-income country, into the prospective national CARMEN-AF Registry...
March 2019: IJC Heart & Vasculature
A N Sumin, E V Korok, A V Shcheglova, O L Barbarash
AIM: To study the factors associated with high levels of comorbidity in men and women with coronary artery disease (CAD). MATERIALS AND METHODS: The data analyzed 742 patients who were screened in the clinic of the research Institute CPSS in 2011, before planned operation coronary artery bypass grafting. All patients were divided into 2 groups: group I - men (n=595; 58 [54; 64] years), group II - women (n=147; 63 [57; 69] years). RESULTS: The analysis showed that the presence of arterial hypertension and atrial fibrillation prevailed in the group of women (p<0...
April 19, 2018: Terapevticheskiĭ Arkhiv
Ju P Skirdenko, N A Nikolaev
AIM: To quantitatively evaluate features of adherence to treatment in patients with atrial fibrillation (AF) in Omsk region in conditions of real clinical practice. Materials and methods: in a prospective controlled study in 137 patients with AF 35-85 years quantitatively examined adherence to treatment and its structure. Statistical processing of data were performed using parametric (Student's t-test) and nonparametric (Wald-Wolfowitz, Kolmogorov-Smirnov, Pearson) analysis. MATERIALS AND METHODS: In a prospective controlled study in 137 patients with AF 35-85 years quantitatively examined adherence to treatment and its structure...
February 14, 2018: Terapevticheskiĭ Arkhiv
Ilona Kowalik, Jan Ciszewski, Rafał Dąbrowski, Aleksander Maciąg, Paweł Syska, Katarzyna Gepner, Agnieszka Jankowska, Mariusz Pytkowski, Hanna Szwed, Maciej Sterliński
Identification of demographic and clinical factors which influence prognosis is crucial in patients with heart failure and cardiac resynchronization therapy (CRT). MATERIALS AND METHODS: The study included 223 patients with CRT (177 males), mean age 64.6±9.7 years, including 98 patients (43.9%) with defibrillation function (CRT-D) and 58 (26.0%) with permanent atrial fibrillation (AF). Of 223, n=72 patients (32.3%) had CRT implanted after the age of 70. The mean follow-up was 37±19 months...
December 28, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Nándor Szegedi, Gábor Széplaki, Szilvia Herczeg, Tamás Tahin, Zoltán Salló, Vivien Klaudia Nagy, István Osztheimer, Emin Evren Özcan, Béla Merkely, László Gellér
Aims: Atrial fibrillation (AF) ablation has made huge progress with respect to innovation, efficacy, and safety, however, complications are still present. Recent studies examined various predictors of complications. However, limited data exist regarding the role of a repeat procedure. Our aim was the prospective evaluation of the incidence and predictors of complications related to AF ablation procedures in consecutive patients, including repeat procedures. Methods and results: All ablation procedures for AF between January 2013 and December 2015 were analysed in our electrophysiology laboratory...
January 25, 2019: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Charlotte van Laar, Mohamed Bentala, Timo Weimar, Nicolas Doll, Martin J Swaans, Sander G Molhoek, Frederik N Hofman, Johannes Kelder, Bart P van Putte
Aims: To perform a systematic outcome analysis in order to provide cardiologists and general pactitioners with more adequate information to guide their decision making regarding rhythm control. Totally thoracoscopic maze (TTmaze) for the treatment of atrial fibrillation (AF) is recommended as a Class 2a indication mainly based on single centre studies including small patient cohorts and inconsistent lesion sets. Methods and results: We studied consecutive patients undergoing TTmaze in three European referral centres (2012-15)...
January 25, 2019: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Zach Rozenbaum, Yan Topilsky, Galit Aviram, Michal Entin-Meer, Yoav Granot, David Pereg, Shlomo Berliner, Arie Steinvil, Simon Biner
Aims: To demonstrate the association between small left atria (LA) and outcome in a relatively large heterogeneous population of hospitalized patients. Methods and results: In a single-centre retrospective study, all inpatients that underwent an echocardiographic assessment between 2011 and 2016 and had an available left atrial volume index (LAVI) measurement were included. The cohort consisted of 17 343 inpatients who had an available LAVI measurement, 288 with small LA (LAVI <16 mL/m2), 7531 patients had LAVI within normal limits (16-34 mL/m2) divided into low normal (16-24...
January 23, 2019: European Heart Journal Cardiovascular Imaging
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