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Acute congestive heart failure

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https://read.qxmd.com/read/30782685/impact-of-renal-dysfunction-on-the-management-and-outcome-of-acute-heart-failure-results-from-the-french-prospective-multicentre-defssica-survey
#1
Dominique Dos Reis, Laurie Fraticelli, Adrien Bassand, Stéphane Manzo-Silberman, Nicolas Peschanski, Sandrine Charpentier, Meyer Elbaz, Dominique Savary, Eric Bonnefoy-Cudraz, Said Laribi, Patrick Henry, Abdallah Guerraoui, Karim Tazarourte, Tahar Chouihed, Carlos El Khoury
OBJECTIVES: Cardiorenal syndrome (CRS) is the combination of acute heart failure syndrome (AHF) and renal dysfunction (creatinine clearance (CrCl) ≤60 mL/min). Real-life data were used to compare the management and outcome of AHF with and without renal dysfunction. DESIGN: Prospective, multicentre. SETTING: Twenty-six academic, community and regional hospitals in France. PARTICIPANTS: 507 patients with AHF were assessed in two groups according to renal function: group 1 (patients with CRS (CrCl ≤60 mL/min): n=335) and group 2 (patients with AHF with normal renal function (CrCl >60 mL/min): n=172)...
January 15, 2019: BMJ Open
https://read.qxmd.com/read/30772876/-successful-use-of-percutaneous-left-ventricular-assist-device-impella-and-veno-artery-extracorporeal-membrane-oxygenation-va-ecmo-for-ischemic-cardiogenic-shock-report-of-a-case
#2
Masao Tadakoshi, Takeki Ohashi, Souichirou Kageyama, Akinori Kojima, Norikazu Oshiro, Noriko Kodani, Ryou Kawasumi, Takumi Yamaguchi
A 73-year-old male was referred to our hospital for acute congestive heart failure. His cardiac and respiratory conditions were worsening with cardiogenic shock requiring intubation. Coronary angiography revealed severe triple vessel disease, and echocardiography showed severe left ventricular dysfunction. Therefore, he underwent veno artery extracorporeal membrane oxygenation (VA-ECMO) followed by percutaneous left ventricular assist device (Impella). His cardiac condition improved and VA-ECMO and Impella were removed on the 2nd day and the 4th day after surgery, respectively...
February 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/30771036/impact-of-smoking-on-cardiac-magnetic-resonance-infarct-characteristics-and-clinical-outcome-in-patients-with-non-st-elevation-myocardial-infarction
#3
Hans-Josef Feistritzer, Ingo Eitel, Alexander Jobs, Suzanne de Waha-Thiele, Thomas Stiermaier, Mohamed Abdel-Wahab, Philipp Lurz, Sebastian J Reinstadler, Martin Reindl, Gert Klug, Bernhard Metzler, Steffen Desch, Holger Thiele
Data derived from several studies suggest a better survival in smokers with acute myocardial infarction, a phenomenon referred to as the 'smoker's paradox'. We aimed to investigate the association of smoking with cardiac magnetic resonance (CMR) imaging determined infarct severity and major adverse cardiac events (MACE) defined as the occurrence of death, reinfarction, and congestive heart failure at 12 months in patients with non-ST-elevation myocardial infarction (NSTEMI) reperfused by early percutaneous coronary intervention (PCI)...
February 15, 2019: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/30770263/mid-term-prognostic-impact-of-residual-pulmonary-congestion-assessed-by-radiographic-scoring-in-patients-admitted-for-worsening-heart-failure
#4
Masatake Kobayashi, Masataka Watanabe, Stefano Coiro, Matthieu Bercker, Yuki Paku, Yoichi Iwasaki, Taishiro Chikamori, Akira Yamashina, Kevin Duarte, João Pedro Ferreira, Patrick Rossignol, Faiez Zannad, Nicolas Girerd
AIMS: Pulmonary congestion is associated with poor prognosis following hospitalization for worsening heart failure (HF), although its quantification and optimal timing during HF hospitalization remains challenging. The aim of this study was to assess the prognostic value of radiographic pulmonary congestion at admission and discharge in patients with worsening HF. METHODS AND RESULTS: Clinical, echocardiographic, laboratory and chest X-ray data of 292 acute decompensated HF patients were retrospectively studied (follow-up 1 year)...
February 8, 2019: International Journal of Cardiology
https://read.qxmd.com/read/30761728/constipation-induced-pressor-effects-as-triggers-for-cardiovascular-events
#5
REVIEW
Yusuke Ishiyama, Satoshi Hoshide, Hiroyuki Mizuno, Kazuomi Kario
Constipation is associated with cardiovascular events. Changes to the intestinal microbiota by constipation can induce atherosclerosis, blood pressure rise, and cardiovascular events. Constipation increases with age and often coexists with cardiovascular risk factors. In addition, strain at stool causes blood pressure rise, which can trigger cardiovascular events such as congestive heart failure, arrhythmia, acute coronary disease, and aortic dissection. However, because cardiovascular medical research often focuses on more dramatic interventions, the risk from constipation can be overlooked...
February 13, 2019: Journal of Clinical Hypertension
https://read.qxmd.com/read/30745014/higher-diuretic-requirements-in-acute-heart-failure-with-admission-hyponatraemia-versus-normonatraemia
#6
Hesham R Omar, Maya Guglin
BACKGROUND: Diuretic requirements in patients with acute decompensated heart failure (ADHF) and hyponatraemia versus normonatraemia on admission has not been previously explored. METHODS: The Evaluation Study of Congestive Heart Failure and Pulmonary Artery Catheterization Effectiveness (ESCAPE) trial dataset was utilised to examine the characteristics and diuretic requirements of patients with ADHF with hyponatraemia or normonatraemia on admission. RESULTS: Patients with ADHF and admission hyponatraemia (n = 103, average Na 130...
January 28, 2019: Heart, Lung & Circulation
https://read.qxmd.com/read/30742287/relationship-between-the-albumin-level-and-the-anesthesia-method-and-the-effect-on-clinical-course-in-patients-with-major-burns
#7
Müge Çakırca, İsa Sözen, Gülsüm Tozlu Bindal, Mustafa Baydar, Ahmet Çınar Yastı
BACKGROUND: Due to a massive increase in capillary permeability during the state of shock caused by burns, albumin and intravascular fluid rapidly move to the extravascular areas. Therefore, hypoalbuminemia is seen as an early and prolonged finding in major burns. Hypoalbuminemia leads to various problems. The aim of this study was to investigate the effect of the preoperative albumin level on perioperative morbidity and mortality in patients with major burns. METHODS: Demographic data, preoperative albumin levels, surgical records, and clinical follow-up records of a total of 61 patients who underwent surgery for major burns in our hospital for the last 2 years were examined...
January 2019: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/30738210/a-mouse-model-of-heart-failure-exhibiting-pulmonary-edema-and-pleural-effusion-useful-for-testing-new-drugs
#8
Xiuying Ma, Shahid Tannu, John Allocco, Jie Pan, Janet Dipiero, Pancras Wong
INTRODUCTION: Mouse models of chronic heart failure (HF) have been widely used in HF research. However, the current HF models most often use the C57BL/6 mouse strain and do not show the clinically relevant characteristics of pulmonary congestion. In this study, we developed a robust mouse model of HF in the BALB/c mouse strain, exhibiting pulmonary edema and pleural effusion, and we validated the model using the standard pharmacological therapies in patients with chronic HF and reduced ejection fraction (HFrEF) or acute decompensated HF...
February 6, 2019: Journal of Pharmacological and Toxicological Methods
https://read.qxmd.com/read/30737680/how-have-30-day-readmission-penalties-affected-racial-disparities-in-readmissions-an-analysis-from-2007-to-2014-in-five-us-states
#9
Cameron M Kaplan, Michael P Thompson, Teresa M Waters
BACKGROUND: Thirty-day readmission penalties implemented with the Hospital Readmission Reduction Program (HRRP) place a larger burden on safety-net hospitals which treat a disproportionate share of racial minorities, leading to concerns that already large racial disparities in readmissions could widen. OBJECTIVE: To examine whether there were changes in Black-White disparities in 30-day readmissions for acute myocardial infarction (AMI), congestive heart failure (CHF), or pneumonia following the passage and implementation of HRRP, and to compare disparities across safety-net and non-safety-net hospitals...
February 8, 2019: Journal of General Internal Medicine
https://read.qxmd.com/read/30721735/relationship-of-liver-stiffness-with-congestion-in-patients-presenting-with-acute-decompensated-heart-failure
#10
Anzhela Soloveva, Zhanna Kobalava, Marat Fudim, Andrew P Ambrosy, Svetlana Villevalde, Munkhtsetseg Bayarsaikhan, Irina Garmash, Maksim Naumenko
OBJECTIVE: The significance of liver stiffness (LS) in the setting of cardiovascular congestion during the course of acute decompensated heart failure (ADHF) is under investigation. The aim of this study was to assess LS with transient elastography (TE) and its associations with volume overload by bioimpedance vector analysis (BIVA) in ADHF. METHODS AND RESULTS: TE (Fibroscan 502 Echosens, France) and BIVA (ABC-01 "Medass", Russia) were performed in the first 48 hours of admission and on the day of discharge in 149 ADHF patients without known primary chronic liver disease and acute hepatitis...
February 2, 2019: Journal of Cardiac Failure
https://read.qxmd.com/read/30715570/clinical-characteristics-and-prognostic-factors-in-acute-coronary-syndrome-patients-complicated-with-cardiogenic-shock-in-japan-analysis-from-the-japanese-circulation-society-cardiovascular-shock-registry
#11
Kazuo Sakamoto, Tetsuya Matoba, Masahiro Mohri, Yasushi Ueki, Yasuyuki Tsujita, Masao Yamasaki, Nobuhiro Tanaka, Yohei Hokama, Motoki Fukutomi, Katsutaka Hashiba, Rei Fukuhara, Satoru Suwa, Hirohide Matsuura, Eizo Tachibana, Naohiro Yonemoto, Ken Nagao
Cardiogenic shock frequently leads to death even with intensive treatment. Although the leading cause of cardiogenic shock is acute coronary syndrome (ACS), the clinical characteristics and the prognosis of ACS with cardiogenic shock in the present era still remain to be elucidated. We analyzed clinical characteristics and predictors of 30-day mortality in ACS with cardiogenic shock in Japan. The Japanese Circulation Society Cardiovascular Shock registry was a prospective, observational, multicenter, cohort study...
February 4, 2019: Heart and Vessels
https://read.qxmd.com/read/30711267/the-burden-and-impact-of-arrhythmia-in-chronic-obstructive-pulmonary-disease-insights-from-the-national-inpatient-sample
#12
Rupak Desai, Upenkumar Patel, Sandeep Singh, Rushikkumar Bhuva, Hee Kong Fong, Pratyusha Nunna, Dipen Zalavadia, Hitanshu Dave, Sejal Savani, Rajkumar Doshi
BACKGROUND: We aimed to analyze the burden and predictors of arrhythmias and in-hospital mortality in chronic obstructive pulmonary disease (COPD)-related hospitalizations using the nationwide cohort. METHODS: We queried the National Inpatient Sample (NIS) (2010-2014) databases to identify adult COPD hospitalizations with arrhythmia. Categorical and continuous variables were compared using Chi-square and Student's t-test/ANOVA. Predictors of any arrhythmia including AF and in-hospital mortality were evaluated by multivariable analyses...
January 25, 2019: International Journal of Cardiology
https://read.qxmd.com/read/30709972/congestive-heart-failure-in-children
#13
REVIEW
Jack F Price
Congestive heart failure is a final common clinical pathway for several diseases in childhood, such as familial cardiomyopathy, viral myocarditis, inborn errors of metabolism, and autoimmune disorders. Early identification and treatment can reduce symptom severity and may affect outcomes. In this review, the clinical characteristics of pediatric heart failure are described, and the initial diagnostic evaluation is outlined. Evidence-based heart failure treatment strategies at various clinical stages are discussed in detail, including the management of acute decompensated heart failure...
February 2019: Pediatrics in Review
https://read.qxmd.com/read/30704508/early-and-comprehensive-care-bundle-in-the-elderly-for-acute-heart-failure-in-the-emergency-department-study-protocol-of-the-elisabeth-stepped-wedge-cluster-randomized-trial
#14
Yonathan Freund, Judith Gorlicki, Marine Cachanado, Sarah Salhi, Vanessa Lemaître, Tabassome Simon, Alexandre Mebazaa
BACKGROUND: Acute heart failure (AHF) is one of the most common diagnoses for elderly patients in the emergency department (ED), with an admission rate above 80% and 1-month mortality around 10%. The European guidelines for the management of AHF are based on moderate levels of evidence, due to the lack of randomized controlled trials and the scarce evidence of any clinical added value of a specific treatment to improve outcomes. Recent reports suggest that the very early administration of full recommended therapy may decrease mortality...
January 31, 2019: Trials
https://read.qxmd.com/read/30703569/bioimpedance-vector-analysis-predicts-hospital-length-of-stay-in-acute-heart-failure
#15
Francesco Massari, Pietro Scicchitano, Marco Matteo Ciccone, Pasquale Caldarola, Nadia Aspromonte, Massimo Iacoviello, Sabrina Barro, Ivan Pantano, Roberto Valle
OBJECTIVE: Congestion in acute heart failure (AHF) affects survival curves and hospital length of stay (LOS). The evaluation of congestion, however, is not totally objective. The aim of this study was to verify the accuracy of bioelectrical impedance vector analysis (BIVA) in predicting the LOS in AHF patients. METHODS: This is a retrospective study. A total of 706 patients (367 male; mean age: 78 ± 10 y) who had been admitted to hospital with an AHF event were enrolled...
November 2, 2018: Nutrition
https://read.qxmd.com/read/30702631/a-risk-scoring-model-to-predict-renal-progression-associated-with-postcontrast-acute-kidney-injury-in-chronic-kidney-disease-patients
#16
Seung Don Baek, So Mi Kim, Jae-Young Kang, Minkyu Han, Eun Kyoung Lee, Jai Won Chang
Postcontrast acute kidney injury (AKI) occurs more frequently in patients with lower estimated glomerular filtration rate. We hypothesized that postcontrast AKI in chronic kidney disease (CKD) patients with distinct risk factors might be associated with accelerated renal progression.We undertook this retrospective cohort study to develop and validate a risk scoring model for predicting renal progression. In a development dataset, 18,278 contrast-enhanced CT scans were performed in 9097 patients with CKD (estimated glomerular filtration rate [eGFR] < 60 mL/min/1...
February 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30688986/association-of-antibiotic-treatment-with-outcomes-in-patients-hospitalized-for-an-asthma-exacerbation-treated-with-systemic-corticosteroids
#17
Mihaela S Stefan, Meng-Shiou Shieh, Kerry A Spitzer, Penelope S Pekow, Jerry A Krishnan, David H Au, Peter K Lindenauer
Importance: Although professional society guidelines discourage use of empirical antibiotics in the treatment of asthma exacerbation, high antibiotic prescribing rates have been recorded in the United States and elsewhere. Objective: To determine the association of antibiotic treatment with outcomes among patients hospitalized for asthma and treated with corticosteroids. Design, Setting, and Participants: Retrospective cohort study of data of 19 811 adults hospitalized for asthma exacerbation and treated with systemic corticosteroids in 542 US acute care hospitals from January 1, 2015, through December 31, 2016...
January 28, 2019: JAMA Internal Medicine
https://read.qxmd.com/read/30685198/anemia-and-postoperative-outcomes-after-open-and-endovascular-repair-of-intact-abdominal-aortic-aneurysms
#18
Hanaa Dakour-Aridi, Besma Nejim, Satinderjit Locham, Widian Alshwaily, Mahmoud B Malas
OBJECTIVE: Anemia is associated with increased cardiac adverse events during the early postoperative period because of high physiologic stress and increased cardiac demand. The aim of this study was to assess the surgical outcomes and prognostic implications of anemia in patients undergoing repair of intact abdominal aortic aneurysms (AAAs). METHODS: A retrospective analysis of all patients who underwent open aortic repair (OAR) or endovascular aneurysm repair (EVAR) in the Vascular Quality Initiative database (2008-2017) was performed...
January 23, 2019: Journal of Vascular Surgery
https://read.qxmd.com/read/30683112/potential-biomarkers-of-acute-myocardial-infarction-based-on-weighted-gene-co-expression-network-analysis
#19
Zhihua Liu, Chenguang Ma, Junhua Gu, Ming Yu
BACKGROUND: Acute myocardial infarction (AMI) is the common cause of mortality in developed countries. The feasibility of whole-genome gene expression analysis to identify outcome-related genes and dysregulated pathways remains unknown. Molecular marker such as BNP, CRP and other serum inflammatory markers have got the notice at this point. However, these biomarkers exhibit elevated levels in patients with thyroid disease, renal failure and congestive heart failure. In this study, three groups of microarray data sets (GES66360, GSE48060, GSE29532) were collected from GEO, a total of 99, 52 and 55 samples, respectively...
January 25, 2019: Biomedical Engineering Online
https://read.qxmd.com/read/30673749/time-course-analysis-of-cardiac-and-serum-galectin-3-in-viral-myocarditis-after-an-encephalomyocarditis-virus-inoculation
#20
Kei Noguchi, Hiroyuki Tomita, Tomohiro Kanayama, Ayumi Niwa, Yuichiro Hatano, Masato Hoshi, Shigeyuki Sugie, Hideshi Okada, Masayuki Niwa, Akira Hara
Galectin-3 is a β-galactoside-binding lectin which is important in cell proliferation and apoptotic regulation. Recently, serum galectin-3 has been shown to have prognostic value as a biomarker in heart failure. Encephalomyocarditis virus (EMCV) can cause severe myocarditis, congestive heart failure and dilated cardiomyopathy as well as encephalitis in various animals including mice. The pathophysiological role of galectin-3 in acute myocarditis following viral infection is not fully understood. The goal of this study is to determine the cardiac localization and the time-course of galectin-3 expression in heart failure after viral inoculation with EMCV...
2019: PloS One
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