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Surgery Cardiology

Dariusz Dudek, Waldemar Banasiak, Wojciech Braksator, Jacek Dubiel, Tomasz Grodzicki, Piotr Hoffman, Mariusz Kuśmierczyk, Grzegorz Opolski, Piotr Ponikowski, Jacek Różański, Jerzy Sadowski, Wojciech Wojakowski, Marcin Grabowski, Katarzyna Bondaryk, Jacek Walczak, Izabela Pieniążek, Maciej Grys, Anna Lesiak-Bednarek, Piotr Przygodzki
There is a great need for innovative technologies that will improve the health and quality of life (QoL) of Polish patients with cardiac problems. It is important that the safety and effectiveness of the technology are confirmed by scientific evidence on which guidelines and clinical recommendations are based. Scientific evidence for medical devices is also increasingly important for decision-making in finance approval from public funds. New technologies in cardiology and cardiac surgery contribute to improved patient QoL, increased treatment effectiveness and facilitated diagnosis...
February 14, 2019: Cardiology Journal
Roberta Senger, Michelle Dornelles Santarem, Sílvia Goldmeier
OBJECTIVES: To create and implement a computerized clinical registry to verify in the short-, medium- and long-term the mortality and the incidence of significant surgical outcomes in adult patients submitted to cardiovascular surgeries. METHODS: This is a prospective, observational registry-based study aimed at documenting the characteristics of patients undergoing cardiovascular surgery. RESULTS: Variables were standardized according to international references from the Society of Thoracic Surgeons (STS), American College of Cardiology (ACC), Michigan Society of Thoracic and Cardiovascular Surgeons (MSTCVS) and the Department of Informatics of SUS (DATASUS)...
January 2019: Revista da Associação Médica Brasileira
O E Konovalov, J M Beisenbaieva
The article presents the results of analysis of indices of morbidity and mortality of diseases of blood circulation system of population of the Southern Kazakhstan oblast in 2004-2015. The analysis was applied to annual activities reports of the Regional cardiologic Center in 2013-2016. Thus, in 2016 the Center accepted 4237 patients and 80.7% out of them in emergence order. In overall, treatment in the Regional cardiologic Center was applied to 59.4% of respondents. All respondents were residents of municipal center an only 25...
November 2018: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
Néstor Báez-Ferrer, María Manuela Izquierdo-Gómez, Belén Marí-López, Javier Montoto-López, Amelia Duque-Gómez, Javier García-Niebla, Julio Miranda-Bacallado, Alejandro de la Rosa Hernández, Ignacio Laynez-Cerdeña, Juan Lacalzada-Almeida
Ischemic mitral regurgitation (IMR) is a frequent complication after acute myocardial infarction (AMI) associated with a worse prognosis. The pathophysiological mechanisms of IMR are not fully understood, but it is known to be a complex process in which ventricular remodelling is the main causal factor. The various imaging techniques in cardiology and echocardiography fundamentally have contributed significantly to clarify the mechanisms that cause and progressively aggravate IMR. At present, different therapeutic options, the most important of which are cardio-surgical, address this problem...
December 2018: Journal of Thoracic Disease
John U Doherty, Smadar Kort, Roxana Mehran, Paul Schoenhagen, Prem Soman, Gregory J Dehmer, John U Doherty, Paul Schoenhagen, Thomas M Bashore, Nicole M Bhave, Dennis A Calnon, Blase Carabello, John Conte, Timm Dickfeld, Daniel Edmundowicz, Victor A Ferrari, Michael E Hall, Brian Ghoshhajra, Praveen Mehrotra, Tasneem Z Naqvi, T Brett Reece, Randall C Starling, Molly Szerlip, Wendy S Tzou, John B Wong, John U Doherty, Gregory J Dehmer, Steven R Bailey, Nicole M Bhave, Alan S Brown, Stacie L Daugherty, Larry S Dean, Milind Y Desai, Claire S Duvernoy, Linda D Gillam, Robert C Hendel, Christopher M Kramer, Bruce D Lindsay, Warren J Manning, Manesh R Patel, Ritu Sachdeva, L Samuel Wann, David E Winchester, Michael J Wolk
This document is the second of 2 companion appropriate use criteria (AUC) documents developed by the American College of Cardiology, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. The first document1 addresses the evaluation and use of multimodality imaging in the diagnosis and management of valvular heart disease, whereas this document addresses this topic with regard to structural (nonvalvular) heart disease...
February 7, 2019: Journal of the American Society of Echocardiography
Gabriele Di Gesaro, Eluisa La Franca, Calogero Falletta, Alessandra Caronia, Sonia Dell'Oglio, Pamela Licata, Cettina Ruperto, Claudia Visconti, Carmelo Cinnirella, Giacomo Chiarandà, Francesco Clemenza
INTRODUCTION: Heart failure (HF) is a main issue of modern healthcare system. Patient affected are continuously growing in number and age; therefore, an integrated management between different parts of healthcare system is crucial to optimize outcome and sustainability. So far, little is known about clinical pathways of HF patients in Sicily. METHODS: On initiative of the Regional HF Group of the Italian Association of Hospital Cardiologists (ANMCO), we decided to census all the Cardiology Unit of Sicily...
January 2019: Recenti Progressi in Medicina
Bahman Roudsari, Mena Said, Catherine Vu, Rex Pillai
PURPOSE: To evaluate the statewide variability in the role of different specialties in lower extremity endovascular revascularization (LEER) and associated submitted charges of care and actual reimbursement for Medicare beneficiaries. METHODS: The 2015 "Medicare Provider Utilization and Payment Data: Physician and Other Supplier" data includes provider-specific information regarding the type of service, submitted average charges of care, and actual average Medicare reimbursements per Healthcare Common Procedure Coding System (HCPCS) code per provider...
February 2019: Journal of Vascular and Interventional Radiology: JVIR
Daniele Pastori, John W Eikelboom, Sonia S Anand, Manesh Raman Patel, Jean-Francois Tanguay, Jean-Baptiste Ricco, Eike Sebastian Debus, Lucia Mazzolai, Rupert Bauersachs, Peter Verhamme, Jackie Bosch, Sigrid Nikol, Mark Nehler, Victor Aboyans, Francesco Violi
The most common causes of ischaemic stroke are represented by carotid artery atherosclerotic disease (CAAD) and atrial fibrillation. While oral anticoagulants substantially reduce the incidence of thromboembolic stroke (< 1%/year), the rate of ischaemic stroke and other cardiovascular disease events in patients with CAAD remains high, ranging from 8.4 to 18.1 events per 100 patient-years. Similar to any other atherosclerotic disease, anti-thrombotic therapies are proposed for CAAD to reduce stroke and other cardiovascular events...
January 31, 2019: Thrombosis and Haemostasis
Jinhun Chung, Hyung Youn Gong, Jinsoo Park, Sie Hyeon Yoo, Nan Seol Kim, Ho Soon Jung, Yong Han Seo, Hea Rim Chun, Ho Bum Cho
RATIONALE: Variant angina is characterized by coronary artery spasm irrespective of the presence of fixed stenotic coronary lesions. Perioperative coronary artery spasm may be induced by the supersensitivity of vascular smooth muscle cells caused by various stimuli, including stimulation of the parasympathetic nervous system. PATIENT CONCERNS: A 57-year-old male patient was undergoing arthroscopic rotator cuff repair under combined interscalene brachial plexus block and general anesthesia in the lateral decubitus position...
February 2019: Medicine (Baltimore)
Joseph E Bavaria, Carl L Tommaso, Ralph G Brindis, John D Carroll, G Michael Deeb, Ted E Feldman, Thomas G Gleason, Eric M Horlick, Clifford J Kavinsky, Dharam J Kumbhani, D Craig Miller, A Allen Seals, David M Shahian, Richard J Shemin, Thoralf M Sundt, Vinod H Thourani
No abstract text is available yet for this article.
July 18, 2018: Journal of Thoracic and Cardiovascular Surgery
Manhal Izzy, Lisa B VanWagner, Samuel Lee, Mario Altieri, Mounika Angirekula, Kymberly D Watt
PURPOSE OF REVIEW: Cardiovascular disease (CVD) is a common cause of mortality after liver transplantation. The transplant community is focused on improving long-term survival. Understanding the prevalence of CVD in liver transplant recipients, precipitating factors as well as prevention and management strategies is essential to achieving this goal. RECENT FINDINGS: CVD is the leading cause of death within the first year after transplant. Arrhythmia and heart failure are the most often cardiovascular morbidities in the first year after transplant which could be related to pretransplant diastolic dysfunction...
January 22, 2019: Current Opinion in Organ Transplantation
John T Baber, Jialin Mao, Art Sedrakyan, Peter H Connolly, Andrew J Meltzer
OBJECTIVE: The objective of this study was to assess the association between provider characteristics and intensity of endovenous therapy (EVT) utilization in the Medicare population. METHODS: The Medicare Provider Utilization and Payment Data Public Use Files (2012-2014) were queried to construct a database of providers performing EVT using laser or radiofrequency ablation techniques for treatment of lower extremity venous reflux. A utilization index (UI; EVT procedure per patient treated per year) was calculated for each provider, and median services per county were determined...
January 9, 2019: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Jeannine M Hoch, Oluwatosin Fatusin, Gayane Yenokyan, W Reid Thompson, Maureen A Lefton-Greif
BACKGROUND: Tube feedings are often needed to achieve the growth and nutrition goals associated with decreased morbidity and mortality in patients with single ventricle anatomy. Variability in feeding method through the interstage period has been previously described, however, comparable information following stage 2 palliation is lacking. OBJECTIVES: To identify types of feeding methods following stage 2 palliation and their influence on length of stay. DESIGN: Secondary analysis of the National Pediatric Cardiology Quality Improvement Collaborative registry was performed on 932 patients...
January 12, 2019: Congenital Heart Disease
John U Doherty, Smadar Kort, Roxana Mehran, Paul Schoenhagen, Prem Soman, Gregory J Dehmer, John U Doherty, Paul Schoenhagen, Thomas M Bashore, Nicole M Bhave, Dennis A Calnon, Blase Carabello, John Conte, Timm Dickfeld, Daniel Edmundowicz, Victor A Ferrari, Michael E Hall, Brian Ghoshhajra, Praveen Mehrotra, Tasneem Z Naqvi, T Brett Reece, Randall C Starling, Molly Szerlip, Wendy S Tzou, John B Wong, John U Doherty, Gregory J Dehmer, Steven R Bailey, Nicole M Bhave, Alan S Brown, Stacie L Daugherty, Larry S Dean, Milind Y Desai, Claire S Duvernoy, Linda D Gillam, Robert C Hendel, Christopher M Kramer, Bruce D Lindsay, Warren J Manning, Manesh R Patel, Ritu Sachdeva, L Samuel Wann, David E Winchester, Michael J Wolk
No abstract text is available yet for this article.
January 7, 2019: Journal of Thoracic and Cardiovascular Surgery
Stefan Baumann, Leonard Chandra, Elizaveta Skarga, Matthias Renker, Martin Borggrefe, Ibrahim Akin, Dirk Lossnitzer
Coronary angiography is considered to be the gold standard in the morphological evaluation of coronary artery stenosis. The morphological assessment of the severity of a coronary lesion is very subjective. Thus, the invasive fractional flow reserve (FFR) measurement represents the current standard for estimation of the hemodynamic significance of coronary artery stenosis. The FFR-guided revascularization strategy was initially classified as a Class-IA-recommendation in the 2014 European Society of Cardiology/European Association for Cardio-Thoracic Surgery guidelines on myocardial revascularization...
December 26, 2018: World Journal of Cardiology
Marie Duperril, Stéphanie Rapin, Cécilia Vuillard, Isabelle Rayet, Hugues Patural
RATIONALE: Neonatal infectious endocarditis (IE) in a healthy heart is rare. The infectious agents most frequently found in newborns are Staphylococcus aureus and fungi. Infection at the site of central intravenous catheter is generally thought to be the cause of this pathology. PATIENT CONCERNS: We present 2 cases of premature newborns whose condition is evolving positively. They presented S aureus endocarditis during their first week of life. DIAGNOSIS: Modified Duke diagnostic criteria-from clinical, echocardiogram and microbiological findings-based on those used for adults, can be used for children and newborns, but the very low prevalence of neonatal IE often delays diagnosis...
January 2019: Medicine (Baltimore)
Carolyn E Horne, Tamara S Goda, L Wiley Nifong, Alan P Kypson, Wesley T O'Neal, Linda C Kindell, Charulata Jindal, Jimmy T Efird
An assumption regarding transcatheter aortic valve replacement (TAVR), a minimally invasive procedure for treating aortic stenosis, is that patients remain at, or near baseline and soon return to their presurgical home to resume activities of daily living. However, this does not consistently occur. The purpose of this study was to identify preoperative factors that optimally predict discharge to a skilled nursing facility (SNF) after TAVR. Delineation of these conditions is an important step in developing a risk stratification model to assist in making informed decisions...
December 28, 2018: International Journal of Environmental Research and Public Health
Abid Haleem, Mohd Javaid, Anil Saxena
Background: Additive manufacturing (AM) has emerged as a serious planning, strategy, and education tool in cardiovascular medicine. This review describes and illustrates the application, development and associated limitation of additive manufacturing in the field of cardiology by studying research papers on AM in medicine/cardiology. Methods: Relevant research papers till August 2018 were identified through Scopus and examined for strength, benefits, limitation, contribution and future potential of AM...
December 2018: The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology
Vladimír Soška, Ondřej Kyselák
Statins are among the most important drugs in preventive cardiology because they greatly improve the prognosis of risk patients in both primary and secondary prevention of atherosclerotic cardiovascular disease. Adherence to long-term statin therapy is poor and decreases with the duration of statin use. A number of fake news about adverse effects of statins disseminated on the internet, such as damage of the brain, liver or kidney, contribute to worsening adherence. Statins therapy is sometimes unnecessary discontinued before planned surgery...
2018: Vnitr̆ní Lékar̆ství
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