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JOURNAL ARTICLE
Vusal Hajiyev, Murad Qubadov, Leyla Maharramova, Gulnaz Dadashova, Asiman Hasanov
BACKGROUND Aortic dissection is rare after coronary artery bypass grafting (CABG). It is a potentially fatal complication of cardiac surgery. Reoperation may pose problems with thoracotomy, adhesiolysis, and myocardial protection. No standard treatment guidelines exist for chronic aortic dissection after CABG. We present a case of chronic type A aortic dissection after cardiac surgery, which was successfully treated. CASE REPORT A 65-year-old female patient presented with a medical background of hypertension, type 2 diabetes mellitus, and hyperlipidemia...
April 11, 2024: American Journal of Case Reports
#2
JOURNAL ARTICLE
Faten El Ayech Boudiche, Selim Boudiche, Safia Othmani, Hajer Mehri, Malek Larbi, Ahmed Omar Yaakoub, Leila Bezdah
INTRODUCTION: Despite the demonstrated efficacy of cardiovascular (CV) preventive measures, data from international literature indicate that control of CV risk factors (RF) remains insufficient in very high-risk patients. AIM: This study aimed to assess prevalence of achievement of recommended therapeutic targets for the major and modifiable CVRF 12 months after myocardial infarction (MI). METHODS: From 1st January to 30th April 2023, we collected consecutive patients with type 1 MI who had completed 12 months follow-up...
March 5, 2024: La Tunisie Médicale
#3
REVIEW
Pedro Augusto M Barcellos, Angélica Dall'Agnol, Giovanna M Sandi, Luciana R Remonti, Sandra P Silveiro
The association of hypertension and diabetes mellitus is extremely common, increasing the mortality risk of patients, mainly by cardiovascular causes. Regarding the blood pressure (BP) targets to be achieved, most guidelines suggest levels of 130 mmHg for SBP and of 80 mmHg for DBP. Dietary modifications are quite effective, and many studies suggest that decreasing sodium intake and increasing potassium ingestion are both valuable practices for reducing BP. This can be achieved by stimulating the ingestion of lacteous products, vegetables, and nuts...
April 1, 2024: Journal of Hypertension
#4
JOURNAL ARTICLE
Humberto Rodríguez-Reyes, Enrique Asensio-Lafuente, Jorge E Cossío-Aranda, Gabriela Borrayo-Sánchez, Marco Alcocer-Gamba, Ana Berni-Betancourd, Eva M Picos-Bovio, Carlos F Gallegos-De Luna, César I Laguna-Muñoz, Víctor A Corona-Martínez, Luz M Muñoz-Gutiérrez, Karla M Rodríguez-Muñoz
Atrial fibrillation (AF) is the most prevalent arrhythmia and is related with significant morbidity, mortality and costs. In spite of relevant advances in the prevention of embolic events and rhythm control, little has been done to reduce its prevalence, progression and impact, since it increases with ageing as well as with common risk factors such as alcohol intake, tobacco use and stress as well as with arterial hypertension, diabetes mellitus, heart failure, sleep apnea, kidney failure, chronic pulmonary obstructive disease, ischemic heart disease and stroke, among other important comorbidities...
February 21, 2024: Archivos de Cardiología de México
#5
JOURNAL ARTICLE
Runguo Wu, Claire Williams, Junwen Zhou, Iryna Schlackow, Jonathan Emberson, Christina Reith, Anthony Keech, John Robson, Jane Armitage, Alastair Gray, John Simes, Colin Baigent, Borislava Mihaylova, Jane Armitage, Colin Baigent, Elizabeth Barnes, Lisa Blackwell, Rory Collins, Kelly Davies, Jonathan Emberson, Jordan Fulcher, Heather Halls, William G Herrington, Lisa Holland, Anthony Keech, Adrienne Kirby, Borislava Mihaylova, Rachel O'Connell, David Preiss, Christina Reith, John Simes, Kate Wilson, Michael Blazing, Eugene Braunwald, James de Lemos, Sabina Murphy, Terje R Pedersen, Marc Pfeffer, Harvey White, Stephen Wiviott, Michael Clearfield, John R Downs, Antonio Gotto, Stephen Weis, Bengt Fellström, Hallvard Holdaas, Alan Jardine, Terje R Pedersen, David Gordon, Barry Davis, Curt Furberg, Richard Grimm, Sara Pressel, Jeffrey L Probstfield, Mahboob Rahman, Lara Simpson, Michael Koren, Björn Dahlöf, Ajay Gupta, Neil Poulter, Peter Sever, Hans Wedel, Robert H Knopp, Stuart Cobbe, Bengt Fellström, Hallvard Holdaas, Alan Jardine, Roland Schmieder, Faiez Zannad, D John Betteridge, Helen M Colhoun, Paul N Durrington, John Fuller, Graham A Hitman, Andrew Neil, Eugene Braunwald, Barry Davis, C Morton Hawkins, Lemuel Moyé, Marc Pfeffer, Frank Sacks, John Kjekshus, Hans Wedel, John Wikstrand, Christoph Wanner, Vera Krane, Maria Grazia Franzosi, Roberto Latini, Donata Lucci, Aldo Maggioni, Roberto Marchioli, Enrico B Nicolis, Luigi Tavazzi, Gianni Tognoni, Jackie Bosch, Eva Lonn, Salim Yusuf, Jane Armitage, Louise Bowman, Rory Collins, Anthony Keech, Martin Landray, Sarah Parish, Richard Peto, Peter Sleight, John Jp Kastelein, Terje R Pedersen, Robert Glynn, Antonio Gotto, John Jp Kastelein, Wolfgang Koenig, Jean MacFadyen, Paul M Ridker, Anthony Keech, Stephen MacMahon, Ian Marschner, Andrew Tonkin, John Shaw, John Simes, Harvey White, Patrick W Serruys, Genell Knatterud, Gerard J Blauw, Stuart Cobbe, Ian Ford, Peter Macfarlane, Chris Packard, Naveed Sattar, James Shepherd, Stella Trompet, Eugene Braunwald, Christopher P Cannon, Sabina Murphy, Rory Collins, Jane Armitage, Louise Bowman, Richard Bulbulia, Richard Haynes, Sarah Parish, Richard Peto, Peter Sleight, Pierre Amarenco, K Michael Welch, John Kjekshus, Terje R Pedersen, Lars Wilhelmsen, Philip Barter, Antonio Gotto, John LaRosa, John Jp Kastelein, James Shepherd, Stuart Cobbe, Ian Ford, Sharon Kean, Peter Macfarlane, Chris Packard, Michele Roberston, Naveed Sattar, James Shepherd, Robin Young, Hiroyuki Arashi, Robert Clarke, Marcus Flather, Shinya Goto, Uri Goldbourt, Jemma Hopewell, G Kees Hovingh, George Kitas, Connie Newman, Marc S Sabatine, Gregory G Schwartz, Liam Smeeth, Jonathan Tobert, John Varigos, Junichi Yamamguchi
BACKGROUND: UK cardiovascular disease (CVD) incidence and mortality have declined in recent decades but socioeconomic inequalities persist. AIM: To present a new CVD model, and project health outcomes and the impact of guideline-recommended statin treatment across quintiles of socioeconomic deprivation in the UK. DESIGN AND SETTING: A lifetime microsimulation model was developed using 117 896 participants in 16 statin trials, 501 854 UK Biobank (UKB) participants, and quality-of-life data from national health surveys...
February 19, 2024: British Journal of General Practice
#6
JOURNAL ARTICLE
N A Koziolova, A I Chernyavina, E A Polyanskaya
AIM: To determine predictors for the development of associated clinical conditions (ACC) in patients of working age with cardiovascular risk factors (CVRFs) in the conditions of high compliance with the treatment and healthy lifestyle (HLS). MATERIAL AND METHODS: The study included 364 patients with CVRFs without target organ damage and a history of ACC. Mean age was 42.24±8.08 years. Patients were examined in consistency with the Russian Society of Cardiology (RSC) 2020 guidelines for arterial hypertension and chronic heart failure...
January 31, 2024: Kardiologiia
#7
REVIEW
Milovan Petrović, Tatjana Miljković, Aleksandra Ilić, Mila Kovačević, Milenko Čanković, Dragana Dabović, Anastazija Stojšić Milosavljević, Snežana Čemerlić Maksimović, Milana Jaraković, Dragica Andrić, Miodrag Golubović, Marija Bjelobrk, Snežana Bjelić, Snežana Tadić, Jelena Slankamenac, Svetlana Apostolović, Vladimir Djurović, Aleksandra Milovančev
BACKGROUND: Contemporary management of spontaneous coronary artery dissection (SCAD) is still controversial. This systematic review of the literature aims to explore outcomes in the patients treated with conservative management vs. invasive strategy. METHODS: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed when we extensively searched three electronic databases: PubMed, ScienceDirect, and Web of Science, for studies that compared conservative vs...
2024: Frontiers in Cardiovascular Medicine
#8
JOURNAL ARTICLE
Sandhya Matthes, Johannes Holl, Johannes Randerath, Marcel Treml, Georgios Sofianos, Michael Bockover, Ulrike Oesterlee, Simon Herkenrath, Johannes Knoch, Lars Hagmeyer, Winfried Randerath
BACKGROUND: Our centre followed a stepwise approach in the nonpharmacological treatment of respiratory failure in COVID-19 in accordance with German national guidelines, escalating non-invasive measures before invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). The aim of this study was to analyse this individualized approach to non-pharmacologic therapy in terms of patient characteristics and clinical features that may help predict more severe disease, particularly the need for intensive care...
January 29, 2024: Pneumologie
#9
JOURNAL ARTICLE
Bojan Jelaković, Dražen Perkov, Klara Barišić, Nikolina Bukal, Lana Gellineo, Ana Jelaković, Josipa Josipović, Ingrid Prkačin, Tajana Željković Vrkić, Marijana Živko
Renal denervation (RDN) as a method of treating arterial hypertension (AH) was introduced in Croatia in 2012. A multidisciplinary team and a network of hospitals that diagnose and treat patients with severe forms of AH were established, and a very strict diagnostic-treatment algorithm was prepared. At monthly meetings patients with truly resistant hypertension who were candidates for RDN were discussed. According to the 2021 ESH position statement and 2023 ESH guidelines, RDN is considered an alternative and additional, not a competitive method of treating patients with various forms of AH which must be performed by following a structured procedure and the patient's preference should be considered...
2023: Vascular Health and Risk Management
#10
REVIEW
Varhlunchhungi Varhlunchungi, Mani Kalaivani, Chitralok Hemraj, Sanjeev Gupta, Sumit Malhotra, Nikhil Tandon
Metabolic syndrome (MetS) is a group of metabolic abnormalities that include disturbed glucose metabolism, dyslipidemia, abdominal obesity, and arterial hypertension. Nutritional and lifestyle modifications have increased the risk of cardiometabolic disorders among adolescents. Studies conducted in various parts of India have shown a wide range of prevalence among adolescents aged 10-19 years. The various criteria for defining MetS have led to controversial diagnoses, providing inconsistent findings. Additionally, there is a paucity of national-level estimates on the prevalence of MetS in India...
November 2023: Curēus
#11
JOURNAL ARTICLE
Paweł Muszyński, Elżbieta Pawluczuk, Marta Pasławska, Maciej Kowalczuk, Julia Kozakiewicz, Natalia Sot-Muszyńska, Marcin Kożuch, Sławomir Dobrzycki
(1) Background: Coronary artery disease (CAD) remains the leading cause of death in both sexes. The male sex is considered a classical atherosclerosis risk factor, whereas females should be protected by hormonal effects until menopause. Although there are known differences in the development, type, and prognosis of chronic coronary syndrome (CCS) between both sexes, there are no differences in approach in the guidelines. (2) Methods: The sex-related differences in CAD risk factors, treatment, echocardiographic, and angiographic results were assessed among 3291 patients with CCS...
November 26, 2023: Journal of Clinical Medicine
#12
Claudia Aleman Oliva, Erik Aleman Espino, Michelle Demory Beckler, Marc M Kesselman
Tobacco use, hypertension, diabetes, and hypercholesterolemia are known risk factors for peripheral artery disease (PAD). However, additional causes of PAD, such as radiation therapy, should be considered for the prevention and diagnosis of this disease. The patient described in this report had 36 radiation therapies directly to the pelvis and bladder area due to bladder cancer. The presence of severe PAD on this patient's right external iliac artery, the same area where he received radiation therapy, raises the question of whether radiation therapy contributed to the development of PAD...
October 2023: Curēus
#13
Claire Seydoux, Ould Maouloud Hemett, Daniel Périard, Eric Descombes
Revascularisation of renal arterial stenosis in acute settings, such as uncontrolled arterial hypertension, flash pulmonary oedema and/or acute renal failure, has shown controversial results in observational and prospective studies. Current guidelines do not recommend revascularisation in the occurrence of renal failure as revascularisation and best medical treatment have shown similar long-term outcomes on renal function. We describe a case of acute degradation of the renal function (with oligo-anuria and a peak creatinine of 462 µmol/L) after the re-introduction of an angiotensin-II receptor blocker (irbesartan) in a 66-year-old Caucasian diabetic male patient with bilateral renal stenosis and a right-sided single-functioning kidney, with a rapid improvement of the renal function which normalized 5 days after percutaneous angioplasty and stenting of the right renal artery...
2023: SAGE Open Medical Case Reports
#14
JOURNAL ARTICLE
Rachel D Graven, Ignatius Lee, Jing Ren, Jun Yang, Diana Egerton-Warburton
OBJECTIVES: Primary aldosteronism (PA) is a common but under-diagnosed secondary cause of hypertension. Emergency departments (EDs) often assess patients with severe hypertension or its sequelae, some of whom have underlying PA. We aimed to determine the proportion of patients presenting to the ED with hypertension who meet the Endocrine Society criteria for PA testing, and the proportion who were screened. METHODS: We performed a structured retrospective chart review of adults who presented to three EDs in an Australian tertiary health network between August 2019 and February 2020, with a coded presenting complaint of hypertension...
October 28, 2023: Academic Emergency Medicine
#15
JOURNAL ARTICLE
Laura Maria Craciun, Florina Buleu, Ana Maria Pah, Marius Badalica-Petrescu, Olivia Bodea, Dana Emilia Man, Oana Catalina Cosor, Stela Iurciuc, Simona Dragan, Maria Rada
BACKGROUND AND OBJECTIVES: Secondary prevention after acute coronary syndrome (ACS) is essential to reduce cardiovascular mortality and hospital readmission, ensuring patients return to normal with an improved quality of life. Thus, we investigate the benefits of a comprehensive cardiac rehabilitation (CR) program on lifestyle, risk factors and adherence to guideline-directed medical therapy (GDMT) in patients after ACS and myocardial revascularization through coronary artery by-pass grafting (CABG) or percutaneous coronary intervention (PCI)...
October 21, 2023: Journal of Personalized Medicine
#16
JOURNAL ARTICLE
Carlos Brotons, Miguel Camafort, María Del Mar Castellanos, Albert Clarà, Olga Cortés, Ángel Diaz Rodríguez, Roberto Elosua, Manuel Gorostidi, Antonio M Hernández, María Herranz, Soledad Justo, Carlos Lahoz, Pilar Niño, Vicente Pallarés-Carratalá, Juan Pedro-Botet, Antonio Pérez Pérez, Miguel Ángel Royo-Bordonada, Rafael Santamaría, Ricard Tresserras, Alberto Zamora, Inés Zuza, Pedro Armario
We present the Spanish adaptation of the 2021 European Guidelines on Cardiovascular Disease (CVD) prevention in clinical practice. The current guidelines besides the individual approach greatly emphasize on the importance of population level approaches to the prevention of cardiovascular diseases. Systematic global CVD risk assessment is recommended in individuals with any major vascular risk factor. Regarding LDL-Cholesterol, blood pressure, and glycemic control in patients with diabetes mellitus, goals and targets remain as recommended in previous guidelines...
2023: Nefrología
#17
JOURNAL ARTICLE
Emily de Souza Ferreira, Fernanda de Aguiar Franco, Marina Marilac Dos Santos Lara, André Amaral Levcovitz, Mateus Araújo Dias, Tiago Ricardo Moreira, Ary Henrique Morais de Oliveira, Rosângela Minardi Mitre Cotta
CONTEXT: Arterial Hypertension (AH) and Diabetes Mellitus (DM) are diseases that are getting worse all over the world. Linked to this advance, is the growing digital health market with numerous mobile health applications, which aim to help patients and professionals in the proper management of chronic diseases. The aim of this study was to analyze, through a systematic review and meta-analysis, the effectiveness of using mobile health applications in monitoring AH and/or DM in the adult and elderly population...
August 12, 2023: BMC Health Services Research
#18
REVIEW
Natália Cristina de Oliveira, Pedro Balikian Júnior, Arnaldo Tenório da Cunha Júnior, Edson de Souza Bento, Josealdo Tonholo, Thiago Aquino, Filipe Antonio de Barros Sousa, Gustavo Gomes de Araujo, Maurício Lamano Ferreira
Non-communicable diseases (NCDs) are the major cause of death worldwide and have economic, psychological, and social impacts. Air pollution is the second, contributing to NCDs-related deaths. Metabolomics are a useful diagnostic and prognostic tool for NCDs, as they allow the identification of biomarkers linked to emerging pathologic processes. The aim of the present study was to review the scientific literature on the application of metabolomics profiling in NCDs and to discuss environmental planning actions to assist healthcare systems and public managers based on early metabolic diagnosis...
July 23, 2023: International Journal of Environmental Research and Public Health
#19
JOURNAL ARTICLE
Iness Soltani, Marie-Claude Beaulieu, Maude Sestier, Hao Cheng Shen, Ali Hillani, Alexis Matteau, Samer Mansour, Brian J Potter
BACKGROUND: Adherence to guidelines is associated with better patient outcomes. Although studies show suboptimal adherence to cardiovascular prevention guidelines among general practitioners, adherence among specialist physicians is understudied. The aim of this analysis was to identify practice gaps among cardiologists in a tertiary academic centre. METHODS: We retrospectively audited cardiology outpatient clinic notes taken at the Cardiology Clinic at the Centre hospitalier de l'Université de Montréal (CHUM), from the period January 1, 2019 to February 28, 2019...
July 2023: CJC open
#20
JOURNAL ARTICLE
Salim S Virani, L Kristin Newby, Suzanne V Arnold, Vera Bittner, LaPrincess C Brewer, Susan Halli Demeter, Dave L Dixon, William F Fearon, Beverly Hess, Heather M Johnson, Dhruv S Kazi, Dhaval Kolte, Dharam J Kumbhani, Jim LoFaso, Dhruv Mahtta, Daniel B Mark, Margo Minissian, Ann Marie Navar, Amit R Patel, Mariann R Piano, Fatima Rodriguez, Amy W Talbot, Viviany R Taqueti, Randal J Thomas, Sean van Diepen, Barbara Wiggins, Marlene S Williams
AIM: The "2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease" provides an update to and consolidates new evidence since the "2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease" and the corresponding "2014 ACC/AHA/AATS/PCNA/SCAI/STS Focused Update of the Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease." METHODS: A comprehensive literature search was conducted from September 2021 to May 2022...
August 29, 2023: Journal of the American College of Cardiology
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