Natalia Buda, Elena Segura-Grau, Jolanta Cylwik, Marcin Wełnicki
COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and spreading worldwide has become a serious challenge for the entire health care system as regards infection prevention, rapid diagnosis, and treatment. Lung ultrasound (LUS) is a dynamically developing diagnostic method used in intensive care, cardiology and nephrology, it can also be helpful in diagnosing and monitoring pneumonia. Interstitial pneumonia appears to be the most common clinical manifestation of coronavirus infection...
June 25, 2020: Advances in Medical Sciences
Ilenia Alessandra Di Liberto, Gerlando Pilato, Salvatore Geraci, Diego Milazzo, Giovanni Vaccaro, Sergio Buccheri, Giuseppe Caramanno
: The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 (SARS-CoV2) has resulted in a new and lethal disease named coronavirus disease 2019 (COVID-19). The prevalence of COVID-19 has posed a great threat to people's health worldwide and many people who need cardiovascular care were afraid of hospital admission, also in geographic areas with a few number of cases. This document shows how the pandemic is impacting hospital admission and the care of ST-elevation myocardial infarction patients...
July 10, 2020: Journal of Cardiovascular Medicine
B D Beyers, A F Doubell, B Griffiths, T Jalavu
BACKGROUND: ST-segment elevation myocardial infarction (STEMI) is one of the main contributors to morbidity and mortality in South Africa (SA). Timeous intervention by means of percutaneous coronary intervention (PCI) or fibrinolysis can significantly improve the outcome of STEMI. OBJECTIVES: To determine the median time interval between diagnosis and fibrinolysis in patients presenting to centres within the drainage area of Tygerberg Hospital, Cape Town, SA, and compare it with the European Society of Cardiology (ESC) recommendation of 10 minutes...
March 30, 2020: South African Medical Journal
Devyani Chowdhury, Kyle D Hope, Lindsay C Arthur, Sharon M Weinberger, Christina Ronai, Jonathan N Johnson, Christopher S Snyder
Due to the COVID-19 pandemic, there has been an increased interest in telehealth as a means of providing care for children by a pediatric cardiologist. In this article, we provide an overview of telehealth utilization as an extension of current pediatric cardiology practices and provide some insight into the rapid shift made to quickly implement these telehealth services into our everyday practices due to COVID-19 personal distancing requirements. Our panel will review helpful tips into the selection of appropriate patient populations and specific cardiac diagnoses for telehealth that put patient and family safety concerns first...
July 12, 2020: Pediatric Cardiology
John T Kulesa, Sheri L Balsara, Emanuel T Ghebremariam, Jessica Colyer
Background: Patient transitions create vulnerability for care teams. Failures in the handoff process result in communication errors and knowledge gaps, mainly when the handoff occurs between resident and expert-level subspecialty clinicians. The authors set out to develop a standardized handoff using resident comfort as a proxy for implementation. The primary measurable aim of this study was to increase the percentage of pediatric residents who self-reported comfort in assuming care of patients transitioned from the cardiac intensive care unit to the cardiology acute care unit...
May 2020: Pediatric quality & safety
Aldo Javier Vázquez Mézquita, Michelle Claire Williams, Rafael Choza Chenhalls, Nancy Berenice Guzmán Martínez, Ana Patricia Chischistz Condey, Maria José Acosta Falomir, Marco Antonio Téliz Meneses, María Nayeli Vázquez Sánchez
Objectives: To establish tailored preventive treatment, we studied the ability of coronary artery calcium scoring to reclassify patients with intermediate cardiovascular risk and its association with additional risk factors in our Mexican preventive care center. Materials and methods: In this retrospective cohort study, we analyzed 520 asymptomatic patients from a Mexican primary prevention population between 2014 and 2018. Coronary artery calcium scoring, laboratory results, and anthropometric measurements (abdominal circumference and body mass index) were assessed...
2020: SAGE Open Medicine
Ziad Arabi, Abdulrahman Theaby, Abdulrazak Sibai, Muhammad A Bukhari, M Samir Al Chaghouri, Mouaz Al-Mallah, Wael Ohali, Khalid Abdullah, Hatim Kheirallah, Hasan Eid, Haitham Rojolah, Maryam Qaseer, Khalid Hamawi, Murtada Halim
Screening for cardiovascular (CV) disease before transplant is common. However, the clinical utility of screening asymptomatic transplant candidates remains unclear. There is a large degree of variation among the practices of the different transplant centers in the Kingdom of Saudi Arabia (KSA) and among the international guidelines. Opinions are mostly based on mixed observational data with a great potential for bias. When compared to the Western countries, renal-transplant candidates in the KSA are likely to have longer dialysis vintage, higher prevalence of catheter use, higher rate of uncontrolled hyperparathyroidism, and high prevalence of diabetes...
May 2020: Saudi Journal of Kidney Diseases and Transplantation
Shermeen Sheikh, Mikin V Patel, Yaerin Song, Rakesh Navuluri, Steven Zangan, Osman Ahmed
OBJECTIVE: To understand social media growth in both diagnostic and interventional radiology compared to other related specialties by quantifying and comparing hashtag utilization at annual medical conferences. METHODS: Official annual conference hashtags for Society of Interventional Radiology (SIR), American College of Radiology (ACR), Radiological Society of North America, American College of Cardiology, American Heart Association, and American Society of Clinical Oncology were analyzed from 2015 to 2019, along with the IR hashtag #IRad...
June 27, 2020: Current Problems in Diagnostic Radiology
Mads Barloese, Mohammadnavid Chitgar, Jens Hannibal, Søren Møller
Pituitary adenylate cyclase-activating peptide (PACAP) is a ubiquitous neuropeptide with diverse functions throughout the organism. Most abundantly investigated for its role in several neurological disorders as well as in circadian rhythms, other fields of medicine, including cardiology, have recently shown interest in the role of PACAP and its potential as a biomarker. Timely diagnosis and treatment of cirrhosis and its complications is a considerable challenge for health services world-wide and development of new areas of research is warranted...
July 12, 2020: Liver International: Official Journal of the International Association for the Study of the Liver
Monika Gawałko, Monika Budnik, Beata Uziębło-Życzkowska, Paweł Krzesiński, Piotr Scisło, Janusz Kochanowski, Agnieszka Jurek, Marek Kiliszek, Grzegorz Gielerak, Krzysztof J Filipiak, Grzegorz Opolski, Agnieszka Kapłon-Cieślicka
INTRODUCTION: Decreased left atrial appendage emptying velocity (LAAV) is a known predictor of LAA thrombus in atrial fibrillation (AF). The aim of our study was to identify which of the clinical risk factors for LAA thrombus are associated with decreased LAAV. METHODS: The study included 1476 consecutive AF patients who underwent transesophageal echocardiography (TEE) before AF direct current cardioversion or ablation in two high-reference cardiology departments...
July 12, 2020: International Journal of Clinical Practice
A Pérez-Crespo, C Gutiérrez-Ortiz
CASE REPORT: A 34 year-old woman presented with decrease in visual acuity in her right eye (RE). Her past medical history was unremarkable. Dilated fundus examination revealed a central venous occlusion and an obstruction of the cilioretinal artery. Given the patient age, a cardiology and haematology screen were obtained to rule out hypercoagulation disorders and thromboembolic disease. Antiplatelet, anticoagulant, and corticosteroid therapy were started. The laboratory result was positive for anticardiolipin and antiphospholipid antibody...
July 8, 2020: Archivos de la Sociedad Española de Oftalmología
Phillip S Naimo, Douglas Bell, Tyson A Fricke, Yves d'Udekem, Christian P Brizard, Nelson Alphonso, Igor E Konstantinov
OBJECTIVE: To examine the long-term surgical outcomes of patients who underwent truncus arteriosus (TA) repair. METHODS: Between 1979 and 2018, a total of 255 patients underwent TA repair at 3 Australian hospitals. Data were obtained by review of medical records from initial admission until last cardiology follow-up. RESULTS: At the time of TA repair, the median patient age was 44 days, and median weight was 3.5 kg. Early mortality was 13...
May 15, 2020: Journal of Thoracic and Cardiovascular Surgery
Haojia Chen, Youren Chen, Weiqiang Wu, Zekai Chen, Zefeng Cai, Zhichao Chen, Xiuzhu Yan, Shouling Wu
BACKGROUND: Hyperlipidemia is associated with arterial stiffness. Herein, We examined the effect of prolonged exposure to hyperlipidemia on the risk of arterial stiffness in young adults. METHODS: A study cohort (35-55 years old) that received health check-ups in the Kailuan study (2014-2016) were assessed. Hyperlipidemia was defined as a low-density lipoprotein cholesterol ≥160 mg/dL according to the Chinese Guidelines for the Management of Dyslipidemia in Adults...
July 11, 2020: BMC Public Health
Cheng-Hui Fan, Ying Hao, Yong-Hua Liu, Xiao-Lin Li, Zhen-Hao Huang, Yu Luo, Rui-Lin Li
BACKGROUND: Coronary artery ectasia (CAE) is an angiographic finding of abnormal coronary dilatation. Inflammation plays a major role in all phases of atherosclerosis. We investigated the relationship between CAE and serum high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6) levels to test our hypothesis that patient age is associated with the efficacy of anti-inflammatory therapy for CAE. METHODS: We conducted a prospective analysis of 217 patients with CAE treated at the Department of Cardiology, Shanghai East Hospital, Ji'an Campus and the Baoshan People's Hospital, from January 1, 2015 to July 30, 2019...
July 11, 2020: BMC Cardiovascular Disorders
Anand Kumar Mishra, Vivek Jaswal, Reuben Lamiaki Kynta, Vidur Bansal, Vikas Kumar, Rana Sandip Singh
The association of atretic right superior vena cava with persistent left superior vena cava draining directly into left atrium with absent coronary sinus in atrioventricular canal defect is virtually unknown in adults with no case reported so far. Though atretic right superior vena cava with persistent left superior vena cava is an extremely rare venous anomaly seen in congenital heart disease, it has important clinical implications in cardiac surgery and interventional cardiology. Atrial arrhythmias and right bundle branch block are common with advancing age in partial atrioventricualr canal defect but complete heart block has scarcely been reported in the medical literature...
July 11, 2020: Journal of Cardiac Surgery
H Benhar, A Idri, J L Fernández-Alemán
CONTEXT: Early detection of heart disease is an important challenge since 17.3 million people yearly lose their lives due to heart diseases. Besides, any error in diagnosis of cardiac disease can be dangerous and risks an individual's life. Accurate diagnosis is therefore critical in cardiology. Data Mining (DM) classification techniques have been used to diagnosis heart diseases but still limited by some challenges of data quality such as inconsistencies, noise, missing data, outliers, high dimensionality and imbalanced data...
July 3, 2020: Computer Methods and Programs in Biomedicine
Michel Zeitouni, Pierre Sabouret, Mathieu Kerneis, Johanne Silvain, Jean-Philippe Collet, Eric Bruckert, Gilles Montalescot
In 2019, the European Society of Cardiology and European Atherosclerosis Society released a new guideline document with substantial changes regarding the assessment of cardiovascular risk and treatments. The update of high-risk criteria and categories led to a better detection and primary prevention of patients at risk of a first cardiovascular event. Nonetheless, additional efforts are needed for a better inclusion of risk modifiers, especially specific to women, to improve risk stratification and direct primary prevention...
July 11, 2020: European Heart Journal. Cardiovascular Pharmacotherapy
Lindsay E Davis, Elizabeth K Pogge
INTRODUCTION: Proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i) are proven to have profound lowering of low-density lipoprotein cholesterol (LDL-C) in patients with clinical atherosclerotic cardiovascular disease or familial hypercholesterolemia. AIM: The primary purpose of this study was to evaluate PCSK9i utilization in older adults, with a focus on efficacy outcomes within 6 months of initiation. Secondary outcomes included tolerability, out-of-pocket expenses (OPE), and barriers to initiation of therapy...
July 10, 2020: High Blood Pressure & Cardiovascular Prevention: the Official Journal of the Italian Society of Hypertension
Marco Mazzoli, Alessandra Ariatti, Giancarlo Garuti, Virginia Agnoletto, Riccardo Fantini, Alessandro Marchioni, Giuliana Galassi
We studied 33 patients affected by juvenile and adult myotonic dystrophy type 1 (DM1). The aim of the study was to assess clinical and laboratory parameters that could predict the requirement of noninvasive ventilation (NIV) in DM1. Secondary outcome was to assess the interplay between genetic profile, muscle impairment severity and presence of cardiac comorbidities.Patients with genetic diagnosis of DM1 were recruited. An abnormal trinucleotide repeat (CTG) expansion of dystrophy protein kinase gene (DMPK) on chromosome 19q13...
July 10, 2020: Acta Neurologica Belgica
Ethan J Rowin, Aadhavi Sridharan, Christopher Madias, Chris Firely, Benjamin Koethe, Mark S Link, Martin S Maron, Barry J Maron
Highly reliable identification of adults with hypertrophic cardiomyopathy (HC) at risk for sudden death (SD) has been reported. A significant controversy remains, however, regarding the most reliable risk stratification methodology for children and adolescents with HC. The present study assesses the accuracy of SD prediction and prevention with prophylactic implantable cardioverter-defibrillators (ICDs) in young HC patients. The study group is comprised of 146 HC patients <20 years of age evaluated consecutively over 17 years with prospective risk stratification and ICD decision-making...
August 1, 2020: American Journal of Cardiology
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