keyword
https://read.qxmd.com/read/38537063/impella-as-bridge-to-durable-left-ventricular-assist-device-in-acute-myocardial-infarction-cardiogenic-shock-patients
#1
JOURNAL ARTICLE
Silvia Ajello, Marina Pieri, Sara Dormio, Luca Baldetti, Savino Altizio, Filippo Consolo, Pasquale Nardelli, Alessandro Ortalda, Anna Mara Scandroglio
Implantation of durable left ventricular assist device (LVAD) in cardiogenic shock (CS) patients after acute myocardial infarction (AMI) poses specific challenges (small left ventricular size, acute infarct area, need for antithrombotic therapy, status Interagency Registry for Mechanically Assisted Circulatory Support (INTERMACS) 1 with impaired organ function and derangements in coagulation and inflammatory parameters) which may affect outcomes. We reviewed data of all AMI-CS patients who were implanted LVAD after Impella support at a referral center with the aim to analyze feasibility, timing, and outcomes of durable LVAD implantation after tMCS with Impella due to AMI-CS...
March 28, 2024: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://read.qxmd.com/read/38536534/serial-daily-lactate-levels-association-with-30-day-outcome-in-cardiogenic-shock-patients-treated-with-va-ecmo-a-post-hoc-analysis-of-the-hypo-ecmo-study
#2
JOURNAL ARTICLE
Bruno Levy, Nicolas Girerd, Guillaume Baudry, Kevin Duarte, Samuel Cuau, Jan Bakker, Antoine Kimmoun
BACKGROUND: Reliable predictors of outcomes in venoarterial extracorporeal membrane oxygenation (VA-ECMO) therapy are limited. While elevated lactate levels over time have been linked to outcomes in cardiogenic shock (CS), their significance in VA-ECMO-treated patients remains inconclusive. METHODS: We conducted a post hoc analysis of data from the HYPO-ECMO trial, which compared normothermia to moderate hypothermia in CS patients supported by VA-ECMO. We examined daily lactate levels collected over a week to assess their correlation with 30-day mortality...
March 27, 2024: Annals of Intensive Care
https://read.qxmd.com/read/38533252/the-prescription-trends-and-dosing-appropriateness-analysis-of-novel-oral-anticoagulants-in-ischemic-stroke-patients-a-retrospective-study-of-9-cities-in-china
#3
JOURNAL ARTICLE
Mingfen Wu, Hailun Jiang, Kefu Yu, Zhigang Zhao, Bin Zhu
Background: Novel oral anticoagulants (NOACs) have been recommended by guidelines as the first-line drugs for preventing cardiogenic stroke. We aimed to provide an overview of the prescription trends and dosing appropriateness of NOACs in China. Methods: We conducted a retrospective analysis of NOAC prescriptions using the Hospital Prescription Analysis Cooperation Project data from 2016 to 2022. Various patient features, such as gender, age, city, year, source, department visited, original diagnosis, dosing, cost, and insurance type, were collected and analyzed to examine the trends and dosing appropriateness of NOAC usage in ischemic stroke patients...
2024: Frontiers in Pharmacology
https://read.qxmd.com/read/38531709/palliative-care-in-the-cardiovascular-intensive-care-unit-a-systematic-review-of-current-literature
#4
REVIEW
Agastya D Belur, Aryan Mehta, Mridul Bansal, Patrick M Wieruszewski, Rachna Kataria, Marwan Saad, Annaliese Clancy, Daniel J Levine, Neel R Sodha, Douglas M Burtt, Gregory S Rachu, J Dawn Abbott, Saraschandra Vallabhajosyula
BACKGROUND: There has been an evolution in the disease severity and complexity of patients presenting to the cardiac intensive care unit (CICU). There are limited data evaluating the role of palliative care in contemporary CICU practice. METHODS: PubMed Central, CINAHL, EMBASE, Medline, Cochrane Library, Scopus, and Web of Science databases were evaluated for studies on palliative care in adults (≥18 years) admitted with acute cardiovascular conditions - acute myocardial infarction, cardiogenic shock, cardiac arrest, advanced heart failure, post-cardiac surgery, spontaneous coronary artery dissection, Takotsubo cardiomyopathy, and pulmonary embolism - admitted to the CICU, coronary care unit or cardiovascular intensive care unit from 1/1/2000 to 8/8/2022...
March 24, 2024: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/38531394/integration-of-extracorporeal-membrane-oxygenation-into-the-management-of-high-risk-pulmonary-embolism-an-overview-of-current-evidence
#5
JOURNAL ARTICLE
Romain Chopard, Raquel Morillo, Nicolas Meneveau, David Jiménez
High-risk pulmonary embolism (PE) refers to a large embolic burden causing right ventricular failure and hemodynamic instability. It accounts for approximately 5% of all cases of PE but contributes significantly to overall PE mortality. Systemic thrombolysis is the first-line revascularization therapy in high-risk PE. Surgical embolectomy or catheter-directed therapy is recommended in patients with an absolute contraindication to systemic thrombolysis. Extracorporeal membrane oxygenation (ECMO) provides respiratory and hemodynamic support for the most critically ill PE patients with refractory cardiogenic shock or cardiac arrest...
March 26, 2024: Hämostaseologie
https://read.qxmd.com/read/38530984/correction-to-prognostic-significance-of-haemodynamic-parameters-in-patients-with-cardiogenic-shock
#6
(no author information available yet)
No abstract text is available yet for this article.
March 26, 2024: European Heart Journal. Acute Cardiovascular Care
https://read.qxmd.com/read/38530363/traditional-and-nontraditional-lipid-parameters-in-helicobacter-pylori-infection
#7
JOURNAL ARTICLE
Selcuk Ozturk, Muhammed A Dursun, Tekin Yildirim, Fatih Sargin, Zeynep G Sargin, Zeynep T Ozan
Aims: This study sought to evaluate the relationship between Helicobacter pylori infection and traditional and nontraditional lipid parameters, including atherogenic index of plasma, cardiogenic risk ratio, atherogenic coefficient and remnant cholesterol. Methods: After the application of exclusion criteria, 309 patients were allocated according to the absence (n = 52) or presence (n = 257) of H. pylori infection. Results: Total cholesterol, low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (non-HDL-C) levels were nonsignificantly higher, and HDL-C levels were nonsignificantly lower, in the H...
March 26, 2024: Biomarkers in Medicine
https://read.qxmd.com/read/38529334/stress-hyperglycemia-and-poor-outcomes-in-patients-with-st-elevation-myocardial-infarction-a-systematic-review-and-meta-analysis
#8
Abdul Hakim Alkatiri, Nurul Qalby, Idar Mappangara, Ahmad Taufik F Zainal, Maarten J Cramer, Pieter A Doevendans, Andriany Qanitha
BACKGROUND: Hyperglycemia, characterized by elevated blood glucose levels, is frequently observed in patients with acute coronary syndrome, including ST-elevation myocardial infarction (STEMI). There are conflicting sources regarding the relationship between hyperglycemia and outcomes in STEMI patients. We aimed to compile evidence to assess the association between hyperglycemia and adverse outcomes. METHODS: We conducted a comprehensive search for articles on PubMed and Embase using search strategies which yielded 4,061 articles...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38527430/balloon-aortic-valvuloplasty-with-or-without-percutaneous-coronary-intervention-in-the-tavr-era
#9
JOURNAL ARTICLE
Omar Aldalati, Matthew Jackson, Seth Vijayan, Pyotr Telyuk, Umair Hayat, Shaza Bashir, Sharareh Vahabi, Gemma McCalmont, Mark A de Belder, Douglas Muir, Paul D Williams
Introduction The role of balloon aortic valvuloplasty (BAV) amid the era of transcatheter aortic valve replacement (TAVR) remains a topic of debate. We sought to study the safety and feasibility of combined balloon aortic valvuloplasty and percutaneous coronary intervention (BAV-PCI). Methods Between November 2009 and July 2020, all patients undergoing BAV were identified and divided into three groups: combined BAV-PCI (group A), BAV with significant unrevascularised CAD (group B) and BAV without significant CAD (group C)...
March 25, 2024: Cardiology
https://read.qxmd.com/read/38527130/scrutinizing-the-role-of-venoarterial-extracorporeal-membrane-oxygenation-has-clinical-practice-outpaced-the-evidence
#10
REVIEW
Enzo Lüsebrink, Leonhard Binzenhöfer, Daniel Hering, Laura Villegas Sierra, Benedikt Schrage, Clemens Scherer, Walter S Speidl, Aitor Uribarri, Manel Sabate, Marko Noc, Elena Sandoval, Andrejs Erglis, Federico Pappalardo, Frederic De Roeck, Guido Tavazzi, Jordi Riera, Roberto Roncon-Albuquerque, Benjamin Meder, Peter Luedike, Tienush Rassaf, Jörg Hausleiter, Christian Hagl, Sebastian Zimmer, Dirk Westermann, Alain Combes, Uwe Zeymer, Steffen Massberg, Andreas Schäfer, Martin Orban, Holger Thiele
The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) for temporary mechanical circulatory support in various clinical scenarios has been increasing consistently, despite the lack of sufficient evidence regarding its benefit and safety from adequately powered randomized controlled trials. Although the ARREST trial (Advanced Reperfusion Strategies for Patients with Out-of-Hospital Cardiac Arrest and Refractory Ventricular Fibrillation) and a secondary analysis of the PRAGUE OHCA trial (Prague Out-of-Hospital Cardiac Arrest) provided some evidence in favor of VA-ECMO in the setting of out-of-hospital cardiac arrest, the INCEPTION trial (Early Initiation of Extracorporeal Life Support in Refractory Out-of-Hospital Cardiac Arrest) has not found a relevant improvement of short-term mortality with extracorporeal cardiopulmonary resuscitation...
March 26, 2024: Circulation
https://read.qxmd.com/read/38527077/body-mass-index-and-mortality-in-cardiogenic-shock
#11
JOURNAL ARTICLE
Maya Guglin, Elric Zweck, Manreet Kanwar, Shashank S Sinha, Arvind Bhimaraj, Borui Li, Jacob Abraham, Saraschandra Vallabhajosyula, Jaime Hernandez-Montfort, Rachna Kataria, Daniel Burkhoff, Navin K Kapur
We explored the association of body mass index (BMI) with mortality in cardiogenic shock (CS). Using the Cardiogenic Shock Working Group registry, we assessed the impact of BMI on mortality using restricted cubic splines in a multivariable logistic regression model adjusting for age, gender, and race. We also assessed mortality, device use, and complications in BMI categories, defined as underweight (<18.5 kg/m2), normal (18.5-24.9 kg/m2), overweight (25-29.9 kg/m2), obese (30-39.9 kg/m2), and severely obese (>40 kg/m2) using univariable logistic regression models...
March 25, 2024: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://read.qxmd.com/read/38526749/echocardiography-in-the-recognition-and-management-of-mechanical-complications-of-acute-myocardial-infarction
#12
REVIEW
Robert S Zhang, Richard Ro, Daniel Bamira, Alan Vainrib, Lily Zhang, Ambika C Nayar, Muhamed Saric, Samuel Bernard
PURPOSE OF REVIEW: Although rare, the development of mechanical complications following an acute myocardial infarction is associated with a high morbidity and mortality. Here, we review the clinical features, diagnostic strategy, and treatment options for each of the mechanical complications, with a focus on the role of echocardiography. RECENT FINDINGS: The growth of percutaneous structural interventions worldwide has given rise to new non-surgical options for management of mechanical complications...
March 25, 2024: Current Cardiology Reports
https://read.qxmd.com/read/38524063/fulminant-myocarditis-and-venoarterial-extracorporeal-membrane-oxygenation-a-systematic-review
#13
REVIEW
Spencer E Briglio, Viraj Khanduja, Justin D Lothan, Vasavi Rakesh Gorantla
This systematic review aimed to look at the effectiveness of venoarterial extracorporeal membrane oxygenation (VA-ECMO) therapy in treating fulminant myocarditis and evaluating the optimal length of time a patient should be placed on VA-ECMO. Fulminant myocarditis is a potentially life-threatening medical condition most commonly brought on by cardiogenic shock, which often progresses to severe circulatory compromise, requiring the patient to be placed on some form of mechanical circulatory assistance to maintain adequate tissue perfusion...
February 2024: Curēus
https://read.qxmd.com/read/38523997/atrioventricular-synchrony-restoration-aided-by-a-temporary-permanent-pacemaker-in-right-ventricular-infarction-and-complete-heart-block
#14
Mahati Dasari, Akil Sherif, Pramukh Arun Kumar, Pradnya Brijmohan Bhattad, Zeynep Yukselen, Ajay K Mishra, Luigi Pacifico, Eddison Ramsaran
Pacemakers are effective treatments for a variety of bradyarrhythmias. Cardiac pacemakers generally consist of a pulse generator and one or more leads. The conventional temporary transvenous ventricular cardiac pacemaker utilizing a passive fixation lead is commonly associated with multiple complications such as increased infection rate, lead dislodgement, venous thrombosis, longer duration of hospital stay, and atrioventricular (AV) dyssynchrony. On the other hand, temporary permanent pacemakers (TPPM) utilize active fixation leads; hence, they provide lower capture thresholds, reliable pacing, lower rates of displacement, and fewer pacemaker-related infections...
February 2024: Curēus
https://read.qxmd.com/read/38523340/lymphocytic-myocarditis-with-increased-left-ventricular-thickness-a-rare-presentation-mimicking-cardiac-amyloidosis
#15
JOURNAL ARTICLE
Xueting Duan, Liangzhen Qu, Han Chen
BACKGROUND Lymphocytic myocarditis is an inflammatory condition of the heart that may present with a wide spectrum of symptoms and signs, ranging from asymptomatic to life-threatening cardiogenic shock and ventricular arrhythmia. Lymphocytic myocarditis usually presents as chamber dilation. However, increased left ventricular thickness is relatively rare. We present a case of lymphocytic myocarditis with increased left ventricular thickness which mimics the presentation of cardiac amyloidosis. CASE REPORT An 80-year-old Chinese man presented to the emergency room due to recurrent chest tightness...
March 25, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38523296/association-between-intensive-care-unit-nursing-grade-and-mortality-in-patients-with-cardiogenic-shock-and-its-cost-effectiveness
#16
JOURNAL ARTICLE
Ki Hong Choi, Danbee Kang, Jin Lee, Hyejeong Park, Taek Kyu Park, Joo Myung Lee, Young Bin Song, Joo-Yong Hahn, Seung-Hyuk Choi, Hyeon-Cheol Gwon, Juhee Cho, Jeong Hoon Yang
BACKGROUND: Despite the high workload of cardiac intensive care unit (ICU), there is a paucity of evidence on the association between nurse workforce and mortality in patients with cardiogenic shock (CS). This study aimed to evaluate the prognostic impact of the ICU nursing grade on mortality and cost-effectiveness in CS. METHODS: A nationwide analysis was performed using the K-NHIS database. Patients diagnosed with CS and admitted to the ICU at tertiary hospitals were enrolled...
March 25, 2024: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/38521937/hemorrhagic-pericardial-tamponade-in-a-hemodialysis-patient-with-catheter-related-superior-vena-cava-syndrome-a-case-report
#17
JOURNAL ARTICLE
Xiaohong Zhao, Kang Wang
BACKGROUND: Iatrogenic complications of endovascular treatment for central venous stenosis have not yet been reported. Here we present a case of a patient on maintenance hemodialysis who developed catheter-related superior vena cava syndrome and subsequently suffered from hemorrhagic pericardial tamponade after undergoing percutaneous transluminal angioplasty and stenting. CASE PRESENTATION: A 72-year-old male patient presented with uremia, and had been receiving maintenance hemodialysis for the past five years...
March 23, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38518863/hemodynamic-management-of-cardiogenic-shock-in-the-intensive-care-unit
#18
REVIEW
Hoong Sern Lim, José González-Costello, Jan Belohlavek, Elric Zweck, Vanessa Blumer, Benedikt Schrage, Thomas C Hanff
Hemodynamic derangements are defining features of cardiogenic shock. Randomized clinical trials have examined the efficacy of various therapeutic interventions, from percutaneous coronary intervention to inotropes and mechanical circulatory support (MCS). However, hemodynamic management in cardiogenic shock has not been well-studied. This State-of-the-Art review will provide a framework for hemodynamic management in cardiogenic shock, including a description of the four therapeutic phases from initial 'Rescue' to 'Optimization', 'Stabilization' and 'de-Escalation or Exit therapy' (R-O-S-E), phenotyping and phenotype-guided tailoring of pharmacological and MCS support, to achieve hemodynamic and therapeutic goals...
March 20, 2024: Journal of Heart and Lung Transplantation
https://read.qxmd.com/read/38518758/development-and-external-validation-of-a-dynamic-risk-score-for-early-prediction-of-cardiogenic-shock-in-cardiac-intensive-care-units-using-machine-learning
#19
JOURNAL ARTICLE
Yuxuan Hu, Albert Lui, Mark Goldstein, Mukund Sudarshan, Andrea Tinsay, Cindy Tsui, Samuel D Maidman, John Medamana, Neil Jethani, Aahlad Puli, Vuthy Nguy, Yindalon Aphinyanaphongs, Nicholas Kiefer, Nathaniel R Smilowitz, James Horowitz, Tania Ahuja, Glenn I Fishman, Judith Hochman, Stuart Katz, Samuel Bernard, Rajesh Ranganath
BACKGROUND: Myocardial infarction and heart failure are major cardiovascular diseases that affect millions of people in the US with the morbidity and mortality being highest among patients who develop cardiogenic shock. Early recognition of cardiogenic shock allows prompt implementation of treatment measures. Our objective is to develop a new dynamic risk score, called CShock, to improve early detection of cardiogenic shock in cardiac intensive care unit (ICU). METHODS: We developed and externally validated a deep learning-based risk stratification tool, called CShock, for patients admitted into the cardiac ICU with acute decompensated heart failure and/or myocardial infarction to predict onset of cardiogenic shock...
March 22, 2024: European Heart Journal. Acute Cardiovascular Care
https://read.qxmd.com/read/38518148/retrospective-analysis-of-advanced-heart-failure-and-or-cardiogenic-shock-in-patients-with-aortic-valve-stenosis-treated-by-transcatheter-aortic-valve-replacement-and-a-nomogram-model-construction
#20
JOURNAL ARTICLE
Jinghui An, Hang Zhang, Xueda Wu, Hanlin Ren, Chengwei Wang, Huajun Wang, Su Liu
OBJECTIVE: Currently, there is little information about the risk of sudden cardiac death and its predictors in aortic valve stenosis patients after transcatheter aortic valve replacement (TAVR). Therefore, we conducted a large sample cohort study on TAVR patients to evaluate the predictive factors and incidence of heart failure death caused by advanced heart failure (AHF) and sudden cardiac death. Furthermore, a nomogram model to predict its risk was constructed. METHODS: This study retrospectively analyzed the data of 241 consecutive participants who had received TAVR treatment for aortic valve stenosis in our hospital from January 2020 to January 2022...
March 22, 2024: Alternative Therapies in Health and Medicine
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