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JOURNAL ARTICLE
Filippo Crea
No abstract text is available yet for this article.
October 12, 2023: European Heart Journal
#2
REVIEW
Jun Takahashi, Sho Onuma, Kiyotaka Hao, Shigeo Godo, Takashi Shiroto, Satoshi Yasuda
Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a heterogeneous and diverse disease entity, which accounts for about 6 % of all acute myocardial infarction (AMI) cases. In patients with chest pain and acute myocardial injury detected by a highly sensitive troponin assay, the absence of epicardial coronary stenosis of 50 % or greater on angiography leads to the working diagnosis of MINOCA. The updated JCS/CVIT/JCC 2023 Guideline described MINOCA as a new disease concept and recommended a multimodality approach to uncovering the underlying causes of MINOCA...
January 2024: Journal of Cardiology
#3
JOURNAL ARTICLE
Sheldon Magder, Douglas Slobod, Nawaporn Assanangkornchai
Right ventricular (RV) dysfunction is a commonly considered cause of low cardiac output in critically ill patients. Its management can be difficult and requires an understanding of how the RV limits cardiac output. We explain that RV stroke output is caught between the passive elastance of the RV walls during diastolic filling and the active elastance produced by the RV in systole. These two elastances limit RV filling and stroke volume and consequently limit left ventricular stroke volume. We emphasize the use of the term "RV limitation" and argue that limitation of RV filling is the primary pathophysiological process by which the RV causes hemodynamic instability...
March 15, 2023: American Journal of Respiratory and Critical Care Medicine
#4
JOURNAL ARTICLE
Matt Wilkinson-Stokes, Jason Betson, Simon Sawyer
BACKGROUND: The current guidelines of the American Heart Association (AHA) and European Society of Cardiology (ESC) recommend that when right ventricular myocardial infarction (RVMI) is present patients are not administered nitrates, due to the risk that decreasing preload in the setting of already compromised right ventricular ejection fraction may reduce cardiac output and precipitate hypotension. The cohort study (n=40) underlying this recommendation was recently challenged by new studies suitable for meta-analysis (cumulatively, n=1050), suggesting that this topic merits systematic review...
February 2023: Emergency Medicine Journal: EMJ
#5
REVIEW
Deepak L Bhatt, Renato D Lopes, Robert A Harrington
IMPORTANCE: Acute coronary syndromes (ACS) are characterized by a sudden reduction in blood supply to the heart and include ST-segment elevation myocardial infarction (STEMI), non-STEMI (NSTEMI), and unstable angina. Each year, an estimated more than 7 million people in the world are diagnosed with ACS, including more than 1 million patients hospitalized in the US. OBSERVATIONS: Chest discomfort at rest is the most common presenting symptom of ACS and affects approximately 79% of men and 74% of women presenting with ACS, although approximately 40% of men and 48% of women present with nonspecific symptoms, such as dyspnea, either in isolation or, more commonly, in combination with chest pain...
February 15, 2022: JAMA
#6
JOURNAL ARTICLE
Laurie Robichaud, Dave Ross, Marie-Hélène Proulx, Sébastien Légaré, Charlene Vacon, Xiaoqing Xue, Eli Segal
Patients with inferior ST elevation myocardial infarction (STEMI), associated with right ventricular infarction, are thought to be at higher risk of developing hypotension when administered nitroglycerin (NTG). However, current basic life support (BLS) protocols do not differentiate location of STEMI prior to NTG administration. We sought to determine if NTG administration is more likely to be associated with hypotension (systolic blood pressure < 90 mmHg) in inferior STEMI compared to non-inferior STEMI...
2016: Prehospital Emergency Care
#7
JOURNAL ARTICLE
Fernando Botto, Pablo Alonso-Coello, Matthew T V Chan, Juan Carlos Villar, Denis Xavier, Sadeesh Srinathan, Gordon Guyatt, Patricia Cruz, Michelle Graham, C Y Wang, Otavio Berwanger, Rupert M Pearse, Bruce M Biccard, Valsa Abraham, German Malaga, Graham S Hillis, Reitze N Rodseth, Deborah Cook, Carisi A Polanczyk, Wojciech Szczeklik, Daniel I Sessler, Tej Sheth, Gareth L Ackland, Martin Leuwer, Amit X Garg, Yannick Lemanach, Shirley Pettit, Diane Heels-Ansdell, Giovanna Luratibuse, Michael Walsh, Robert Sapsford, Holger J Schünemann, Andrea Kurz, Sabu Thomas, Marko Mrkobrada, Lehana Thabane, Hertzel Gerstein, Pilar Paniagua, Peter Nagele, Parminder Raina, Salim Yusuf, P J Devereaux, P J Devereaux, Daniel I Sessler, Michael Walsh, Gordon Guyatt, Matthew J McQueen, Mohit Bhandari, Deborah Cook, Jackie Bosch, Norman Buckley, Salim Yusuf, Clara K Chow, Graham S Hillis, Richard Halliwell, Stephen Li, Vincent W Lee, John Mooney, Carisi A Polanczyk, Mariana V Furtado, Otavio Berwanger, Erica Suzumura, Eliana Santucci, Katia Leite, Jose Amalth do Espirirto Santo, Cesar A P Jardim, Alexandre Biasi Cavalcanti, Helio Penna Guimaraes, Michael J Jacka, Michelle Graham, Finlay McAlister, Sean McMurtry, Derek Townsend, Neesh Pannu, Sean Bagshaw, Amal Bessissow, Mohit Bhandari, Emmanuelle Duceppe, John Eikelboom, Javier Ganame, James Hankinson, Stephen Hill, Sanjit Jolly, Andre Lamy, Elizabeth Ling, Patrick Magloire, Guillaume Pare, Deven Reddy, David Szalay, Jacques Tittley, Jeff Weitz, Richard Whitlock, Saeed Darvish-Kazim, Justin Debeer, Peter Kavsak, Clive Kearon, Richard Mizera, Martin O'Donnell, Matthew McQueen, Jehonathan Pinthus, Sebastian Ribas, Marko Simunovic, Vikas Tandon, Tomas Vanhelder, Mitchell Winemaker, Hertzel Gerstein, Sarah McDonald, Paul O'Bryne, Ameen Patel, James Paul, Zubin Punthakee, Karen Raymer, Omid Salehian, Fred Spencer, Stephen Walter, Andrew Worster, Anthony Adili, Catherine Clase, Deborah Cook, Mark Crowther, James Douketis, Azim Gangji, Paul Jackson, Wendy Lim, Peter Lovrics, Sergio Mazzadi, William Orovan, Jill Rudkowski, Mark Soth, Maria Tiboni, Rey Acedillo, Amit Garg, Ainslie Hildebrand, Ngan Lam, Danielle Macneil, Marko Mrkobrada, Pavel S Roshanov, Sadeesh K Srinathan, Clare Ramsey, Philip St John, Laurel Thorlacius, Faisal S Siddiqui, Hilary P Grocott, Andrew McKay, Trevor W R Lee, Ryan Amadeo, Duane Funk, Heather McDonald, James Zacharias, Juan Carlos Villar, Olga Lucía Cortés, Maria Stella Chaparro, Skarlett Vásquez, Alvaro Castañeda, Silvia Ferreira, Pierre Coriat, Denis Monneret, Jean Pierre Goarin, Cristina Ibanez Esteve, Catherine Royer, Georges Daas, Matthew T V Chan, Gordon Y S Choi, Tony Gin, Lydia C W Lit, Denis Xavier, Alben Sigamani, Atiya Faruqui, Radhika Dhanpal, Smitha Almeida, Joseph Cherian, Sultana Furruqh, Valsa Abraham, Lalita Afzal, Preetha George, Shaveta Mala, Holger Schünemann, Paola Muti, Enrico Vizza, C Y Wang, G S Y Ong, Marzida Mansor, Alvin S B Tan, Ina I Shariffuddin, V Vasanthan, N H M Hashim, A Wahab Undok, Ushananthini Ki, Hou Yee Lai, Wan Azman Ahmad, Azad H A Razack, German Malaga, Vanessa Valderrama-Victoria, Javier D Loza-Herrera, Maria De Los Angeles Lazo, Aida Rotta-Rotta, Wojciech Szczeklik, Barbara Sokolowska, Jacek Musial, Jacek Gorka, Pawel Iwaszczuk, Mateusz Kozka, Maciej Chwala, Marcin Raczek, Tomasz Mrowiecki, Bogusz Kaczmarek, Bruce Biccard, Hussein Cassimjee, Dean Gopalan, Theroshnie Kisten, Aine Mugabi, Prebashini Naidoo, Rubeshan Naidoo, Reitze Rodseth, David Skinner, Alex Torborg, Pilar Paniagua, Gerard Urrutia, Mari Luz Maestre, Miquel Santaló, Raúl Gonzalez, Adrià Font, Cecilia Martínez, Xavier Pelaez, Marta De Antonio, Jose Marcial Villamor, Jesús Alvarez García, Maria José Ferré, Ekaterina Popova, Pablo Alonso-Coello, Ignacio Garutti, Patricia Cruz, Carmen Fernández, Maria Palencia, Susana Díaz, Teresa Del Castillo, Alberto Varela, Angeles de Miguel, Manuel Muñoz, Patricia Piñeiro, Gabriel Cusati, Maria Del Barrio, Maria José Membrillo, David Orozco, Fidel Reyes, Robert J Sapsford, Julian Barth, Julian Scott, Alistair Hall, Simon Howell, Michaela Lobley, Janet Woods, Susannah Howard, Joanne Fletcher, Nikki Dewhirst, C Williams, A Rushton, I Welters, M Leuwer, Rupert Pearse, Gareth Ackland, Ahsun Khan, Edyta Niebrzegowska, Sally Benton, Andrew Wragg, Andrew Archbold, Amanda Smith, Eleanor McAlees, Cheryl Ramballi, Neil Macdonald, Marta Januszewska, Robert Stephens, Anna Reyes, Laura Gallego Paredes, Pervez Sultan, David Cain, John Whittle, Ana Gutierrez Del Arroyo, Daniel I Sessler, Andrea Kurz, Zhuo Sun, Patrick S Finnegan, Cameron Egan, Hooman Honar, Aram Shahinyan, Krit Panjasawatwong, Alexander Y Fu, Sihe Wang, Edmunds Reineks, Peter Nagele, Jane Blood, Megan Kalin, David Gibson, Troy Wildes
BACKGROUND: Myocardial injury after noncardiac surgery (MINS) was defined as prognostically relevant myocardial injury due to ischemia that occurs during or within 30 days after noncardiac surgery. The study's four objectives were to determine the diagnostic criteria, characteristics, predictors, and 30-day outcomes of MINS. METHODS: In this international, prospective cohort study of 15,065 patients aged 45 yr or older who underwent in-patient noncardiac surgery, troponin T was measured during the first 3 postoperative days...
March 2014: Anesthesiology
#8
REVIEW
Kurt Ruetzler, Nathaniel R Smilowitz, Jeffrey S Berger, P J Devereaux, Bradley A Maron, L Kristin Newby, Vinicio de Jesus Perez, Daniel I Sessler, Duminda N Wijeysundera
Myocardial injury after noncardiac surgery is defined by elevated postoperative cardiac troponin concentrations that exceed the 99th percentile of the upper reference limit of the assay and are attributable to a presumed ischemic mechanism, with or without concomitant symptoms or signs. Myocardial injury after noncardiac surgery occurs in ≈20% of patients who have major inpatient surgery, and most are asymptomatic. Myocardial injury after noncardiac surgery is independently and strongly associated with both short-term and long-term mortality, even in the absence of clinical symptoms, electrocardiographic changes, or imaging evidence of myocardial ischemia consistent with myocardial infarction...
November 9, 2021: Circulation
#9
REVIEW
Joyce N Njoroge, John R Teerlink
Acute decompensated heart failure (ADHF) is one of the leading admission diagnoses worldwide, yet it is an entity with incompletely understood pathophysiology and limited therapeutic options. Patients admitted for ADHF have high in-hospital morbidity and mortality, as well as frequent rehospitalizations and subsequent cardiovascular death. This devastating clinical course is partly due to suboptimal medical management of ADHF with persistent congestion upon hospital discharge and inadequate predischarge initiation of life-saving guideline-directed therapies...
May 14, 2021: Circulation Research
#10
RANDOMIZED CONTROLLED TRIAL
Robin Hofmann, Stefan K James, Tomas Jernberg, Bertil Lindahl, David Erlinge, Nils Witt, Gabriel Arefalk, Mats Frick, Joakim Alfredsson, Lennart Nilsson, Annica Ravn-Fischer, Elmir Omerovic, Thomas Kellerth, David Sparv, Ulf Ekelund, Rickard Linder, Mattias Ekström, Jörg Lauermann, Urban Haaga, John Pernow, Ollie Östlund, Johan Herlitz, Leif Svensson
BACKGROUND: The clinical effect of routine oxygen therapy in patients with suspected acute myocardial infarction who do not have hypoxemia at baseline is uncertain. METHODS: In this registry-based randomized clinical trial, we used nationwide Swedish registries for patient enrollment and data collection. Patients with suspected myocardial infarction and an oxygen saturation of 90% or higher were randomly assigned to receive either supplemental oxygen (6 liters per minute for 6 to 12 hours, delivered through an open face mask) or ambient air...
September 28, 2017: New England Journal of Medicine
#11
REVIEW
Eftihia Polyzogopoulou, Angelos Arfaras-Melainis, Vasiliki Bistola, John Parissis
PURPOSE OF REVIEW: Cardiogenic shock is a multifactorial and diverse entity in which inotropes are the cornerstone therapy. Although published clinical trials have focused on pharmacologic treatment of cardiogenic shock, there is lack of an established and widely accepted decision-making algorithm on the use of inotropic agents in cardiogenic shock. RECENT FINDINGS: The current review incorporates cardiogenic shock pathophysiology, inotropes and vasopressors pharmacodynamics...
August 2020: Current Opinion in Critical Care
#12
REVIEW
Roberta de Pádua Borges, Nathália Abi Habib Degobi, Marcello Casaccia Bertoluci
Statins are among the most widely prescribed medicines in the world and have proved their value in reducing cardiovascular events and mortality. Many patients report adverse effects that lead to interruption of treatment. This review aims to individualize statin treatment, considering efficacy for reducing cardiovascular risk and safety, in the setting of specific diseases, to minimize the side effects and improve compliance. We gathered evidence that may help clinicians to choose specific statins in different clinical situations, such as the risk of new diabetes, chronic kidney disease, liver disease, human immunodeficiency virus infection, organ transplant, heart failure and elderly people...
November 9, 2020: Archives of Endocrinology and Metabolism
#13
REVIEW
Miguel Camafort, Josep Redón, Wook Bum Pyun, Antonio Coca
According to the last Hypertension guideline recommendations, it may be concluded that intensive BP lowering is only advisable in a subgroup of patients where there is a clear net benefit of targeting to lower BP goals. However, taking into account the relevance of correct BP measurement, estimates of the benefits versus the harm should be based on reliable office BP measurements and home BP measurements.There is still debate about which BP goals are optimal in reducing morbidity and mortality in uncomplicated hypertensives and in those with associated comorbidities...
November 1, 2020: Clinical Hypertension
#14
REVIEW
Alain Combes, Susanna Price, Arthur S Slutsky, Daniel Brodie
Cardiogenic shock can occur due to acute ischaemic or non-ischaemic cardiac events, or from progression of long-standing underlying heart disease. When addressing the cause of underlying disease, the management of cardiogenic shock consists of vasopressors and inotropes; however, these agents can increase myocardial oxygen consumption, impair tissue perfusion, and are frequently ineffective. An alternative approach is to temporarily augment cardiac output using mechanical devices. The use of these devices-known as temporary circulatory support systems-has increased substantially in recent years, despite being expensive, resource intensive, associated with major complications, and lacking high-quality evidence to support their use...
July 18, 2020: Lancet
#15
REVIEW
Veli-Pekka Harjola, Alexandre Mebazaa, Jelena Čelutkienė, Dominique Bettex, Hector Bueno, Ovidiu Chioncel, Maria G Crespo-Leiro, Volkmar Falk, Gerasimos Filippatos, Simon Gibbs, Adelino Leite-Moreira, Johan Lassus, Josep Masip, Christian Mueller, Wilfried Mullens, Robert Naeije, Anton Vonk Nordegraaf, John Parissis, Jillian P Riley, Arsen Ristic, Giuseppe Rosano, Alain Rudiger, Frank Ruschitzka, Petar Seferovic, Benjamin Sztrymf, Antoine Vieillard-Baron, Mehmet Birhan Yilmaz, Stavros Konstantinides
Acute right ventricular (RV) failure is a complex clinical syndrome that results from many causes. Research efforts have disproportionately focused on the failing left ventricle, but recently the need has been recognized to achieve a more comprehensive understanding of RV anatomy, physiology, and pathophysiology, and of management approaches. Right ventricular mechanics and function are altered in the setting of either pressure overload or volume overload. Failure may also result from a primary reduction of myocardial contractility owing to ischaemia, cardiomyopathy, or arrhythmia...
March 2016: European Journal of Heart Failure
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