Publications by authors named "M I F Oerlemans"

42 Publications

A routine intervention in a highly unusual vessel.

Neth Heart J 2021 Sep 15. Epub 2021 Sep 15.

Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands.

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http://dx.doi.org/10.1007/s12471-021-01635-xDOI Listing
September 2021

Listing criteria for heart transplantation in the Netherlands.

Neth Heart J 2021 Sep 15. Epub 2021 Sep 15.

Department of Cardiology, Erasmus Medical Centre Rotterdam, Rotterdam, The Netherlands.

The updated listing criteria for heart transplantation are presented on behalf of the three heart transplant centres in the Netherlands. Given the shortage of donor hearts, selection of those patients who may expect to have the greatest benefit from a scarce societal resource in terms of life expectancy and quality of life is inevitable. The indication for heart transplantation includes end-stage heart disease not remediable by more conservative measures, accompanied by severe physical limitation while on optimal medical therapy, including ICD/CRT‑D. Assessment of this condition requires cardiopulmonary stress testing, prognostic stratification and invasive haemodynamic measurements. Timely referral to a tertiary centre is essential for an optimal outcome. Chronic mechanical circulatory support is being used more and more as an alternative to heart transplantation and to bridge the progressively longer waiting time for heart transplantation and, thus, has become an important treatment option for patients with advanced heart failure.
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http://dx.doi.org/10.1007/s12471-021-01627-xDOI Listing
September 2021

Disease management with home telemonitoring aimed at substitution of usual care in the Netherlands: Post-hoc analyses of the e-Vita HF study.

J Cardiol 2021 Aug 25. Epub 2021 Aug 25.

Department of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, P.O. Box 85500, Utrecht, GA 3508, the Netherlands.

Background: Home telemonitoring in heart failure (HF) patients may reduce workload of HF nurses by reducing face-to-face contacts. The aim of this study is to assess whether telemonitoring as a substitution could have negative effects as expressed by less reduction in circulating natriuretic peptide levels between baseline and one-year of follow up compared to usual care.

Methods: A post-hoc analysis of the e-Vita HF trial, a three-arm parallel randomized trial conducted in stable HF patients. Patients were randomized into three arms: (i) usual HF outpatient care, (ii) usual care combined with the use of the website heartfailurematters.org, and (iii) telemonitoring (e-Vita HF platform) instead of face-to-face consultations. Mixed linear model analyses were applied to assess differences in the N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels between the three arms over a year.

Results: A total of 223 participants could be included (mean age 67.1 ± 10.1 years, 27% women, New York Heart Association class I-IV; 39%, 38%, 14%, and 9%). The mean left ventricular ejection fraction was 35 ± 10%. The median of routine face-to-face contacts over a year was 1.0 lower (2.0 vs. 3.0) in the third arm compared with usual care. Median NT-proBNP levels did not significantly differ between the three arms.

Conclusion: In stable and optimally treated HF patients, telemonitoring causing a reduction of routine face-to-face contacts seems not to negatively affect hemodynamic status as measured by NT-proBNP levels over time.
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http://dx.doi.org/10.1016/j.jjcc.2021.08.003DOI Listing
August 2021

Donor-Derived Testicular Germ Cell Cancer in a Heart Transplant Recipient.

JACC CardioOncol 2021 Jun 15;3(2):322-325. Epub 2021 Jun 15.

Department of Cardiology, University Medical Center Utrecht, Utrecht, the Netherlands.

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http://dx.doi.org/10.1016/j.jaccao.2021.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8352306PMC
June 2021

Morning pulmonary artery pressure measurements by CardioMEMS are most stable and recommended for pressure trends monitoring.

Neth Heart J 2021 Jul 10;29(7-8):409-414. Epub 2021 Jun 10.

Department of Cardiology and Experimental Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.

Aims: The CardioMEMS HF system is used to measure pulmonary artery (PA) pressures of patients with heart failure (HF). The goal of this study was to determine the impact of time in the daily PA pressure measurements, considering variance and influence of circadian rhythms on cardiovascular pathophysiology.

Methods And Results: The study included 10 patients with HF with reduced ejection fraction (LVEF < 40%; New York Heart Association class III). Individual daily PA pressures were obtained by CardioMEMS sensors, per protocol, measured up to six times throughout the day, for a period of 5 days. Differences between variation of morning versus evening PA pressures were compared with Wilcoxon signed-rank test. Mean PA pressures (mPAP) increased from a morning value of 19.1 ± 2 mm Hg (8 am; mean ± standard error of the mean [SEM]) to 21.3 ± 2 mm Hg late in the evening (11 pm; mean ± SEM). Over the course of 5 days, evening mPAP exhibited a significantly higher median coefficient of variation than morning mPAP (14.9 (interquartile range [IQR] 7.6-21.0) and 7.0 (IQR 5.0-12.8) respectively; p = 0.01). The same daily pattern of pressure variability was observed in diastolic (p = 0.01) and systolic (p = 0.04) pressures, with diastolic pressures being more variable than systolic at all time points.

Conclusions: Morning PA pressure measurements yield more stable values for observing PA trends. Patients should thus be advised to consistently perform their daily PA pressure measurements early in the morning. This will improve reliability and interpretation of the CardioMEMS management, indicating true alterations in the patient's health status, rather than time-of-day-dependent variations.
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http://dx.doi.org/10.1007/s12471-021-01590-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8271080PMC
July 2021
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