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    Anomalous Origin of the Left Coronary Artery From the Pulmonary Artery Presenting in Adulthood: a French Nationwide Retrospective Study.
    Semin Thorac Cardiovasc Surg 2017 Aug 25. Epub 2017 Aug 25.
    L'Institut du Thorax, Nantes University Hospital, Nantes, France.
    Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease usually diagnosed during the first months of life. Without surgical treatment, ALCAPA carries a high mortality risk, and disease presentation in adulthood is rare. We describe the diagnosis and management of patients presenting with ALCAPA in adulthood. Read More

    Percutaneous left atrial unloading to prevent pulmonary oedema and to facilitate ventricular recovery under extracorporeal membrane oxygenation therapy.
    Interact Cardiovasc Thorac Surg 2017 Sep 1. Epub 2017 Sep 1.
    Department of General and Interventional Cardiology, University Heart Center Hamburg, Hamburg, Germany.
    Objectives: Left-sided unloading during extracorporeal membrane oxygenation (ECMO) therapy is crucial to prevent pulmonary oedema and facilitate ventricular recovery. We present the case of a 55-year-old man under ECMO therapy with pre-existing left ventricular (LV) thrombus formation and in need of ventricular unloading.

    Methods: We implanted a 21-Fr TandemHeart Protek Solo trans-septal cannula into the left atrium using a trans-septal approach via the femoral vein. Read More

    Rotational speed modulation used with continuous-flow left ventricular assist device provides good pulsatility.
    Interact Cardiovasc Thorac Surg 2017 Aug 10. Epub 2017 Aug 10.
    Department of Artificial Organs, National Cerebral and Cardiovascular Center, Research Institute, Osaka, Japan.
    Objectives: Continuous-flow left ventricular assist devices (CF-LVADs) are widely used to treat patients with end-stage heart failure. Although continuous flow is different from physiological flow, patients show improved outcomes after CF-LVAD implantation. A novel rotational speed (RS) modulation system used with CF-LVAD (EVAHEART) has been developed, which can change RS in synchronization with the native cardiac cycle. Read More

    Reoperation for mitral paravalvular leak: a single-centre experience with 200 patients.
    Interact Cardiovasc Thorac Surg 2017 Jul 31. Epub 2017 Jul 31.
    Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.
    Objectives: Paravalvular leak (PVL) is a major cause of morbidity and mortality after mitral valve replacement. Risk factors and data on long-term surgical outcomes are lacking.

    Methods: Between January 1995 and December 2012, 206 [118 males (57%)] patients underwent reoperation due to mitral PVL. Read More

    Outcomes in Women and Minorities Compared With White Men 1 Year After Everolimus-Eluting Stent Implantation: Insights and Results From the PLATINUM Diversity and PROMUS Element Plus Post-Approval Study Pooled Analysis.
    JAMA Cardiol 2017 Oct 18. Epub 2017 Oct 18.
    Mount Sinai Medical Center, New York, New York.
    Importance: There exist limited outcomes data for women and minorities after contemporary percutaneous coronary intervention (PCI).

    Objective: To examine 1-year outcomes in women and minorities vs white men after PCI with everolimus-eluting stents.

    Design, Settings, And Participants: The PLATINUM Diversity study was a single-arm study enrolling women and minorities. Read More

    Acute myocarditis and pulmonary edema due to scorpion sting.
    Glob Cardiol Sci Pract 2016 Mar 31;2016(1):e201610. Epub 2016 Mar 31.
    Cardiology & Cardiac Surgery Department, Hamad Medical Corporation, Doha, Qatar.
    Objective: To present a case of a serious manifestation of scorpion sting, which was not reported before in Qatar, review the literature, and compare with previously reported similar cases. Case presentation and intervention: A young male patient was admitted to CCU with a clinical picture of acute toxic myocarditis and cardiogenic shock with abnormal ECG and elevated cardiac markers after a scorpion sting to his right big toe. Thorough investigations, including echocardiography, cardiac MRI and right heart catheterization, supported the diagnosis. Read More

    Immune checkpoint inhibitor-related myocarditis.
    Jpn J Clin Oncol 2017 Oct 17:1-6. Epub 2017 Oct 17.
    Department of Medical Oncology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
    Immune checkpoint inhibitors have demonstrated significant clinical benefit in many cancers. The clinical benefit afforded by these treatments can be accompanied by a unique and distinct spectrum of adverse events. Recently, several fatal cases of immune checkpoint inhibitor-related myocarditis were reported. Read More

    Emerging Therapies for Congestive Heart Failure.
    Clin Pharmacol Ther 2017 Oct 16. Epub 2017 Oct 16.
    Associate Professor of Medicine, Duke Clinical Research Institute, Box 103208, Duke University Medical Center, Durham, NC 27708.
    The treatment of atherosclerotic heart disease has improved remarkably over the last several decades; however, the outlook for patients with symptomatic congestive heart failure with reduced ejection fraction remains bleak. Current drug therapies target the neurohormonal activation that accompanies congestive heart failure, but do not address the fundamental pathology inherent in this condition-the loss of contractile capacity. Stem cell therapies offer the possibility of rectifying this deficiency and normalizing left ventricular dimensions and cardiac performance by regenerating novel contractile tissue thereby reversing the negative remodeling which portends progressive left ventricular dysfunction, worsening symptoms, and ultimately cardiogenic shock. Read More

    Duration of dual antiplatelet therapy and associated outcomes following percutaneous coronary intervention for acute myocardial infarction: contemporary practice insights from the Canadian Observational Antiplatelet Study.
    Eur Heart J Qual Care Clin Outcomes 2017 Oct;3(4):303-311
    Division of Cardiology, Terrence Donnelly Heart Centre, St Michael's Hospital, University of Toronto, 30 Bond Street, Donnelly 6-030, Toronto, ON M5B 1W8, Canada.
    Aims: There is a paucity of real-world, contemporary data of practice patterns and clinical outcomes following dual-antiplatelet therapy (DAPT) in acute myocardial infarction (AMI) patients treated with percutaneous coronary intervention (PCI).

    Methods And Results: The Canadian Observational Antiplatelet Study was a prospective, multicentre, cohort study examining adenosine diphosphate receptor antagonist use following PCI for AMI. We compared practice patterns, patient characteristics, and clinical outcomes in relation to DAPT duration (<6 weeks, 6 weeks to <6 months, 6 to <12, and ≥12 months). Read More

    Correction to: Venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock post-cardiac arrest.
    Intensive Care Med 2017 Oct 17. Epub 2017 Oct 17.
    Service de Réanimation Médicale, iCAN, Groupe Hospitalier La Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, 47-83, Boulevard de l'Hôpital, 75651, Paris Cedex 13, France.
    The second element of the first author's name was misinterpreted as a given name, whereas in fact it is part of his family name. The correct version of his name for indexing purposes is therefore M. Pineton de Chambrun (not M. Read More

    Infrequent Provision of Palliative Care to Patients with Dialysis-Requiring AKI.
    Clin J Am Soc Nephrol 2017 Oct 17. Epub 2017 Oct 17.
    Division of Nephrology, Stanford University School of Medicine, Palo Alto, California; and.
    Background And Objectives: The use of palliative care in AKI is not well described. We sought to better understand palliative care practice patterns for hospitalized patients with AKI requiring dialysis in the United States.

    Design, Setting, Participants, & Measurements: Using the 2012 National Inpatient Sample, we identified patients with AKI and palliative care encounters using validated International Classification of Diseases, Ninth Revision, Clinical Modification codes. Read More

    Cardiogenic Shock during First Infusion of Anthracycline Chemotherapy in a Patient with Hodgkin Lymphoma: An Unusual Event.
    Cardiology 2017 Oct 18;139(1):7-10. Epub 2017 Oct 18.
    Department of Cardiology, Ospedale G. Brotzu, Azienda Ospedaliera Brotzu, Cagliari, Italy.
    Introduction: Hodgkin lymphoma (HL) is one of the most common types of cancers of the lymphatic system. The currently available therapies enable a cure in approximately 80-85% of treated patients. However, the cardiotoxicity of HL treatment has become a major cause of morbidity and mortality in survivors mainly related to the use of anthracycline. Read More

    Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for emergency cardiac support.
    J Crit Care 2017 Oct 12;44:31-38. Epub 2017 Oct 12.
    Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, V6T 1Z3 Vancouver, British Columbia, Canada; Department of Medicine, Division of Critical Care, Faculty of Medicine, University of British Columbia, Critical Care, Vancouver General Hospital, 2438-855 West 12th Avenue, V5Z 1M9 Vancouver, British Columbia, Canada.
    Purpose: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) may provide benefit to patients in refractory cardiac arrest and cardiogenic shock. We aim to summarize our center's 6-year experience with resuscitative VA-ECMO.

    Materials And Methods: A retrospective medical record review (April 2009 to 2015) was performed on consecutive non-cardiotomy patients who were managed with VA-ECMO due to refractory in- or out-of-hospital cardiac (IHCA/OHCA) arrest (E-CPR) or refractory cardiogenic shock (E-CS) with or without preceding cardiac arrest. Read More

    The challenge of Takotsubo syndrome: heterogeneity of clinical features.
    Swiss Med Wkly 2017 Oct 17;147:w14490. Epub 2017 Oct 17.
    University Hospital Zurich, University Heart Centre, Department of Cardiology, Zurich, Switzerland.
    Takotsubo syndrome (TTS) was first described in 1991 as a rare, spontaneous and completely reversible left ventricular regional systolic dysfunction. Today the incidence of TTS is estimated at 2% in patients with an initial diagnosis of acute coronary syndrome (ACS). Notably, the incidence can be as high as 5. Read More

    [Comparison of perioperative serum thrombomodulin levels in patients underwent off-pump coronary artery bypass grafting with and without cardiogenic shock].
    Zhonghua Xin Xue Guan Bing Za Zhi 2017 Sep;45(9):777-781
    Department of Cardiovascular Surgery, First Hospital of China Medical University, Shenyang 110000, China.
    Objective: To observe the perioperative changes of serum thrombomodulin in patients with and without cardiogenic shock undergoing off-pump coronary artery bypass grafting surgery. Methods: A total of 66 patients with coronary artery disease who underwent off-pump coronary artery bypass grafting surgery between June and December 2015 in our hospital were included in this study.The patients were divided into non-cardiogenic shock group (n=51) and shock group (n=15) according to the absence or presence of cardiogenic shock. Read More

    Differences in the Korea Acute Myocardial Infarction Registry Compared with Western Registries.
    Korean Circ J 2017 Sep 18. Epub 2017 Sep 18.
    The Heart Center of Chonnam National University Hospital, Gwangju, Korea.
    The Korea Acute Myocardial Infarction Registry (KAMIR) is the first nationwide registry that reflects current therapeutic approaches and acute myocardial infarction (AMI) management in Korea. The results of the KAMIR demonstrated different risk factors and responses to medical and interventional treatments. The results indicated that the incidence of ST-elevation myocardial infarction (STEMI) was relatively high, and that the prevalence of dyslipidemia was relatively low with higher triglyceride and lower high-density lipoprotein cholesterol levels. Read More

    Veno-Arterial-ECMO in the Intensive Care Unit:From Technical Aspects to Clinical Practice.
    Anaesth Crit Care Pain Med 2017 Oct 12. Epub 2017 Oct 12.
    Anaesthesiology and Intensive Care Department, European Hospital Georges Pompidou; Paris Descartes University, Sorbonne Paris Cité, Paris, France. Electronic address:
    The use of Veno-Arterial Extracorporeal Membrane Oxygenation (VA-ECMO) as a salvage therapy in cardiogenic shock is becoming of current practice. While VA-ECMO is potentially a life-saving technique, results are sometimes mitigated, emphasising the need for selecting the right indication in the right patient. This relies upon a clear definition of the individual therapeutic project, including the potential for recovery as well as the possible complications associated with VA-ECMO. Read More

    Right Ventricular Dysfunction in Acute Myocardial Infarction Complicated by Cardiogenic Shock: a Hemodynamic Analysis of the SHould We Emergently Revascularize Occluded Coronaries for Cardiogenic shocK (SHOCK) Trial and Registry.
    J Card Fail 2017 Oct 11. Epub 2017 Oct 11.
    The Cardiovascular Center and Molecular Cardiology Research Institute, Tufts Medical Center, Boston, MA. Electronic address:
    Background: The prevalence and significance of right ventricular dysfunction (RVD) in patients with cardiogenic shock due to acute myocardial infarction (AMI-CS) has not been well characterized. We hypothesized that RVD is common in AMI-CS and associated with worse clinical outcomes.

    Methods And Results: We retrospectively analyzed patients with available hemodynamics enrolled in the SHould we emergently revascularize Occluded coronaries for Cardiogenic shocK (SHOCK) Trial (n=139) and Registry (n=258) to identify RVD in AMI-CS. Read More

    The prognostic significance of early and late right precordial lead (V4 R) ST-segment elevation in patients with acute anterior myocardial infarction.
    Ann Noninvasive Electrocardiol 2017 Oct 14. Epub 2017 Oct 14.
    Department of Cardiology, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.
    Background: The predictive significance of ST-segment elevation (STE) in lead V4 R in patients with anterior ST-segment elevation myocardial infarction (STEMI) has not been well-understood. In this study, we evaluated the prognostic value of early and late STE in lead V4 R in patients with anterior STEMI.

    Methods: A total 451 patients with anterior STEMI who treated with primary percutaneous coronary intervention (PPCI) were prospectively enrolled in this study. Read More

    Accelerated idioventricular rhythm requiring catheter ablation in a child: The dark side of a benign arrhythmia.
    Ann Cardiol Angeiol (Paris) 2017 Oct 10. Epub 2017 Oct 10.
    Department of Cardiology, Princess Grace Hospital, Pasteur Avenue, Monaco.
    A 12 year-old boy, with no history of cardiac disease, was referred to our department for evaluation of an incessant accelerated idioventricular rhythm (AIVR) complicated with severe left ventricular (LV) dysfunction and cardiogenic shock. Extensive diagnostic work-up failed to reveal any structural heart disease. During electrophysiological study, AIVR originated from the right ventricular endocardial anterior wall and was successfully ablated using remote magnetic navigation. Read More

    Randomized comparison of balloon aortic valvuloplasty performed with or without rapid cardiac pacing: The pacing versus no pacing (PNP) study.
    J Interv Cardiol 2017 Oct 11. Epub 2017 Oct 11.
    Cardiology Unit, Cardio-Thoraco-Vascular Department, University Hospital of Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy.
    Objectives: To compare the effectiveness and safety of balloon aortic valvuloplasty (BAV) performed with or without rapid ventricular pacing (RP).

    Background: BAV technique is poorly standardized.

    Methods: One hundred consecutive patients were randomly assigned 1:1 between BAV performed with or without RP. Read More

    Percutaneous short-term active mechanical support devices in cardiogenic shock: a systematic review and collaborative meta-analysis of randomized trials.
    Eur Heart J 2017 Jul 7. Epub 2017 Jul 7.
    University Heart Centre Luebeck, Department of Cardiology, Angiology, and Intensive Care Medicine, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538 Luebeck, Germany.
    Aims: Evidence on the impact on clinical outcome of active mechanical circulatory support (MCS) devices in cardiogenic shock (CS) is scarce. This collaborative meta-analysis of randomized trials thus aims to investigate the efficacy and safety of percutanzeous active MCS vs. control in CS. Read More

    Impact of right ventricular diastolic dysfunction on clinical outcomes in inferior STEMI.
    Herz 2017 Oct 9. Epub 2017 Oct 9.
    Department of Cardiology, Diyabakır Gazi Yaşargil Research and Education Hospital, Peyas Mahallesi, Selahaddin Eyubbi Bulvarı, 229. Sokak Hamzaoğulları Sitesi B/20 Kayapınar, 21070, Diyarbakır, Turkey.
    Background: The aim of this study was to investigate the prognostic value of restrictive right ventricular filling pattern (RRVFP) in patients with the first acute inferior wall myocardial infarction (IWMI) complicated by right ventricular myocardial infarction (RVMI) undergoing primary percutaneous coronary intervention (p-PCI).

    Method: A total of 152 patients with acute IWMI complicated by RVMI undergoing p‑PCI were divided into two groups according to the presence of RRVFP. RRVFP was defined as tricuspid diastolic early/late flow velocities (Et/At) > 2 and Et deceleration time (DT) < 120 ms. Read More

    Contemporary outcomes in reoperative mitral valve surgery.
    Heart 2017 Oct 5. Epub 2017 Oct 5.
    Division of Thoracic and Cardiovascular Surgery, University of Virginia, Charlottesville, Virginia, USA.
    Objective: Data suggest that redo mitral valve surgery is being performed in increasing numbers, possibly with superior results according to single-centre studies. The purpose of this study is to describe outcomes of redo mitral valve surgery and identify risk-adjusted predictors of poor outcomes.

    Methods: All (11 973) open mitral valve cases were evaluated (2002-2016) from a regional Society of Thoracic Surgery (STS) database. Read More

    Multivessel Versus Culprit Vessel-Only Percutaneous Coronary Intervention Among Patients With Acute Myocardial Infarction: Insights From the TRANSLATE-ACS Observational Study.
    J Am Heart Assoc 2017 Oct 5;6(10). Epub 2017 Oct 5.
    Duke Clinical Research Institute, Durham, NC.
    Background: Among patients with acute myocardial infarction (MI) who have multivessel disease, it is unclear if multivessel percutaneous coronary intervention (PCI) improves clinical and quality-of-life outcomes compared with culprit-only intervention. We sought to compare clinical and quality-of-life outcomes between multivessel and culprit-only PCI.

    Methods And Results: Among 6061 patients with acute MI who have multivessel disease in the TRANSLATE-ACS (Treatment With Adenosine Diphosphate Receptor Inhibitors: Longitudinal Assessment of Treatment Patterns and Events After Acute Coronary Syndrome) study, we used inverse probability-weighted propensity adjustment to study the associations between multivessel and culprit-only intervention during the index PCI and major adverse cardiovascular events, unplanned all-cause readmission, and angina frequency at 6 weeks and 1 year. Read More

    Heart failure patients with a previous coronary revascularization: results from the ESC-HF Registry.
    Kardiol Pol 2017 Oct 5. Epub 2017 Oct 5.
    I Katedra i Klinika Kardiologii Warszawski Uniwersytet Medyczny.
    Background: Coronary revascularization is common in heart failure (HF).

    Aims: Clinical characteristic and assessment of in-hospital and long-term outcomes in patients hospitalized for HF with or without a previous percutaneous coronary intervention (PCI) or a coronary artery bypass grafting (CABG).

    Methods: The primary endpoint (PE) (all-cause death) and the secondary endpoint (SE) (all-cause death or hospitalization for HF-worsening) were assessed at one-year in 649 inpatients of the ESC-HF Pilot Survey. Read More

    Clostridium perfringens sepsis complicated by right ventricular cardiogenic shock.
    J Intensive Care Soc 2017 May 19;18(2):130-137. Epub 2016 Dec 19.
    Department of Critical Care Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
    Clostridium perfringens sepsis has been ascribed a dismal prognosis when associated with massive intravascular haemolysis. We present a 71-year-old woman's fatal case which was compounded by isolated right ventricular cardiogenic shock. In this context, combined use of transthoracic echocardiography and pulmonary artery catheter monitoring is able to yield an individualized hemodynamic resuscitation. Read More

    On the right side of the heart: Medical and mechanical support of the failing right ventricle.
    J Intensive Care Soc 2017 May 3;18(2):113-120. Epub 2017 Jan 3.
    Department of Intensive Care, Harefield Hospital, London, UK.
    Acute right ventricular failure remains an immensely challenging clinical condition associated with a high mortality rate. In this narrative review, we highlight the pathophysiological mechanisms underlying right ventricular failure and suggest an initial diagnostic approach to this critically ill group of patients. Based on the best available evidence and our cumulative clinical experience as a national cardiothoracic centre, we summarize the basic principles of medical management and mechanical salvage therapy, finalizing with a series of recommendations for the management of right ventricular failure in specific clinical scenarios. Read More

    Left Ventricular Unloading during Peripheral Extracorporeal Membrane Oxygenator Support: A Bridge To Life In Profound Cardiogenic Shock.
    J Extra Corpor Technol 2017 Sep;49(3):201-205
    Division of Cardiac Surgery, University of Turin, Turin, Italy.
    A limit of peripheral veno-arterial Extracorporeal Membrane Oxigenator (VA-ECMO) is the inadequate unloading of the left ventricle. The increase of end-diastolic pressure reduces the possibility of a recovery and may cause severe pulmonary edema. In this study, we evaluate our results after implantation of VA-ECMO and Transapical Left Ventricular Vent (TLVV) as a bridge to recovery, heart transplantation or long-term left ventricular assit devices (LVAD). Read More

    Postinfarction left ventricular free wall rupture: a 17-year single-centre experience.
    Eur J Cardiothorac Surg 2017 Aug 1. Epub 2017 Aug 1.
    Department of Medicine and Surgery, Cardiac Surgery Clinic, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy.
    Objectives: Left ventricular free wall rupture (LVFWR) is a catastrophic complication following acute myocardial infarction with an estimated incidence of 0.2-7.6% and mortality can be as high as 60%. Read More

    Extracorporeal life support with left ventricular decompression-improved survival in severe cardiogenic shock: results from a retrospective study.
    PeerJ 2017 29;5:e3813. Epub 2017 Sep 29.
    Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, Germany.
    Objective: Extracorporeal life support (ECLS) is a life-saving procedure used in the treatment of severe cardiogenic shock. Within this retrospective single centre study, we examined our experience in this critically ill patient cohort to assess outcomes and clinical parameters by comparison of ECLS with or without selective left ventricular decompression.

    Methods: Between 2004 and 2014 we evaluated 48 adult patients with INTERMACS level 1 heart failure (age 49. Read More

    Experience and Outcomes of Primary Percutaneous Coronary Intervention for Patients with ST-Segment Elevation Myocardial Infarction of Tertiary Care Center in Bosnia and Herzegovina.
    Med Arch 2017 Jun;71(3):183-187
    Department of Interventional Cardiology, Clinic for Cardiovascular Diseases, University Clinical Centre Tuzla, Bosnia and Herzegovina.
    Background: Primary percutaneous coronary intervention (PCI) is an emergent percutaneous catheter intervention in the setting of ST-segment elevations myocardial infarction (STEMI), without previous fibrinolytic treatment.

    Aim: To evaluate the feasibility and outcomes of primary percutaneous coronary interventions for STEMI in regional tertiary care cardiac centre in Bosnia and Herzegovina.

    Methods: Between January 2014 and December 2016, consecutive 549 STEMI patients who underwent primary PCI were prospectively enrolled in a primary PCI registry. Read More

    Outcome of Stable Patients With Acute Myocardial Infarction and Coronary Artery Bypass Surgery Within 48 Hours: A Single-Center, Retrospective Experience.
    J Am Heart Assoc 2017 Oct 3;6(10). Epub 2017 Oct 3.
    Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany.
    Background: The optimal timing of coronary artery bypass grafting (CABG) in clinically stable patients with acute myocardial infarction who are unsuitable for percutaneous coronary intervention is unclear. We report our experience with early CABG in these patients.

    Methods And Results: Between January 2001 and May 2015, 766 patients with ST-segment-elevation myocardial infarction (STEMI, n=305) or non-STEMI (NSTEMI, n=461) not including cardiogenic shock underwent CABG within 48 hours at our department. Read More

    Extracorporeal membrane oxygenation for neonatal collapse caused by enterovirus myocarditis.
    Arch Dis Child Fetal Neonatal Ed 2017 Sep 29. Epub 2017 Sep 29.
    Paediatric Intensive Care Unit, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia.
    Objective: To describe the effect of extracorporeal membrane oxygenation (ECMO) on survival and cardiac outcome of neonates with myocardial failure secondary to severe enterovirus (EV) myocarditis.

    Design: Retrospective case series.

    Setting: A 15-bed cardiac paediatric intensive care unit (ICU). Read More

    Clinical factors associated with the development of atrial fibrillation in the year following STEMI treated by primary PCI.
    J Cardiol 2017 Sep 29. Epub 2017 Sep 29.
    Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea.
    Background: Advanced age, poor left ventricular function, and congestive heart failure are known predictors of atrial fibrillation (AF) in acute myocardial infarction (AMI) patients. Recent advances in AMI treatment may have changed the occurrence of new-onset AF. Thus, we investigated the factors associated with the development of new-onset AF in ST elevation myocardial infarction (STEMI) patients. Read More

    Veno-Arterial Extracorporeal Membrane Oxygenation with Conventional Anticoagulation Can Be a Best Solution for Shock Due to Massive PE.
    Int Heart J 2017 Sep 30. Epub 2017 Sep 30.
    Department of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University.
    While most of pulmonary thromboembolism (PE) cases can be managed by thrombolytic and anticoagulation therapy, massive PE remains a life-threatening disease. Although surgical embolectomy can be a curative therapy for massive PE, peri-operative mortality for hemodynamically collapsed PE is extremely high. We present a case of hemodynamically collapsed massive PE. Read More

    Long-term Clinical Outcomes of Transient and Persistent No-Reflow Following Percutaneous Coronary Intervention (PCI): A Multi-Center Australian Registry.
    EuroIntervention 2017 Oct 3. Epub 2017 Oct 3.
    From the Department of Cardiovascular Medicine, Alfred Health.
    Aims: To evaluate long-term outcomes of transient versus persistent no-reflow.

    Methods And Results: 17,547 patients with normal flow post percutaneous coronary intervention (PCI) were compared to 590 patients (3.2%) with transient no-reflow and 144 patients (0. Read More

    Chronic total occlusion in non-infarct-related artery is associated with increased short-and long-term mortality in patients with ST-segment elevation acute myocardial infarction complicated by cardiogenic shock (from the CREDO-Kyoto AMI registry).
    Catheter Cardiovasc Interv 2017 Sep 30. Epub 2017 Sep 30.
    Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Japan.
    Objectives: We aimed to investigate the effect of chronic total occlusion (CTO) in non-infarct-related artery (IRA) on short- and long-term mortality in ST-segment elevation myocardial infarction (STEMI) patients complicated by cardiogenic shock (CS).

    Background: Previous studies show contradictory results about the clinical effect of CTO in non-IRA on short-term mortality in STEMI patients with CS.

    Methods: From the CREDO-Kyoto AMI registry enrolling 5429 patients, the current study population consisted of 313 STEMI patients with multivessel disease complicated by CS who underwent primary PCI for the nonleft main coronary artery culprit lesion within 24 hr after onset. Read More

    Prognosis is similar for patients who undergo primary PCI during regular-hours and off-hours: A report from SCAAR.
    Catheter Cardiovasc Interv 2017 Sep 30. Epub 2017 Sep 30.
    Department of Molecular and Clinical Medicine, Institute of Medicine, Gothenburg, Sweden.
    Background: Timely percutaneous coronary intervention (PCI) improves prognosis in ST-elevation myocardial infarction (STEMI). However, recent reports indicate that patients with STEMI who present during non-regular working hours (off-hours) have a worse prognosis. The aim of this study was to compare outcome between patients with STEMI who underwent primary PCI during off-hours and regular hours. Read More

    Clinical characteristics, risk factors and outcomes of South-East Asian patients with acute pulmonary embolism.
    Int J Cardiol 2017 Sep 22. Epub 2017 Sep 22.
    Department of Cardiology, Tan Tock Seng Hospital, Singapore. Electronic address:
    Background: The clinical features of acute PE have not been well studied in South-East Asia. We therefore sought to evaluate the clinical characteristics, risk factors and outcomes of patients diagnosed with acute pulmonary embolism (PE) in our region.

    Methods: From January 2008 to March 2013, 343 patients were admitted to our tertiary institution with acute PE. Read More

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