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    1 OF 241

    Decompensated chagasic heart failure versus non-chagasic heart failure at a tertiary care hospital: Clinical characteristics and outcomes.
    Rev Assoc Med Bras (1992) 2017 Jan;63(1):57-63
    Graduate Program in Medicine and Human Health, Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil.
    Objective: To evaluate clinical and epidemiological characteristics and clinical outcomes in patients hospitalized with decompensated heart failure (DHF), with a comparison between Chagas and non-Chagas disease.

    Method: This is a retrospective cohort study involving 136 patients consecutively admitted with DHF between January 1 and December 31, 2011, with the following outcomes: acute renal failure, cardiogenic shock, rehospitalization, and hospital death. Individuals aged ≥ 18 years with DHF were included while those with more than 10% of missing data regarding outcomes were excluded. Read More

    Stress echocardiography in patients who experienced mechanical ventilation weaning failure.
    J Crit Care 2017 Jan 18;39:66-71. Epub 2017 Jan 18.
    Harefield Hospital Intensive Care Unit, Royal Brompton and Harfield NHS Foundation Trust, UK.
    Introduction: Critically ill patients may suffer varying degrees of temporary myocardial dysfunction during respiratory weaning that could play an important role in weaning failure.

    Objectives: In this study, we tried to assess the existence of temporary diastolic dysfunction during respiratory weaning.

    Methods: Inclusion period is from 2006 to 2015. Read More

    Prevention of thromboembolic complications in patients with superficial-vein thrombosis given rivaroxaban or fondaparinux: the open-label, randomised, non-inferiority SURPRISE phase 3b trial.
    Lancet Haematol 2017 Feb 16. Epub 2017 Feb 16.
    Department of Vascular Medicine, Darmstadt Municipal Hospital, Darmstadt, Germany; Centre of Thrombosis and Haemostasis, University of Mainz, Mainz, Germany.
    Background: Superficial-vein thrombosis can lead to deep-vein thrombosis and pulmonary embolism. Rivaroxaban, an oral factor Xa inhibitor, might simplify treatment compared with fondaparinux because it does not require daily subcutaneous injection and is cheaper. We compared efficacy outcomes in patients with superficial-vein thrombosis and additional risk factors given either rivaroxaban or fondaparinux to assess whether rivaroxaban is non-inferior to fondaparinux in the prevention of thromboembolic complications. Read More

    Subacute right heart failure revealing three simultaneous causes of post-embolic pulmonary hypertension in metastatic dissemination of breast cancer.
    ESC Heart Fail 2017 Feb 6;4(1):75-77. Epub 2016 Dec 6.
    Centre Hospitalier Universitaire de Lille Institut coeur-poumon, Clinique de cardiologie Lille France.
    A 72-year-old woman with history of breast cancer only treated surgically was referred to our department for pulmonary hypertension (PH) suspicion. Echocardiogram revealed elevated right ventricular systolic pressure. Computed tomography (CT) angiogram showed no pulmonary embolism (PE), but lung scan revealed two ventilation-perfusion mismatch areas. Read More

    Rapid response team diagnoses: frequencies and related hospital mortality.
    Crit Care Resusc 2017 Mar;19(1):71-80
    Department of Critical Care Medicine, St Vincent's Hospital, Melbourne, VIC, Australia.
    Objectives: To describe the frequency and hospital mortality of problems (diagnoses) encountered by a rapid response team (RRT), and to identify the most common diagnoses for RRT triggers and for treating units.

    Design: For each RRT event in 2015 at a tertiary hospital for adults, we chose the diagnosis that best explained the RRT event from a pre-defined list after reviewing relevant test results and clinical notes.

    Results: There were 937 RRT events during 700 admissions and there were 58 different RRT diagnoses in 11 diagnosis groups. Read More

    Infant acute myocarditis mimicking acute myocardial infarction.
    Autops Case Rep 2016 Oct-Dec;6(4):15-19. Epub 2016 Dec 30.
    Department of Legal Medicine - Farhat Hached University Hospital, Sousse - Tunisia .
    Myocarditis is an inflammatory disease of the myocardium with heterogeneous clinical manifestations and progression. In clinical practice, although there are many methods of diagnosis of acute myocarditis, the diagnosis remains an embarrassing dilemma for clinicians. The authors report the case of 9-month-old infant who was brought to the Pediatric Emergency Department with sudden onset dyspnea. Read More

    Systemic Thrombolytic Therapy for Acute Pulmonary Embolism: Who Is a Candidate?
    Semin Respir Crit Care Med 2017 Feb 16;38(1):56-65. Epub 2017 Feb 16.
    Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
    Pulmonary embolism (PE) is a major cause of both acute and long-term morbidity for a large number of patients worldwide, and massive PE is frequently fatal. Right ventricular (RV) dysfunction is a key determinant of prognosis in the acute phase of PE. Patients with clinically overt RV failure, that is, with cardiogenic shock or persistent hypotension at presentation (acute high-risk PE), are clearly in need of immediate reperfusion treatment with systemic thrombolysis or, alternatively, surgical or catheter-directed techniques. Read More

    Acute Mitral Regurgitation After Removal of an Impella Device.
    Am J Cardiol 2017 Jan 25. Epub 2017 Jan 25.
    Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
    Acute mitral regurgitation is a very rare complication of an Impella device. We report a case of a 52-year-old man who had an Impella CP device placed for cardiogenic shock and developed acute mitral regurgitation after removal of the Impella. This was managed with the placement of TandemHeart device. Read More

    Anti-thrombotic and pro-fibrinolytic effects of levosimendan in human endothelial cells in vitro.
    Vascul Pharmacol 2017 Feb 10. Epub 2017 Feb 10.
    Department of Internal Medicine II, Medical University of Vienna, Austria. Electronic address:
    Aims: Levosimendan is an inodilator for the treatment of acute decompensated heart failure (HF). Data from clinical studies suggest that levosimendan is particularly effective in HF due to myocardial infarction. After acute revascularization, no reflow-phenomenon is a common complication that may lead to pump failure and cardiogenic shock. Read More

    Atypical Double Right Coronary Artery Presenting With Acute Coronary Syndrome, Cardiogenic Shock and Complete Heart Block.
    J Clin Med Res 2017 Mar 25;9(3):221-224. Epub 2017 Jan 25.
    Department of Cardiology, LPS Institute of Cardiology, G. S. V. M. Medical College, Kanpur, Uttar Pradesh 208002, India.
    Double right coronary artery (RCA) is an extremely rare coronary artery anomaly. We here report an atherosclerotic double RCA which appeared after primary percutaneous intervention performed to treat a 34-year-old male presenting with acute inferior myocardial infarction, cardiogenic shock and complete heart block. This is an unusual case as double RCA had been hidden by total atherosclerotic occlusion of the proximal part of the RCA and complete restoration of patency led complete heart block back to normal sinus rhythm. Read More

    Financial and clinical outcomes of extracorporeal mechanical support.
    J Card Surg 2017 Feb 8. Epub 2017 Feb 8.
    UCLA Division of Cardiac Surgery, Los Angeles, California.
    Background: Over the past decade, extracorporeal mechanical support (ECMO) has been increasingly utilized in respiratory failure and cardiogenic shock. There is a need for assessing clinical and financial outcomes of ECMO use. This study presents our institution's experience with veno-arterial ECMO (VA-ECMO) over a 9-year period. Read More

    Drug-eluting stents versus bare-metal stents in acute myocardial infarction with cardiogenic shock.
    Heart 2017 Feb 7. Epub 2017 Feb 7.
    Department of Cardiology, Angiology, Intensive Care Medicine, University Heart Center Lübeck, Lübeck, Germany.
    Objectives: The aim of the present study was to assess the outcome of patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) receiving drug-eluting stents (DES) compared with bare-metal stents (BMS). Data comparing these two stent technologies in AMI with CS were limited.

    Methods: A total of 783 patients with AMI and CS undergoing early revascularisation were included in the randomised Intra-aortic Balloon Pump in Cardiogenic Shock II trial (n=600) and the associated registry (n=183). Read More

    Rev Med Interne 2017 Feb 1. Epub 2017 Feb 1.
    Service de réanimation médicale, groupe hospitalier Pitié-Salpétrière, 47-83, boulevard de l'Hôpital, 75013 Paris, France.
    Acute myocarditis must be considered in patients with recent onset of cardiac failure or arrhythmia. Fulminant myocarditis is a distinct entity characterized by sudden onset of severe congestive heart failure or cardiogenic shock, usually following a flu-like illness, parvovirus B19, human herpesvirus 6, coxsackie virus and adenovirus being the most frequently viruses responsible for the disease. In this setting, early recognition of patients rapidly progressing to refractory cardiac failure and their immediate transfer to a medical-surgical center experienced in mechanical circulatory support is warranted. Read More

    Cardiac Resynchronization Therapy Device Implantation in a Patient with Cardiogenic Shock under Percutaneous Mechanical Circulatory Support.
    Korean Circ J 2017 Jan 23;47(1):132-135. Epub 2016 Dec 23.
    Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
    65-year-old woman was admitted to our hospital with acute decompensated heart failure with reduced left ventricular ejection fraction and severe mitral regurgitation. Electrocardiography revealed a typical left bundle branch block and atrial fibrillation. Her condition deteriorated despite administering high-doses of inotropes and vasopressors. Read More

    Outcomes of Physician-Staffed Versus Non-Physician-Staffed Helicopter Transport for ST-Elevation Myocardial Infarction.
    J Am Heart Assoc 2017 Feb 2;6(2). Epub 2017 Feb 2.
    Division of Cardiovascular Medicine, Department of Medicine, University of Wisconsin, Madison, WI
    Background: The effect of physician-staffed helicopter emergency medical service (HEMS) on ST-elevation myocardial infarction (STEMI) patient transfer is unknown. The purpose of this study was to evaluate the characteristics and outcomes of physician-staffed HEMS (Physician-HEMS) versus non-physician-staffed (Standard-HEMS) in patients with STEMI.

    Methods And Results: We studied 398 STEMI patients transferred by either Physician-HEMS (n=327) or Standard-HEMS (n=71) for primary or rescue percutaneous coronary intervention at 2 hospitals between 2006 and 2014. Read More

    Current and Future Percutaneous Strategies for the Treatment of Acute and Chronic Heart Failure.
    Rev Esp Cardiol (Engl Ed) 2017 Jan 30. Epub 2017 Jan 30.
    Cardiology Department, Ohio State University, Columbus, Ohio, United States.
    The prevalence of heart failure (HF) has risen in parallel with improved survival in patients after a myocardial infarction and an aging population worldwide. In recent years, new percutaneous therapies have been developed to complement current established treatments for acute/decompensated and chronic HF and minimize risks. In acute presentations, the failure of medical treatment is no longer the end of the road in refractory circulatory shock; the use of mechanical circulatory support devices may be the next milestone in well-resourced health settings. Read More

    Mechanical circulatory support for end-stage heart failure.
    Metabolism 2017 Jan 11. Epub 2017 Jan 11.
    Medical-Surgical Intensive Care Unit, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, F-75013 Paris, France; Sorbonne University, UPMC Univ Paris 06, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition, F-75013 Paris, France. Electronic address:
    Mechanical circulatory assistance has become a frequent therapeutic option for patients with advanced heart failure. For patients with acute cardiogenic shock and impaired organ function, short-term assistance with venoarterial extracorporeal membrane oxygenation is the leading therapeutic option. It enables a "bridge to decision-making" i. Read More

    Are vasopressors useful in toxin-induced cardiogenic shock?
    Clin Toxicol (Phila) 2017 Apr 3;55(4):285-304. Epub 2017 Feb 3.
    b Emergency Medicine Department , Region's Hospital , St. Paul , MN , USA.
    Objective: Overdoses with cardio-depressive medications can result in toxin-induced cardiogenic shock (TICS), a life-threatening condition characterized by severe hypotension and ineffective tissue perfusion. Vasopressors are often employed in the treatment of shock to increase heart rate and blood pressure. We sought to conduct a systematic review of the literature to evaluate the effectiveness of vasopressors in improving hemodynamic function and survival in the treatment of TICS. Read More

    A single center tertiary care experience utilizing the large volume mega 50cc intra-aortic balloon counterpulsation in contemporary clinical practice.
    Catheter Cardiovasc Interv 2017 Feb 1. Epub 2017 Feb 1.
    Division of Cardiology, Newark Beth Israel Medical Center, Newark, New Jersey.
    Objective: Clinical outcomes and adverse events utilizing the large volume 50cc intra-aortic balloon (IAB) in contemporary clinical practice.

    Background: The newer large volume 50cc IAB, recently introduced into clinical practice offers improved diastolic augmentation and better left ventricular (LV) unloading compared to the older 40cc IAB.

    Methods: In 150 consecutive patients who received intra-aortic balloon counterpulsation (IABC) with a 50cc balloon from 2011 to 2015, we retrospectively analyzed demographic, clinical, laboratory, and hemodynamic variables, adverse events and survival to discharge from index hospitalization. Read More

    Practice of ST-segment elevation myocardial infarction care in the Netherlands during four snapshot weeks with the National Cardiovascular Database Registry for Acute Coronary Syndrome.
    Neth Heart J 2017 Jan 31. Epub 2017 Jan 31.
    National Cardiovascular Data Registry, Utrecht, The Netherlands.
    Background: Clinical registries provide information on the process of care and patient outcomes, with the potential to improve the quality of patient care. A large Dutch national acute coronary syndrome (ACS) registry is currently lacking. Recently, we initiated the National Cardiovascular Database Registry (NCDR) for ACS in the Netherlands. Read More

    Flow rate through pigtail catheter used for left heart decompression in an artificial model of extracorporeal membrane oxygenation circuit.
    ASAIO J 2017 Jan 26. Epub 2017 Jan 26.
    *Department of Anesthesiology and Pain Medicine. Seoul National University Hospital †Department of Thoracic and Cardiovascular Surgery. Samsung Medical center, Sungkyunkwan University School of Medicine ‡Department of Thoracic and Cardiovascular Surgery, Changwon Hospital, Gyeongsang, National University School of Medicine §Department of Thoracic and Cardiovascular Surgery, Jinju Hospital, Gyeongsang, National University School of Medicine.
    In refractory cardiogenic shock, veno-arterial extracorporeal membrane oxygenation (ECMO) can be initiated. Although left heart decompression can be accomplished by insertion of a left atrial (LA) or LV cannula using a percutaneous pigtail catheter, the venting flow rate according to catheter size and ECMO flow rate is unknown. We developed an artificial ECMO circuit. Read More

    Venoarterial Extracorporeal Membrane Oxygenation for Refractory Cardiogenic Shock in Elderly Patients: Trends in Application and Outcome From the Extracorporeal Life Support Organization (ELSO) Registry.
    Ann Thorac Surg 2017 Jan 25. Epub 2017 Jan 25.
    Cardiac Intensive Care Unit, Boston Children's Hospital, Boston, Massachusetts.
    Background: Venoarterial extracorporeal membrane oxygenation (VA-ECMO) for refractory cardiogenic shock (RCS) is increasingly used in adult patients, but age represents a controversial factor in this setting.

    Methods: Data from the Extracorporeal Life Support Organization registry was analyzed to assess in-hospital survival of elderly patients (≥70 years of age) undergoing VA-ECMO for RCS from 1992 to 2015. In-hospital survival and complications for elderly patients were compared with data in younger adults (≥18 to <70 years of age) supported with VA-ECMO during the same time period for similar indications. Read More

    Incidence and Management of Restenosis After Treatment of Unprotected Left Main Disease With Second-Generation Drug-Eluting Stents (from Failure in Left Main Study With 2nd Generation Stents-Cardiogroup III Study).
    Am J Cardiol 2017 Jan 6. Epub 2017 Jan 6.
    Ospedale San Raffaele, Milano, Italy.
    Incidence, predictors, and impact on prognosis of target lesion revascularization (TLR) for patients treated with second-generation drug-eluting stents (DESs) on unprotected left main (ULM) remain to be defined. The present study is a multicenter study including patients treated with a second-generation DES on ULM from June 2007 to January 2015. Rate of TLR was the primary end point. Read More

    Noncompaction cardiomyopathy in Hirschsprung's disease: a case report.
    Cardiovasc Pathol 2017 Jan 2;27:51-53. Epub 2017 Jan 2.
    Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padova, Italy.
    Noncompaction cardiomyopathy is a rare disorder, often associated with cardiac and noncardiac malformations. Hirschsprung's disease, a well-known aganglionosis, is associated with congenital heart diseases and has been reported to be due to impairment migration and differentiation of neural crest cells. Here, we present an 8-month-old male infant who died for cardiogenic shock after surgical resection of the involved bowel segment. Read More

    Autopsy after transcatheter aortic valve implantation.
    Virchows Arch 2017 Jan 27. Epub 2017 Jan 27.
    Department of Pathology, Academic Medical Centre-University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
    Autopsy after transcatheter aortic valve implantation (TAVI) is a new field of interest in cardiovascular pathology. To identify the cause of death, it is important to be familiar with specific findings related to the time interval between the procedure and death. We aimed to provide an overview of the autopsy findings in patients with TAVI in their medical history divided by the timing of death with specific interest in the added value of autopsy over a solely clinically determined cause of death. Read More

    ECMO in cardiac arrest and cardiogenic shock.
    Herz 2017 Feb;42(1):27-44
    Cardiac Arrest Center, Acute and Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
    Cardiogenic shock is an acute emergency, which is classically managed by medical support with inotropes or vasopressors and frequently requires invasive ventilation. However, both catecholamines and ventilation are associated with a worse prognosis, and many patients deteriorate despite all efforts. Mechanical circulatory support is increasingly considered to allow for recovery or to bridge until making a decision or definite treatment. Read More

    Right atrial thrombus and its causes, complications, and therapy.
    Proc (Bayl Univ Med Cent) 2017 Jan;30(1):54-56
    Baylor University Medical Center at Dallas, Dallas, Texas.
    A 70-year-old man who presented with dyspnea and intermittent chest pain was found to have a large free-floating right atrial thrombus on two-dimensional echocardiogram. Atriotomy was performed, and an 18-cm-long thrombus was removed from the right atrium and inferior vena cava. Postoperatively, the patient developed cardiogenic shock treated by intravenous vasopressor agents and extracorporeal membrane oxygenation. Read More

    Clinical impact of admission hyperglycemia on in-hospital mortality in acute myocardial infarction patients.
    Int J Cardiol 2017 Jan 19. Epub 2017 Jan 19.
    Chonbuk National University Hospital, Jeonju, Republic of Korea.
    Background: Acute hyperglycemia on admission is common in acute myocardial infarction (AMI) patients regardless of diabetic status, and is known as one of prognostic factors. However, the effect of hyperglycemia on non-diabetic patients is still on debate.

    Methods: A total of 12,625 AMI patients (64. Read More

    Prolonged left ventricular unloading prior to revascularization in cardiogenic shock associated with complete ventricular recovery.
    Cardiovasc Revasc Med 2017 Jan 17. Epub 2017 Jan 17.
    Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California, San Diego, (also the institution where work was performed) La Jolla, CA 92037. Electronic address:
    The use of percutaneous mechanical circulatory support (MCS) in high-risk coronary intervention and cardiogenic shock is associated with improved ability to obtain complete revascularization. However, whether prolonged left ventricular unloading and mechanical circulatory support prior to coronary revascularization in acute myocardial infarct patients improves outcomes is unclear. We report a case in which a patient with acute anterior myocardial infarction and cardiogenic shock received prolonged left ventricular mechanical unloading for 24h prior to revascularization, and ultimately this resulted in a limited myocardial infarct and complete restoration of left ventricular function. Read More

    Current practice of transradial approach for coronary procedures: A survey by the Italian Society of Interventional Cardiology (SICI-GISE) and the Italian Radial Club.
    Cardiovasc Revasc Med 2017 Jan 17. Epub 2017 Jan 17.
    Cardiovascular Department, Papa Giovanni XXIII Hospital, Bergamo, Italy.
    Background: Transradial approach (TRA) for percutaneous coronary procedures is associated with improved patient outcome and is being increasingly adopted worldwide. We surveyed Italian interventional cardiologists in order to take a snapshot of the current practice of TRA.

    Methods: A web-based questionnaire was emailed to all members of the Italian Society of Interventional Cardiology. Read More

    The role of resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct to ACLS in non-traumatic cardiac arrest: A review of key concepts, physiology, current evidence, and future directions.
    Am J Emerg Med 2017 Jan 12. Epub 2017 Jan 12.
    Johns Hopkins Medicine, Department of Emergency Medicine, Baltimore, MD, United States.
    Non-traumatic cardiac arrest is a major public health problem that carries an extremely high mortality rate. If we hope to increase the survivability of this condition, it is imperative that alternative methods of treatment are given due consideration. Balloon occlusion of the aorta can be used as a method of circulatory support in the critically ill patient. Read More

    Circulatory support using the impella device in fontan patients with systemic ventricular dysfunction: A multicenter experience.
    Catheter Cardiovasc Interv 2017 Jan 23. Epub 2017 Jan 23.
    Division of Cardiology, Seattle Children's Hospital, Seattle, Washington.
    Background: There are limited mechanical circulatory support options for patients with single ventricle (SV) anatomy. This is a multicenter, retrospective study of the Impella pump to support the systemic ventricle in a cohort of SV patients with Fontan circulation.

    Methods: Patients with SV anatomy supported with an Impella device from 2012 to 2015 were included. Read More

    Sudden Death Due to Unusual Complication of Takayasu Arteritis: An Autopsy Case.
    Am J Forensic Med Pathol 2017 Jan 18. Epub 2017 Jan 18.
    From the Departments of *Legal Medicine, †Pathology, and ‡Hospital Hygiene, Farhat Hached University Hospital, Sousse, Tunisia; and §Department of Legal Medicine, Ibn El jazzar University Hospital, Kairouan, Tunisia.
    Takayasu arteritis is an uncommon inflammatory disease with usually a good prognosis. However, sometimes, the evolution can be fatal essentially by a coronary arteries involvement. We present a case of a 19-year-old woman who died suddenly from cardiogenic shock complicating an unknown Takayasu arteritis. Read More

    The use of hemodynamic support in massive pulmonary embolism.
    Catheter Cardiovasc Interv 2017 Jan 19. Epub 2017 Jan 19.
    Section of Cardiology, Department of Medicine, Emory University Hospital, Atlanta, Georgia.
    Massive pulmonary embolism is life threatening and can present as cardiogenic shock and cardiac arrest. We report a case of a 47-year-old male who arrested during his postoperative hospitalization and was found to have a massive pulmonary embolism with bilateral involvement of the pulmonary arteries. Given his profound shock and right ventricular failure, an Impella RP was used to stabilize his acute right ventricular failure while percutaneous embolectomy and thrombolysis was used to treat the pulmonary embolism. Read More

    [Use of vasopressors and inotropics in cardiogenic shock].
    Herz 2017 Feb;42(1):3-10
    Medizinische Klinik II, Kardiologie, Angiologie, Internistische Intensivmedizin, St. Marien-Krankenhaus Siegen, Kampenstraße 51, 57072, Siegen, Deutschland.
    Vasoactive drugs and inotropic agents are important for the hemodynamic management of cardiogenic shock. In this article the use of different vasoactive and ionotropic drugs in cardiogenic shock is presented. Hemodynamic management during cardiogenic shock occurs after initial moderate volume delivery by dobutamine to increase inotropism. Read More

    Traditional Sternotomy Versus Minimally Invasive Aortic Valve Replacement in Patients Stratified by Ejection Fraction.
    Innovations (Phila) 2017 Jan/Feb;12(1):33-40
    From the *Department of Cardiothoracic Surgery, Memorial Hermann Hospital, University of Texas Medical School at Houston, Heart and Vascular Institute, Houston, TX USA; †Structural Heart and Valve Center, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA USA; ‡Division of Cardiology, Department of Internal Medicine, Memorial Hermann Hospital, University of Texas Medical School at Houston, Heart and Vascular Institute, Houston, TX USA; §Department Diagnostic and Interventional Imaging, University of Texas Medical School at Houston, Memorial Hermann Hospital, Houston, TX USA; and ∥Department of Cardiac Surgery, Mount Sinai Medical Center, Miami Beach, FL USA.
    Objective: Low ejection fraction (EF < 40%) portends adverse outcomes in patients undergoing valvular heart surgery. The role of traditional median sternotomy aortic valve replacement (SAVR) compared with minimally invasive aortic valve replacement (MIAVR) in this cohort remains incompletely understood.

    Methods: A multi-institutional retrospective review of 1503 patients who underwent SAVR (n = 815) and MIAVR via right anterior thoracotomy (n = 688) from 2011 to 2014 was performed. Read More

    Outcome of elderly undergoing extracorporeal life support in refractory cardiogenic shock.
    Clin Res Cardiol 2017 Jan 16. Epub 2017 Jan 16.
    University Heart Centre Luebeck, Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Luebeck, Germany.
    Background: The current study presents data from a real-world cohort of patients with refractory cardiogenic shock (CS) undergoing extracorporeal life support (ECLS) focusing on the comparison of elderly versus younger patients.

    Methods And Results: One hundred consecutive patients with refractory CS underwent percutaneous ECLS implantation performed by interventional cardiologists. Follow-up was performed at hospital discharge as well as at a median of 18 months [interquartile range 15-36]. Read More

    Clinical features and three-year outcomes of Takotsubo (stress) cardiomyopathy: Observational data from one center.
    Hellenic J Cardiol 2016 Nov 16. Epub 2016 Nov 16.
    Department of Radiology, Nuclear Medicine and Medical Physics, Vilnius University, Lithuania.
    Objective: The natural history, management, and outcome of Takotsubo (stress) cardiomyopathy (TTC) is not clear. The aim of this study was to investigate clinical features, define prognostic predictors, and assess the clinical course and outcomes of patients with TTC.

    Methods: We analyzed 64 patients (52 women) meeting the proposed Mayo Clinic diagnostic criteria for TTC. Read More

    The association of blood urea nitrogen levels with mortality in acute pulmonary embolism.
    J Crit Care 2016 Dec 29. Epub 2016 Dec 29.
    Department of Cardiology, Dr. Siyami Ersek Cardiovascular Surgery Research and Training Hospital, Istanbul, 34773, Turkey.
    Background: The aim of this study was to investigate the association of BUN levels with in-hospital and long-term adverse clinical outcomes in acute pulmonary embolism (APE) patients treated with tissue-plasminogen activator (t-PA).

    Methods: This retrospective study included 252 consecutive confirmed APE patients treated with t-PA. An admission BUN of 34. Read More

    Idiopathic infantile arterial calcification: a case report of successful extracorporeal membrane oxygenation support.
    Int J Artif Organs 2017 Jan 12. Epub 2017 Jan 12.
    Division of Pediatric Cardiology, Children's Healthcare of Atlanta, Emory University, Atlanta, GA - USA.
    Idiopathic infantile arterial calcification is a rare cause of infantile ischemic cardiac failure with extremely poor prognosis. We present the first case report of successful extracorporeal membrane oxygenation support and outcome in a child with idiopathic infantile arterial calcification (IIAC). This 6-week-old infant presented with cardiogenic shock and circulatory collapse. Read More

    Bridge to transplant or recovery in cardiogenic shock in a developing country.
    Asian Cardiovasc Thorac Ann 2017 Feb 13;25(2):105-112. Epub 2017 Jan 13.
    1 Department of Cardiovascular Diseases, Clínica Dávila, Santiago, Chile.
    Background Durable mechanical support devices are prohibitively expensive in our health system and may be unsuitable for critically ill patients. CentriMag is an alternative bridge to transplantation or recovery. Methods We retrospectively reviewed 28 patients (23 males) aged 13-60 years who received CentriMag support. Read More

    A simple risk score in acute ST-elevation myocardial infarction: Modified ACEF(age, creatinine, and ejection fraction) score.
    Turk J Med Sci 2016 Dec 20;46(6):1688-1693. Epub 2016 Dec 20.
    Department of Cardiology, Koşuyolu Heart Education and Research Hospital, İstanbul, Turkey.
    Background/aim: The aim of this study was to evaluate if the modified ACEF (age, creatinine, and ejection fraction) score is a predictor of major adverse cardiac and cerebrovascular events during 1 year of follow-up in patients with ST-segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI).

    Materials And Methods: We retrospectively enrolled 1632 consecutive patients who were admitted to our emergency department diagnosed with STEMI within 12 h of chest pain and treated with primary PCI. The modified ACEF score, determined with a simplified scoring system, was calculated. Read More

    Modern hydroxyethyl starch and acute kidney injury after cardiac surgery: a prospective multicentre cohort.
    Br J Anaesth 2016 Oct 17;117(4):458-463. Epub 2016 Oct 17.
    Anesthesiology & Critical Care, Clinica Universidad de Navarra, Avenida Pio 12, 36, 31008 Pamplona, Spain.
    Background: Recent trials have shown hydroxyethyl starch (HES) solutions increase the risk of acute kidney injury (AKI) in critically ill patients. It is uncertain whether these adverse effects also affect surgical patients. We sought to determine the renal safety of modern tetrastarch (6% HES 130/0. Read More

    Cannulation strategies in adult veno-arterial and veno-venous extracorporeal membrane oxygenation: Techniques, limitations, and special considerations.
    Ann Card Anaesth 2017 Jan;20(Supplement):S11-S18
    Department of Anesthesiology, Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic, Arizona, USA.
    Extracorporeal membrane oxygenation (ECMO) refers to specific mechanical devices used to temporarily support the failing heart and/or lung. Technological advances as well as growing collective knowledge and experience have resulted in increased ECMO use and improved outcomes. Veno-arterial (VA) ECMO is used in selected patients with various etiologies of cardiogenic shock and entails either central or peripheral cannulation. Read More

    Cardiac and Noncardiac Causes of Long-Term Mortality in ST-Segment-Elevation Acute Myocardial Infarction Patients Who Underwent Primary Percutaneous Coronary Intervention.
    Circ Cardiovasc Qual Outcomes 2017 Jan;10(1)
    From the Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (Y.Y., H.S., H.Y., S.S., K.O., T.K.), Department of Clinical Epidemiology, Hyogo College of Medicine, Nishinomiya, Japan (T.M.); Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.); Division of Cardiology, Tenri Hospital, Tenri, Japan (Y.N.); Division of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan (K.A.); Division of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan (K.K.); Division of Cardiology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan (M.A.); and Division of Cardiology, Osaka Red Cross Hospital, Osaka, Japan (K.N.).
    Background: In patients with ST-segment-elevation acute myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention, long-term risks for cardiac and noncardiac death beyond acute phase of STEMI have not been thoroughly evaluated yet.

    Methods And Results: We identified 3942 STEMI patients who had primary percutaneous coronary intervention within 24 hours after onset between January 2005 and December 2007 in the CREDO-Kyoto AMI registry (Coronary Revascularization Demonstrating Outcome study in Kyoto Acute Myocardial Infarction) and evaluated their short-term (within 6-month) and long-term (beyond 6-month) incidences and causes of deaths. The cumulative 5-year incidence of all-cause death in the current study population was 20. Read More

    Sudden death due to the atrioventricular node contusion: Three cases report.
    Medicine (Baltimore) 2017 Jan;96(1):e5688
    aDepartment of Forensic Medicine, Huazhong University of Science and Technology, Tongji Medical College bDepartment of Pathology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Techology, PR China.
    Introduction: Atrioventricular node (AVN) contusion usually results in cardiogenic shock and arrhythmia and is a rare but fatal condition. The condition is difficult to diagnose and easily overlooked because it develops rapidly and is asymptomatic. We here report 3 cases that demonstrate blunt chest impact and hemorrhages of the posterior atrioventricular junction, eventually result in death. Read More

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