4,011 results match your criteria Congestive Heart Failure and Pulmonary Edema


[Clinical feature changes of a COVID-19 patient from mild to critical condition and cardiopulmonary pathological results].

Zhonghua Xin Xue Guan Bing Za Zhi 2020 May 26;48(0):E018. Epub 2020 May 26.

Administration Office, Shenzhen Third People's Hospitle, Shenzhen 518112, China.

To analyse the clinical history, laboratory tests and pathological data of a patient who suffered from novel coronavirus pneumonia(COVID-19) and provide reference for the clinical treatment of similar cases. Data of clinical manifestation, laboratory examination, bronchoscopy, echocardiography and cardiopulmonary pathological results were retrospectively reviewed in a case of COVID-19 with rapid exacerbation from mild to critical condition. This patient hospitalized at day 9 post 2019 novel coronavirus(2019-nCoV) infection, experienced progressive deterioration from mild to severe at day 11, severe to critical at day 18 and underwent extracorporeal membrane oxygenation(ECMO) and continuous renal replacement therapy(CRRT) as well as heart lung transplantation during day 28-45 day post infection, and died on the second day post heart and lung transplantation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.cn112148-20200304-00155DOI Listing

Intravascular ultrasound-guided pulmonary artery embolectomy for saddle pulmonary embolism.

Catheter Cardiovasc Interv 2020 May 19. Epub 2020 May 19.

Division of Cardiology, Morehouse School of Medicine, Atlanta, Georgia, USA.

A percutaneous catheter-directed treatment approach is preferred among patients with acute submassive pulmonary embolism (PE) and chronic kidney disease (CKD), who are at significant risk of bleeding with thrombolytics. Limiting contrast volume in these patients could reduce morbidity and mortality associated with contrast-induced acute kidney injury (CI-AKI). We present the case of a 61-year-old African American woman (BMI 46. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ccd.28985DOI Listing

The Spectrum of Pregnancy-Associated Heart Failure Phenotypes: An Echocardiographic Study.

Int J Cardiovasc Imaging 2020 May 6. Epub 2020 May 6.

Cardiovascular Division, Department of Medicine, Washington University School of Medicine, 660 South Euclid, Campus Box 8086, St. Louis, MO, 63110, USA.

Compare echocardiographic phenotypes of women presenting with peripartum heart failure. A retrospective case-control study of pregnant women (n = 86) presenting with PP-HF symptoms (i.e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10554-020-01866-wDOI Listing

Left ventricular overloading identified by critical care echocardiography is key in weaning-induced pulmonary edema.

Intensive Care Med 2020 May 6. Epub 2020 May 6.

Medical-Surgical Intensive Care Unit, Dupuytren Teaching Hospital, 87000-Limoges, France.

Purpose: To assess the role of left ventricular overload and cumulated fluid balance in the development weaning-induced pulmonary edema (WIPO).

Methods: Ventilated patients in sinus rhythm with COPD and/or heart failure (ejection fraction ≤ 40%) were studied. Echocardiography was performed immediately before and during a 30-min spontaneous breathing trial (SBT) using a T-tube. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00134-020-06061-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223421PMC

[Risk factors for death and the clinical features of different subtypes of patients with pulmonary arterial hypertension related to congenital heart disease].

Zhonghua Xin Xue Guan Bing Za Zhi 2020 Apr;48(4):315-322

Department of Pediatric Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Disease, Beijing 100029, China.

To explore the risk factors for death in patients with pulmonary arterial hypertension related to congenital heart disease (PAH-CHD) and the clinical characteristics of different subtypes in patients with PAH-CHD. It was a retrospective study. A total of 507 PAH-CHD patients, who were hospitalized in the Department of Pediatric Cardiology of Beijing Anzhen Hospital between September 2005 and May 2019, were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.cn112148-20190628-00364DOI Listing

Quantitative Xe MRI detects early impairment of gas-exchange in a rat model of pulmonary hypertension.

Sci Rep 2020 Apr 30;10(1):7385. Epub 2020 Apr 30.

Department of Biomedical Engineering, Duke University, Durham, NC, USA.

Hyperpolarized Xe magnetic resonance imaging (MRI) is capable of regional mapping of pulmonary gas-exchange and has found application in a wide range of pulmonary disorders in humans and animal model analogs. This study is the first application of Xe MRI to the monocrotaline rat model of pulmonary hypertension. Such models of preclinical pulmonary hypertension, a disease of the pulmonary vasculature that results in right heart failure and death, are usually assessed with invasive procedures such as right heart catheterization and histopathology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41598-020-64361-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193602PMC

High-Flow Nasal Cannula in Early Emergency Department Management of Acute Hypercapnic Respiratory Failure Due to Cardiogenic Pulmonary Edema.

Respir Care 2020 Apr 14. Epub 2020 Apr 14.

Department of Emergency Medicine and Prehospital Care, Montpellier University Hospital, Montpellier, France.

Background: Noninvasive ventilation (NIV) is the recommended ventilatory support for acute cardiogenic pulmonary edema (CPE) associated with acute respiratory failure or hypercapnia. High-flow nasal cannula (HFNC) has emerged as an alternative to NIV in acute hypoxemic respiratory failure. We aimed to assess the efficacy of HFNC on early changes in P and respiratory parameters in patients in the emergency department with acute hypercapnic CPE and to compare it to NIV. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.07278DOI Listing

Comparison of clinical characteristics of patients with heart failure and preserved ejection fraction with atrial fibrillation versus sinus rhythm: Insights from the APOLLON registry.

Turk Kardiyol Dern Ars 2020 Apr;48(3):234-245

Department of Cardiology, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey.

Objective: The aim of this study was to assess the clinical characteristics of patients with heart failure and preserved ejection fraction (HFpEF) and atrial fibrillation (AF) and compare them with those of HFpEF patients without AF.

Methods: This study was a sub-group analysis of a multicenter, observational, and cross-sectional registry conducted in Turkey (ClinicalTrials.gov identifier: NCT03026114). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5543/tkda.2019.77236DOI Listing

High-dose nitroglycerin infusion for the management of sympathetic crashing acute pulmonary edema (SCAPE): A case series.

Am J Emerg Med 2020 Apr 2. Epub 2020 Apr 2.

Department of Surgery, Division of Emergency Medicine, The University of Vermont Medical Center, United States of America.

Sympathetic crashing acute pulmonary edema (SCAPE) describes the most severe presentation of acute heart failure (AHF). Immediate intervention is required to prevent hemodynamic decompensation and endotracheal intubation. Although high-dose nitroglycerin (>100 μg/min) has been described for this clinical scenario in limited case reports, the concern for adverse effects such as hypotension and syncope limit providers comfortability in initiating nitroglycerin at these doses. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2020.03.062DOI Listing
April 2020
1.152 Impact Factor

Daily home monitoring of potassium, creatinine, and estimated plasma volume in heart failure post-discharge.

ESC Heart Fail 2020 Apr 10. Epub 2020 Apr 10.

Centre d'Investigations Cliniques-1433, Université de Lorraine, Inserm, Inserm U1116, CHU Nancy, F-CRIN INI-CRCT, Nancy, France.

Aims: Congestive status, serum potassium, and renal function are major determinants of outcomes as well as critical elements for adjusting drug therapy in heart failure (HF) patients. This study aimed at describing the daily variations in estimated plasma volume (ePV, a surrogate of congestion computed from haemoglobin and haematocrit), blood potassium, and estimated glomerular filtration rate during 2 months post-hospitalization for decompensated HF with reduced ejection fraction.

Methods And Results: The study was conducted in a single tertiary referral centre. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ehf2.12642DOI Listing

Acute Heart Failure as a First Presentation of Pheochromocytoma Complicated with "Inverted" Takotsubo Syndrome.

Case Rep Endocrinol 2020 17;2020:2521046. Epub 2020 Mar 17.

Development, Ageing and Pathology Research Group, Vrije Universiteit Brussel, Brussels, Belgium.

Takotsubo syndrome is a rare but emerging form of acute reversible myocardial injury characterized by transient systolic LV dysfunction, often related to emotional or physical stress. Pheochromocytoma is increasingly recognised as another possible trigger. Pheochromocytoma is a rare catecholamine-secreting tumour arising from chromaffin cells within the adrenal medulla or extra-adrenal paraganglia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/2521046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103034PMC

Development of Pulmonary Edema Despite Negative Fluid Balance with Diuretics in a Patient with Heart Failure and Sigmoid Septum.

Tokai J Exp Clin Med 2020 Apr 20;45(1):31-36. Epub 2020 Apr 20.

Department of General Internal Medicine, Tokai University School of Medicine, Hachioji Hospital, 1838 Ishikawa-machi, Hachioji, Tokyo 192-0032, Japan.

An 87-year-old man was hospitalized due to dyspnea and leg edema. He was diagnosed with heart failure due to anemia with a hemoglobin (Hb) concentration of 6.0 g/dL. Read More

View Article

Download full-text PDF

Source

ISCCM Guidelines for the Use of Non-invasive Ventilation in Acute Respiratory Failure in Adult ICUs.

Indian J Crit Care Med 2020 Jan;24(Suppl 1):S61-S81

Department of Division of Critical Care Medicine, Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India, , e-mail:

A. ACUTE HYPERCAPNIC RESPIRATORY FAILURE A1. Acute Exacerbation of COPD: Recommendations: NIV should be used in management of acute exacerbation of COPD in patients with acute or acute-on-chronic respiratory acidosis (pH = 7. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5005/jp-journals-10071-G23186DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085817PMC
January 2020

Postpartum psychosis in peripartum cardiomyopathy: a case report.

BMC Psychiatry 2020 Mar 11;20(1):114. Epub 2020 Mar 11.

School of Medicine, Department of Family Medicine, Moi University, P. O. Box 3900-30100, Eldoret, Kenya.

Background: This case report highlights the rare occurrence of postpartum psychosis in the setting of peripartum cardiomyopathy, which can have rare presentations like arrhythmias and pulmonary edema; and the challenges one should anticipate while managing these conditions together. Caution is advised whenever antipsychotic drugs are to be administered to a patient with a cardiac condition as these drugs potentially increase the risk of arrhythmias and sudden death.

Case Presentation: A 35 year old grand multiparous woman who was 1 week into puerperium was admitted with severe difficulty in breathing at rest, chest congestion and pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12888-020-02522-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066778PMC

Multimodality Imaging for a Challenging Left Ventricular Assist Device in Double Ventricular Aneurysm.

Circ Cardiovasc Imaging 2020 Mar 12;13(3):e010035. Epub 2020 Mar 12.

Cardiothoracic Intensive Care Unit (F.C., L.B., S.A., G.M., M.G.C., M.P., E.F., F.P., A.M.S.), Cardiology and Cardiothoracic Surgery Department, San Raffaele University Hospital, Milan, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1161/CIRCIMAGING.119.010035DOI Listing

A superior vena cava to right pulmonary artery shunt for severe right ventricular outflow tract stenosis caused by an unresectable cardiac tumor.

J Cardiol Cases 2020 Mar 13;21(3):97-100. Epub 2019 Nov 13.

Department of Cardiac Surgery, The University of Tokyo, Tokyo, Japan.

We report the case of a 47-year-old man who was diagnosed with severe right ventricular outflow tract (RVOT) stenosis due to a space-occupying lesion; the diagnosis was made using computed tomography. He underwent mass reduction, pulmonary valve replacement, and RVOT reconstruction with a bovine pericardial patch. The pathological diagnosis was undifferentiated pleomorphic sarcoma originating from the myocardium. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2019.10.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054662PMC

[Efficacy and safety of Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension].

Zhonghua Yi Xue Za Zhi 2020 Feb;100(6):437-441

Chinese Academy of Medical Sciences, Graduate School of Peking Union Medical College, Beijing 100730, China.

To study the efficacy and safety of Balloon pulmonary angioplasty (BPA) for chronic thromboembolic pulmonary hypertension (CTEPH). Patients who were diagnosed CTEPH in China-Japan Friendship Hospital from Feb 2018 to Sep 2019 were evaluated. The ineligibility for pulmonary endarterectomy (PEA) and the indication for BPA were decided on the basis of a consensus among the multidisciplinary team for all CTEPH patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2020.06.008DOI Listing
February 2020

Acute Decompensated Heart Failure in Patients with Heart Failure with Reduced Ejection Fraction.

Authors:
Mitsuhiro Fukata

Heart Fail Clin 2020 Apr 11;16(2):187-200. Epub 2020 Feb 11.

Department of Hematology, Oncology and Cardiovascular Medicine, Heart Center, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Electronic address:

Acute decompensated heart failure (ADHF) requires immediate treatments because it impairs perfusion to systemic organs and their function. Half of all patients with ADHF are diagnosed with heart failure with reduced left ventricular ejection fraction (HFrEF). The initial goal of management for ADHF is to stabilize hemodynamic status. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.hfc.2019.12.007DOI Listing

Increased risk of severe maternal morbidity among infertile women: analysis of US claims data.

Am J Obstet Gynecol 2020 Feb 27. Epub 2020 Feb 27.

Department of Urology, Stanford University School of Medicine, Stanford, CA.

Background: Severe maternal morbidity continues to be an issue of national and global concern and is increasing in incidence. The incidence of infertility is also on the rise, and infertile women experience a higher risk of incident chronic medical disease and cancer, suggesting that fertility may serve as a window to a woman's overall health.

Objective: To investigate the risk of severe maternal morbidity by maternal fertility status. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajog.2020.02.027DOI Listing
February 2020

Diastolic Heart Failure: A Review of Current and Future Treatment Options.

Cardiol Rev 2020 Feb 21. Epub 2020 Feb 21.

Department of Medicine, Division of Cardiology, New York Medical College/Westchester Medical Center, Valhalla, NY.

Heart failure with preserved ejection fraction (HFpEF), often referred to as diastolic heart failure, remains one of the more challenging forms of heart failure to treat. This is a condition in which patients may or may not have signs and symptoms of heart failure, and retain a left ventricular EF > 50%. The challenge to treating HFpEF is due to the paucity of clinical trials with specific therapies, and those that have been completed have yielded relatively neutral results. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CRD.0000000000000303DOI Listing
February 2020

Epidemiological, clinical, and echocardiographic features of twenty 'Takotsubo-like' reversible myocardial dysfunction cases with normal coronarography following immersion pulmonary oedema.

Acta Cardiol 2020 Feb 24:1-7. Epub 2020 Feb 24.

Department of Cardiology, HIA Sainte Anne Military Hospital, Toulon, France.

Pulmonary immersion oedema is a frequent diving accident. Although its outcome is generally favourable within 72 h, it can nonetheless lead to heart failure or sudden death. Cases of transient myocardial dysfunction have been reported in the literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00015385.2020.1726627DOI Listing
February 2020

Nonsurgical management of an asymptomatic popliteal venous aneurysm.

J Surg Case Rep 2020 Feb 15;2020(2):rjz396. Epub 2020 Feb 15.

Department of Surgery, Easton Hospital, Easton, PA, USA.

An 81-year-old male with a history of poorly controlled congestive heart failure, chronic obstructive pulmonary disease and atrial fibrillation among other comorbidities was admitted to the hospital for worsening bilateral leg swelling and cellulitis. The patient had an injury to his left medial malleolus 2 weeks prior, which failed outpatient care. During the physical exam, a soft mobile mass was palpated in the right popliteal fossa along with bilateral varicose veins, +1 pitting edema in bilateral lower extremities up to mid-calf. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/jscr/rjz396DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024076PMC
February 2020

Value of new ST-Segment / T-Wave changes for prediction of major adverse cardiac events after vascular surgery: a meta-analysis.

Minerva Anestesiol 2020 Feb 17. Epub 2020 Feb 17.

Department of Anesthesiology, National Heart Institute, Cairo, Egypt.

Introduction: The aim of this review is to examine current evidence on value of new ST-segment or T-wave changes for prediction of major adverse cardiac events (MACE) after vascular surgery.

Evidence Acquisition: We searched PudMed, EMBASE and Cochrane Library databases for studies examining the relation between new ST-segment elevation or depression or T-wave inversion and MACE following vascular surgery. MACE was defined as fatal or non-fatal myocardial infarction, cardiac death, unstable angina, cardiac arrest, congestive heart failure, ischemic pulmonary edema, major ventricular arrhythmia or complete heart block. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S0375-9393.20.13947-6DOI Listing
February 2020

Breaking hearts and taking names: A case of sarcoidosis related effusive-constrictive pericarditis.

Respir Med 2020 Mar 23;163:105879. Epub 2020 Jan 23.

Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Florida, Gainesville, FL, USA. Electronic address:

Introduction: Pericardial involvement of sarcoidosis is a rare cause for acute heart failure, and usually occurs as a result of the development of a pericardial effusion leading to cardiac tamponade. Even rarer still, is the manifestation of constrictive pericarditis. We report a case of sarcoidosis with lung, pleural, and pericardial involvement with effusive-constrictive pericarditis leading to cardiac tamponade. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rmed.2020.105879DOI Listing

Positive Pressure Ventilation in Cardiogenic Shock: Review of the Evidence and Practical Advice for Patients With Mechanical Circulatory Support.

Can J Cardiol 2020 Feb 12;36(2):300-312. Epub 2019 Dec 12.

Department of Critical Care Medicine and Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

Cardiogenic shock (CS) is often complicated by respiratory failure, and more than 80% of patients with CS require respiratory support. Elevated filling pressures from left-ventricular (LV) dysfunction lead to alveolar pulmonary edema, which impairs both oxygenation and ventilation. The implementation of positive pressure ventilation (PPV) improves gas exchange and can improve cardiovascular hemodynamics by reducing preload and afterload of the LV, reducing mitral regurgitation and decreasing myocardial oxygen demand, all of which can help augment cardiac output and improve tissue perfusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cjca.2019.11.038DOI Listing
February 2020

[When should unilateral renal stenosis not be dilated ?]

Rev Med Suisse 2020 Feb;16(680):272-274

Service de néphrologie, Hôpital de la Tour, Avenue J.-D. Maillard 3, 1217 Meyrin.

Renal artery stenosis can lead to renovascular secondary hypertension. It can also induce an elevation of creatinine, but usually in the case of bilateral stenosis. In addition, it may be associated with the occurrence of heart failure and pulmonary edema. Read More

View Article

Download full-text PDF

Source
February 2020

Goal-directed fluid therapy using transoesophageal echocardiographic inferior venacaval index in patients with low left ventricular ejection fraction undergoing major cytoreductive surgery: A clinical trial.

Saudi J Anaesth 2020 Jan-Mar;14(1):7-14. Epub 2020 Jan 6.

Department of Anaesthesia, Rajiv Gandhi Cancer Institute and Research Centre, Sector-5, Rohini, Delhi, India.

Background And Aims: This study aims to trans oesophageal echo cardiographically (TOE) measure inferior venacava diameter (IVCD) during inspiration and expiration in poor left ventricular ejection fraction (LVEF) patients undergoing cytoreductive oncosurgery, to ascertain if any correlation exists between, caval index (DeltaIVCD), and stroke volume variation (SVV), and to compare DeltaIVCD-guided versus SVV-guided fluid therapy.

Methods: In this prospective, parallel group, interventional study, seventy American Society of Anesthesiologists-III patients, aged 30-75 years, weighing 40-90 kg, with LVEF ≤40% undergoing cytoreductive surgery were included and randomised to group-D (DeltaIVCD-guided fluid therapy) and group-S (SVV-guided fluid therapy). Patients with oesophageal lesions were excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/sja.SJA_215_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970374PMC
January 2020

Benefit and harm of intravenous vasodilators across the clinical profile spectrum in acute cardiogenic pulmonary oedema patients.

Eur Heart J Acute Cardiovasc Care 2020 Jan 29:2048872619891075. Epub 2020 Jan 29.

Tokyo CCU Network Scientific Committee, Japan.

Background: The absence of high quality, large-scale data that indicates definitive mortality benefits does not allow for firm conclusions on the role of intravenous vasodilators in acute heart failure. We aimed to investigate the associations between intravenous vasodilators and clinical outcomes in acute heart failure patients, with a specific focus on patient profiles and type of vasodilators.

Methods: Data of 26,212 consecutive patients urgently hospitalised for a primary diagnosis of acute heart failure between 2009 and 2015 were extracted from a government-funded multicentre data registration system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2048872619891075DOI Listing
January 2020

Malignant ventricular arrhythmias and other complications of untreated accessory pathways: an analysis of prevalence and risk factors in over 600 ablation cases.

Kardiol Pol 2020 03 28;78(3):203-208. Epub 2020 Jan 28.

1st Department of Cardiology, Interventional Electrocardiology and Hypertension, Institute of Cardiology, Jagiellonian University Medical College, Kraków, Poland

Background: The presence of accessory pathways (APs) is a risk factor for sudden cardiac death and other clinical complications.

Aims: We aimed to characterize all adverse events likely related to the presence of APs in patients referred for AP ablation and to identify risk factors for malignant arrhythmias.

Methods: We performed a retrospective analysis of consecutive patients referred for AP ablation from 2002 to 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.33963/KP.15161DOI Listing

Spontaneous rupture of a mechanical valve in a mitral position (On-X) with migration-embolization to aortic bifurcation from the perspective of the vascular surgeon.

J Cardiovasc Surg (Torino) 2020 Apr 23;61(2):256-263. Epub 2020 Jan 23.

Department of Angiology and Vascular Surgery, Salamanca University Hospital (CAUSA), Salamanca, Spain -

We report on the case of spontaneous rupture of an On-X-pure pyrolytic carbon mechanical valve prosthesis implanted seven years earlier, in a mitral position, at our hospital. The patient was admitted with valvular dysfunction and acute pulmonary edema requiring emergency surgery (prosthesis replacement); the absence of a leaflet was confirmed intraoperatively. The patient presented severe respiratory failure, which prolonged the postoperative period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S0021-9509.20.11026-7DOI Listing
April 2020
1.365 Impact Factor

High-Altitude Decompression Sickness Treated with Hyperbaric Therapy and Extracorporeal Oxygenation.

Aerosp Med Hum Perform 2020 Feb;91(2):106-109

High-altitude decompression sickness (HADCS) is a rare condition that has been associated with aircraft accidents. To the best of our knowledge, the present paper is the first case report of a patient treated for severe HADCS using recompression therapy and veno-venous extracorporeal oxygenation (VV-ECMO) with a complete recovery. After depressurization of a cabin, the 51-yr-old jet pilot was admitted to the Military Institute of Medicine with a life-threatening HADCS approximately 6 h after landing from a high-altitude flight, in a dynamically deteriorating condition, with progressing dyspnea and edema, reporting increasing limb paresthesia, fluctuating consciousness, and right-sided paresis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3357/AMHP.5457.2020DOI Listing
February 2020

Prognostic value of base excess as indicator of acid-base balance in acute heart failure.

Eur Heart J Acute Cardiovasc Care 2020 Jan 23:2048872619898781. Epub 2020 Jan 23.

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Centre, Japan.

Background: Acid-base balance can change as a result of pulmonary oedema and low tissue perfusion in acute heart failure patients. However, its long-term prognostic significance remains to be clarified.

Methods: We prospectively examined a cohort of 472 consecutive acute heart failure patients who underwent arterial blood gas analysis on admission between January 2013 and May 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2048872619898781DOI Listing
January 2020

Evaluation of atrial natriuretic peptide and cardiac troponin I concentrations for assessment of disease severity in dogs with naturally occurring mitral valve disease.

J Am Vet Med Assoc 2020 Feb;256(3):340-348

Objective: To evaluate and compare the clinical usefulness of plasma atrial natriuretic peptide (ANP) and cardiac troponin-I (cTnI) concentrations for assessment of disease severity in dogs with naturally occurring mitral valve disease (MVD).

Animals: 316 dogs with MVD and 40 healthy control dogs.

Procedures: Each dog underwent a physical examination and echocardiographic and thoracic radiographic assessments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2460/javma.256.3.340DOI Listing
February 2020

The economic impact of clinically significant tricuspid regurgitation in a large, administrative claims database.

J Med Econ 2020 May 2;23(5):521-528. Epub 2020 Mar 2.

Edwards Lifesciences, Irvine, CA, USA.

This study aimed to quantify the healthcare burden of clinically significant tricuspid regurgitation (TR) in patients with and without heart failure (HF). Data were from the IBM MarketScan Research Databases from October 2011 to September 2016. Eligible patients met the following inclusion criteria: age ≥18 with a TR diagnosis, 12 months pre (baseline), and 6 months post (landmark) medical enrollment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/13696998.2020.1718681DOI Listing

Modeling of Transport Mechanisms in the Respiratory System: Validation via Congestive Heart Failure Patients.

Conf Proc IEEE Eng Med Biol Soc 2019 07;2019:2361-2364

The heart and lungs are intricately related. For congestive heart failure patients, fluid (plasma) backs up into the pulmonary system. As a result, pulmonary capillary pressure increases, causing fluid to seep into the lungs (pulmonary edema) within minutes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1109/EMBC.2019.8856569DOI Listing

Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema.

PLoS One 2020 14;15(1):e0227807. Epub 2020 Jan 14.

Department of Animal Medicine, Production and Health, University of Padua, Padua, Italy.

The effect of seasonal variation on hospital admissions and outcomes in humans with cardiovascular disease and congestive heart failure (CHF) has been described. This study evaluates the effect of temperature variation on admissions and outcomes in dogs with myxomatous mitral valve disease (MMVD) and first onset CHF. Ninety-three client-owned dogs with MMVD and a first occurrence of pulmonary edema were included in this retrospective clinical cohort study. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227807PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959981PMC

Use of combined cardiac and lung ultrasound to predict weaning failure in elderly, high-risk cardiac patients: a pilot study.

Intensive Care Med 2020 Mar 8;46(3):475-484. Epub 2020 Jan 8.

Department of Anaesthesia and Intensive Care, Istituto Di Ricovero E Cura a Carattere Scientifico, Policlinico San Matteo Foundation, Pavia, Italy.

Purpose: Weaning failure from mechanical ventilation may be due to lung de-recruitment or weaning-induced pulmonary oedema (WIPO). Both can be diagnosed by lung ultrasound (LUS) and transthoracic echocardiography (TTE), respectively. We conducted a prospective observational study, combining TTE and LUS, to determine if LUS alone may identify elderly patients at high risk of weaning or extubation failure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00134-019-05902-9DOI Listing

Self-Care Monitoring of Heart Failure Symptoms and Lung Impedance at Home Following Hospital Discharge: Longitudinal Study.

J Med Internet Res 2020 Jan 7;22(1):e15445. Epub 2020 Jan 7.

Centre for Patient-Centered Heart and Lung Research, Department of Cardiothoracic Surgery, Oslo University Hospital, Ullevål, Oslo, Norway.

Background: Self-care is key to the daily management of chronic heart failure (HF). After discharge from hospital, patients may struggle to recognize and respond to worsening HF symptoms. Failure to monitor and respond to HF symptoms may lead to unnecessary hospitalizations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2196/15445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996721PMC
January 2020

Feasibility, Effectiveness and Safety of Prehospital Intravenous Bolus Dose Nitroglycerin in Patients with Acute Pulmonary Edema.

Prehosp Emerg Care 2020 Jan 27:1-7. Epub 2020 Jan 27.

The necessity of rapid preload and afterload reduction in patients with decompensated congestive heart failure (CHF) and acute pulmonary edema (APE) is well established. In the hospital setting, intravenous (IV) nitroglycerin demonstrates improved patient morbidity and mortality. However, prehospital treatment is typically limited to sublingual nitroglycerin at doses that often do not affect afterload. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10903127.2020.1711834DOI Listing
January 2020

Preoperative elevated E/e' (≥ 15) with preserved ejection fraction is associated with the development of postoperative heart failure in intermediate-risk non-cardiac surgical patients.

J Anesth 2020 Apr 2;34(2):250-256. Epub 2020 Jan 2.

Department of Anesthesiology and Critical Care Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Purpose: Left ventricular diastolic dysfunction is an independent risk factor for adverse cardiovascular morbidities and mortalities in cardiovascular and high-risk surgical patients. However, there were only a few investigations among intermediate-risk surgical patients. This study aimed to investigate postoperative heart failure (HF) in intermediate-risk surgical patients who had preoperative diastolic dysfunction with preserved ejection fraction (EF). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00540-019-02728-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098923PMC

Acute Heart Failure in a Healthy Young Patient after Severe Carbon Monoxide Poisoning.

Eur J Case Rep Intern Med 2019 13;6(12):001340. Epub 2019 Dec 13.

Department of Internal Medicine, Panarcadian General Hospital, Tripoli, Greece.

Introduction: Carbon monoxide (CO) poisoning may cause severe cellular hypoxia.

Materials And Methods: A 28-year-old male presented reduced levels of consciousness and dyspnoea after CO exposure. Clinical examination revealed tachypnoea, bilateral rales, dilated jugular veins and confusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12890/2019_001340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936927PMC
December 2019

B-lines in heart failure: will comets guide us?

Eur J Heart Fail 2019 12;21(12):1616-1618

Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ejhf.1641DOI Listing
December 2019

The Magnitude of Postconvulsive Leukocytosis Mirrors the Severity of Periconvulsive Respiratory Compromise: A Single Center Retrospective Study.

Front Neurol 2019 6;10:1291. Epub 2019 Dec 6.

School of Life Sciences, Pharmacy & Chemistry, Kingston University London, United Kingdom.

Generalized epileptic convulsions frequently exhibit transient respiratory symptoms and non-infectious leukocytosis. While these peri-ictal effects appear to arise independently from one another, the possibility that they stem from a common ictal pathophysiological response has yet to be explored. We aimed to investigate whether peri-ictal respiratory symptoms and postictal leukocytosis coexist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fneur.2019.01291DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910016PMC
December 2019

Transient pulmonary nodules with halo sign in patients with advanced heart failure: a report of two cases.

Clin Imaging 2020 Mar 27;60(1):90-94. Epub 2019 Nov 27.

Unit of Advanced Heart Failure and Transplant, Department of Cardiology, Hospital Universitario y Politécnico La Fe, Spain.

Rationale And Objectives: Imaging is important in the diagnosis and follow-up of patients with heart failure (HF). Several thoracic radiological features have been described in these patients. The nodules with halo sign are very rarely reported in HF patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clinimag.2019.11.008DOI Listing

[The swollen leg and clarification of bilateral leg swelling : Practical procedure in general practice].

Authors:
Dieter Burchert

Internist (Berl) 2020 Jan;61(1):36-43

Diabetologische Schwerpunktpraxis, Römerstraße 14, 55129, Mainz, Deutschland.

Swelling of soft parts of the lower extremities, whether uni- or bilateral, is a common reason for consulting a general practitioner (GP). Complex interactions mean that GPs are faced with a wide range of differential diagnoses during clarification of such findings. Of enormous importance is the prevention of a dangerous course, e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00108-019-00708-9DOI Listing
January 2020

Carbohydrate antigen 125 predicts pulmonary congestion in patients with ST-segment elevation myocardial infarction.

Braz J Med Biol Res 2019 5;52(12):e9124. Epub 2019 Dec 5.

Pronto Socorro Cardiológico de Pernambuco, Universidade de Pernambuco, Recife, PE, Brasil.

Carbohydrate antigen 125 (CA125) has long been used as an ovarian cancer biomarker. However, because it is not specific for ovarian cells, CA125 could also be used to monitor congestion and inflammation in heart disease. Acute heart failure (HF) is used to identify patients with a worse prognosis in ST-segment elevation myocardial infarction (STEMI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1414-431X20199124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903802PMC
January 2020

30-Day Potentially Preventable Hospital Readmissions In Older Patients: Clinical Phenotype And Health Care Related Risk Factors.

Clin Interv Aging 2019 5;14:1851-1858. Epub 2019 Nov 5.

Geriatrics Unit, Department of Clinical and Experimental Medicine, University Hospital of Pisa, Pisa, Italy.

Purpose: Early readmission rate has been regarded as an indicator of in-hospital and post-discharge quality of care. Evaluating the contributing factors is crucial to optimize the healthcare and target the intervention. In this study we evaluated the potential for preventing 30-day hospital readmission in a cohort of older patients and identified possible risk factors for readmission. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/CIA.S208572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6842315PMC

Pacemaker lead as an iatrogenic cause of right heart failure: Case report.

Rev Port Cardiol 2019 09 2;38(9):675.e1-675.e5. Epub 2019 Dec 2.

Hospital Lusíadas, Lisboa, Portugal.

Technical advances in health care have improved patient survival and quality of life, but are not devoid of complications. We present the case of a 74-year-old woman with a history of hypertensive heart disease with preserved systolic function, atrial fibrillation and dyslipidemia. She had a DDDR pacemaker implanted in 2005 due to symptomatic complete atrioventricular block. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.repc.2018.01.014DOI Listing
September 2019

Degenerated Suturless Perceval with (Paravalvular Leak and AS) Treated by Valve in Valve using S3 Edward Valve.

Heart Views 2019 Oct-Dec;20(4):166-169. Epub 2019 Nov 14.

King Abdulaziz Cardiac Center, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

A 70-year-old female patient, known to be diabetic and hypertensive, was diagnosed with coronary artery disease and severe aortic stenosis aortic valve area 0.5 cm, peak gradient of 110 mmHg, mean gradient 55 mmHg). This patient underwent coronary artery bypass graft with two grafts and artery bypass grafting in 2012. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_60_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6881869PMC
November 2019