4,188 results match your criteria Congestive Heart Failure and Pulmonary Edema


Deep Learning to Quantify Pulmonary Edema in Chest Radiographs.

Radiol Artif Intell 2021 Mar 6;3(2):e190228. Epub 2021 Jan 6.

Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215 (S.H., S.J.B.); Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, Mass (R.L., P.G.); and Clinical Informatics Solutions and Services, Philips Research, Cambridge, Mass (X.W., S.D.).

Purpose: To develop a machine learning model to classify the severity grades of pulmonary edema on chest radiographs.

Materials And Methods: In this retrospective study, 369 071 chest radiographs and associated radiology reports from 64 581 patients (mean age, 51.71 years; 54. Read More

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Edge-to-edge mitral repair for iatrogenic chordal rupture related to Impella 5.0.

J Card Surg 2021 Apr 14. Epub 2021 Apr 14.

Department of Cardiac Surgery, MedStar Heart and Vascular Institute, Georgetown University School of Medicine, Washington, DC, USA.

Iatrogenic chordal rupture with severe mitral regurgitation is a rare but serious complication associated with the use of Impella device. We present a case of a 47-year-old man with ischemic cardiomyopathy who required insertion of an Impella 5.0 device. Read More

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Experience of introducing a new form of organization of medical care for patients with heart failure in the Russian Federation.

Kardiologiia 2021 Mar 30;61(3):42-51. Epub 2021 Mar 30.

City Clinical Hospital #38, Nizhny Novgorod, Russia.

Aim    To present clinical characteristics of patients after hospitalization for acute decompensated heart failure (ADHF) and to analyze hemodynamic indexes and compliance with the treatment at two years depending on the conditions of outpatient follow-up.Material and methods    The study included 942 patients with chronic heart failure (CHF) older than 18 years who had been hospitalized for ADHF. Based on patients' decisions, two groups were isolated: patients who continued the outpatient follow-up at the Center of CHF (CCHF) (group 1, n=510) and patients who continued the follow-up in outpatient multidisciplinary clinics (OMC) at their place of residence (group 2, n=432). Read More

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Lung Ultrasound Surface Wave Elastography for Assessing Patients with Pulmonary Edema.

IEEE Trans Biomed Eng 2021 Apr 13;PP. Epub 2021 Apr 13.

Ultrasound insonation of lungs that are dense with extravascular lung water (EVLW) produces characteristic reverberation artifacts termed B-lines. The number of B-lines present demonstrates reasonable correlation to the amount of EVLW. However, analysis of B-line artifacts generated by this modality is semi-quantitative relying on visual interpretation, and as a result, can be subject to inter-observer variability. Read More

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A BERIBERI UNHEALTHY LATTE: ENCEPHALOPATHY AND SHOCK FROM SEVERE NUTRITIONAL DEFICIENCY.

J Emerg Med 2021 Apr 6. Epub 2021 Apr 6.

Department of Emergency Medicine, University of California, San Diego, San Diego, California; Division of Pulmonary, Critical Care and Sleep Medicine, University of California, San Diego, San Diego, California.

Background: Thiamine deficiency is an uncommon cause of severe illness in the United States that can lead to significant morbidity because of high-output cardiac failure, peripheral neuropathy, and permanent neurologic impairment. We report the case of a middle-aged woman with extreme malnutrition caused by complications of Roux-en-Y gastric bypass (RYGB) surgery who presented with signs and symptoms of severe thiamine deficiency and septic shock.

Case Report: A 43-year-old woman who had undergone RYGB surgery and who had multiple complications presented to the emergency department with agitation, confusion, and lethargy. Read More

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Lung ultrasound-guided management to reduce hospitalization in chronic heart failure: a systematic review and meta-analysis.

Heart Fail Rev 2021 Apr 9. Epub 2021 Apr 9.

Department of Cardiovascular Medicine, University of Toledo, Toledo, OH, USA.

Pulmonary edema is a leading cause of hospital admissions, morbidity, and mortality in heart failure (HF) patients. A point-of-care lung ultrasound (LUS) is a useful tool to detect subclinical pulmonary edema. We performed a comprehensive literature search of multiple databases for studies that evaluated the clinical utility of LUS-guided management versus standard care for HF patients in the outpatient setting. Read More

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Pseudo-Wellens syndrome from sepsis-induced cardiomyopathy: a case report and review of the literature.

J Med Case Rep 2021 Apr 6;15(1):151. Epub 2021 Apr 6.

Department of Cardiology, NewYork-Presbyterian Queens, Flushing, USA.

Background: Pseudo-Wellens syndrome is a rare entity characterized by the presence of electrocardiogram (ECG) changes of Wellens syndrome but without the stenosis of the left anterior descending (LAD) coronary artery. In previous reports, pseudo-Wellens syndrome most commonly resulted from recreational drug use or unidentified etiologies. We present a unique case of pseudo-Wellens syndrome due to sepsis-induced cardiomyopathy and a review of the literature. Read More

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A Case of Prenatally Diagnosed Uhl's Anomaly with Absent Pulmonary Valve Leaflets and Dysplastic Tricuspid Valve.

Children (Basel) 2021 Mar 3;8(3). Epub 2021 Mar 3.

Department of Pathology, Pusan National University Yangsan Hospital, Yangsan-si 50612, Korea.

Uhl's anomaly is a very rare malformation of unknown cause, characterized by complete or partial absence of the right ventricular myocardium. The cardiac malformation causes progressive right heart failure, increased right-sided cardiac pressure, massive peripheral edema, and ascites. Patients usually present in infancy and rarely survive to adulthood. Read More

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Nonischemic Dilated Cardiomyopathy in Untreated Long-Term Psoriatic Arthritis: A Newly Recognized Association: A Case Report with Mini Review.

Am J Case Rep 2021 Apr 2;22:e930041. Epub 2021 Apr 2.

Department of Rheumatology, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ, USA.

BACKGROUND Psoriasis is a chronic inflammatory skin disease associated with multiple comorbidities including psoriatic arthritis (PsA), atherosclerotic disease, metabolic syndrome, diabetes, hypertension, obesity, and depression. Interestingly, nonischemic cardiomyopathy, especially dilated cardiomyopathy (DCM), has been associated with psoriasis and reported in only in a few cases in the literature. CASE REPORT We report the rare case of a 58-year-old man with a medical history of untreated severe psoriasis and PsA who presented with a sudden onset of shortness of breath. Read More

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Continuous positive airway pressure therapy in the management of hypercapnic cardiogenic pulmonary edema.

Monaldi Arch Chest Dis 2021 Apr 1. Epub 2021 Apr 1.

Emergency Team, CTO Hospital, Naples.

Continuous positive airway pressure (CPAP) therapy or non-invasive ventilation (NIV) represent the first line therapy for acute cardiogenic pulmonary edema (CPE) together with medical therapy. CPAP benefits in acute CPE with normo-hypocapnia are known, but it is not clear whether the use of CPAP is safe in the hypercapnic patients. The aim of this study is to evaluate CPAP efficacy in the treatment of hypercapnic CPE. Read More

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Discontinuing β-lactam treatment after 3 days for patients with community-acquired pneumonia in non-critical care wards (PTC): a double-blind, randomised, placebo-controlled, non-inferiority trial.

Lancet 2021 Mar;397(10280):1195-1203

UMRS 1169 VIMA, INSERM, Versailles Saint-Quentin University, Versailles, France.

Background: Shortening the duration of antibiotic therapy for patients admitted to hospital with community-acquired pneumonia should help reduce antibiotic consumption and thus bacterial resistance, adverse events, and related costs. We aimed to assess the need for an additional 5-day course of β-lactam therapy among patients with community-acquired pneumonia who were stable after 3 days of treatment.

Methods: We did this double-blind, randomised, placebo-controlled, non-inferiority trial (the Pneumonia Short Treatment [PTC]) in 16 centres in France. Read More

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Physiological Effects of High-Flow Nasal Cannula Therapy and Its Use in Acute Cardiogenic Pulmonary Edema.

Cureus 2021 Feb 16;13(2):e13372. Epub 2021 Feb 16.

Psychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

High-flow nasal cannula (HFNC) is an open oxygen delivery system, which provides heated and humidified oxygen at a high flow (up to 60 L/min). This effect can improve mucociliary function, airway clearance, and level of comfort to the patient. It can provide controlled and adequate fraction of inspired oxygen (FiO) between 21% and 100%. Read More

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February 2021

Severe acute respiratory syndrome coronavirus-2- or pregnancy-related cardiomyopathy, a differential to be considered in the current pandemic: a case report.

J Med Case Rep 2021 Mar 19;15(1):143. Epub 2021 Mar 19.

Department of Cardiology, Urmia University of Medical Sciences, Urmia, Iran.

Background: There are limited data on cardiovascular complications of coronavirus disease 2019 in pregnancy, and there are only a few case reports on coronavirus disease 2019 related cardiomyopathy in pregnancy. Differentiation between postpartum cardiomyopathy and coronavirus disease 2019 related cardiomyopathy in pregnant women who develop severe acute respiratory syndrome coronavirus-2 infection during peripartum could be challenging. Here, we present a case of possible coronavirus disease 2019 related cardiomyopathy in a pregnant patient, followed by a discussion of potential differential diagnosis. Read More

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The Blinding Period Following Ablation Therapy for Atrial Fibrillation: Proarrhythmic and Antiarrhythmic Pathophysiological Mechanisms.

JACC Clin Electrophysiol 2021 Mar;7(3):416-430

Electrophysiology and Heart Modelling Institute, University of Bordeaux, Pessac, France; Department of Experimental Cardiology, Amsterdam University Medical Centre, Academic Medical Centre, Amsterdam, the Netherlands.

Atrial fibrillation (AF) causes heart failure, ischemic strokes, and poor quality of life. The number of patients with AF is estimated to increase to 18 million in Europe in 2050. Pharmacological therapy does not cure AF in all patients. Read More

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Ultra-high dose intravenous nitroglycerin in an ESRD patient with acutely decompensated heart failure.

J Am Coll Emerg Physicians Open 2021 Apr 2;2(2):e12387. Epub 2021 Mar 2.

Department of Emergency Medicine Integrative Biosciences Center Wayne State University Detroit Michigan USA.

Acute cardiogenic pulmonary edema is a highly unstable and potentially lethal condition that is most commonly associated with markedly elevated blood pressure (BP). Use of nitrates, diuretics, and non-invasive positive pressure ventilatory support are the mainstays of early intervention and stabilization. Use of high-dose bolus intravenous nitroglycerin, which causes both preload and afterload reduction, has shown significant promise in studies to date, reducing the need for endotracheal intubation (ETI) and intensive care unit admission. Read More

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Lung ultrasound in acute myocardial infarction. Updating Killip & Kimball.

Indian Heart J 2021 Jan-Feb;73(1):104-108. Epub 2020 Nov 24.

Coronary Care Unit, Instituto de Cardiología de Corrientes "Juana F. Cabral", Corrientes, Argentina.

Background: Heart failure complicating acute myocardial infarction marks an ominous prognosis. Killip and Kimball's classification of heart failure remains a useful tool in these patients. Lung ultrasound can detect pulmonary congestion but its usefulness in this scenario is unknown. Read More

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November 2020

Diffuse Alveolar Hemorrhage in Cardiac Diseases.

Lung 2021 04 11;199(2):103-112. Epub 2021 Mar 11.

Division of Pulmonary and Critical Care Medicine, Albany Medical College, Albany, NY, 12208, USA.

Diffuse alveolar hemorrhage (DAH) is a rare condition with reported mortality ranging between 20 and 100%. There are many etiologies of DAH. Cardiac diseases are likely underreported causes of DAH. Read More

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Takotsubo stress cardiomyopathy following explantation of sEEG electrodes.

Epilepsia Open 2021 03 15;6(1):239-243. Epub 2021 Feb 15.

Queen Elizabeth Hospital Edgbaston, Birmingham UK.

Objective: Takotsubo stress cardiomyopathy is characterized by dysfunction of the left ventricle of the heart including apical ballooning and focal wall-motion abnormalities. Although reported in association with seizures and intracerebral hemorrhage, there are no studies reporting its occurrence in patients having stereoelectroencephalography (sEEG).

Methods: A 38-year-old lady with no prior history of cardiac disease experienced sudden onset chest pain and acute left ventricular failure 4 hours following explantation of stereoelectroencephalogram electrodes. Read More

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Infective bicuspid aortic valve endocarditis causing acute severe regurgitation and heart failure: A case report.

World J Clin Cases 2021 Feb;9(5):1221-1227

Department of Cardiology, Peking University People's Hospital, Beijing 100044, China.

Background: Infective endocarditis (IE) is an uncommon but potentially life-threatening infection, which occasionally develops into acute severe valve insufficiency leading to the onset of heart failure, and necessitates timely intervention. However, the variable and atypical clinical manifestations always make the early detection of IE difficult and challenging.

Case Summary: A 45-year-old female who was previously healthy presented with exertional shortness of breath and paroxysmal nocturnal dyspnea. Read More

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February 2021

The fluid management and hemodynamic characteristics of PiCCO employed on young children with severe hand, foot, and mouth disease-a retrospective study.

BMC Infect Dis 2021 Feb 25;21(1):208. Epub 2021 Feb 25.

Department of Critical Care Medicine, The First People's Hospital of Foshan, Lingnan Avenue North 81, Shiwan, Chancheng, Foshan, 528000, China.

Background: Hand, foot, and mouth disease (HFMD) is an acute infectious disease caused by human enterovirus 71 (EV71), coxsackievirus, or echovirus, which is particularly common in preschool children. Severe HFMD is prone to cause pulmonary edema before progressing to respiratory and circulatory failure; thus hemodynamic monitoring and fluid management are important to the treatment process.

Methods: We did a review of young patients who had been successfully treated in our department for severe HFMD, which had been caused by EV71. Read More

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February 2021

Cardiac and obstetric outcomes in pregnant patients with heart disease: a retrospective cohort study.

J Matern Fetal Neonatal Med 2021 Feb 25:1-9. Epub 2021 Feb 25.

Instituto Mexicano del Seguro Social, Hospital de Especialidades, Centro Medico Nacional "La Raza", Mexico City, Mexico.

Background: Cardiac diseases complicate 4% of pregnancies, with a mortality rate between 0 and 15%. Early referral has shown to reduce the risk of maternal major cardiac events (MACEs).

Methods: We retrospectively analyzed a cohort of pregnant women with heart disease from two referral centers in Mexico City. Read More

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February 2021

[A delayed diagnosis of thyroid storm in an elderly patient: A case report].

Nihon Ronen Igakkai Zasshi 2021 ;58(1):158-163

Department of Hematology, Endocrinology and Metabolism, Tokushima University Graduate School of Biomedical Sciences.

A 70-year-old woman was hospitalized for diarrhea, vomiting, loss of appetite, fatigue, and dyspnea on exertion for the past 3 weeks and treated with intravenous fluid for dehydration. She was receiving prednisolone for polymyositis. She did not have a history of thyroid disease. Read More

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February 2021

Left Impella®-device as bridge from cardiogenic shock with acute, severe mitral regurgitation to MitraClip®-procedure: a new option for critically ill patients.

Eur Heart J Acute Cardiovasc Care 2020 Dec 2. Epub 2020 Dec 2.

Department of Adult Intensive Care, Royal Brompton and Harefield NHS Foundation Trust, Sydney St, Chelsea, London SW3 6NP, UK.

Aims: Patients presenting with cardiogenic shock (CS) related to acute, severe mitral regurgitation (MR) are often considered too ill for immediate surgical intervention. Therefore, other less invasive techniques for haemodynamic stabilization should be explored. The purpose of this exploratory study was to investigate the feasibility and outcomes in patients with CS due to severe MR by using a novel approach combining haemodynamic stabilization with left Impella-support plus MR-reduction using MitraClip®. Read More

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December 2020

Utility of transesophageal echocardiography to assess real time left atrial pressure changes and dynamic mitral regurgitation following placement of transseptal multistage venous cannula for systemic venous drainage and indirect left ventricular venting in venoarterial extracorporeal membrane oxygenation.

Echocardiography 2021 Mar 22;38(3):493-499. Epub 2021 Feb 22.

Department of Medicine, Division of Cardiovascular Disease, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA.

A patient with heart failure due to nonischemic cardiomyopathy presented as a transfer to our institution following peripheral (femoral) venoarterial (VA) extracorporeal membrane oxygenation (ECMO) placement. With peripheral VA ECMO cannulation, the patient continued to have unstable ventricular tachyarrhythmias. Echocardiography demonstrated left ventricular (LV) dilation and severe mitral regurgitation (MR) with clinical and chest X-ray evidence of pulmonary edema. Read More

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ALGEBRAIC FORMULAS CHARACTERIZING AN ALTERNATIVE TO GUYTON'S GRAPHICAL ANALYSIS RELEVANT FOR HEART FAILURE.

Am J Physiol Regul Integr Comp Physiol 2021 Feb 17. Epub 2021 Feb 17.

Michael E. DeBakey Institute, Texas A&M University, United States.

Although Guyton's graphical analysis of cardiac output-venous return has become a ubiquitous tool for explaining how circulatory equilibrium emerges from heart‑vascular interactions, this classical model relies on a formula for venous return that contains unphysiological assumptions. Furthermore, Guyton's graphical analysis does not predict pulmonary venous pressure, which is a critical variable for evaluating heart failure patients' risk of pulmonary edema. Therefore, the purpose of present work was to use a minimal closed‑loop mathematical model to develop an alternative to Guyton's analysis. Read More

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February 2021

Pulmonary Hypertension in Acute and Chronic High Altitude Maladaptation Disorders.

Int J Environ Res Public Health 2021 02 10;18(4). Epub 2021 Feb 10.

Department of Internal Medicine, Excellence Cluster Cardio-Pulmonary Institute (CPI), Member of the German Center for Lung Research (DZL), Justus Liebig University of Giessen, Aulweg 130, 35392 Giessen, Germany.

Alveolar hypoxia is the most prominent feature of high altitude environment with well-known consequences for the cardio-pulmonary system, including development of pulmonary hypertension. Pulmonary hypertension due to an exaggerated hypoxic pulmonary vasoconstriction contributes to high altitude pulmonary edema (HAPE), a life-threatening disorder, occurring at high altitudes in non-acclimatized healthy individuals. Despite a strong physiologic rationale for using vasodilators for prevention and treatment of HAPE, no systematic studies of their efficacy have been conducted to date. Read More

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February 2021

Pickering syndrome: a rare presentation in emergency department.

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Sympathetic crash acute pulmonary edema (SCAPE) is a life-threatening injury, which requires early recognition and intervention to prevent mortality. We present a case of 18-year-old woman with no previous comorbidity, presenting with SCAPE who was successfully resuscitated and eventually diagnosed with renal artery stenosis. Pickering syndrome is a rare cause of hypertensive emergency and should be considered in a young patient presenting with SCAPE in emergency department. Read More

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February 2021

[COVID-19: effects on the lungs and heart].

Pathologe 2021 Mar 9;42(2):164-171. Epub 2021 Feb 9.

Institut für Pathologie, Medizinische Hochschule Hannover (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Viral respiratory diseases constitute the most common reasons for hospitalization with more than half of all acute illnesses worldwide. Progressive respiratory failure with pronounced diffuse alveolar damage has been identified as the primary cause of death in COVID-19. COVID-19 pneumonia shares common histopathological hallmarks with influenza (H1N1)-related ARDS, like diffuse alveolar damage (DAD) with edema, hemorrhage, and intra-alveolar fibrin deposition. Read More

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Risk factors for hypertensive crisis in adult patients: a systematic review.

JBI Evid Synth 2021 Feb 5. Epub 2021 Feb 5.

School of Nursing, Rutgers University, Newark, NJ, USA The Northeast Institute for Evidence Synthesis and Translation (NEST): A JBI Centre Excellence, Newark, NJ, USA Newark Beth Israel Medical Center, Newark, NJ, USA Stony Brook School of Medicine, Stony Brook, NY, USA Department of Epidemiology, Rutgers University, Newark, NJ, USA George F. Smith Library, Rutgers University, Newark, NJ, USA.

Objective: To examine the best available evidence on the risk factors of hypertensive crisis in adult patients with hypertension.

Introduction: Hypertensive crisis is an acute severe elevation in blood pressure, which can present as hypertensive urgency or emergency. In contrast to hypertensive urgency, which is a markedly elevated blood pressure without acute target organ damage, hypertensive emergency is associated with equally high blood pressure in the presence of potentially life-threatening target organ damage, such as myocardial infarction, stroke, pulmonary edema, and acute kidney injury. Read More

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February 2021