3,862 results match your criteria Congestive Heart Failure and Pulmonary Edema


[RENAL ARTERIOVENOUS FISTULA (ANEURYSMAL TYPE) TREATED BY NEPHRECTOMY UNDER BALLOON CATHETER OCCLUSION OF RENAL ARTERY: A CASE REPORT].

Nihon Hinyokika Gakkai Zasshi 2018 ;109(2):116-121

Department of Urology, Nagoya Daini Red Cross Hospital.

A 60-year-old man presented with leg edema and shortness of breath. He was being treated with medication for chronic heart failure for the past 3 years and had been in a traffic accident when he was 13 years old. Computed tomography showed a huge right renal arteriovenous fistula (AVF). Read More

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http://dx.doi.org/10.5980/jpnjurol.109.116DOI Listing
January 2018

[Mufangji Decoction formula tracing and its effect on emergency and severe cases].

Authors:
Xing-Jiang Xiong

Zhongguo Zhong Yao Za Zhi 2019 Jan;44(2):388-400

Guang'anmen Hospital,China Academy of Chinese Medical Sciences Beijing 100053,China.

Mufangji Decoction is a famous herbal formula from Synopsis of Golden Chamber. However,it is easy to be misunderstood due to so its unique compatability. The syndromes treated by Mufangji Decoction included the following aspects:(1) in terms of modern medicine,it could be used to treat acute and chronic heart failure,heart failure aggravated by lung infection,chronic obstructive pulmonary disease acute episode,pulmonary heart disease,bilateral pleural effusion,acute attack of gout,rheumatic fever,rheumatoid arthritis,and rheumatoid arthritis;(2) in terms of symptoms,it could be used to treat asthma,chest tightness,wheeze impacting prostration and dyspnea impacting sitting posture; gastric distention; dark face,cyanotic,and mitral valvular face; edema of head and extremities; dry mouth,thirsty,unwilling to wear thick clothes,intolerance of heat,and irritable; fatigue,shortness of breath,poor appetite,constipation,less urine,yellow color,poor response to diuretics,and diuretic resistance; fast heart rate,which is hard to be controlled by Western medicine and has no response to Zhenwu Decoction; dark red tongue,dry tongue with yellow fur,rapid pulse,or deep tight pulse. Read More

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http://www.cnki.net/kcms/doi/10.19540/j.cnki.cjcmm.2019.0009
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http://dx.doi.org/10.19540/j.cnki.cjcmm.2019.0009DOI Listing
January 2019
2 Reads

Non-ST elevation myocardial infarction induced by carbon monoxide poisoning: A case report.

Medicine (Baltimore) 2019 Apr;98(15):e15151

Department of Cardiology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing.

Rationale: Acute myocardial infarction is a rare complication of carbon monoxide poisoning. there is often no chest pain and other typical manifestations. We report a patient with mild carbon monoxide poisoning who had acute dyspnea as the earliest symptom and was later diagnosed with non-ST elevation myocardial infarction (NSTEMI) and acute left heart failure. Read More

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http://Insights.ovid.com/crossref?an=00005792-201904120-0005
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http://dx.doi.org/10.1097/MD.0000000000015151DOI Listing
April 2019
4 Reads

Acute heart failure in rabbits by avocado leaf poisoning.

Toxicon 2019 Apr 1;164:16-19. Epub 2019 Apr 1.

Facultad de Ciencias Agrarias y Veterinarias-UCASAL, INTA EEA Salta, RN 68 Km 172, 4403, Cerrillos, Salta, Argentina; Grupo de Trabajo de Patología, Epidemiología e Investigación Diagnóstica, Área de Sanidad Animal-IIACS Salta/INTA, INTA EEA Salta, RN 68 Km 172, 4403, Cerrillos, Salta, Argentina. Electronic address:

The aim of this paper was to report an outbreak of avocado poisoning in rabbits in Salta, Argentina. Fourteen rabbits died of congestive heart failure within 30 h of ingesting fresh avocado leaves from pruned trees. They showed clinical signs of respiratory and cardiac distress. Read More

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http://dx.doi.org/10.1016/j.toxicon.2019.03.024DOI Listing
April 2019
3 Reads

Plasma bio-adrenomedullin is a marker of acute heart failure severity in patients with acute coronary syndrome.

Int J Cardiol Heart Vasc 2019 Mar 9;22:174-176. Epub 2019 Mar 9.

INSERM UMR-S 942, Université Paris Diderot - PRES Sorbonne Paris Cité, Department of Anesthesiology and Critical Care Medicine - AP-HP Saint Louis and Lariboisière University Hospitals, Paris, France.

Background: The assessment of acute heart failure (AHF) in patients with acute coronary syndrome (ACS) is challenging. This study tested whether measuring plasma adrenomedullin in patients admitted for ACS provides valuable information regarding the presence of AHF at admission or its occurrence during hospitalization.

Methods And Results: The study population consisted of 927 prospectively enrolled patients with ACS. Read More

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http://dx.doi.org/10.1016/j.ijcha.2019.02.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411493PMC
March 2019
1 Read

Clinical Presentation, Risk Factor, and Outcomes of Acute Coronary Syndrome in Women at an Urban Referral Center in Dakar, Senegal.

Glob Heart 2019 Mar 21. Epub 2019 Mar 21.

Department of Cardiology, Principal Hospital of Dakar, Dakar, Senegal.

Background: Cardiovascular disease is on the rise in Sub-Saharan countries. Recently, consistent studies have reported sex differences in the epidemiology of acute coronary syndrome (ACS). Although, data on the incidence of ACS in Sub-Saharan countries are not rare, few focused closely on women. Read More

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http://dx.doi.org/10.1016/j.gheart.2019.01.001DOI Listing
March 2019
1 Read

Characteristics and outcome of acute heart failure patients according to the severity of peripheral oedema.

Int J Cardiol 2019 Jun 15;285:40-46. Epub 2019 Mar 15.

Department of Academic Cardiology, University of Hull, Kingston upon Hull, UK; Robertson Centre for Biostatistics and Clinical Trials, University of Glasgow, Glasgow, Scotland, UK; National Heart and Lung Institute, Imperial College, London, UK.

Background: Most trials of patients hospitalized for heart failure focus on breathlessness (alveolar pulmonary oedema) but worsening peripheral oedema is also an important presentation. We investigated the relationship between the severity of peripheral oedema on admission and outcome amongst patients with a primary discharge death or diagnosis of heart failure.

Objectives: We tested the hypothesis that severity of peripheral oedema is associated with length of hospital stay and mortality. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.03.020DOI Listing

AST-120, an Adsorbent of Uremic Toxins, Improves the Pathophysiology of Heart Failure in Conscious Dogs.

Cardiovasc Drugs Ther 2019 Mar 23. Epub 2019 Mar 23.

Department of Clinical Medicine and Development, National Cerebral and Cardiovascular Center, 5-7-1, Fujishirodai, Osaka, Suita, 565-8565, Japan.

Purpose: Several lines of evidence suggest that renal dysfunction is associated with cardiovascular toxicity through the action of uremic toxins. The levels of those uremic toxins can be reportedly reduced by the spherical carbon adsorbent AST-120. Because heart failure (HF) causes renal dysfunction by low cardiac output and renal edema, the removal of uremic toxins could be cardioprotective. Read More

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http://link.springer.com/10.1007/s10557-019-06875-z
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http://dx.doi.org/10.1007/s10557-019-06875-zDOI Listing
March 2019
7 Reads

Idiopathic Hypereosinophilic Syndrome in an Elderly Female: A Case Report.

Am J Case Rep 2019 Mar 23;20:381-384. Epub 2019 Mar 23.

Department of Pulmonary, Critical Care and Sleep Medicine, University of Colorado, Denver, CO, USA.

BACKGROUND Hypereosinophilic syndrome (HES) is defined as hypereosinophilia with eosinophil mediated organ damage or dysfunction, provided that other causes of organ damage have been excluded. CASE REPORT An 83-year-old female presented with worsening dyspnea for 3 weeks. She was initially diagnosed with bronchitis and prescribed oral antibiotics along with prednisone taper. Read More

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http://dx.doi.org/10.12659/AJCR.912747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441311PMC
March 2019
1 Read

When and How Should We Revascularize Patients With Atherosclerotic Renal Artery Stenosis?

JACC Cardiovasc Interv 2019 Mar;12(6):505-517

Department of Cardiology at Ochsner Clinic Foundation, New Orleans, Louisiana.

Atherosclerotic renal artery stenosis is the leading cause of secondary hypertension and may lead to resistant (refractory) hypertension, progressive decline in renal function, and cardiac destabilization syndromes (pulmonary edema, recurrent heart failure, or acute coronary syndromes) despite guideline-directed medical therapy. Although randomized controlled trials comparing medical therapy with medical therapy and renal artery stenting have failed to show a benefit for renal artery stenting, according to comparative effectiveness reviews by the Agency for Healthcare Research and Quality, the trials may not have enrolled patients with the most severe atherosclerotic renal artery stenosis, who would be more likely to benefit from renal stenting. Because of limitations of conventional angiography, it is critical that the hemodynamic severity of moderately severe (50% to 70%) atherosclerotic renal artery stenosis lesions be confirmed on hemodynamic measurement. Read More

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http://dx.doi.org/10.1016/j.jcin.2018.10.023DOI Listing
March 2019
2 Reads

Evolution into Takayasu arteritis in a patient presenting with acute pulmonary oedema due to severe aortic regurgitation; a case report.

BMC Rheumatol 2018 12;2:20. Epub 2018 Jul 12.

1Professorial Unit in Medicine, National Hospital of Sri Lanka, Colombo, Sri Lanka.

Background: Takayasu arteritis is a rare large vessel vasculitis which predominantly affects young Asian females. Aortic regurgitation and heart failure are well described manifestations which are usually preceded by constitutional symptoms, limb claudication, pulse and blood pressure discrepancies, vascular bruits and features of organ ischaemia.

Case Presentation: A 25-year- old Sri Lankan female presented with a three days history of acute shortness of breath, cough and orthopnoea. Read More

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https://bmcrheumatol.biomedcentral.com/articles/10.1186/s419
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http://dx.doi.org/10.1186/s41927-018-0028-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390538PMC
July 2018
3 Reads

Coronary arteriovenous fistula draining into persistent left superior vena cava.

Ann Thorac Surg 2019 Mar 13. Epub 2019 Mar 13.

Department of Cardiovascular surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

A 75-year-old woman was referred to our hospital for dyspnea and edema of the lower limbs. Computed tomography angiography revealed a dilated left coronary artery from the left main trunk to the left circumflex branch and a dilated fistula originating from the left circumflex branch and draining into the persistent left superior vena cava. Physical examination revealed pulmonary hypertension and congestive heart failure. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.082DOI Listing
March 2019
1 Read

Diagnostic Accuracy of Point-of-Care Lung Ultrasonography and Chest Radiography in Adults With Symptoms Suggestive of Acute Decompensated Heart Failure: A Systematic Review and Meta-analysis.

JAMA Netw Open 2019 Mar 1;2(3):e190703. Epub 2019 Mar 1.

Division of Cardiology, University of Colorado School of Medicine, Aurora.

Importance: Standard tools used to diagnose pulmonary edema in acute decompensated heart failure (ADHF), including chest radiography (CXR), lack adequate sensitivity, which may delay appropriate diagnosis and treatment. Point-of-care lung ultrasonography (LUS) may be more accurate than CXR, but no meta-analysis of studies directly comparing the 2 tools was previously available.

Objective: To compare the accuracy of LUS with the accuracy of CXR in the diagnosis of cardiogenic pulmonary edema in adult patients presenting with dyspnea. Read More

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http://jamanetworkopen.jamanetwork.com/article.aspx?doi=10.1
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http://dx.doi.org/10.1001/jamanetworkopen.2019.0703DOI Listing
March 2019
20 Reads

Lung ultrasound allows the diagnosis of weaning-induced pulmonary oedema.

Intensive Care Med 2019 Mar 12. Epub 2019 Mar 12.

Inserm UMR_S 999, Université Paris-Sud, Faculté de Médecine, Université Paris-Saclay, Le Kremlin-Bicêtre, France.

Rationale: Detecting weaning-induced pulmonary oedema (WIPO) is important because its treatment might prompt extubation. For this purpose, lung ultrasound might be an attractive tool, since it demonstrates pulmonary oedema through the appearance of B-lines.

Objectives: To test the ideal profile (increase in the number of B-lines) for diagnosing WIPO. Read More

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http://link.springer.com/10.1007/s00134-019-05573-6
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http://dx.doi.org/10.1007/s00134-019-05573-6DOI Listing
March 2019
7 Reads

Ocular manifestations of pulmonary hypertension.

Surv Ophthalmol 2019 Mar 5. Epub 2019 Mar 5.

Department and Clinic of Ophthalmology, Wroclaw Medical University, Poland, ul. Borowska 213, PL-50-556 Wrocław, Poland.

Pulmonary hypertension (PH), if left untreated, may result in increasing cardiac back pressures and lead to right heart failure and death. An increase in venous pressure in pulmonary hypertension influences other organs. The ocular complications occur as a result of elevated venous pressure in the superior vena cava and in the ophthalmic veins that cause dilation of the ocular veins, resulting in congestion of the choroid and leading to complications such as ciliary detachment, central retinal vein occlusion, acute serous retinal detachment, macular edema, retinal neovascularization, choroidal effusions, chemosis, angle-closure glaucoma, transient myopia, and proptosis. Read More

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http://dx.doi.org/10.1016/j.survophthal.2019.02.009DOI Listing
March 2019
1 Read

Time-course of decompensation after angiotensin II and high-salt diet in Balb/CJ mice suggests pulmonary hypertension-induced cardiorenal syndrome.

Am J Physiol Regul Integr Comp Physiol 2019 Mar 6. Epub 2019 Mar 6.

Department of medical cellbiology, Uppsala Universitet, Sweden.

Genetic background of a mouse strain determines its susceptibility to disease. C57BL/6J and Balb/CJ are two widely used inbred mouse strains that we found react dramatically differently to angiotensin II and high-salt diet (AngII+Salt). Balb/CJ show increased mortality associated with anuria and edema formation while C57BL/6J develop arterial hypertension but do not decompensate and die. Read More

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http://dx.doi.org/10.1152/ajpregu.00373.2018DOI Listing
March 2019
2 Reads

Ultrasound of the Lungs: More than a Room with a View.

Authors:
Luna Gargani

Heart Fail Clin 2019 Apr 10;15(2):297-303. Epub 2019 Feb 10.

Institute of Clinical Physiology, National Research Council, Via Moruzzi, 1, Pisa 56124, Italy. Electronic address:

Lung ultrasound B-lines are the sonographic pattern of partial deaeration of the lung. In patients with pulmonary edema they are detected as multiple, diffuse, and bilateral, by placing the ultrasound probe in the intercostal spaces. B-lines can be used for bedside monitoring of pulmonary decongestion, and can guide diuretic therapy. Read More

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http://dx.doi.org/10.1016/j.hfc.2018.12.010DOI Listing

Diagnosis and Management of a Cardiac Amyloidosis Case Mimicking Hypertrophic Cardiomyopathy.

Cureus 2018 Dec 18;10(12):e3749. Epub 2018 Dec 18.

Internal Medicine, American University of Integrative Sciences, Tucker, BRB.

Cardiac amyloidosis is an acquired heart disease secondary to the deposition of β-pleated amyloid proteins in heart tissue. Amyloid light chain (AL) amyloidosis is usually secondary to multiple myeloma and can rapidly deteriorate cardiac function, with high mortality. Up to 50% of AL patients have cardiac involvement presenting as heart failure, conduction abnormalities, and cardiomyopathies. Read More

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http://dx.doi.org/10.7759/cureus.3749DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388819PMC
December 2018
4 Reads

Risk factors and prevalence of cardiac diseases in Egyptian pediatric patients with end-stage renal disease on regular hemodialysis.

Saudi J Kidney Dis Transpl 2019 Jan-Feb;30(1):53-61

Department of Pediatrics, Faculty of Medicine, Tanta University, Tanta City, Gharbia Governate, Egypt.

Cardiac disease is a significant cause of morbidity and mortality in children with end-stage renal disease (ESRD). The aim of this work was to study the risk factors and prevalence of cardiac diseases in Egyptian pediatric patients with ESRD under regular hemodialysis (HD). Sixty-six children with ESRD on regular HD were included and subjected to history, clinical, laboratory, chest X-rays (CXR), ECG, and two-dimensional echocardiographic study to measure different echocardiographic parameters focusing on the left ventricular ejection fraction. Read More

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February 2019
1 Read

Atrial Septal Defect of the Ostium Secundum Type in A 101-Year-Old Patient.

Int Heart J 2019 Mar 22;60(2):489-491. Epub 2019 Feb 22.

Department of Cardiology, Juntendo University.

The patient was a 101-year-old woman whose chief complaints were difficulty of breathing and high fever. The history of the present illness included paroxysmal atrial flutter which was untreated, but she had not developed heart failure.At admission, auscultation of the chest revealed moist rales and systolic murmur but did not clearly show the presence of fixed splitting of S2. Read More

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http://dx.doi.org/10.1536/ihj.18-354DOI Listing

Preeclampsia outcomes at delivery and race.

J Matern Fetal Neonatal Med 2019 Feb 20:1-8. Epub 2019 Feb 20.

a Department of Obstetrics and Gynecology, College of Physicians and Surgeons , Columbia University , New York , NY , USA.

Objective: The objective of this study was to assess how race is associated with adverse maternal outcomes in the setting of preeclampsia.

Study Design: This retrospective cohort study utilized the National (Nationwide) Inpatient Sample (NIS) from the Agency for Health care Research and Quality for the years 2012-2014. Women aged 15-54 with a diagnosis of preeclampsia were included. Read More

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http://dx.doi.org/10.1080/14767058.2019.1581522DOI Listing
February 2019
2 Reads

Maternal outcomes by race during postpartum readmissions.

Am J Obstet Gynecol 2019 Feb 17. Epub 2019 Feb 17.

Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY. Electronic address:

Background: Maternal race may be an important risk factor for postpartum readmissions and associated adverse outcomes.

Objective: To determine the association of race with serious complications during postpartum readmissions.

Study Design: This repeated cross-sectional analysis used the National (Nationwide) Inpatient Sample from the Healthcare Cost and Utilization Project from 2012 to 2014. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.02.016DOI Listing
February 2019
1 Read

Kidney Transplant in Pediatric Patient With Heart Failure: Case Report.

Exp Clin Transplant 2019 01;17(Suppl 1):153-155

From the Department of Transplantation, Servicios de Salud Del Estado de Queretaro, Hospital General de Querétaro, Querétaro, México.

Chronic kidney disease is defined as irreversible and progressive damage of the kidney. Chronicity is defined by the presence of renal dysfunction for at least 3 months, and renal dysfunction is defined through combinations of investigation (abnormal radiologic findings, abnormal urine or abnormal biochemistry reflecting renal dysfunction) and/or documentation of glomerular filtration rate below 60 mL/min/1.73 m². Read More

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http://dx.doi.org/10.6002/ect.MESOT2018.P23DOI Listing
January 2019
1 Read

When a Diuretic Causes Pulmonary Oedema.

Eur J Case Rep Intern Med 2018 26;5(6):000864. Epub 2018 Jun 26.

High Dependency Unit, San Giovanni Bosco Hospital, Torino, Italy.

Background: Hydrochlorothiazide (HCTZ) is one of the most popular drugs for the treatment of hypertension and heart failure. Most of its side effects are harmless and predictable, but some studies report a few life-threatening reactions to this drug, one of the most dangerous being acute pulmonary oedema.

Case Report: A 73-year-old woman was admitted to the Emergency Department with acute respiratory failure due to pulmonary oedema. Read More

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http://dx.doi.org/10.12890/2018_000864DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346883PMC
June 2018
1 Read

Fetomaternal Outcome in Eclampsia in Relationship with Gravidity.

Mymensingh Med J 2019 Jan;28(1):44-48

Dr Anonya Talukder, Junior Consultant, Department of Obs. and Gynae, Mymensingh Medical College Hospital, Mymensingh, Bangladesh.

Eclampsia is a well-recognized major cause of maternal and perinatal morbidity and mortality. Patient's age, occupational status, socioeconomic status, educational status, regular ANC (antenatal care) and gravidity may affect the outcome of mother and foetus. The purpose of this study is to see the fetomaternal outcome in eclampsia in relationship with gravidity. Read More

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January 2019
1 Read

Gestational Weight Gain and Severe Maternal Morbidity at Delivery Hospitalization.

Obstet Gynecol 2019 Mar;133(3):515-524

Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia; the Department of Reproductive Sciences, Obstetrics and Gynecology, Yale School of Medicine, New Haven, Connecticut; and the New York City Department of Health and Mental Hygiene, New York, New York.

Objective: To examine whether women who varied from recommended gestational weight gain guidelines by the Institute of Medicine (IOM, now known as the National Academy of Medicine) were at increased risk of severe maternal morbidity during delivery hospitalization compared with those whose weight gain remained within guidelines.

Methods: We conducted a retrospective cohort study using linked 2008-2012 New York City discharge and birth certificate data sets. Cases of severe maternal morbidity were identified using International Classification of Diseases, 9th Revision, Clinical Modification codes based on the Centers for Disease Control and Prevention criteria, which consists of 21 indicators of possible life-threatening diagnoses, life-saving procedures, or death. Read More

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http://dx.doi.org/10.1097/AOG.0000000000003114DOI Listing
March 2019
9 Reads

A mouse model of heart failure exhibiting pulmonary edema and pleural effusion: Useful for testing new drugs.

J Pharmacol Toxicol Methods 2019 Mar - Apr;96:78-86. Epub 2019 Feb 6.

Cardiovascular & Fibrosis Discovery Biology, Research & Development, Bristol-Myers Squibb Company, 311 Pennington Rocky Hill Road, Pennington, NJ 08534, USA. Electronic address:

Introduction: Mouse models of chronic heart failure (HF) have been widely used in HF research. However, the current HF models most often use the C57BL/6 mouse strain and do not show the clinically relevant characteristics of pulmonary congestion. In this study, we developed a robust mouse model of HF in the BALB/c mouse strain, exhibiting pulmonary edema and pleural effusion, and we validated the model using the standard pharmacological therapies in patients with chronic HF and reduced ejection fraction (HFrEF) or acute decompensated HF. Read More

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http://dx.doi.org/10.1016/j.vascn.2019.02.001DOI Listing
February 2019
3 Reads

Accuracy of risk prediction scores in pregnant women with congenital heart disease.

Congenit Heart Dis 2019 Feb 6. Epub 2019 Feb 6.

Maternal and Child Health Research Center, Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine Philadelphia, Pennsylvania.

Objective: To assess performance of risk stratification schemes in predicting adverse cardiac outcomes in pregnant women with congenital heart disease (CHD) and to compare these schemes to clinical factors alone.

Design: Single-center retrospective study.

Setting: Tertiary care academic hospital. Read More

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http://dx.doi.org/10.1111/chd.12750DOI Listing
February 2019
5 Reads

Beneficial Effects of Imatinib in a Patient with Suspected Pulmonary Veno-Occlusive Disease.

Tohoku J Exp Med 2019 02;247(2):69-73

Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine.

Pulmonary veno-occlusive disease (PVOD) is a rare form of pulmonary hypertension (PH). The prognosis of PVOD patients remains poor, since no effective medical therapy is yet available. Imatinib is a tyrosine kinase inhibitor specific for platelet-derived growth factor receptor and is expected as a treatment option for pulmonary arterial hypertension (PAH). Read More

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http://dx.doi.org/10.1620/tjem.247.69DOI Listing
February 2019
2 Reads

Major Cardiac Events in Patients Admitted to Intensive Care After Vascular Noncardiac Surgery: A Retrospective Cohort.

Semin Cardiothorac Vasc Anesth 2019 Jan 25:1089253218825442. Epub 2019 Jan 25.

1 São João Hospital Centre, Porto, Portugal.

Introduction: Patients proposed to vascular noncardiac surgery (VS) have several comorbidities associated with major adverse cardiac events (MACE). We evaluated incidence, predictors, and outcomes, and compared different scores to predict MACE after VS.

Methods: We included all patients admitted from 2006 to 2013. Read More

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http://dx.doi.org/10.1177/1089253218825442DOI Listing
January 2019
6 Reads

Treatment of Hypertensive Cardiogenic Edema with Intravenous High-Dose Nitroglycerin in a Patient Presenting with Signs of Respiratory Failure: A Case Report and Review of the Literature.

Am J Case Rep 2019 Jan 21;20:83-90. Epub 2019 Jan 21.

Department of Internal Medicine, San Juan City Hospital, San Juan, Puerto Rico.

BACKGROUND Pulmonary edema is the accumulation of fluid in the lung secondary to increased hydrostatic pressure. Hypertensive cardiogenic pulmonary edema presents with a sudden onset of severe dyspnea, tachycardia, and tachypnea, and can occur when the systolic blood pressure exceeds 160 mmHg in association with acute decompensated congestive cardiac failure (CCF). A case is presented of hypertensive cardiogenic pulmonary edema treated with high-dose nitroglycerin and includes a review of the literature. Read More

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https://www.amjcaserep.com/abstract/index/idArt/913250
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http://dx.doi.org/10.12659/AJCR.913250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350673PMC
January 2019
17 Reads

Coughing in dogs: what is the evidence for and against a cardiac cough?

Authors:
L Ferasin C Linney

J Small Anim Pract 2019 Mar 16;60(3):139-145. Epub 2019 Jan 16.

Willows Veterinary Referral Service, Solihull, West Midlands B90 4NH, UK.

Cough has been historically reported as a major clinical sign of cardiogenic pulmonary oedema in dogs. However, recent evidence appears to contradict the traditional dogmatic approach that linked cough to congestive heart failure in dogs. Here we use a question-based format to introduce and discuss the modern evidence regarding "cardiac cough" and the interpretation of this important but often misleading clinical sign. Read More

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http://dx.doi.org/10.1111/jsap.12976DOI Listing
March 2019
4 Reads

Safe Exchange of a Transfemoral Impella Pump.

Cardiovasc Revasc Med 2018 Dec 19. Epub 2018 Dec 19.

Cardiac Arrest Center, Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.

Mechanical circulatory support with the Impella pump is established in many centers treating patients with cardiogenic shock. While Impella pumps usually run very stable, it may still be possible that one needs to remove the pump for using the same vascular access for different reasons. Unfortunately, until now it had been nearly impossible to remove the pump while preserving arterial access without severe bleeding. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.12.006DOI Listing
December 2018
8 Reads

Takayasu arteritis: differential diagnosis in a teenager with severe acute kidney injury - a case report.

J Bras Nefrol 2019 Jan 10. Epub 2019 Jan 10.

Hospital Geral de Fortaleza, Departamento de Nefrologia, Fortaleza, CE, Brasil.

Takayasu arteritis (TA) is a chronic granulomatous inflammatory condition of unknown cause that involves large vessels - particularly the aorta and its branches - such as the carotid, coronary, pulmonary, and renal arteries. The left subclavian artery is the most frequently involved vessel. Stenosis of the renal artery has been reported in 23-31% of the cases and may result in malignant hypertension, ischemic renal disease, decompensated heart failure, and premature death. Read More

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http://dx.doi.org/10.1590/2175-8239-JBN-2018-0174DOI Listing
January 2019
10 Reads

Clinical Pharmacokinetics, Safety, and Tolerability of a Novel, First-in-Class TRPV4 Ion Channel Inhibitor, GSK2798745, in Healthy and Heart Failure Subjects.

Am J Cardiovasc Drugs 2019 Jan 14. Epub 2019 Jan 14.

GlaxoSmithKline Clinical Unit Cambridge, Addenbrooke's Hospital, Cambridge, UK.

Introduction And Objective: Pulmonary capillary endothelial transient receptor potential vanilloid 4 (TRPV4) channel plays a critical role in mediating the development of cardiogenic pulmonary edema. GSK2798745 is a first-in-class, highly potent, selective, orally active TRPV4 channel blocker being evaluated in a first-time-in-humans study (NCT02119260).

Methods: GSK2798745 was administered in a randomized, placebo-controlled study design to healthy volunteers in three separate cohorts as single escalating doses, with and without food, and as once-daily repeat doses for up to 14 days, respectively. Read More

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http://dx.doi.org/10.1007/s40256-018-00320-6DOI Listing
January 2019
3 Reads

A real life evaluation of non invasive ventilation in acute cardiogenic pulmonary edema: a multicenter, perspective, observational study for the ACPE SIMEU study group.

BMC Emerg Med 2018 12 29;18(1):61. Epub 2018 Dec 29.

Emergency Medicine Department, ASST Papa Giovanni XIII, Bergamo, Italy.

Background: During the past three decades conflicting evidences have been published on the use of non-invasive ventilation (NIV) in patients with acute cardiogenic pulmonary edema (ACPE). The aim of this study is to describe the management of acute respiratory failure (ARF) due to ACPE in twelve Italian emergency departments (EDs). We evaluated prevalence, characteristics and outcomes of ACPE patients treated with oxygen therapy, continuous positive airway pressure (CPAP) or Bi-level positive airway pressure (BiPAP) on admission to the EDs. Read More

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http://dx.doi.org/10.1186/s12873-018-0216-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310941PMC
December 2018
8 Reads

Adrenomedullin in heart failure: pathophysiology and therapeutic application.

Eur J Heart Fail 2019 02 28;21(2):163-171. Epub 2018 Dec 28.

Division of Cardiology, Stony Brook University, Stony Brook, NY, USA.

Adrenomedullin (ADM) is a peptide hormone first discovered in 1993 in pheochromocytoma. It is synthesized by endothelial and vascular smooth muscle cells and diffuses freely between blood and interstitium. Excretion of ADM is stimulated by volume overload to maintain endothelial barrier function. Read More

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http://dx.doi.org/10.1002/ejhf.1366DOI Listing
February 2019
4 Reads

Downregulated microRNA-27b attenuates lipopolysaccharide-induced acute lung injury via activation of NF-E2-related factor 2 and inhibition of nuclear factor κB signaling pathway.

J Cell Physiol 2019 May 24;234(5):6023-6032. Epub 2018 Dec 24.

Department of Pulmonary and Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.

Acute lung injury (ALI) is a life-threatening, diffuse heterogeneous lung injury characterized by acute onset, pulmonary edema, and respiratory failure. Lipopolysaccharide (LPS) is a leading cause for ALI and when administered to a mouse it induces a lung phenotype exhibiting some of the clinical characteristics of human ALI. This study focused on investigating whether microRNA-27b (miR-27b) affects ALI in a mouse model established by LPS-induction and to further explore the underlying mechanism. Read More

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http://dx.doi.org/10.1002/jcp.27187DOI Listing
May 2019
4 Reads

The Use of Bromocriptine for Peripartum Cardiomyopathy after Twin Delivery via Oocyte Donation.

Intern Med 2019 Feb 18;58(4):541-544. Epub 2018 Dec 18.

Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, Japan.

Peripartum cardiomyopathy (PPCM) is rare but life-threatening. We herein report the case of a 48-year-old woman with PPCM after oocyte donation and delivery of twins. Two weeks after delivery, she suffered from severe symptoms of heart failure [orthopnea, New York Heart Association (NYHA) class IV, pulmonary edema and a reduced left ventricular ejection fraction of 18%]. Read More

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http://dx.doi.org/10.2169/internalmedicine.1537-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421160PMC
February 2019
2 Reads

Thrombo-embolic complications in takotsubo syndrome: Review and demonstration of an illustrative case.

Clin Cardiol 2019 Feb 3;42(2):312-319. Epub 2019 Jan 3.

Coronary Artery Disease Area, Heart and Vascular Theme, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.

Thrombo-embolism is one of the serious complications of takotsubo syndrome (TS) in addition to heart failure, pulmonary edema, cardiogenic shock, cardiac arrest, life-threatening arrhythmias, left ventricular outlet tract obstruction, mitral regurgitation, cardiac rupture, and death. The most common cardio-embolic events in TS are cerebral, renal, and peripheral embolism. Approximately, one-third of patients with left ventricular thrombus (LVT) in TS develop embolic complications. Read More

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http://dx.doi.org/10.1002/clc.23137DOI Listing
February 2019
5 Reads

Pulmonary Production of Soluble ST2 in Heart Failure.

Circ Heart Fail 2018 Dec;11(12):e005488

IMIB-Arrixaca, University of Murcia, Spain (M.T.P.-M., M.C.A.-L., C.M.M., A.L.).

Background: Serum concentrations of ST2 (interleukin-1 receptor-like 1) represent a meaningful prognostic marker in cardiac diseases. Production of soluble ST2 (sST2) may be partially extracardiac. Identification of sST2 sources is relevant to design strategies for modulating its signaling. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCHEARTFAILURE.118
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http://dx.doi.org/10.1161/CIRCHEARTFAILURE.118.005488DOI Listing
December 2018
8 Reads

Double Valve Failure Due to Perceval Sutureless Aortic Valve Migration.

J Heart Valve Dis 2018 Jan;27(1):124-126

Cardiac Surgery Unit, Heart Center, Grande Ospedale Metropolitano 'Bianchi-Melacrino-Morelli', Reggio Calabria, Italy.

A 76-year-old woman was admitted to the authors' hospital with pulmonary edema five months after the successful implantation of a Perceval sutureless aortic valve (Sorin Group Srl, Saluggia, Italy). Both echocardiography and computed tomography scanning demonstrated migration of the aortic valve into the left ventricle, causing severe aortic and mitral (secondary) insufficiency. Following heart team discussions, the sutureless valve was replaced with a standard bioprosthesis (Perimount, Magna Ease; Edwards Lifesciences, Irvine, California, USA) with spontaneous restoration of native mitral valve competence. Read More

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January 2018
5 Reads

Resistant Hypertension From Renal Artery Stenosis Leading to Heart Failure With Preserved Ejection Fraction.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618816501. Epub 2018 Dec 7.

University of Alberta, Edmonton, Alberta, Canada.

Resistant hypertension remains an important cause of heart failure. In this article, we describe a case of resistant hypertension in a 63-year-old woman leading to heart failure and marked morbidity. Her clinical course was characterized by chronic pleural effusions and recurrent hospitalizations with respiratory failure and flash pulmonary edema associated with heart failure with preserved ejection fraction. Read More

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http://dx.doi.org/10.1177/2324709618816501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291873PMC
December 2018
2 Reads

Major Adverse Cardiac Events and Mortality Associated with Electroconvulsive Therapy: A Systematic Review and Meta-analysis.

Anesthesiology 2019 Jan;130(1):83-91

From the Departments of Anesthesiology and Intensive Care (A.D., M.M., B.P.) Emergency Medicine (H.H.), Medical University of Vienna, Vienna, Austria the Department of Anesthesiology, Washington University, St. Louis, Missouri (P.N.) Department of Public Health Sciences, University of Chicago, University of Chicago, Illinois (T.K.).

What We Already Know About This Topic: WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Cardiac events after electroconvulsive therapy have been reported sporadically, but a systematic assessment of the risk is missing. The goal of this study was to obtain a robust estimate of the incidence of major adverse cardiac events in adult patients undergoing electroconvulsive therapy.

Methods: Systematic review and meta-analysis of studies that investigated electroconvulsive therapy and reported major adverse cardiac events and/or mortality. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002488DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300062PMC
January 2019
2 Reads

Preliminary evidence that hydrostatic edema may contribute to the formation of diffuse alveolar damage in a Holstein calf model.

F1000Res 2018 26;7:374. Epub 2018 Mar 26.

Departments of Animal and Food Sciences, College of Agricultural Sciences and Natural Resources, Texas Tech University, Lubbock, TX, 79409, USA.

Two notable findings of clinically healthy feedlot cattle suggest they may have pulmonary hydrostatic edema during the finishing phase of production: increased pulmonary arterial wedge pressures and pulmonary venous hypertrophy. The goal of this study was to determine if increased pulmonary arterial wedge pressure (PAWP) in a Holstein calf could lead to diffuse alveolar damage consistent with the early, exudative phase of acute interstitial pneumonia of feedlot cattle. Six male Holstein dairy calves were given daily subcutaneous injections of the nonspecific ß-adrenergic agonist isoprenaline (10 mg/kg/d), to induce left ventricular diastolic dysfunction, or sterile water for 14 days. Read More

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http://dx.doi.org/10.12688/f1000research.14153.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263485PMC
March 2018
3 Reads

Amyloid Cardiomyopathy in the Emergency Department.

J Emerg Med 2019 Feb 13;56(2):205-209. Epub 2018 Dec 13.

Department of Emergency Medicine, Mount Sinai Medical Center, Miami Beach, Florida; Emergency Department Ultrasonography, Mount Sinai Medical Center, Miami Beach, Florida.

Background: Cardiac amyloidosis is an underdiagnosed cause of restrictive cardiomyopathy resulting from the infiltration of the myocardium by amyloid proteins.

Case Report: We report the case of an 83-year-old woman who presented with increasing dyspnea and lower-extremity swelling. She reported a medical history of unspecified heart failure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183104
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http://dx.doi.org/10.1016/j.jemermed.2018.10.023DOI Listing
February 2019
27 Reads

Right ventricular failure following placement of a percutaneous left ventricular assist device.

Heart Lung 2019 Mar - Apr;48(2):111-113. Epub 2018 Dec 11.

Center for Comprehensive Cardiovascular care, St Louis University, 3635 Vista Avenue, FDT 13th Floor, Cardiology, St Louis, MO, United States.

Right ventricular (RV) dysfunction following surgical implantation of a left ventricular assist device (LVAD) is a well-documented phenomenon, and it is associated with poor outcomes. We are reporting a 25-year-old male patient who presented to the hospital with flu-like symptoms, hypotension and acute hypoxic respiratory failure. The patient's Laboratory data was significant for elevated troponin, and his Chest X-ray showed acute pulmonary edema. Read More

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http://dx.doi.org/10.1016/j.hrtlng.2018.12.002DOI Listing
December 2018
4 Reads
1.320 Impact Factor

Deterioration in right ventricular structure and function over time in patients with heart failure and preserved ejection fraction.

Eur Heart J 2019 Feb;40(8):689-697

The Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, USA.

Aims: Prevalent right ventricular (RV) dysfunction (RVD) is associated with increased mortality in patients with heart failure with preserved ejection fraction (HFpEF), but no study has characterized long-term changes in RV structure and function within the same patient.

Methods And Results: Patients with unequivocal HFpEF defined by either invasive haemodynamics or hospitalization for pulmonary oedema (n = 271) underwent serial echocardiographic evaluations >6 months apart. Clinical, structural, functional, and haemodynamic characteristics were examined. Read More

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http://dx.doi.org/10.1093/eurheartj/ehy809DOI Listing
February 2019
3 Reads

Acute Pulmonary Edema in a Pregnant Patient with Undiagnosed Levo-Transposition of the Great Arteries.

Am J Case Rep 2018 Dec 6;19:1445-1448. Epub 2018 Dec 6.

Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

BACKGROUND Levo-transposition of the great arteries (L-TGA) is a rare form of congenital heart disease that may go unrecognized until adulthood. Parturient women with L-TGA have a high likelihood of developing acute pulmonary edema and cardiac dysrhythmias during the peri-partum period. CASE REPORT We present the case of a 32-year-old primigravida patient with previously unknown diagnosis of L-TGA, presenting with preeclampsia, whose peri-partum course was complicated by the development of acute pulmonary edema, complete heart block, and acute hypoxic respiratory failure. Read More

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http://dx.doi.org/10.12659/AJCR.912168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293864PMC
December 2018
3 Reads