9,350 results match your criteria Perioperative Cardiac Management


Predictors of liver cirrhosis and hepatocellular carcinoma among perioperative survivors of the Fontan operation.

Heart 2022 Jun 29. Epub 2022 Jun 29.

Pediatric Cardiology and Adult Congenital Cardiology, Tokyo Women's Medical University, Tokyo, Japan

Objective: Fontan-associated liver disease (FALD) is widely recognised as a common complication in patients long after the Fontan operation. However, data on the predictors of FALD that can guide its screening and management are lacking. The present study aimed to identify the predictors of liver cirrhosis (LC) and hepatocellular carcinoma (HCC) in post-Fontan patients. Read More

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The role of temporary mechanical circulatory support as a bridge to advanced heart failure therapies or recovery.

Curr Opin Cardiol 2022 Jun 28. Epub 2022 Jun 28.

Division of Cardiology, Columbia University Irving Medical Center, New York, New York, USA.

Purpose Of Review: Temporary mechanical circulatory support (tMCS) has become central in the treatment of refractory cardiogenic shock and can be used to bridge patients to durable MCS, heart transplant or recovery. This review will discuss contemporary data regarding bridging strategies utilizing tMCS.

Recent Findings: There has been significant growth in tMCS use recently, driven by increased familiarity with tMCS devices, and increased experience with both implantation and management. Read More

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Cardiac Society of Australia and New Zealand (CSANZ) Position Statement on the Follow-Up of Cardiovascular Implantable Electronic Devices 2022.

Heart Lung Circ 2022 Jun 24. Epub 2022 Jun 24.

Royal Adelaide Hospital, Adelaide, SA, Australia.

Recognising the need for a national approach for the recommended best practice for the follow-up of implanted cardiac rhythm devices to ensure patient safety, this document has been produced by the Cardiac Society of Australia and New Zealand (CSANZ). It draws on accepted practice standards and guidelines of international electrophysiology bodies. It lays out methodology, frequency, and content of follow-up, including remote monitoring; personnel, including physician, allied health, nursing and industry; paediatric and adult congenital heart patients; and special considerations including magnetic resonance imaging scanning, perioperative management, and hazard alerts. Read More

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Total Anomalous Pulmonary Venous Connection Repair: Single-Center Outcomes in a Lower-Middle Income Region.

World J Pediatr Congenit Heart Surg 2022 Jul;13(4):458-465

Department of Pediatric Cardiology, 29286Amrita Institute of Medical Sciences and Research Centre, Kochi, India.

Background: The management of total anomalous pulmonary venous connection (TAPVC) in neonates and infants is resource-intensive. We describe early and follow-up outcomes after surgical repair of isolated TAPVC at a single institution in a resource-limited setting.

Methods: The data of 316 consecutive patients with isolated TAPVC undergoing repair (January 2010-September 2020) were reviewed. Read More

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Asymptomatic Severe Aortic Stenosis: Contemporary Evaluation and Management.

Heart Views 2022 Jan-Mar;23(1):16-21. Epub 2022 May 16.

Department of Adult Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.

Aortic stenosis (AS) is the most prevalent valvular heart disease in developed countries and most prevalent in the elderly. According to the current guidelines, intervention is recommended in symptomatic severe AS; however, in asymptomatic patients, aortic valve replacement (AVR) is considered when symptoms appear or the left ventricular dysfunction occurs, but the evidence supports these indications are poor. The optimal timing and modality of intervention in asymptomatic severe AS (ASAS) remain controversial. Read More

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Unmet Cardiac Clinical Needs in Adult Mucopolysaccharidoses.

Front Cardiovasc Med 2022 10;9:907175. Epub 2022 Jun 10.

Department of Pediatrics, University of Minneapolis, Minneapolis, MN, United States.

The Mucopolysaccharidoses (MPSs) are a group of heterogenous disorders with complex multisystemic presentations. Although Haematopoietic Cell Transplantation (HCT) and Enzyme Replacement Therapy (ERT) have extended the lifespan of individuals affected with MPS well into adulthood, reversal of pre-existing cardiac, skeletal and neurocognitive deficits does not occur, so there are no truly curative treatments available to these patients at present. The medical and surgical management of cardiovascular problems in adults with MPS is complicated by these pre-existing comorbidities, requiring the involvement of multidisciplinary and multispecialty perioperative teams. Read More

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Perioperative Management of Patients With Myasthenia Gravis Undergoing Robotic-Assisted Thymectomy-A Retrospective Analysis and Clinical Evaluation.

J Cardiothorac Vasc Anesth 2022 May 22. Epub 2022 May 22.

Division of Cardiac Thoracic and Vascular Anesthesia and Intensive Care Medicine, Medical University of Vienna, Vienna, Austria.

Objective: Postoperative myasthenic crisis with respiratory failure is a potentially lethal complication, warranting careful perioperative planning and extended postoperative surveillance of patients. Data on the incidence of postoperative respiratory failure and optimal management of patients after robotic-assisted thymectomy are limited. The objective of this study was to evaluate the incidence of respiratory complications and the need for intensive care unit (ICU) capacities after robotic-assisted thymectomy in patients with myasthenia gravis. Read More

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Development and Validation of Global Leadership Initiative on Malnutrition for Prognostic Prediction in Patients Who Underwent Cardiac Surgery.

Nutrients 2022 Jun 9;14(12). Epub 2022 Jun 9.

Department of Gastrointestinal Surgery, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai 200072, China.

The Global Leadership Initiative on Malnutrition (GLIM) has achieved a consensus for the diagnosis of malnutrition in recent years. This study aims to determine the prognostic effect of the GLIM after cardiac surgery. A total of 603 patients in the training cohort and 258 patients in the validation cohort were enrolled in this study. Read More

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22q11.2 Deletion Syndrome: Impact of Genetics in the Treatment of Conotruncal Heart Defects.

Children (Basel) 2022 May 25;9(6). Epub 2022 May 25.

Pediatric Cardiology Unit, Department of Pediatrics, Obstetrics and Gynecology, "Sapienza" University of Rome, Policlinico Umberto I, 00161 Rome, Italy.

Congenital heart diseases represent one of the hallmarks of 22q11.2 deletion syndrome. In particular, conotruncal heart defects are the most frequent cardiac malformations and are often associated with other specific additional cardiovascular anomalies. Read More

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Interdisciplinary and cross-sectoral perioperative care model in cardiac surgery: implementation in the setting of minimally invasive heart valve surgery (INCREASE)-study protocol for a randomized controlled trial.

Trials 2022 Jun 23;23(1):528. Epub 2022 Jun 23.

Department of Cardiothoracic Surgery, University Hospital Augsburg, Stenglinstr. 2, 86156, Augsburg, Germany.

Background: Valvular heart diseases are frequent and increasing in prevalence. Minimally invasive heart valve surgery embedded in an interdisciplinary enhanced recovery after surgery (ERAS) program may have potential benefits with regard to reduced length of stay and improved patient reported outcomes. However, no prospective randomized data exist regarding the superiority of ERAS program for the patients' outcome. Read More

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Coagulation Response and Prothrombotic Effect of Uninterrupted Oral Anticoagulant Administration After Catheter Ablation for VT.

JACC Clin Electrophysiol 2022 Jun 27;8(6):735-748. Epub 2022 Apr 27.

Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Background: Catheter ablation for ventricular tachycardia (VT) is associated with perioperative thromboembolic risk. However, the strategy for postprocedural management remains unknown.

Objectives: The aim of this study was to evaluate the prothrombotic response after VT ablation in various coagulation biomarkers in patients with and without the administration of oral anticoagulation (OAC). Read More

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Clinical Considerations and Outcomes for Spine Surgery Patients with a History of Transplant: A Systematic Scoping Review Protocol.

Methods Protoc 2022 Jun 5;5(3). Epub 2022 Jun 5.

Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

Spine surgery patients with a history of organ transplantation are a complex population due to their unique anesthetic considerations, immunologic profiles, drug interactions, and potential organ dysfunction. It is common for these patients to develop neck/back pain and pathology that warrants surgical intervention. However, there is a relative dearth of literature examining their outcomes and clinical considerations. Read More

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Functional Improvement Trajectories After Surgery (FIT After Surgery) study: protocol for a multicentre prospective cohort study to evaluate significant new disability after major surgery in older adults.

BMJ Open 2022 Jun 22;12(6):e062524. Epub 2022 Jun 22.

Department of Anesthesiology and Pain Medicine, Ottawa Hospital, Ottawa, Ontario, Canada.

Introduction: Older adults prioritise surviving surgery, but also preservation of their functional status and quality of life. Current approaches to measure postoperative recovery, which focus on death, complications and length of hospitalisation, may miss key relevant domains. We propose that postoperative disability is an important patient-centred outcome to measure intermediate-to-long recovery after major surgery in older adults. Read More

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Fontan Failure: Phenotypes, Evaluation, Management and Future Directions.

Cardiol Young 2022 Jun 22:1-72. Epub 2022 Jun 22.

Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.

Objectives: Management of "failing" and "failed" Fontan circulation particularly the indications, timing, and type of re-intervention currently remain nebulous. Factors contributing to pathogenesis and mortality following Fontan procedure differ between children and adults.

Methods: Since organ systems in individual patients are affected differently, we searched the extant literature for a "failing" and "failed" Fontan reviewing the clinical phenotypes, diagnostic modalities, pharmacological, non-pharmacological, and surgical techniques employed, and their outcomes. Read More

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Characteristics and outcomes of unplanned intensive care unit admission after general anesthesia.

BMC Anesthesiol 2022 Jun 20;22(1):191. Epub 2022 Jun 20.

Department of Anesthesiology, The Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo, 105-8461, Japan.

Background: Unplanned ICU admission after surgery has been validated as a measure of a quality indicator of perioperative management because it may put surgical patients at risk of increased morbidity and mortality. Postoperative unscheduled admission to the ICU is usually determined either in the post-anesthesia care unit (PACU) or in the general surgical ward; however, it could be expected patient outcomes after ICU admission would be affected by the circumstances. The purpose of this retrospective observational study was to investigate the clinical characteristics and the outcome of unplanned admission to the ICU directly from the PACU or from the ward within 7 days after PACU discharge. Read More

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Postoperative management of children after lung transplantation.

Semin Pediatr Surg 2022 Jun 16;31(3):151179. Epub 2022 May 16.

Heart Institute; Division of Pulmonary Medicine Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH. Electronic address:

Pediatric lung transplantation is a highly specialized treatment option at a select few hospitals caring for children. Advancements in surgical and medical approaches in the care of these children have improved their care with only minimal improvement in outcomes which remain the lowest of all solid organ transplants. A crucial time period in the management of these children is in the perioperative period after performance of the lung transplant. Read More

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Preoperative Risk Factors and Prognostic Impact of Postoperative Complications Associated with Total Gastrectomy.

Digestion 2022 Jun 20:1-7. Epub 2022 Jun 20.

Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.

Introduction: We evaluated the risk factors for patients with gastric cancer (GC) undergoing total gastrectomy (TG) that predict postoperative complications, including anastomotic leakage, postoperative pneumonia, and heart disease.

Methods: We collected 106 patients who received TG for GC between May 2009 and May 2017 at Gunma University Graduate School of Medicine, including clinicopathologic, surgical, postoperative complication, laboratory test, and physiologic test data.

Results: Of 106 patients, 92 (86. Read More

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It is Time to Replace Large Drains with Small Ones After Fixation of Rib Fractures: A Prospective Observational Study.

Adv Ther 2022 Jun 20. Epub 2022 Jun 20.

Division of Trauma, Department of Emergency, Kaohsiung-Veterans General Hospital, 386, Da-Chung 1st Road, Kaohsiung, 813, Taiwan.

Introduction: Large-bore chest tubes are usually applied after thoracic surgery. Recently, small-bore tubes have been increasingly considered owing to the extensive use of video-assisted thoracoscopic surgery (VATS). This study assessed the differences in outcomes between large-bore and small-caliber drainage tubes in patients undergoing surgical stabilization of rib fractures (SSRF) with VATS. Read More

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Predictors of antiplatelet cessation in a real-world patient population undergoing non-cardiac surgery after PCI.

Int J Cardiol 2022 Jun 15. Epub 2022 Jun 15.

The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Center for Interventional Cardiovascular Research and Clinical Trials, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1030, New York, NY, 10029-6574, US. Electronic address:

Background: The optimal perioperative management of antiplatelet therapy (APT) therapy in patients undergoing noncardiac surgery (NCS) following percutaneous coronary intervention (PCI) is unclear. We sought to identify predictors of APT cessation in a real-world cohort of patients undergoing NCS within 1 year of PCI.

Methods: Consecutive patients undergoing PCI at a tertiary center between 2011 and 2018 were prospectively enrolled. Read More

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Impact of septic cerebral embolism on prognosis and therapeutic strategies of infective endocarditis: a retrospective study in a surgical centre.

BMC Infect Dis 2022 Jun 17;22(1):554. Epub 2022 Jun 17.

Division of General Cardiology, Florence, Italy.

Background: Infective endocarditis still has high mortality and invalidating complications, such as cerebral embolism. The best strategies to prevent and manage neurologic complications remain uncertain. This study aimed to identify predictors of cerebral septic embolism and evaluate the role of surgery in these patients in a real-world surgical centre. Read More

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Implementing Perioperative Cardiac Risk Assessment in an Internal Medicine Residency Program: Experience from a Community Hospital.

J Community Hosp Intern Med Perspect 2022 31;12(1):28-31. Epub 2022 Jan 31.

Department of Medicine, MetroWest Medical Center, Framingham, MA, USA.

Background: ACGME requires all Internal Medicine training programs to structure the curriculum to optimize resident educational experiences, including perioperative medicine. Teaching residents about perioperative risk management is challenging in a community hospital with limited resources and low surgical volume.

Objective: Our goal was to introduce an interactive educational module on perioperative cardiac risk assessment and management in a community residency training program. Read More

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January 2022

Cuffless blood pressure measuring devices: review and statement by the European Society of Hypertension Working Group on Blood Pressure Monitoring and Cardiovascular Variability.

J Hypertens 2022 Jun 17. Epub 2022 Jun 17.

Department of Medicine, University of Padova, Padova, Italy.

Background: Many cuffless blood pressure (BP) measuring devices are currently on the market claiming that they provide accurate BP measurements. These technologies have considerable potential to improve the awareness, treatment, and management of hypertension. However, recent guidelines by the European Society of Hypertension do not recommend cuffless devices for the diagnosis and management of hypertension. Read More

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Single-Center Experience With the Thoraflex™ Hybrid Prosthesis: Indications, Implantation Technique and Results.

Front Cardiovasc Med 2022 30;9:924838. Epub 2022 May 30.

Department of Cardiothoracic Surgery, University Hospital Muenster, Muenster, Germany.

Objective: The aim of this study was to evaluate the early and mid-term results after the frozen elephant trunk (FET) procedure for the treatment of complex arch and proximal descending aortic disease in a single-center institution.

Methods: From April 2015 to July 2021, 72 patients (25 women, 60.4 ± 10. Read More

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Lung transplantation and severe coronary artery disease: results from a single-centre experience.

Eur J Cardiothorac Surg 2022 Jun 15. Epub 2022 Jun 15.

Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Objectives: The management of severe coronary artery disease at the time of lung transplantation remains a challenge. We analyzed the short- and long-term-outcomes of lung transplant recipients with severe coronary artery disease.

Methods: Records of adult patients transplanted at our institution between April 2010 and February 2021 were retrospectively reviewed. Read More

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Prevalence of coronary calcification on preoperative computed tomography and its management in thoracic surgery.

Surg Today 2022 Jun 13. Epub 2022 Jun 13.

Department of Thoracic Surgery, National Hospital Organization Nagasaki Medical Center, 2-1001-1 Kubaru, Ōmura, Nagasaki, 856-8562, Japan.

Purpose: We investigated the preoperative assessment of coronary artery calcification using computed tomography for appropriate intraoperative management to reduce the risk of perioperative cardiac complications during pulmonary resection.

Methods: Patients (n = 665) who underwent anatomical lung resection were examined. The extent of preoperative asymptomatic coronary artery stenosis or cardiac complications in patients with coronary artery calcification was assessed. Read More

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Biomarkers for intra-abdominal pressure: another tool in the toolbox?

Eur Heart J Acute Cardiovasc Care 2022 Jun 13. Epub 2022 Jun 13.

First Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, Lublin, Poland.

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Evaluation and Interventional Management of Cardiac Dysrhythmias.

Authors:
Steven J Hoff

Surg Clin North Am 2022 Jun 21;102(3):365-391. Epub 2022 Apr 21.

Orlando Health Heart and Vascular Institute, 1222 South Orange Avenue, Orlando, FL 32806, USA. Electronic address:

This article focuses on the guideline-directed evaluation and management of cardiac dysrhythmias, particularly as they are important to the practice of a noncardiac surgeon. The focus is on atrial fibrillation (AF) as the most common arrhythmia encountered by surgeons. The authors discuss the importance of AF as a risk factor for perioperative morbidity and mortality. Read More

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Prehabilitation of elderly frail or pre-frail patients prior to elective surgery (PRAEP-GO): study protocol for a randomized, controlled, outcome assessor-blinded trial.

Trials 2022 Jun 6;23(1):468. Epub 2022 Jun 6.

Department of Anesthesiology and Operative Intensive Care Medicine (CVK/CCM), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Chariteplatz 1, 10117, Berlin, Germany.

Background: Frailty is expressed by a reduction in physical capacity, mobility, muscle strength, and endurance. (Pre-)frailty is present in up to 42% of the older surgical population, with an increased risk for peri- and postoperative complications. Consequently, these patients often suffer from a delayed or limited recovery, loss of autonomy and quality of life, and a decrease in functional and cognitive capacities. Read More

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Portopulmonary Hypertension: A Review of the Current Literature.

Heart Lung Circ 2022 Jun 3. Epub 2022 Jun 3.

Section of Cardiovascular Medicine, Yale University/Yale New Haven Hospital, New Haven, CT, USA.

Portopulmonary hypertension is defined as the development of pulmonary arterial hypertension in the setting of portal hypertension with or without liver cirrhosis. Portal hypertension-associated haemodynamic changes, including hyperdynamic state, portosystemic shunts and splanchnic vasodilation, induce significant alterations in pulmonary vascular bed and play a pivotal role in the pathogenesis of the disease. If left untreated, portopulmonary hypertension results in progressive right heart failure, with a poor prognosis. Read More

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