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Kardiochir Torakochirurgia Pol 2018 Dec 31;15(4):238-240. Epub 2018 Dec 31.

Department of Family Medicine, Lviv National Medical University named after Danylo Halytsky, Lviv, Ukraine.

Introduction: Estimation of cardiosurgical intervention risk according to EuroSCORE is an important aspect of cardiosurgery. EuroSCORE allows prediction of the probability of a post-operational fatal outcome.

Aim: To estimate the influence of gallbladder condition on the prognosis after coronary artery bypass grafting (CABG) and and the interactions between metabolic background and cardiosurgical intervention risk. Read More

Medicine (Baltimore) 2019 Jan;98(2):e14065

Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital.

Rationale: Although novel oral-anticoagulants are widely used in patients with atrial fibrillation (AF) for stroke prevention, there was only limited evidence for their use in left ventricular (LV) thrombus.

Patient Concerns: A 41-year-old man who presented with acute onset of right-hand clumsiness and aphasia even under high international normalized ratio (INR: 7.64) from warfarin use. Read More

Am J Med Case Rep 2018 7;6(10):218-221. Epub 2018 Dec 7.

Division of Rheumatology, Department of Internal Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203 USA.

Spontaneous coronary artery dissection (SCAD) is a rare illness often misdiagnosed, that accounts for up to 4% of cases of acute coronary syndrome in young women. Interestingly, SCAD is the most common cause of myocardial infarction related to pregnancy. Here, we present a case of a 35-year old postpartum patient who presented in cardiac arrest due to ventricular fibrillation and was found to have a ST-segment elevation myocardial infarction. Read More

J Clin Ultrasound 2019 Jan 4. Epub 2019 Jan 4.

Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang, Liaoning, China.

Right ventricular (RV) wall dissection following ventricular septal rupture related to inferior myocardial infarction (MI) is an extremely rare complication with a high mortality rate. We report the case of a 61-year-old man who was admitted to our hospital because of syncope and intermittent chest pain with a precordial murmur. Transthoracic echocardiography showed a rupture at the basal infero-posterior septum and RV free-wall dissection forming an echolucent cavity that extended beyond the septum and subsequently re-entered into RV chamber. Read More

Nan Fang Yi Ke Da Xue Xue Bao 2018 Dec;38(12):1514-1520

College of Forensic Medicine, Southern Medical University, Guangzhou 510515, China.

Objective: To analyze the morphological features and forensic pathological characteristics of cardiac ruptures of different causes for their differential diagnosis.

Methods: We analyzed the data of 44 autopsy cases of cardiac rupture from 2014 to 2017 in our institute, including 11 cases caused by blunt violence with intact pericardium, 4 caused by cardiopulmonary resuscitation (CPR), 9 by myocardial infarction, and 20 by aorta dissection rupture.The gross features and histopathological characteristics of cardiac rupture and pericardial effusion were analyzed and compared. Read More

Heart Fail Rev 2019 Jan 5. Epub 2019 Jan 5.

BIOMED - Biomedical Research Institute, Faculty of Medicine and Life Sciences, Hasselt University, Diepenbeek, Belgium.

Congestion (i.e., backward failure) is an important culprit mechanism driving disease progression in heart failure. Read More

Perfusion 2018 Dec 25:267659118813043. Epub 2018 Dec 25.

3 Division of Cardiac Surgery, London Health Sciences Centre, London, Ontario, Canada.

A 44-year-old male with ongoing chest pain and left ventricular ejection fraction <20% was transferred from a peripheral hospital with intra-aortic balloon pump placement following a non-ST-elevation myocardial infarction (STEMI). The patient underwent emergent multi-vessel coronary artery bypass grafting requiring veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) on post-operative day (POD)#9 secondary to cardiogenic shock with biventricular failure. Due to clot formation, an oxygenator change-out was necessary shortly after initiation. Read More

Case Rep Crit Care 2018 19;2018:1568491. Epub 2018 Nov 19.

Cardiac Arrest Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.

A 66-year-old patient was admitted under continuous resuscitation for pulseless electrical activity. After return of spontaneous circulation ECG showed signs of acute inferior ST-elevation myocardial infarction, and echocardiography showed acute right ventricular failure with a dilated right ventricle. Carotid pulses were present in the absence of femoral pulses. Read More

ASAIO J 2018 Dec 11. Epub 2018 Dec 11.

From the Cardio-thoracic Surgery Department.

Peripheral veno-arterial extra corporeal life support (V-A ECLS) is an effective tool in treating refractory cardiogenic shock (RCS). Despite additional use of intra-aortic balloon pump, insufficient left ventricular unloading is a likely complication. We present herein our experience combining V-A ECLS and Impella to treat symptomatic, critical patients. Read More

Am J Physiol Heart Circ Physiol 2018 Dec 21. Epub 2018 Dec 21.

Montpellier University, Inserm U1046 Physiologie et Médecine Expérimentale, France.

Right ventricular (RV) dysfunction can lead to complications following acute inferior myocardial infarction (MI). However, it is unclear how RV failure after MI contributes to left-sided dysfunction is unclear. The aim of this study was to investigate the consequences of right coronary artery (RCA) ligation in mice. Read More

Multimed Man Cardiothorac Surg 2018 Dec 6;2018. Epub 2018 Dec 6.

Department of Thoracic and Cardiovascular Surgery Mie University Graduate School of Medicine 2-174 Edobashi, Tsu, Mie 514-8507, Japan.

Papillary muscle rupture is a rare complication after myocardial infarction and almost all cases occur in the mitral valve papillary muscle. Tricuspid regurgitation development after right ventricular myocardial infarction caused by papillary muscle rupture is extremely rare.  In this video tutorial we present a 70-year-old man with massive tricuspid regurgitation caused by papillary muscle rupture after percutaneous stenting of the right coronary artery. Read More

eNeurologicalSci 2018 Dec 22;13:46-48. Epub 2018 Nov 22.

Krankenanstalt Rudolfstiftung, Juchgasse 25, A-1030 Wien, Austria.

Takotsubo syndrome (TTS) is a transient transient left ventricular dysfunction, predominantly affecting elderly women and often preceded by emotional or physical stress. TTS may be the cause as well as the consequence of stroke. We report a 82-years old female with a history of long-standing untreated arterial hypertension who was hospitalized because of a left-sided tongue paralysis and dysarthria. Read More

Cardiorenal Med 2018 Dec 13;9(2):83-91. Epub 2018 Dec 13.

Department of Medicine, Einstein Medical Center, Philadelphia, Pennsylvania, USA.

Background: Renal dysfunction is an important predictor of poor outcomes in patients with heart failure with preserved ejection fraction (HFpEF). Right ventricular (RV) dysfunction is implicated as one of the explanations for worsening renal function in cardiorenal syndrome. Novel right heart catheterization (RHC) parameters such as pulmonary artery pulsatility index (PAPi) and right atrial to pulmonary capillary wedge pressure ratio (RA:PCWP) have been found as predictors of RV dysfunction. Read More

Cardiovasc Toxicol 2018 Dec 12. Epub 2018 Dec 12.

Department of Cardiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, 1451, 77030, Houston, TX, USA.

The use of vascular endothelial growth factor inhibitors such as sorafenib is limited by a risk of severe cardiovascular toxicity. A 28-year-old man with acute myeloid leukemia treated with prednisone, tacrolimus, and sorafenib following stem cell transplantation presented with severe bilateral lower extremity claudication. The patient was discharged against medical advice prior to finalizing a cardiovascular evaluation, but returned 1 week later with signs suggestive of septic shock. Read More

J Atr Fibrillation 2018 Aug 31;11(2):2095. Epub 2018 Aug 31.

Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, Kansas City, KS.

Ventricular free wall rupture (VFWR) is a rare entity and is mostly related to post myocardial infarction (MI) complications usually involving left ventricle. In traumatic chest injuries, the right ventricle (RV) is more commonly involved due to its anatomic and structural vulnerability, as in our case. Survival, although rare, has almost always been secondary to urgent surgical repair, which is the current standard of care for such cases. Read More

J Electrocardiol 2018 Nov - Dec;51(6):977-980. Epub 2018 Aug 10.

Hennepin County Medical Center, University of Minnesota School of Medicine., United States. Electronic address:

Objective: In the presence of inferior myocardial infarction (MI), ST depression (STD) in lead I has been claimed to be accurate for diagnosis of right ventricular (RV) MI. We sought to evaluate this claim and also whether ST Elevation (STE) in lead V1 would be helpful, with or without STD in V2.

Methods: Retrospective study of consecutive inferior STEMI, comparing ECGs of patients with, to those without, RVMI, as determined by angiographic coronary occlusion proximal to the RV marginal branch. Read More

Int Heart J 2018 ;59(6):1491

We are pleased to announce that the following 2 articles have been selected for the the UEDA Heart Awards for the Year 2018. First PlaceRole of Right Ventricular Dysfunction and Diabetes Mellitus in N-terminal pro-B-type Natriuretic Peptide Response of Patients With Severe Mitral Regurgitation and Heart Failure After MitraClipHidehiro Kaneko, Michael Neuss, Jens Weissenborn, Christian ButterInt Heart J 2017; 58 (2): 225-231. Second PlaceNanoparticle-Mediated Delivery of Pitavastatin to Monocytes/Macrophages Inhibits Left Ventricular Remodeling After Acute Myocardial Infarction by Inhibiting Monocyte-Mediated InflammationYajing Mao, Jun-ichiro Koga, Masaki Tokutome, Tetsuya Matoba, Gentaro Ikeda, Kaku Nakano, Kensuke EgashiraInt Heart J 2017; 58 (4): 615-623. Read More

Eur J Paediatr Neurol 2018 Nov 11;22(6):989-1005. Epub 2018 Sep 11.

Departments of Child Health, Obstetrics and Gynaecology and Radiology, University Hospital Southampton, United Kingdom; Clinical and Experimental Sciences, University of Southampton, United Kingdom.

Fetal stroke is an important cause of cerebral palsy but is difficult to diagnose unless imaging is undertaken in pregnancies at risk because of known maternal or fetal disorders. Fetal ultrasound or magnetic resonance imaging may show haemorrhage or ischaemic lesions including multicystic encephalomalacia and focal porencephaly. Serial imaging has shown the development of malformations including schizencephaly and polymicrogyra after ischaemic and haemorrhagic stroke. Read More

Int Heart J 2018 Nov 20. Epub 2018 Nov 20.

Mie University Research Center for Matrix Biology.

Inflammation after myocardial infarction (MI) may be a major factor influencing ventricular remodeling, leading to congestive heart failure and arrhythmia. Therefore, inflammation in the heart needs to be monitored. Tenascin-C (TNC) is an extracellular matrix molecule not normally expressed, but it is strongly upregulated when associated with active inflammation. Read More

Int J Cardiovasc Imaging 2018 Nov 20. Epub 2018 Nov 20.

Greenberg Cardiology Division, Department of Medicine, Weill Cornell Medical College, 525 East 68th Street, New York, NY, 10021, USA.

Ischemic mitral regurgitation (iMR) augments risk for right ventricular dysfunction (RV). Right and left ventricular (LV) function are linked via common coronary perfusion, but data is lacking regarding impact of LV ischemia and infarct transmurality-as well as altered preload and afterload-on RV performance. In this prospective multimodality imaging study, stress CMR and 3-dimensional echo (3D-echo) were performed concomitantly in patients with iMR. Read More

Hellenic J Cardiol 2018 Nov 15. Epub 2018 Nov 15.

Second Department of Cardiology, Attikon Hospital, School of Medicine, University of Athens, Athens, Greece.

J Thorac Cardiovasc Surg 2018 Oct 10. Epub 2018 Oct 10.

Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif. Electronic address:

Objective: Papillary muscle (PM) displacement contributes to ischemic/functional mitral regurgitation (IMR/FMR). The displaced PMs pull the mitral leaflets into the left ventricle (ie, toward the apex) thus hampering leaflet coaptation. Intuitively apical leaflet tethering results from apical PM displacement. Read More

Ann Thorac Surg 2018 Nov 13. Epub 2018 Nov 13.

Division of Cardiac Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642. Electronic address:

Background: Left ventricular assist device (LVAD) therapy has been the standard of care for selected patients with advance heart failure. Even though considerable strides have been achieved with the introduction of the newest centrifugal pump, therapy is still burdened with significant perioperative complications. Smaller devices along with improved techniques and instruments have encouraged the adoption of minimally invasive cardiac surgery (MICS) techniques for LVAD implantation to improve perioperative outcomes. Read More

Case Rep Emerg Med 2018 23;2018:1948151. Epub 2018 Oct 23.

Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, 10-34-2, Ebisu, Shibuya-ku, Tokyo 153-0013, Japan.

High-quality cardiopulmonary resuscitation (CPR) is crucial for survival from cardiac arrest. However, various chest compression-associated injuries have been reported. Internal mammary artery (IMA) injury is one of the rare complications after CPR, and most of cases include rib and sternum fractures. Read More

Nucl Med Commun 2019 Feb;40(2):115-123

Departments of Nuclear Medicine.

Background: Left ventricular mechanical dyssynchrony (LVMD) is closely associated with left ventricular dysfunction and poor prognosis in patients with acute myocardial infarction (AMI). However, whether mechanical dyssynchrony is present in the noninfarcted areas remains controversial. This research aimed to quantitatively evaluate the global and regional mechanical dyssynchrony early after AMI by phase analysis of single-photon emission computed tomography (SPECT) gated myocardial perfusion imaging (GMPI) and to further explore the related influencing factors. Read More

Korean Circ J 2018 Dec;48(12):1081-1096

Division of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.

We reviewed the anatomical characteristics of the conduction system in the ventricles of human and ungulate hearts and then raised some questions to be answered by clinical and anatomical studies in the future. The ventricular conduction system is a 3-dimensional structure as compared to the 2-dimensional character of the atrial conduction system. The proximal part consisting of the atrioventricular node, the bundle of His and fascicles are groups of conducting cells surrounded by fibrous connective tissue so as to insulate from the underlying myocardium. Read More

J Interv Card Electrophysiol 2018 Nov 6. Epub 2018 Nov 6.

Section of Electrophysiology, Division of Cardiology, Beijing Friendship Hospital Affiliated to Capital Medical University, No. 95 Yongan Road, Xi-cheng District, Beijing, 100050, China.

Purpose: Right ventricular pacing threshold (RVPT) may rise over time accompanied by the increased use of implantable cardiac pacemakers. However, risk factors for permanent RVPT increase are not fully clarified in patients without definite lead fracture and dislodgment. We aimed to evaluate the long-term performance of RV pacing leads and identify risk factors associated with the occurrence of permanent RVPT increase in this population. Read More

J Cardiovasc Thorac Res 2018 24;10(3):169-173. Epub 2018 Sep 24.

Department of Internal Medicine, Ardebil University of Medical Sciences, Ardebil, Iran.

Ischemic mitral regurgitation (IMR) is common after acute myocardial infarction (AMI) which is associated with long-term cardiovascular mortality. Size, transmurality and location of the myocardial infarction (MI) has role on the development of IMR. In this study we evaluated the severity of IMR after different types of MI. Read More

Ann Thorac Surg 2018 Oct 22. Epub 2018 Oct 22.

Department of Cardiac Surgery and Transplantation, S. Camillo Hospital, Rome, Italy.

Ventricular septal defect (VSD) is a life-threatening complication of myocardial infarction. Surgical repair is generally performed through a left/right ventriculotomy. To avoid complications associated with ventriculotomy, a right transatrial approach has been proposed. Read More

Ann Thorac Surg 2018 Oct 22. Epub 2018 Oct 22.

Division of Cardiovascular Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba, 2608677, Japan.

The surgical indication and optimal approach for ischemic mitral regurgitation with ventricular septal defect remain uncertain. Very few studies have reported the occurrence of left ventricular aneurysms after repair of ischemic ventricular septal defects. We report a case of a left posterior ventricular aneurysm that developed after an urgent operation to repair an acute ischemic posterior ventricular septal defect using the double-patch sandwich technique via a right ventriculotomy. Read More

J Assoc Physicians India 2018 Jan;66(1):54-58

Professor, JNMC, Sawangi Wardha, Maharashtra.

Introduction: Cardiac rhythm disturbances are common presentation in acute coronary syndromes and are cause of frequent serious complications in acute myocardial infarction (AMI). However due to availability of early reperfusion therapy and primary angioplasty, arrhythmias have cause a reduction in mortality. Arrhythmias are key events before, during or after the occurrence of acute MI. Read More

Indian Pacing Electrophysiol J 2018 Nov - Dec;18(6):217-230. Epub 2018 Oct 13.

Heart Center, Tampere University Hospital and Faculty of Medicine and Life Sciences, University of Tampere, Finland.

We conducted a review of the literature regarding epidemiology, clinical, electrocardiographic and vectorcardiographic aspects, classification, and differential diagnosis of left posterior fascicular block. Isolated left posterior fascicular block (LPFB) is an extremely rare finding both in the general population and in specific patient groups. In isolated LPFB 20% of the vectorcardiographic (VCG) QRS loop is located in the right inferior quadrant and when associated with right bundle branch block (RBBB) ≥40%. Read More

Kyobu Geka 2018 Oct;71(11):961-964

Department of Cardiothoracic Surgery, Jichi Medical University, Shimotsuke, Japan.

A 77-year-old man was admitted to a regional hospital to undergo investigation of abnormal electrocardiographic findings. Coronary angiography revealed 99% stenosis of the right coronary artery(RCA) segment 3 and 75% stenosis of the left anterior descending artery (LAD)segment 7. Left ventriculography revealed an aneurysm at the inferior wall of the left ventricle. Read More

Heart Lung 2018 Oct 8. Epub 2018 Oct 8.

University of Pittsburgh, 3500 Victoria Street, Pittsburgh PA 15261, United States. Electronic address:

Background: Nonspecific ST-T repolarization (NST) abnormalities alter the ST-segment for reasons often unrelated to acute myocardial ischemia, which could contribute to misdiagnosis or inappropriate treatment. We sought to define the prevalence of NST patterns in patients with chest pain and evaluate how such patterns correlate with the eventual etiology of chest pain and course of hospitalization.

Methods: This was a prospective observational study that included consecutive prehospital chest pain patients from three tertiary care hospitals in the U. Read More

Am J Cardiol 2018 Dec 13;122(12):2014-2017. Epub 2018 Sep 13.

Cardiovascular Division, Department of Medicine, Henry Ford Health System, Detroit, Michigan.

Percutaneous ventricular assist devices (PVAD) have been used at an increasing rate in patients with acute myocardial infarction complicated by cardiogenic shock (AMI-CS). Recent evidence has demonstrated that use of invasive hemodynamic monitoring with right-sided heart catheterization (RHC) was associated with improved survival in recipients of PVAD in AMI-CS. We sought to examine the utilization of RHC in patients receiving PVAD in AMI-CS. Read More

Interact Cardiovasc Thorac Surg 2018 Oct 4. Epub 2018 Oct 4.

Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, Tokyo, Japan.

Ventricular septal rupture is an uncommon fatal complication of acute myocardial infarction. In rare cases, the rupture can extend into the right ventricular free wall and cause intramyocardial dissection. We describe the case of a patient who developed postinfarction right ventricular free wall dissection with left-to-right shunting and successfully underwent patch repair. Read More

J Cardiovasc Electrophysiol 2019 Jan 22;30(1):92-101. Epub 2018 Oct 22.

Division of Electrophysiology, Mayo Clinic, Rochester, Minnesota.

Introduction: Catheter ablation (CA) has emerged as the preferred modality of treatment for many cardiac arrhythmias. Anatomical sites of ablation are often located in close proximity to coronary arteries. However, the incidence of CA-related coronary injury has not been well studied. Read More

Asian J Neurosurg 2018 Jul-Sep;13(3):607-613

Department of Neurology, Institute of Human Behavior and Allied Sciences, New Delhi, India.

Context: Neuroendoscopic surgeries need specialized equipments, unavailable in neurosurgical departments of majority of public healthcare institutions of India. Aims: Neuroendoscopic treatment of hydrocephalus in the setting of minimal resources using utilization of available resources, inter-departmental co-ordination and indigenous innovations.

Methods: Study was carried out at a public sector institute of India with scarce resources. Read More

J Cardiol Cases 2018 Jul 4;18(1):9-12. Epub 2018 Apr 4.

Division of Cardiovascular Medicine, National Center for Global Health and Medicine, Tokyo, Japan.

A 50-year-old man with a dual-chamber pacemaker was admitted to our hospital complaining of chest pain. Anterior ST segment elevation myocardial infarction (STEMI) was diagnosed. Emergency coronary angiography revealed total occlusion of the proximal left anterior descending artery (LAD), and primary percutaneous coronary intervention was performed. Read More

Discov Med 2018 08;26(141):7-20

Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital and Institutes of Biomedical Sciences, Fudan University, Shanghai 200032, China.

We aimed to study urotensin II (UII) in acute myocardial infarction (AMI) patients before and after percutaneous coronary intervention (PCI) and to investigate its interaction with angiotensin II (ATII) in post-AMI myocardial remodeling. In this clinical study, 63 AMI patients and 66 controls were included. Levels of UII, ATII, and NT-B-type natriuretic peptide (NT-BNP) were determined. Read More

J Extra Corpor Technol 2018 09;50(3):167-169

Medical Intensive Care Unit.

We report a case of a refractory cardiogenic shock secondary to myocardial infarction in a 70-year-old patient requiring femoral venoarterial extracorporeal membrane oxygenation (VA-ECMO). At initial transesophageal echocardiography, the venous cannula tip was seen in the inferior vena cava (IVC), but not in right atrium. On day 8, ultrasonic examination identified that the end of the venous cannula was in the hepatic vein (HV). Read More

J Heart Lung Transplant 2018 Dec 8;37(12):1448-1458. Epub 2018 Aug 8.

Center for Structural Heart Disease, Henry Ford Hospital, Detroit, Michigan, USA.

Background: Right ventricular failure (RVF) after myocardial infarction, cardiotomy, or left ventricular assist device (LVAD) implantation increases morbidity and mortality. RVF also contributes to prolonged length of hospital stay and higher costs of care. The aim of this study was to evaluate the efficacy and safety of the Impella RP (Abiomed, Danvers, MA) in patients with severe RVF in these clinical settings. Read More

Interact Cardiovasc Thorac Surg 2018 Sep 17. Epub 2018 Sep 17.

Department of Cardiology, St Antonius Hospital, Nieuwegein, Netherlands.

Objectives: Adverse remodelling of the left ventricle (LV) after myocardial infarction (MI) results in a pathological increase in LV volume and reduction in LV ejection fraction (EF). We describe the preliminary results of a novel, multicentre, combined transcatheter and minimally invasive technique to reconstruct the remodelled LV by plication and exclusion of the scar, and to reduce the excess volume, resulting in decreased wall stress and increased EF.

Methods: A novel hybrid transcatheter technique that relies on microanchoring technology (Revivent TC™ System, BioVentrix Inc. Read More

Europace 2019 Jan;21(1):163-174

Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Myocardial Pathophysiology Area, Melchor Fernández Almagro, 2, Madrid, Spain.

Aims: We aimed to study the differences in biventricular scar characterization using bipolar voltage mapping compared with state-of-the-art in vivo delayed gadolinium-enhanced cardiac magnetic resonance (LGE-CMR) imaging and ex vivo T1 mapping.

Methods And Results: Ten pigs with established myocardial infarction (MI) underwent in vivo scar characterization using LGE-CMR imaging and high-density voltage mapping of both ventricles using a 3.5-mm tip catheter. Read More

Open Heart 2018 5;5(2):e000852. Epub 2018 Sep 5.

Department of Cardiology, Clinical Sciences, Lund University, Skane University Hospital Lund, Malmö, Sweden.

Background: ST-elevation myocardial infarction (STEMI) occurs as a result of rupture of an atherosclerotic plaque in the coronary arteries. Limited data exist regarding the impact of culprit coronary vessel on hard clinical event rates. This study investigated the impact of culprit vessel on outcomes after primary percutaneous coronary intervention (PCI) of STEMI. Read More

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2018 Aug;30(8):815-818

Department of Critical Care Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu, China. Corresponding author: Zuo Xiangrong, Email:

Objective: Right ventricular failure (RVF) is the main cause of death in patients with cardiopulmonary disease, such as pulmonary arterial hypertension (PAH), pulmonary embolism, acute respiratory distress syndrome, and right ventricular infarction. The exact cellular and molecular mechanisms underlying RVF remains unclear. Inflammation may play an important role during the development of RVF, as it does in left heart failure. Read More

Gen Thorac Cardiovasc Surg 2018 Sep 14. Epub 2018 Sep 14.

Cardiovascular Center, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami-ku, Yokohama, 232-0024, Japan.

Coronary malperfusion is one of the most dreadful complications of acute aortic dissection because it causes catastrophic acute myocardial infarction in patients who are already severely ill. Our strategy was as follows. After the administration of heparin, emergency percutaneous coronary intervention (PCI) was urgently performed at the same time as starting to prepare the operating room. Read More

Cardiol J 2018 ;25(4):538-539

Division of Cardiology, Osaka Saiseikai Izuo Hospital, Osaka, Japan.

Cureus 2018 Jul 11;10(7):e2964. Epub 2018 Jul 11.

Cardiology, Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu, NPL.

Valvular heart disease is one of the more common diseases in low- and middle-income countries, when associated with atrial fibrillation (AF), carries a risk of multisystemic embolizations. We report a case of 37-year-old man with multiple systemic emboli consisting of acute ischemic stroke, acute myocardial infarction, and acute limb ischemia. This is a rare occurrence in a single subject. Read More