13,682 results match your criteria Shock Cardiogenic


Outcome of inter-hospital transfer of patients on extracorporeal membrane oxygenation in Switzerland.

Swiss Med Wkly 2019 Apr 17;149:w20054. Epub 2019 Apr 17.

Clinic for Cardiovascular Surgery, University Heart Centre, Zurich, Switzerland.

Aims Of The Study: An extracorporeal membrane oxygenation system (ECMO), as a bridge to either recovery, a ventricular assist device (VAD), or heart or lung transplantation, may be the only lifesaving option for critically ill patients suffering from refractory cardiac, respiratory or combined cardiopulmonary failure. As peripheral hospitals may not offer ECMO treatment, tertiary care centres provide specialised ECMO teams for on-site implantation and subsequent patient transfer on ECMO to the tertiary hospital. This study reports the results of the largest ECMO transportation programme in Switzerland and describes its feasibility and safety. Read More

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http://dx.doi.org/10.4414/smw.2019.20054DOI Listing

Clinical safety and efficacy of tolvaptan for acute phase therapy in patients with low-flow and normal-flow severe aortic stenosis.

Heart Vessels 2019 Apr 16. Epub 2019 Apr 16.

Division of Cardiology, Department of Internal Medicine, Teikyo University, 2-11-1 Kaga, Tokyo, 173-8606, Japan.

Conventional diuretic therapy for low-flow (LF) severe aortic stenosis (SAS) often has an inadequate effect or causes hemodynamic instability. Tolvaptan is used for acute heart failure in addition to conventional diuretics, and it does not cause intravascular dehydration. This study aimed to retrospectively investigate the safety and efficacy of tolvaptan in the acute phase in 56 consecutive patients with SAS and compared LF-SAS with normal-flow (NF) SAS. Read More

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http://link.springer.com/10.1007/s00380-019-01411-3
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http://dx.doi.org/10.1007/s00380-019-01411-3DOI Listing
April 2019
4 Reads

Paraganglioma presenting as stress cardiomyopathy: case report and literature review.

Endocrinol Diabetes Metab Case Rep 2019 Apr 16;2019. Epub 2019 Apr 16.

Endocrinology and Diabetes Department, Garcia de Orta Hospital, Almada, Portugal.

Pheochromocytoma/paraganglioma (PPGL) are neuroendocrine tumors that can secrete catecholamines. The authors describe a challenging case who presented as stress cardiomyopathy and myocardial infarction (MI). A 76-year-old man, with a medical history of Parkinson's disease, type 2 diabetes mellitus, hypertension, dyslipidaemia and a previous inferior MI in 2001, presented to the emergency department due to chest pain, headaches and vomiting. Read More

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https://edm.bioscientifica.com/view/journals/edm/2019/1/EDM1
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http://dx.doi.org/10.1530/EDM-19-0017DOI Listing
April 2019
1 Read

Design and preliminary results of FRENSHOCK 2016: A prospective nationwide multicentre registry on cardiogenic shock.

Arch Cardiovasc Dis 2019 Apr 11. Epub 2019 Apr 11.

Inserm, CNRS, PhyMedExp, cardiology department, université de Montpellier, CHU de Montpellier, 34295 Montpellier, France.

Background: Most data on the epidemiology of cardiogenic shock (CS) have come from patients with acute myocardial infarction admitted to intensive cardiac care units (ICCUs). However, CS can have other aetiologies, and could be managed in intensive care units (ICUs), especially the most severe forms of CS.

Aim: To gather data on the characteristics, management and outcomes of patients hospitalized in ICCUs and ICUs for CS, whatever the aetiology, in France in 2016. Read More

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http://dx.doi.org/10.1016/j.acvd.2019.02.001DOI Listing

[Coronary involvement and nephrotic syndrome in systemic lupus: A case report].

Rev Med Interne 2019 Apr 10. Epub 2019 Apr 10.

Service de médecine interne 2, Centre national de référence maladies systémiques rares, lupus et syndrome des anticorps antiphospholipides, hôpital de la Pitié-Salpêtrière, Sorbonne université, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address:

Introduction: Heart failure during systemic lupus erythematosus has various causes.

Case Report: A 29-year-old female presented with a systemic lupus flare and a nephrotic syndrome, followed by cardiogenic shock requiring extra-corporeal membranous oxygenation. Ventricular dysfunction was related to massive myocardial infarction due to an anterior interventricular artery thrombosis and an underlying atheroma. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02488663193009
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http://dx.doi.org/10.1016/j.revmed.2019.03.001DOI Listing
April 2019
2 Reads

Safety and Efficacy of Periprocedural Heparin Plus a Short-Term Infusion of Tirofiban Versus Bivalirudin Monotherapy in Patients Who Underwent Percutaneous Coronary Intervention (from the Intermountain Heart Institute STAIR Observational Registry).

Am J Cardiol 2019 Mar 16. Epub 2019 Mar 16.

Department of Cardiology, Intermountain Heart Institute, Murray, Utah.

Glycoprotein IIb/IIIa inhibitors, used as a standard intravenous bolus followed by a prolonged infusion for 12 to 18 hours, reduces ischemic complications during percutaneous coronary interventions (PCI) but often at a cost of increased bleeding. Today, when dual oral antiplatelet therapy is routine, heparin use plus short-term (bolus alone or with a <6 hours infusion) glycoprotein IIb/IIIa inhibitors, or bivalirudin monotherapy, have been proposed as potentially superior alternatives. This observational study evaluated the safety and efficacy of heparin plus short-term tirofiban versus bivalirudin monotherapy during PCI. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.03.025DOI Listing

Influenza-associated septic shock accompanied by septic cardiomyopathy that developed in summer and mimicked fulminant myocarditis.

Acute Med Surg 2019 Apr 10;6(2):192-196. Epub 2019 Feb 10.

The Emergency and Critical Care Center Mie University Hospital Tsu Mie Japan.

Case: Fulminant myocarditis (FM) and septic cardiomyopathy (SC) are two different disease entities, and distinction between them is important. A 34-year-old man had refractory shock, multiple organ failure, and elevation of cardiogenic markers. Echocardiogram showed tachycardia with extended ST elevation, and a rapid test for influenza A virus was positive. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/ams2.394
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http://dx.doi.org/10.1002/ams2.394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442530PMC
April 2019
4 Reads

Angioplasty with Stenting in Acute Coronary Syndromes with Very Low Contrast Volume Using 6F Diagnostic Catheters and Bench Testing of Catheters.

Open Access Maced J Med Sci 2019 Mar 29;7(6):1004-1012. Epub 2019 Mar 29.

Pondicherry Institute of Medical Sciences, Kalapet, India.

Aim: To safely perform angioplasties in acute coronary syndromes with low contrast volume using Cordis 6F diagnostic catheters and to perform mechanical bench tests on the diagnostic and guide catheters in a radial path model.

Methods: In 191 patients (242 lesions/268 stents) with acute coronary syndromes angioplasty were performed with cordis 6F diagnostic catheters.

Results: The lesions were present at left anterior descending (121), Left main (5), left circumflex (51), ramus (5) and right coronary artery (60). Read More

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http://dx.doi.org/10.3889/oamjms.2019.238DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454170PMC
March 2019
1 Read

Predicted coronary occlusion and Impella salvage during valve-in-valve transcatheter aortic valve replacement.

Cardiovasc Revasc Med 2019 Mar 29. Epub 2019 Mar 29.

Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America.

We describe an interesting case of a 71 years old fragile female, with progressive shortness of breath on exertion and ankle swelling, cardiac failure NYHA class III. She also had chest irradiation due to Hodgkin's disease many years before, previous surgical aortic valve replacement using bioprosthetic stent-less Freestyle #25 mm valve (Medtronic, Inc) in 2000 for severe aortic stenosis, history of cardiac arrest in 2012 and angioplasty to ostial RCA, PCI to ostial RCA in 2014, CABG (RA graft to RCA) in 2014 (RCA intra-stent restenosis with refractory ischemia), anemia requiring regular transfusions, bronchiectasis and chronic kidney disease. Because of the great comorbidities, STS 4. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.019DOI Listing
March 2019
1 Read

The Changing Face of Cardiogenic Shock: A Challenge in Cardiac Critical Care.

Authors:
David A Morrow

J Am Coll Cardiol 2019 Apr;73(14):1792-1794

Samuel A. Levine Cardiac Intensive Care Unit and TIMI Study Group, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:

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http://dx.doi.org/10.1016/j.jacc.2019.02.022DOI Listing
April 2019
3 Reads

Acute Noncardiac Organ Failure in Acute Myocardial Infarction With Cardiogenic Shock.

J Am Coll Cardiol 2019 Apr;73(14):1781-1791

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Background: There are limited data on acute noncardiac multiorgan failure in cardiogenic shock complicating acute myocardial infarction (AMI-CS).

Objectives: The authors sought to evaluate the 15-year national trends, resource utilization, and outcomes of single and multiple noncardiac organ failures in AMI-CS.

Methods: This was a retrospective cohort study of AMI-CS using the National Inpatient Sample database from 2000 to 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07351097193059
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http://dx.doi.org/10.1016/j.jacc.2019.01.053DOI Listing
April 2019
4 Reads

Serum Lactate and A Relative Change in Lactate as Predictors of Mortality in Patients with Cardiogenic Shock - Results from The Cardshock Study.

Shock 2019 Apr 5. Epub 2019 Apr 5.

University Hospital Copenhagen, Department of Cardiology, Rigshospitalet, Denmark.

Introduction: Cardiogenic shock complicating acute myocardial infarction has a very high mortality. Our present study focuses on serial measurement of lactate during admission due to cardiogenic shock and the prognostic effect of lactate and a relative change in lactate in patients after admission and the institution of intensive care treatment.

Methods And Results: This is a secondary analysis of the CardShock study. Read More

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http://dx.doi.org/10.1097/SHK.0000000000001353DOI Listing
April 2019
1 Read

Outcomes of patients with atrial fibrillation undergoing percutaneous coronary intervention analysis of national inpatient sample.

Cardiovasc Revasc Med 2019 Mar 14. Epub 2019 Mar 14.

Section of Cardiology, Sarver Heart Center, University of Arizona College of Medicine, Tucson, AZ, USA; Southern Arizona Veterans Affairs Healthcare System, Tucson, AZ, USA; Caremore Cardiology, Tucson, AZ, USA. Electronic address:

Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia with a prevalence of 15% of patients over 80 years. Coronary artery disease co-exists in 20-30% of patients with atrial fibrillation. The need for triple anticoagulation therapy makes the management of these patients challenging following PCI. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.008DOI Listing
March 2019
1 Read

Refeeding Syndrome as a Possible Cause of Very Early Mortality in Acute Pancreatitis.

Gut Liver 2019 Feb 27. Epub 2019 Feb 27.

Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.

Background/aims: : The incidence and cause of early mortality in acute pancreatitis (AP) arenot fully understood. Refeeding syndrome (RFS) is a fatal clinical complication that can occuras a result of fluid and electrolyte shifts during early nutritional rehabilitation for malnourishedpatients. This study was conducted to determine the clinical implications of RFS in patientswith AP. Read More

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http://dx.doi.org/10.5009/gnl18458DOI Listing
February 2019
3 Reads

CytoSorb hemoadsorption and mechanical circulatory support in a newborn with refractory shock after congenital heart surgery.

Int J Artif Organs 2019 Apr 10:391398819837539. Epub 2019 Apr 10.

3 Paediatric Cardiology Unit, Department of Paediatrics, Lausanne University Hospital (CHUV), Lausanne, Switzerland.

Refractory cardiogenic and vasoplegic shock after congenital heart surgery is a threatening condition leading to high morbidity and mortality. Control of hemodynamic and inflammatory response is fundamental in medical strategy. We report the case of a newborn with cardiogenic and vasoplegic shock secondary to cardiopulmonary bypass for atrioseptostomy and prostaglandin treatment in the context of hypoplastic left heart syndrome, successfully treated with a combination of mechanical circulatory support and cytokine hemoadsorption column (CytoSorb). Read More

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http://dx.doi.org/10.1177/0391398819837539DOI Listing
April 2019
1 Read

Minimally invasive biventricular mechanical circulatory support with Impella pumps as a bridge to heart transplantation: a first-in-the-world case report.

ESC Heart Fail 2019 Apr 9. Epub 2019 Apr 9.

Section of Heart Failure and Cardiac Transplant Medicine, Kaufman Center for Heart Failure Treatment and Recovery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk J3-4, Cleveland, OH, 44195, USA.

Cardiogenic shock from biventricular failure that requires acute mechanical circulatory support carries high 30 day mortality. Acute mechanical circulatory support can serve as bridge to orthotopic heart transplant (OHT) in selected patients. We report a patient with biventricular failure secondary to rapidly progressive cardiac sarcoidosis refractory to medical management who was bridged to OHT with Impella 5. Read More

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http://dx.doi.org/10.1002/ehf2.12412DOI Listing
April 2019
1 Read

Cardiac amyloidosis: A case report and review of literature.

World J Clin Cases 2019 Mar;7(6):742-752

Department of Cardiovascular Sciences, East Carolina Heart Institute, East Carolina University, Greenville, NC 27834, United States.

Background: Cardiac amyloidosis, a disease caused by the precipitation of amyloid proteins in the myocardial extracellular matrix has been historically difficult to diagnose due to lack of specific clinical manifestations and necessity of biopsy to demonstrate amyloid deposition. However, advances in cardiovascular imaging techniques have facilitated earlier recognition of this disease. In addition, while once thought of as incurable, treatment strategies are emerging for cardiac amyloidosis, making early diagnosis essential. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i6.742DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448069PMC
March 2019
1 Read

Mesalamine-induced Myocarditis in a Young Athlete: Can He Run Again?

Cureus 2019 Jan 29;11(1):e3978. Epub 2019 Jan 29.

Cardiology, State University of New York at Buffalo, Buffalo, USA.

Mesalamine is often used in the treatment of inflammatory bowel disease (IBD). Mesalamine-induced cardiotoxicity has been reported in the literature and is a rare entity. The mechanism of cardiotoxicity remains unclear, however, it is believed to be due to a humoral-mediated hypersensitivity reaction. Read More

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http://dx.doi.org/10.7759/cureus.3978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440563PMC
January 2019
3 Reads

Disseminated infection in a left ventricular assist device recipient.

BMJ Case Rep 2019 Apr 8;12(4). Epub 2019 Apr 8.

ID, Mayo Clinic, Rochester, Minnesota, USA.

A 51-year-old man with a medical history of coronary artery disease and dyslipidaemia presented with acute myocardial infarction resulting in cardiogenic shock, necessitating intra-aortic balloon pump placement and extracorporeal membrane oxygenation (ECMO). His hospital course was complicated by several infectious complications including ECMO circuit bloodstream infection and presumed infected right atrial thrombus. He subsequently underwent urgent left ventricular assist device placement and had a prolonged hospital stay. Read More

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http://dx.doi.org/10.1136/bcr-2018-228283DOI Listing
April 2019
1 Read

Characteristics and Outcomes of Patients With Cardiogenic Shock Utilizing Hemodialysis for Acute Kidney Injury.

Am J Cardiol 2019 Mar 9. Epub 2019 Mar 9.

Department of Medicine, Division of Cardiovascular Medicine, University of Iowa, Hospitals and Clinics, Iowa, Iowa. Electronic address:

In the setting of cardiogenic shock (CS), impaired biventricular function can cause acute decrease in renal function via reduced renal perfusion and increased renal venous pressure. We sought to analyze the characteristics and outcomes of patients hospitalized with CS who utilized renal replacement therapy (hemodialysis) for acute kidney injury (AKI-HD). We utilized data from the National Inpatient Sample to calculate national rates of in-hospital mortality, use of temporary mechanical support, vascular injury requiring surgery, length of stay (LOS) and hospitalization cost from 2010 to September 2015. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029149193027
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http://dx.doi.org/10.1016/j.amjcard.2019.02.038DOI Listing
March 2019
4 Reads

Cardiogenic shock due to coronary fistula: a complex phenomenon.

Minerva Cardioangiol 2019 Apr;67(2):175-177

Institute of Cardiology, Sacred Heart Catholic University, Rome, Italy.

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https://www.minervamedica.it/index2.php?show=R05Y2019N02A017
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http://dx.doi.org/10.23736/S0026-4725.18.04734-5DOI Listing
April 2019
2 Reads

Totally occluded left main coronary artery originating from right coronary artery in a patient presenting with STEMI and cardiogenic shock.

Arch Med Sci Atheroscler Dis 2019 4;4:e16-e18. Epub 2019 Mar 4.

Department of Cardiology, Education and Research Hospital, Sakarya University, Sakarya, Turkey.

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https://www.termedia.pl/doi/10.5114/amsad.2019.83303
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http://dx.doi.org/10.5114/amsad.2019.83303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451144PMC
March 2019
2 Reads

Mechanical circulatory support for refractory cardiogenic shock post-acute myocardial infarction-a decade of lessons.

J Thorac Dis 2019 Feb;11(2):542-548

Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow, UK.

Background: There are 0.9 catheterization labs per 100,000 inhabitants in Scotland for percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI), which are much less accessible to patients in remote and rural areas. An uncommon but sinister sequalae following AMI is cardiogenic shock (CS) that could be refractory to inotropic support. Read More

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http://dx.doi.org/10.21037/jtd.2019.01.21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409252PMC
February 2019
1 Read

Mechanical Circulatory Support in Management of Cardiogenic Shock and Myxedema Coma.

Case Rep Cardiol 2019 6;2019:2595736. Epub 2019 Mar 6.

Division of Cardiovascular Medicine, St. John Providence Ascension Health System, Warren, MI, USA.

The cardiovascular system is a major target of thyroid hormone action and the two systems are closely interlinked. It can be greatly impacted even with subtle alterations in thyroid function. Caution is needed when implementing thyroid hormone replacement in patients with severe hypothyroidism, especially in the setting of ischemic coronary artery disease. Read More

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https://www.hindawi.com/journals/cric/2019/2595736/
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http://dx.doi.org/10.1155/2019/2595736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431388PMC
March 2019
2 Reads

Left ventricular end-diastolic pressure in acute myocardial infarction: A loaded target in need of unloading.

Catheter Cardiovasc Interv 2019 Apr;93(5):910-911

Henry Ford Medical Center, Detroit, Michigan.

Left ventricular (LV) end-diastolic pressure predicts short- and long-term mortality and correlates with infarct size after ST-segment elevation acute myocardial infarction. Ventricular load refers to any variable that increases myocardial oxygen consumption including LV pressure, volume, or heart rate. Clinical studies of ventricular "unloading" as a therapeutic approach for acute myocardial infarction with and without cardiogenic shock are ongoing. Read More

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http://dx.doi.org/10.1002/ccd.28204DOI Listing

Management of cardiogenic shock in patients with acute coronary syndromes.

Br J Hosp Med (Lond) 2019 Apr;80(4):204-210

Consultant Cardiologist, Barts Interventional Group, Barts Heart Centre, Barts Health NHS Trust, London EC1A 7BE and Senior Clinical Lecturer, NIHR Biomedical Research Centre at Barts, Barts Health NHS Trust and Queen Mary University of London, London.

Cardiogenic shock remains a major problem affecting a large proportion of patients with acute coronary syndromes, with a persistent high mortality rate. Although mechanical reperfusion with percutaneous coronary intervention has improved outcomes following acute coronary syndromes, there is limited evidence supporting the other current treatments used to manage patients with cardiogenic shock (intra-aortic balloon pumps, percutaneous left ventricular assist devices and extracorporeal membrane oxygenation). This article looks at these options, assessing current evidence and recent advances. Read More

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http://www.magonlinelibrary.com/doi/10.12968/hmed.2019.80.4.
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http://dx.doi.org/10.12968/hmed.2019.80.4.204DOI Listing
April 2019
3 Reads

Cardiogenic Shock Due to Aluminum Phosphide Poisoning Treated with Intra-aortic Balloon Pump: A Report of Two Cases.

Cardiovasc Toxicol 2019 Apr 4. Epub 2019 Apr 4.

Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand, 9717853577, Iran.

The mortality rate from aluminum phosphide (AlP) poisoning is as high as 70-100%, with refractory hypotension and severe metabolic acidosis being the two most common presentations in this poisoning. As this poisoning has no specific antidote, treatments revolve around supportive care. Cardiogenic shock created by toxic myocarditis is considered the main cause of mortality in these patients. Read More

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http://dx.doi.org/10.1007/s12012-019-09513-0DOI Listing
April 2019
3 Reads

Percutaneous temporary circulatory support devices and their use as a bridge to decision during acute decompensation of advanced heart failure.

Proc (Bayl Univ Med Cent) 2018 Oct 27;31(4):453-456. Epub 2018 Aug 27.

Division of Cardiology, Department of Internal Medicine, Baylor University Medical CenterDallas Texas.

Temporary mechanical cardiac support (TMCS) devices intend to restore systemic perfusion and prevent further end-organ damage in patients with refractory cardiogenic shock until the insult is addressed. TMCS has been associated with reductions in hospital costs and in-hospital mortality. We review the four primary TMCS modalities available: intra-aortic balloon pump, TandemHeart, veno-arterial extracorporeal membrane oxygenation, and Impella pump. Read More

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http://dx.doi.org/10.1080/08998280.2018.1470853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413984PMC
October 2018
1 Read

Cardiogenic shock: old and new circulatory assist devices: the role of counter-pulsation.

Eur Heart J Suppl 2019 Mar 29;21(Suppl B):B59-B60. Epub 2019 Mar 29.

De Gasperis Cardio Center, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italia.

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http://dx.doi.org/10.1093/eurheartj/suz020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439938PMC
March 2019
3 Reads

"Shock Teams" and "Shock Docs".

Authors:
Tanveer Rab

J Am Coll Cardiol 2019 Apr;73(13):1670-1672

Interventional Cardiology, Andreas Gruentzig Center, Emory University School of Medicine, Atlanta, Georgia. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S07351097193049
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http://dx.doi.org/10.1016/j.jacc.2019.01.039DOI Listing
April 2019
9 Reads

Standardized Team-Based Care for Cardiogenic Shock.

J Am Coll Cardiol 2019 Apr;73(13):1659-1669

INOVA Heart and Vascular Institute, Falls Church, Virginia. Electronic address:

Background: Cardiogenic shock (CS) is a multifactorial, hemodynamically complex syndrome associated with high mortality. Despite advances in reperfusion and mechanical circulatory support, management remains highly variable and outcomes poor.

Objectives: This study investigated whether a standardized team-based approach can improve outcomes in CS and whether a risk score can guide clinical decision making. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07351097193049
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http://dx.doi.org/10.1016/j.jacc.2018.12.084DOI Listing
April 2019
17 Reads

Cardiogenic Shock.

J Am Heart Assoc 2019 Apr;8(8):e011991

2 Department of Cardiology Pennsylvania Hospital University of Pennsylvania Health System (UPHS) Philadelphia PA.

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https://www.ahajournals.org/doi/10.1161/JAHA.119.011991
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http://dx.doi.org/10.1161/JAHA.119.011991DOI Listing
April 2019
2 Reads

Death after awakening from post-anoxic coma: the "Best CPC" project.

Crit Care 2019 Apr 3;23(1):107. Epub 2019 Apr 3.

Department of Intensive Care Medicine, Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne, Lausanne, Switzerland.

Background: In patients who recover consciousness after cardiac arrest (CA), a subsequent death from non-neurological causes may confound the assessment of long-term neurological outcome. We investigated the prevalence and causes of death after awakening (DAA) in a multicenter cohort of CA patients.

Methods: Observational multicenter cohort study on patients resuscitated from CA in eight European intensive care units (ICUs) from January 2007 to December 2014. Read More

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http://dx.doi.org/10.1186/s13054-019-2405-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446295PMC
April 2019
1 Read

Long-Term Outcomes Following Heart Team Revascularization Recommendations in Complex Coronary Artery Disease.

J Am Heart Assoc 2019 Apr;8(8):e011279

2 Department of Cardiothoracic Guy's and St Thomas' NHS Foundation Trust London United Kingdom.

Background The Heart Team ( HT ) comprises integrated interdisciplinary decision making. Current guidelines assign a Class Ic recommendation for an HT approach to complex coronary artery disease ( CAD ). However, there remains a paucity of data in regard to hard clinical end points. Read More

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http://dx.doi.org/10.1161/JAHA.118.011279DOI Listing
April 2019
4 Reads

Twenty-Year Trends in the Incidence and Outcome of Cardiogenic Shock in AMIS Plus Registry.

Circ Cardiovasc Interv 2019 Apr;12(4):e007293

Department of Cardiology, Bern University Hospital, Switzerland (L.H., T.P.).

Background: Long-term trends of the incidence and outcome of cardiogenic shock (CS) patients are scarce. We analyze for the first time trends in the incidence and outcome of CS during a 20-year period in Switzerland.

Methods And Results: The AMIS (Acute Myocardial Infarction in Switzerland) Plus Registry enrolls patients with acute myocardial infarction from 83 hospitals in Switzerland. Read More

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http://dx.doi.org/10.1161/CIRCINTERVENTIONS.118.007293DOI Listing
April 2019
1 Read

Use of amplitude-integrated electroencephalography in decision-making for extracorporeal membrane oxygenation in comatose cardiac arrest patients whose eventual neurologic recovery is uncertain.

Clin Exp Emerg Med 2019 Apr 3. Epub 2019 Apr 3.

Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea.

Comatose cardiac arrest patients frequently experience cardiogenic shock or recurrent arrest. Extracorporeal membrane oxygenation (ECMO) can be used to salvage patients with cardiogenic shock or cardiac arrest refractory to conventional therapies. However, in comatose cardiac arrest patients whose neurologic recovery is uncertain, the use of ECMO is restricted because it requires considerable financial and human resources. Read More

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http://www.ceemjournal.org/journal/view.php?doi=10.15441/cee
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http://dx.doi.org/10.15441/ceem.18.029DOI Listing
April 2019
3 Reads

Clinical outcomes of second-generation limus-eluting stents compared to paclitaxel-eluting stents for acute myocardial infarction with cardiogenic shock.

PLoS One 2019 3;14(4):e0214417. Epub 2019 Apr 3.

Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.

Objective: Whether the cardiovascular (CV) outcomes of second-generation limus-eluting stents (LESs) differ from those of paclitaxel-eluting stents (PESs) in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) is still unclear.

Methods: We used the Taiwan National Health Insurance Research Database to analyse data of 516 patients with AMI and CS diagnosed from January 2007 to December 2011. We used propensity score matching to adjust for the imbalance in covariate baseline values between these two groups. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214417PLOS
April 2019
2 Reads

Heart transplant secondary to cobalt toxicity after hip arthroplasty revision.

Hip Int 2019 Apr 2:1120700019834793. Epub 2019 Apr 2.

University Hospital Puerta de Hierro Majadahonda, Madrid, Spain.

Introduction:: Cobalt toxicity in patients with hip arthroplasty is a rare complication, but it should be considered in those patients who, after a ceramic fracture, were implanted with a metal-on-polyethylene prosthesis. The complete removal of ceramic particles during revision surgery can be complicated. If the bearing surface is replaced with a metal-on-polyethylene prosthesis, these residual ceramic particles may wear down the chrome-cobalt head, producing localised metallosis. Read More

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http://dx.doi.org/10.1177/1120700019834793DOI Listing
April 2019
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A case of cardiogenic shock due to acute coronary syndrome successfully recovered by percutaneous and paracorporeal left ventricular assist device.

J Artif Organs 2019 Apr 1. Epub 2019 Apr 1.

The Second Department of Internal Medicine, University of Toyama, 2630 Sugitani, Toyama-City, 930-0194, Japan.

We recently experienced a 70-year-old woman with left main trunk-acute coronary syndrome who was initially supported by Impella 5.0 which converted to paracorporeal left ventricular assist device (LVAD) implantation as a bridge to recovery. Optimized guideline-directed medical therapy with cardiac rehabilitation resulted in successful explantation of LVAD and she discharged on foot. Read More

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http://dx.doi.org/10.1007/s10047-019-01101-xDOI Listing
April 2019
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Massive Air Embolism Caused by a Central Venous Catheter During Extracorporeal Membrane Oxygenation.

J Extra Corpor Technol 2019 Mar;51(1):9-11

Department of Cardiothoracic Surgery, Lewis Katz School of Medicine, Temple University Hospital, Philadelphia, Pennsylvania.

Extracorporeal membrane oxygenation (ECMO) has become an integral treatment option for patients as a bridge to transplant, management of post cardiotomy cardiogenic shock, and for rescue after cardiopulmonary arrest. Significant strides in ECMO technology and management cannot, however, replace the importance of maintaining and following a comprehensive safety checklist. We herein report a case of massive air entrainment from an inadvertently disconnected port of a central venous catheter (CVC) in the neck which culminated in an airlock of the ECMO circuit. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436163PMC
March 2019
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Percutaneous Biventricular Mechanical Heart Support in Cardiogenic Shock: A Nursing Case Report.

Crit Care Nurse 2019 Apr;39(2):15-28

Bridget K. Dittman is a clinical nurse practice leader in the intensive care unit at Einstein Center Montgomery in East Norriton, Pennsylvania.

Introduction: Only a few cases of biventricular cardiogenic shock have been treated with Impella circulatory assist devices in the United States.

Clinical Findings: A 29-year-old man came to the emergency department because of cough, shortness of breath, fever, and chills. Initial assessment revealed hypotension; an elevated creatinine level of 2. Read More

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http://dx.doi.org/10.4037/ccn2019477DOI Listing

RECONSIDERING VASOPRESSORS FOR CARDIOGENIC SHOCK Everything should be made as simple as possible, but not simpler.

Chest 2019 Mar 29. Epub 2019 Mar 29.

(a)Emeritus Université Paris 7, Denis Diderot; (b)UMR INSERM 1160, France.

Recent scientific statements and publications have recommended the use of vasoconstrictors as the first line pharmacological choice for most cases of cardiogenic shock (CS), without abundance of strong clinical evidence. One challenge of guidelines is that the way recommendations are stated can potentially lead to oversimplification of complex situations. Except for acute coronary syndrome with CS, in which maintenance of coronary perfusion pressure seems logical prior to revascularization, physiologic consequences of increasing afterload by use of vasoconstrictors should be analyzed. Read More

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

Acute fulminant eosinophilic myocarditis due to Giardia lamblia infection presented with cardiogenic shock in a young patient.

Anatol J Cardiol 2019 Mar;21(4):234-235

Department of Cardiology, Health Sciences University, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center Training and Research Hospital; İstanbul-Turkey.

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http://dx.doi.org/10.14744/AnatolJCardiol.2019.48742DOI Listing

Right Atrial Inversion Mimicking Right Atrial Mass in the Setting of Cardiac Tamponade.

J Cardiothorac Vasc Anesth 2019 Mar 8. Epub 2019 Mar 8.

Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE.

A 44-year-old woman was transferred to the authors' institution in cardiogenic shock secondary to a presumed viral myocarditis and subsequently was placed on venoarterial extracorporeal membrane oxygenation. Transthoracic echocardiography revealed a large right atrial mass of unknown etiology and moderate pericardial effusion. The patient was taken to the operating room for surgical removal of the right atrial mass. Read More

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http://dx.doi.org/10.1053/j.jvca.2019.03.002DOI Listing
March 2019
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The Effect of Simultaneous Renal Replacement Therapy on Extracorporeal Membrane Oxygenation Support for Postcardiotomy Patients with Cardiogenic Shock: A Pilot Randomized Controlled Trial.

J Cardiothorac Vasc Anesth 2019 Feb 21. Epub 2019 Feb 21.

Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. Electronic address:

Objective: The objectives of this study were to determine the feasibility and safety of simultaneous renal replacement therapy (RRT) during extracorporeal membrane oxygenation (ECMO) support for postcardiotomy patients with cardiogenic shock and whether simultaneous RRT with ECMO would improve survival and reduce morbidity. The authors hypothesized that simultaneous RRT could facilitate effective fluid management and rapid metabolic control in postcardiotomy patients with cardiogenic shock who were undergoing ECMO support.

Design: A parallel, open-label, single-center pilot randomized trial. Read More

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http://dx.doi.org/10.1053/j.jvca.2019.02.031DOI Listing
February 2019
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Perioperative major adverse cardiac events in urgent femoral artery repair after coronary stenting are less common than previously reported.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Vascular Surgery, University of Basel, University Hospital Basel, Basel, Switzerland.

Objective: Noncardiac surgery early after coronary stenting has been associated with a high rate of stent thrombosis and catastrophic outcomes. However, those outcomes were mostly seen when dual antiplatelet therapy (DAPT) was discontinued before surgery. This observational study sought to estimate the risk of major adverse cardiac events (MACEs) after femoral artery repair following recent stent-percutaneous coronary intervention under continued DAPT and to explore potential risk factors. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.035DOI Listing
March 2019
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Twenty-year results of surgical pulmonary thromboembolectomy in acute pulmonary embolism.

Scand Cardiovasc J 2019 Mar 28:1-6. Epub 2019 Mar 28.

a Department of Cardiac Surgery, Heart and Marfan Center , University of Heidelberg , Heidelberg , Germany.

Background: Acute massive pulmonary embolism is often a life-threatening condition and should be treated immediately. The aim of this study was to investigate risk factors and clinical outcomes of patients undergoing emergency pulmonary embolectomy for acute massive pulmonary embolism.

Methods: We evaluated 49 patients undergoing emergency pulmonary embolectomy in our institution between 1995 and 2015, retrospectively. Read More

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http://dx.doi.org/10.1080/14017431.2019.1600013DOI Listing
March 2019
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