3,544 results match your criteria grade systolic

Endovascular treatment for restenosis of carotid venous bypass graft: a clinical case report.

Acta Biomed 2021 Apr 30;92(S1):e2021149. Epub 2021 Apr 30.

Vascular Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy.

Background And Aim: Restenosis after open carotid surgery (OCS) represents an issue that experts are very often facing nowadays, both after carotid endoarterectomy(CEA) and carotid bypass(CB). Yet, even if from one side carotid artery stenting (CAS) is currently recommended by most guidelines as treatment of choice for carotid restenosis after CEA, on the other side little is known regarding the best treatment of restenosis after CB. This clinical case report is aimed to empathize the endovascular treatment as an effective therapeutic option for restenosis after OCS. Read More

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Race Differences in High-Grade Carotid Artery Stenosis.

Stroke 2021 May 4:STROKEAHA120032723. Epub 2021 May 4.

University of Alabama at Birmingham (G.H.).

Background And Purpose: Despite a higher incidence of stroke and a more adverse cardiovascular risk factor profile in Blacks and Hispanics compared with Whites, carotid artery revascularization is performed less frequently among these subpopulations. We assessed racial differences in high-grade (≥70% diameter-reducing) carotid stenosis.

Methods: Consecutive clients in a Nationwide Life Line for-Profit Service to screen for vascular disease, 2005 to 2019 were evaluated in a cross-sectional study. Read More

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Safety and efficacy outcomes at 1 year after MitraClip therapy for percutaneous mitral valve repair in patients with severe mitral regurgitation: the Egyptian experience.

Egypt Heart J 2021 May 3;73(1):42. Epub 2021 May 3.

Department of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.

Background: Our aim was to assess safety and efficacy outcomes at 1 year after MitraClip for percutaneous mitral valve repair in patients with severe mitral regurgitation. Twenty consecutive patients with significant MR (GIII or GIV) were selected according to the AHA/ACC guidelines from June 2016 to June 2019 and underwent percutaneous edge-to-edge mitral valve repair using MitraClip with a whole 1 year follow-up following the procedure. The primary acute safety endpoint was a 30-day freedom from any of the major adverse events (MAEs) or rehospitalization for heart failure. Read More

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Continuous Blood Pressure Estimation Using Exclusively Photopletysmography by LSTM-Based Signal-to-Signal Translation.

Sensors (Basel) 2021 Apr 23;21(9). Epub 2021 Apr 23.

Department of Computer Science and Information Engineering, National Central University, Taoyuan 32001, Taiwan.

Monitoring continuous BP signal is an important issue, because blood pressure (BP) varies over days, minutes, or even seconds for short-term cases. Most of photoplethysmography (PPG)-based BP estimation methods are susceptible to noise and only provides systolic blood pressure (SBP) and diastolic blood pressure (DBP) prediction. Here, instead of estimating a discrete value, we focus on different perspectives to estimate the whole waveform of BP. Read More

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Serum Adropin Levels in Patients on Hemodialysis.

Life (Basel) 2021 Apr 11;11(4). Epub 2021 Apr 11.

Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia.

Adropin is a novel pleotropic peptide involved in energy homeostasis, with possible contribution to cardiovascular protection through production of nitric oxide and subsequent blood pressure regulation. Given that patients undergoing hemodialysis (HD) are related with high cardiovascular risk, hyperlipidemia, chronic low-grade inflammation, and malnutrition the aim of our study was to investigate serum adropin levels in HD patients to evaluate possible associations with nutritional status and other relevant clinical and laboratory parameters. The study included 70 patients on HD and 60 healthy controls. Read More

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Left ventricular systolic function impairment in children after balloon valvuloplasty for congenital aortic stenosis assessed by 2D speckle tracking echocardiography.

PLoS One 2021 29;16(4):e0248862. Epub 2021 Apr 29.

Department of Paediatric Cardiology and General Paediatrics, Medical University of Warsaw, Warsaw, Poland.

Aims: The aim of the study was to evaluate left ventricular (LV) remodeling and systolic function using two-dimensional speckle tracking echocardiographic (2D STE) imaging in children at a long-term (more than 36 months, 107.5±57.8 months) after balloon valvuloplasty for aortic stenosis (BAV). Read More

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Safety and Cost-Effectiveness of Interscalene Brachial Plexus Block With Sedation in Reverse Total Shoulder Replacement.

Cureus 2021 Mar 25;13(3):e14106. Epub 2021 Mar 25.

Orthopedics and Traumatology, East Lancashire Hospitals NHS Trust, Blackburn, GBR.

Aims To investigate the safety and cost-effectiveness of interscalene brachial plexus block/regional anaesthesia (ISB-RA) in patients undergoing reverse total shoulder replacement. Patients and methods This retrospective study included 15 patients with symptomatic rotator cuff arthropathy who underwent reverse total shoulder arthroplasty (rTSA) under ISB-RA without general anaesthesia in the beach chair position from 2010 to 2018. The mean patient age was 77 years (range 59-82 years). Read More

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Tricuspid regurgitation in ischemic mitral regurgitation patients: prevalence, predictors for outcome and long-term follow-up.

BMC Cardiovasc Disord 2021 Apr 21;21(1):199. Epub 2021 Apr 21.

Heart Institute, Emek Medical Center, Afula, Israel.

Background: Functional tricuspid regurgitation (FTR) is common in left-sided heart pathology involving the mitral valve. The incidence, clinical impact, risk factors, and natural history of FTR in the setting of ischemic mitral regurgitation (IMR) are less known.

Method: We conducted a cohort study based on data collected from January 2012 to December 2014. Read More

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Original Article--Value of Pathological Q Waves and Angiographic Collateral Grade in Patients Undergoing Coronary Chronic Total Occlusion Recanalization: Cardiac Magnetic Resonance Study.

J Saudi Heart Assoc 2021 15;33(1):41-50. Epub 2021 Apr 15.

Department of Cardiology, Zagazig University, Zagazig, Egypt.

Background/aim: Successful coronary chronic total occlusion (CTO) revascularization was found by many studies to be associated with improved left ventricular (LV) systolic function and survival if evidence of viability is present. Little is known about the association of CTO revascularization in patients with electrocardiographic Q waves and improvement in angina burden as a measurement of health-related quality of life (HRQOL) afterwards.

Methods: In this study, 100 patients with single vessel CTO were included. Read More

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The effect of heat therapy on blood pressure and peripheral vascular function: A systematic review and meta-analysis.

Exp Physiol 2021 Apr 18. Epub 2021 Apr 18.

Physiology and Ultrasound Laboratory in Science and Exercise (PULSE), Centre for Research on Exercise, Physical Activity and Health (CRExPAH), School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Queensland, Australia.

New Findings: What is the topic of this review? We have conducted a systematic review and meta-analysis on the current evidence for the effect of heat therapy on blood pressure and vascular function. What advances does it highlight? We found that heat therapy reduced mean arterial, systolic and diastolic blood pressure. We also observed that heat therapy increased vascular function, as assessed via brachial artery flow mediated dilation. Read More

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Significant Association Between Left Ventricular Diastolic Dysfunction, Left Atrial Performance and Liver Stiffness in Patients with Metabolic Syndrome and Non-Alcoholic Fatty Liver Disease.

Diabetes Metab Syndr Obes 2021 9;14:1535-1545. Epub 2021 Apr 9.

Cardiology Department, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.

Purpose: The constitutive elements of the metabolic syndrome (MetS) are linked with both non-alcoholic fatty liver disease (NAFLD) and cardiovascular disease. Controlled attenuation parameter (CAP), and vibration controlled transient elastography (VCTE), are able to detect and quantify NAFLD, while conventional and two-dimensional speckle tracking echocardiography (2D-STE) is capable to identify subclinical changes in cardiac function. We wanted to evaluate whether there is any correspondence between left ventricular (LV) diastolic dysfunction and different degrees of liver steatosis and fibrosis in MetS subjects with NAFLD. Read More

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Structural changes in renal arterioles are closely associated with central hemodynamic parameters in patients with renal disease.

Hypertens Res 2021 Apr 15. Epub 2021 Apr 15.

Department of Nephrology, Tokyo Medical University, Tokyo, Japan.

Although central hemodynamics are known to be closely associated with microvascular damage, their association with lesions in the small renal arteries has not yet been fully clarified. We focused on arterioles in renal biopsy specimens and analyzed whether their structural changes were associated with noninvasive vascular function parameters, including central blood pressure (BP) and brachial-ankle pulse wave velocity (baPWV). Forty-four nondiabetic patients (18-50 years of age) with preserved renal function underwent renal biopsy. Read More

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Age Related Differences in Acute Coronary Syndrome: an Observation at a Central Hospital in Vietnam.

J Transl Int Med 2021 Mar 31;9(1):32-37. Epub 2021 Mar 31.

Stroke center, Hue Central Hospital, Hue Vietnam.

Background And Objectives: There is little data regarding the characteristics of young Vietnamese patients (<40 years old) who get acute coronary syndrome (ACS). This study aimed to compare the risk factors, clinical-subclinical characteristics, coronary lesions, and mortality prediction (based on the GRACE and TIMI scores) of young ACS patients with their older counterparts.

Methods: A cross-sectional descriptive study was conducted amongst 69 patients with ACS at the Cardiovascular Center of Hue Central Hospital from May 2017 to December 2018. Read More

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Axitinib Induces and Aggravates Hypertension Regardless of Prior Treatment With Tyrosine Kinase Inhibitors.

Circ Rep 2021 Mar 10;3(4):234-240. Epub 2021 Mar 10.

Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo Tokyo Japan.

Axitinib is a tyrosine kinase inhibitor (TKI) that inhibits vascular endothelial growth factor receptor signaling and is approved for second-line treatment of advanced renal cell carcinoma (RCC). Although the occurrence of hypertension with axitinib use has been documented, it is unclear whether a first-line TKI regimen can significantly affect the development of hypertension when axitinib is used as second-line therapy. In this single-center retrospective study, advanced RCC patients treated with axitinib after first-line chemotherapy were divided into 2 groups according to the use of TKIs as part of first-line treatment before the initiation of axitinib. Read More

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Haemorrhoidal haemodynamic changes in patients with haemorrhoids treated using Doppler-guided dearterialization.

BJS Open 2021 Mar;5(2)

Proctology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Rome, Italy.

Background: Arterial hyperflow to haemorrhoids has been implicated as a possible pathophysiological co-factor in haemorrhoidal disease. The purpose of this study was to investigate how transanal haemorrhoidal dearterialization (THD) can influence haemodynamic parameters at the level of the haemorrhoidal piles.

Methods: Patients with grade III haemorrhoids selected for THD between July and December 2018 were evaluated using endoanal ultrasonography and colour Doppler imaging at the level of internal haemorrhoids before and 1 year after the surgical procedure. Read More

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Individualized blood pressure targets in the postoperative care of patients with intracerebral hemorrhage.

J Neurosurg 2021 Apr 9:1-10. Epub 2021 Apr 9.

1Neurological Intensive Care Unit, Department of Neurology, and.

Objective: Recent guidelines recommend targeting a systolic blood pressure (SBP) < 140 mm Hg in the early management of patients with spontaneous intracerebral hemorrhage (ICH). The optimal SBP targets for ICH patients after hematoma evacuation (HE) remain unclear. Here, the authors aimed to define the optimal SBP range based on multimodal neuromonitoring data. Read More

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A clinical set-up for noninvasive blood pressure monitoring using two photoplethysmograms and based on convolutional neural networks.

Biomed Tech (Berl) 2021 Apr 7. Epub 2021 Apr 7.

Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran.

Blood pressure is a reliable indicator of many cardiac arrhythmias and rheological problems. This study proposes a clinical set-up using conventional monitoring systems to estimate systolic and diastolic blood pressures continuously based on two photoplethysmogram signals (PPG) taken from the earlobe and toe. Several amendments were applied to conventional clinical monitoring devices to construct our project plan. Read More

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The effect of 1-mg versus 3-mg granisetron on shivering and nausea in cesarean section: a randomized, controlled, triple-blind, clinical trial.

Braz J Anesthesiol 2021 Apr 2. Epub 2021 Apr 2.

Shiraz University of Medical Sciences, Shiraz Anesthesiology and Critical Care Research Center, Shiraz, Iran.

Introduction: Intra- and postoperative nausea, vomiting and shivering are mentioned as the most common problem following spinal anesthesia. The aim of this study is to compare two different doses of granisetron to control the shivering, nausea, and vomiting caused by spinal anesthesia in women undergoing cesarean section (C/S).

Method: This study is a randomized, triple-blind clinical trial. Read More

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Antihypertensive treatment in a general uncontrolled hypertensive population in Belgium and Luxembourg in primary care: Therapeutic inertia and treatment simplification. The SIMPLIFY study.

PLoS One 2021 5;16(4):e0248471. Epub 2021 Apr 5.

Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.

Background: Despite effective treatments, blood pressure (BP) control remains suboptimal.

Objective: The SIMPLIFY study aimed at identifying key factors related to therapeutic inertia in Belgium and Luxembourg, and evaluating how uncontrolled treated hypertension is managed in primary care.

Methods: In a 2017 cross-sectional survey, 245 general practitioners (GP) collected routine clinical data from 1,852 consecutive uncontrolled (Office SBP/DBP ≥ 140/90 mmHg) hypertensive adult patients taking at least one antihypertensive drug. Read More

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Transcranial Dopplers Revisited: Development of Novel Markers for Cerebral Vasospasm After Aneurysmal Subarachnoid Hemorrhage.

Cureus 2021 Feb 28;13(2):e13605. Epub 2021 Feb 28.

Surgery, Saint Barnabas Medical Center, Livingston, USA.

Background Cerebral vasospasm has been monitored by conventional angiography or transcranial Doppler (TCD). While angiography is the most accurate and reliable method for detection, TCDs are a noninvasive alternative to monitor onset and resolution of vasospasm. We aim to determine whether alternative TCD parameters rather than Lindegaard ratio lead to an improved method to diagnose and potentially prevent cerebral vasospasm. Read More

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February 2021

4D Doppler Ultrasound in High Grade Serous Ovarian Cancer Vascularity Evaluation-Preliminary Study.

Diagnostics (Basel) 2021 Mar 24;11(4). Epub 2021 Mar 24.

Department of Obstetrics and Gynecology, Clínica Universidad de Navarra, University of Navarra, Avenida Pio XII, 36, 31008 Pamplona, Spain.

The aim of the study was to evaluate the usefulness of 4D Power Doppler tissue evaluation to discriminate between normal ovaries and ovarian cancer tumors. This was a prospective observational study. Twenty-three cases of surgically confirmed ovarian High Grade Serous Carcinoma (HGSC) were analyzed. Read More

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An Estimation Method of Continuous Non-Invasive Arterial Blood Pressure Waveform Using Photoplethysmography: A U-Net Architecture-Based Approach.

Sensors (Basel) 2021 Mar 7;21(5). Epub 2021 Mar 7.

School of Electrical Engineering, Kookimin University, Seoul 02707, Korea.

Blood pressure (BP) monitoring has significant importance in the treatment of hypertension and different cardiovascular health diseases. As photoplethysmogram (PPG) signals can be recorded non-invasively, research has been highly conducted to measure BP using PPG recently. In this paper, we propose a U-net deep learning architecture that uses fingertip PPG signal as input to estimate arterial BP (ABP) waveform non-invasively. Read More

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CorMatrix Anterior Leaflet Augmentation of the Tricuspid Valve: Midterm Results.

Heart Surg Forum 2021 03 8;24(2):E261-E266. Epub 2021 Mar 8.

Cardiothoracic Department, Heart and Lung Centre, Royal Wolverhampton NHS Trust, Wolverhampton, UK.

Background: Tricuspid annuloplasty is the most common surgical approach to correct tricuspid regurgitation (TR). In some patients, however, anterior leaflet patch augmentation may be necessary to optimize tricuspid competence. We reviewed our center cohort over the midterm and long term. Read More

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Higher risk of chronic kidney disease and progressive kidney function impairment in primary aldosteronism than in essential hypertension. Case-control study.

Endocrine 2021 Apr 2. Epub 2021 Apr 2.

Endocrinology and Nutrition Department, Ramón y Cajal University Hospital & Instituto de Investigación Biomédica Ramón y Cajal (IRYCIS), Madrid, Spain.

Purpose: To study the differences in the prevalence, risk, and grade of control of different cardiometabolic comorbidities in patients with primary aldosteronism (PA) and essential hypertension (EH) matched by age, sex, and blood pressure levels at diagnosis.

Methods: Case-control study of a secondary base (PA patients in follow-up in a tertiary hospital between 2018 and 2020). Controls were patients with non-functioning adrenal incidentalomas and EH, matched by age, sex, and baseline diastolic blood pressure (DBP) and systolic blood pressure (SBP). Read More

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[Systematic evaluation and trail sequential analysis of efficacy and safety of Yangxue Qingnao Granules in treatment of essential hypertension and its accompanying symptoms].

Zhongguo Zhong Yao Za Zhi 2021 Mar;46(6):1523-1536

Henan University of Chinese Medicine Zhengzhou 450000,China.

To systematically evaluate the efficacy and safety of Yangxue Qingnao Granules combined with conventional Western medicine in the treatment of essential hypertension and its accompanying symptoms. PubMed, EMbase, Cochrane Library, VIP, CNKI, Wanfang, and China biomedical database(CBD) were searched to screen out from the establishment of the database to April 2020 about the clinical randomized controlled trials of Yangxue Qingnao Granules combined with conventional Western medicine in the treatment of essential hypertension and accompanying symptoms. The articles were selected according to the inclusion and exclusion criteria. Read More

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[Systematic evaluation and trial sequential analysis of Tianma Gouteng Granules combined with anti-hypertensive drugs in treatment of essential hypertension].

Zhongguo Zhong Yao Za Zhi 2021 Mar;46(6):1511-1522

the First Affiliated Hospital of Henan University of Traditional Chinese Medicine Zhengzhou 450000,China.

To systematically evaluate the efficacy and safety of Tianma Gouteng Granules combined with conventional anti-hypertensive drugs in the treatment of essential hypertension. The clinical randomized controlled trials(RCTs) on the treatment of essential hypertension with Tianma Gouteng Granules combined with conventional anti-hypertensive drugs were searched in PubMed, EMbase, Cochrane Library, VIP, CNKI, Wanfang, SinoMed since the establishment of the databases to April 2020 based on inclusion and exclusion criteria, and Meta-analysis was conducted by using RevMan 5.3 software. Read More

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Purpuric Rash and Thrombocytopenia After the mRNA-1273 (Moderna) COVID-19 Vaccine.

Cureus 2021 Mar 25;13(3):e14099. Epub 2021 Mar 25.

Internal Medicine, Bay Area Hospital, Coos Bay, USA.

The mRNA-1273 vaccine, popularly called the "Moderna vaccine" is being widely administered in the United States for the prevention of COVID-19 infection since December 2020. Mild to moderate intensity side effects like low-grade fever, myalgia, chills and malaise were reported in the trials related to the vaccine. With this case report, we report a case of purpuric rash and thrombocytopenia after receiving the first dose of the m-RNA-1273 vaccine. Read More

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Interventions for weight loss in people with chronic kidney disease who are overweight or obese.

Cochrane Database Syst Rev 2021 Mar 30;3:CD013119. Epub 2021 Mar 30.

School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia.

Background: Obesity and chronic kidney disease (CKD) are highly prevalent worldwide and result in substantial health care costs. Obesity is a predictor of incident CKD and progression to kidney failure. Whether weight loss interventions are safe and effective to impact on disease progression and clinical outcomes, such as death remains unclear. Read More

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High-Frame Rate Vector Flow Imaging Technique: Initial Application in Evaluating the Hemodynamic Changes of Carotid Stenosis Caused by Atherosclerosis.

Front Cardiovasc Med 2021 8;8:617391. Epub 2021 Mar 8.

Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China.

To investigate the value of high-frame rate vector flow imaging technique (V flow) in evaluating the hemodynamic changes of carotid stenosis caused by atherosclerotic plaques. In this prospective study, patients with stenosis rate (diameter) ≥30% caused by carotid atherosclerotic plaques were included. Degrees of carotid stenosis were graded according to North American Symptomatic Carotid Endarterectomy Trial criteria: moderate (30-69%) or severe (70-99%). Read More

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