235,280 results match your criteria outcome cardiac


Outcomes of anterior vs. posterior approach to single-level lumbar spinal fusion with interbody device: An analysis of the nationwide inpatient sample.

Clin Neurol Neurosurg 2021 Nov 29;212:107061. Epub 2021 Nov 29.

Desert Regional Medical Center, Palm Springs, California, United States. Electronic address:

Background: Interbody devices have revolutionized lumbar spinal fusion surgery by improving mechanical stability and maximizing fusion potential. Several approaches for interbody fusion exist with two of the most common being anterior lumbar interbody fusion (ALIF) and posterior lumbar interbody fusion (PLIF). This study aims to compare patient data, hospital outcomes, and post-operative complications between an anterior vs. Read More

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November 2021

Anxiolytic Effects of Intraoperative Music Therapy in Adults Undergoing Local Anaesthetic Interventions.

Authors:
Michaela Agius

Psychiatr Danub 2021 Dec;33(Suppl 11):100-115

University of Malta, Msida, Malta,

Background: Intra-operative anxiety is a commonly experienced feeling amongst patients undergoing surgery. Moreover, conscious patients are exposed to the multiple environmental factors triggering this emotion. Apprehension and fear are common emotions interlinked with associated intra-operative anxiety. Read More

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December 2021

Effects of AST-120 on muscle health and quality of life in chronic kidney disease patients: results of RECOVERY study.

J Cachexia Sarcopenia Muscle 2021 Dec 3. Epub 2021 Dec 3.

Department of Internal Medicine, CHA Gumi Medical Center, CHA University, Gumi, Republic of Korea.

Background: The prevalence of sarcopenia is increased with declining renal function. Elevated serum indoxyl sulfate levels are associated with poor skeletal muscle conditions. We aimed to determine the effects of AST-120, the oral adsorbent of indoxyl sulfate, on sarcopenia and sarcopenia-associated factors in chronic kidney disease patients. Read More

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December 2021

Acute heart failure and iron deficiency: a prospective, multicentre, observational study.

ESC Heart Fail 2021 Dec 4. Epub 2021 Dec 4.

Department of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.

Aims: The prevalence and the natural course of iron deficiency (ID) in acute heart failure (AHF) are still unclear. We investigated the prevalence of ID in unselected patients admitted with AHF on admission, at discharge and up to 3 months thereafter.

Methods And Results: In this prospective, multicentre, observational study, 742 patients admitted with AHF were enrolled. Read More

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December 2021

Clinical risk factors for mortality in an analysis of 1375 patients admitted for COVID treatment.

Sci Rep 2021 Dec 3;11(1):23414. Epub 2021 Dec 3.

Stony Brook Medicine, Stony Brook, NY, USA.

The goal of the present work was to examine clinical risk factors for mortality in 1375 COVID + patients admitted to a hospital in Suffolk County, NY. Data were collated by the hospital epidemiological service for patients admitted from 3/7/2020 to 9/1/2020. Time until final discharge or death was the outcome. Read More

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December 2021

The heart & mind trial: intervention with cognitive-behavioural therapy in patients with cardiac disease and anxiety: randomised controlled trial protocol.

BMJ Open 2021 Dec 3;11(12):e057085. Epub 2021 Dec 3.

Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen N, 2200, Denmark.

Introduction: Patients with cardiac disease often experience anxiety (prevalence about 20%-25%) and have a doubled mortality risk when suffering from anxiety compared with patients without anxiety. This calls for interventions aiming to reduce anxiety.

Methods And Analysis: The Heart & Mind Trial consists of three parts: (1) screening of all hospitalised and outpatient cardiac patients with arrhythmia, heart failure or ischaemic heart disease at four university hospitals in Denmark using the Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A); Patients scoring ≥8 is invited to participate; (2) Assessment of the type of anxiety by Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders and (3) Randomised clinical superiority trial with blinded outcome assessment, with 1:1 randomisation to cognitive-behavioural therapy (CBT) performed by a CBT-trained cardiac nurse plus usual care or, usual care alone. Read More

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December 2021

Quality of life and disease experience in patients with heart failure with reduced ejection fraction in Spain: a mixed-methods study.

BMJ Open 2021 Dec 3;11(12):e053216. Epub 2021 Dec 3.

Department of Cardiology and Heart Failure Program, Bellvitge University Hospital, L'Hospitalet de Llobregat, Spain

Objectives: To gather insights on the disease experience of patients with heart failure (HF) with reduced ejection fraction (HFrEF), and assess how patients' experiences and narratives related to the disease complement data collected through standardised patient-reported outcome measures (PROMs). Also, to explore new ways of evaluating the burden experienced by patients and caregivers.

Design: Observational, descriptive, multicentre, cross-sectional, mixed-methods study. Read More

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December 2021

Impact of health literacy in patients with cardiovascular diseases: A systematic review and meta-analysis.

Patient Educ Couns 2021 Nov 27. Epub 2021 Nov 27.

Department of Public Health, Graduate School of Health Sciences, Kobe University, Kobe, Japan; Cardiovascular stroke Renal Project (CRP), Kobe, Japan. Electronic address:

Objective: To clarify the impacts of health literacy on mortality, readmission, and quality of life (QOL) in the secondary or tertiary prevention of cardiovascular diseases (CVD) through a meta-analysis.

Methods: Six electronic databases were searched on June 11, 2020. Observational studies involving patients with CVD, health literacy as an exposure factor and mortality, readmission, or QOL as outcomes were included in this study. Read More

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November 2021

Characteristics and outcomes of octogenarians with revascularized critical limb ischemia: Impact of altered cardiac function for early mortality.

J Med Vasc 2021 Oct-Dec;46(5-6):224-231. Epub 2021 Nov 5.

Vascular medicine department, groupe hospitalier Paris Saint-Joseph, Paris, France.

Objective: Patients with critical limb ischemia (CLI) present with advanced age and end-stage organ damage, in particular heart failure. The aim of the present study is to describe clinical and biological characteristics in octogenarian patients with CLI compared to their younger counterparts and to determine the peri-procedural risk and early mortality after endovascular procedure.

Methods: From November 2013 to May 2019, 315 consecutive patients were retrospectively included. Read More

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November 2021

Individualised or liberal red blood cell transfusion after cardiac surgery: a randomised controlled trial.

Br J Anaesth 2021 Nov 30. Epub 2021 Nov 30.

Department of Anesthesiology and Critical Care Medicine, Amiens Picardy University Hospital, Amiens, France.

Background: Current practice guidelines for red blood cell (RBC) transfusion in ICUs are based on haemoglobin threshold, without consideration of oxygen delivery or consumption. We aimed to evaluate an individual physiological threshold-guided by central venous oxygen saturation ScvO.

Methods: In a randomised study in two French academic hospitals, 164 patients who were admitted to ICU after cardiac surgery with postoperative haemoglobin <9 g dl were randomised to receive a transfusion with one unit of RBCs (haemoglobin group) or transfusion only if the ScvO was <70% (individualised group). Read More

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November 2021

Bicuspid Aortic Valve: Genetic and Clinical Insights.

Aorta (Stamford) 2021 Aug 3;9(4):139-146. Epub 2021 Dec 3.

Department of Cardiology, Hadassah Medical Center, Jerusalem, Israel.

Bicuspid aortic valve (BAV) is the most common valvular congenital heart disease, with a prevalence of 0.5 to 2% in the general population. Patients with BAV are at risk for developing cardiovascular complications, some of which are life-threatening. Read More

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Attitudes among healthcare professionals towards cardiopulmonary resuscitation during COVID-19.

Am J Emerg Med 2021 Nov 15;52:34-42. Epub 2021 Nov 15.

Department of Emergency Medicine, The George Washington University, School of Medicine and Health Sciences, Washington, DC, United States. Electronic address:

Background: Out-of-hospital cardiac arrests (OHCAs) are a leading cause of mortality in the United States. The ongoing COVID-19 pandemic has dramatically altered the landscape of response to OHCAs, particularly with regard to providing cardiopulmonary resuscitation (CPR). We aimed to describe, characterize, and address the attitudes and concerns of healthcare workers towards CPR of OHCA patients during the COVID-19 pandemic. Read More

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November 2021

Right ventricular dysfunction in acute heart failure from emergency department to discharge: Predictors and clinical implications.

Am J Emerg Med 2021 Nov 17;52:25-33. Epub 2021 Nov 17.

Wayne State University School of Medicine, Department of Emergency Medicine, USA.

Background: Among acute heart failure (AHF) inpatients, right ventricular dysfunction (RVD) predicts clinical outcomes independent of left ventricular (LV) dysfunction. Prior studies have not accounted for congestion severity, show conflicting findings on echocardiography (echo) timing, and excluded emergency department (ED) patients. We describe for the first time the epidemiology, predictors, and outcomes of RVD in AHF starting with earliest ED treatment. Read More

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November 2021

Effects of different exercise programs on cardiorespiratory reserve in HFpEF: a systematic review and meta-analysis.

Hellenic J Cardiol 2021 Nov 30. Epub 2021 Nov 30.

Third Department of Cardiology, Ippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

HFpEF represents an heterogeneous syndrome with complex pathophysiologic substrate and multiple clinical manifestations. Much attention has been recently focused on cardiac rehabilitation programs for HFpEF patients and studies have examined the effects of exercise training on this specific population. This systematic review and meta-analysis included studies of adult patients with HFpEF and evaluated the impact of exercise on cardiorespiratory fitness variables measured during CPET. Read More

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November 2021

Empagliflozin in the treatment of heart failure with reduced ejection fraction in addition to background therapies and therapeutic combinations (EMPEROR-Reduced): a post-hoc analysis of a randomised, double-blind trial.

Lancet Diabetes Endocrinol 2021 Nov 30. Epub 2021 Nov 30.

Baylor Heart and Vascular Institute, Baylor University Medical Center, Dallas, TX, USA; Imperial College London, London, UK.

Background: It is important to evaluate whether a new treatment for heart failure with reduced ejection fraction (HFrEF) provides additive benefit to background foundational treatments. As such, we aimed to evaluate the efficacy and safety of empagliflozin in patients with HFrEF in addition to baseline treatment with specific doses and combinations of disease-modifying therapies.

Methods: We performed a post-hoc analysis of the EMPEROR-Reduced randomised, double-blind, parallel-group trial, which took place in 520 centres (hospitals and medical clinics) in 20 countries in Asia, Australia, Europe, North America, and South America. Read More

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November 2021

Neurocardiovascular coupling in congenital diaphragmatic hernia patients undergoing different types of surgical treatment.

Eur J Anaesthesiol 2021 Dec 1. Epub 2021 Dec 1.

From the Department of Electrical Engineering, ESAT-STADIUS, KU Leuven, Leuven, Belgium (DH, SVH), Department of Pediatric Surgery, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands (SAC, RW, DT), Department of Development and Regeneration, KU Leuven, Leuven, Belgium (GN), Neonatal Intensive Care Unit, University Hospitals Leuven, Leuven, Belgium (GN), Department of Anaesthesiology, Erasmus MC, Rotterdam, the Netherlands (JdG), Department of Pediatric Surgery (KZ, LW), Neonatal Intensive Care Unit, University Hospital Mannheim, Mannheim, Germany (APO) and Applied Mathematics and Computer Science, School of Engineering, Science and Technology, Universidad del Rosario, Bogotá, Colombia (AC).

Background: The effect of peri-operative management on the neonatal brain is largely unknown. Triggers for peri-operative brain injury might be revealed by studying changes in neonatal physiology peri-operatively.

Objective: To study neonatal pathophysiology and cerebral blood flow regulation peri-operatively using the neurocardiovascular graph. Read More

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December 2021

Survival and Factors Associated with Survival with Extracorporeal Life Support During Cardiac Arrest: A Systematic Review and Meta-Analysis.

ASAIO J 2021 Dec 1. Epub 2021 Dec 1.

From the Department of Cardiology, Aix-Marseille University, Intensive Care Unit, Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France; Mediterranean Association for Research and Studies in Cardiology (MARS Cardio), Marseille, France; Centre for CardioVascular and Nutrition research (C2VN), INSERM 1263, INRA 1260, Marseille, France Department of Medical Information and Public Health, CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, APHM, Marseille, France Department of Cardiac Surgery, Institut de Cardiologie, Hôpital Pitié Salpêtrière, Sorbonne Université, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France Department of Emergency Medicine, Timone University Hospital, Marseille, France; and Department of Emergency Medicine, Assistance publique des hôpitaux de Marseille, Hôpital Nord, Aix Marseille Univ, Marseille, France.

The survival rate after cardiac arrest (CA) remains low. The utilization of extracorporeal life support is proposed to improve management. However, this resource-intensive tool is associated with complications and must be used in selected patients. Read More

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December 2021

Predictors of Favorable Neurologic Outcomes in a Territory-First Extracorporeal Cardiopulmonary Resuscitation Program.

ASAIO J 2021 Dec 1. Epub 2021 Dec 1.

From the Department of Medicine, The University of Hong Kong, Hong Kong SAR Department of Adult Intensive Care, Queen Mary Hospital, Hong Kong SAR Department of Anesthesiology, The University of Hong Kong, Hong Kong SAR.

Extracorporeal cardiopulmonary resuscitation (ECPR) is an advanced resuscitation method that has been associated with better outcomes after cardiac arrest compared with conventional cardiopulmonary resuscitation. This is a retrospective analysis of all patients who received ECPR for cardiac arrest in Hong Kong's first ECPR program from 2012 to 2020. The primary outcome was favorable neurologic outcome at 3 months. Read More

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December 2021

Preoperative evaluation in thoracic surgery: limits of the patient's functional operability and consequence for perioperative anaesthesiologic management.

Curr Opin Anaesthesiol 2021 Dec 1. Epub 2021 Dec 1.

Institute of Anaesthesiology, Heart and Diabetes Centre NRW, Bad Oeynhausen, Ruhr University Bochum Institute of Anaesthesiology and Intensive Care Medicine, Hannover Medical School, Hannover, Germany.

Purpose Of Review: Preoperative evaluation of older and more morbid patients in thoracic surgery is getting more advanced. In this context, early risk stratification has a crucial role for adequate informed decision-making, and thus for generating favourable effects of clinical outcome.

Recent Findings: Recent findings confirm that many risk factors impair mortality and morbidity beyond classical medical findings like results of lung function tests and values of the revised cardiac risk index. Read More

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December 2021

Psychosocial Impact of Congenital Heart Diseases on Patients and Their Families: A Parent's Perspective.

World J Pediatr Congenit Heart Surg 2021 Dec 3:21501351211044127. Epub 2021 Dec 3.

27178Department of Cardiothoracic Surgery, University Hospital Heidelberg, Heidelberg, Germany.

Background: Currently, over 90% of children with congenital heart disease (CHD) survive into adulthood. As a consequence the psychosocial impact on children and their families has become an important outcome measure. Therefore, the goal of this study was to assess the psychosocial impact from a parent's perspective and to identify possible predictors. Read More

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December 2021

Mutational Spectrum of Congenital Long QT Syndrome in Turkey; Identification of Twelve Novel Mutations Across KCNQ1, KCNH2, SCN5A, KCNJ2, CACNA1C, CALM1.

J Cardiovasc Electrophysiol 2021 Dec 3. Epub 2021 Dec 3.

Pediatric Cardiology, Umraniye Training and Research Hospital, Istanbul, Turkey.

Introduction: LQTS is of great importance as it is the most common cause of sudden cardiac death in childhood. The diagnosis is made by the prolongation of the QTc interval on the ECG. However, clinical heterogeneity and non-diagnostic QTc intervals may cause a delay in the diagnosis. Read More

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December 2021

Hemodynamic Predictors of Renal Function After Pediatric Left Ventricular Assist Device Implantation.

ASAIO J 2021 Dec;67(12):1335-1341

Division of Pediatric Nephrology, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California.

Although renal function often improves after pediatric left ventricular assist device (LVAD) implantation, recovery is inconsistent. We aimed to identify hemodynamic parameters associated with improved renal function after pediatric LVAD placement. A single-center retrospective cohort study was conducted in patients less than 21 years who underwent LVAD placement between June 2004 and December 2015. Read More

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December 2021

Retrospective Evaluation of Platelet-Leukocyte Indices and Cardiac Surgical Outcomes in Acyanotic Heart Disease Patients with Pulmonary Hypertension (REPLICA-PH).

Braz J Cardiovasc Surg 2021 Dec 2. Epub 2021 Dec 2.

Department of Cardiothoracic and Vascular Surgery, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi, India.

Introduction: Acyanotic congenital heart disease (ACHD) patients with pulmonary hypertension (PH) are prone to postoperative complications, and characterization of the risk profile continues to fail in identifying inflammatory predilection. Our objective is to investigate the role of platelet-leukocyte indices (neutrophil-lymphocyte ratio [NLR], platelet-lymphocyte ratio [PLR], and systemic immune-inflammation index [SII] [neutrophil × platelet/lymphocyte]) in predicting poor outcomes following cardiac surgery in ACHD cohort with preoperative PH.

Methods: This single-center, retrospective risk-predictive study included ACHD patients undergoing surgical correction at our tertiary cardiac center between January 2015 and December 2019. Read More

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December 2021

Emergency preservation and resuscitation for cardiac arrest from trauma.

Ann N Y Acad Sci 2021 Dec 2. Epub 2021 Dec 2.

Department of Surgery and the Program in Trauma, University of Maryland School of Medicine, RA Cowley Shock Trauma Center, Baltimore, Maryland.

Patients who suffer a cardiac arrest from trauma rarely survive. Surgical control of hemorrhage cannot be obtained in time to prevent irreversible organ damage. Emergency preservation and resuscitation (EPR) was developed to utilize hypothermia to buy time to achieve hemostasis and allow delayed resuscitation. Read More

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December 2021

Pharmacological treatment of type 2 diabetes in elderly patients with heart failure: randomized trials and beyond.

Heart Fail Rev 2021 Dec 2. Epub 2021 Dec 2.

Department of Clinical and Molecular Medicine, University Rome-Sapienza, Rome, Italy.

Heart failure (HF) and type 2 diabetes mellitus (T2DM) represent two important public health problems, and despite improvements in the management of both diseases, they are responsible for high rates of hospitalizations and mortality. T2DM accelerates physiological cardiac aging through hyperglycemia and hyperinsulinemia. Thus, HF and T2DM are chronic diseases widely represented in elderly people who often are affected by numerous comorbidities with important functional limitations making it difficult to apply the current guidelines. Read More

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December 2021

This and that: management of Tetralogy of Fallot and pulmonary vein stenosis in an infant-a case report.

Eur Heart J Case Rep 2021 Nov 23;5(11):ytab429. Epub 2021 Oct 23.

Division of Pediatric Cardiology, Children's Wisconsin, 8915 W Connell Ct, P.O. Box 1997, Milwaukee, WI, 53226, USA.

Background: Tetralogy of Fallot (TOF) is the most common congenital cyanotic cardiac lesion. Pulmonary vein stenosis occurs much less commonly and remains difficult to manage. It is exceedingly uncommon for a patient to have both lesions. Read More

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November 2021

Acute ischaemia of the lower limb due to non-bacterial thrombotic endocarditis with recent venous thrombo-embolic disease as the initial manifestation of lung adenocarcinoma: a case report.

Eur Heart J Case Rep 2021 Nov 28;5(11):ytab426. Epub 2021 Oct 28.

Department of Cardiovascular Medecine, Centre Hospitalier Intercommunal Toulon/La Seyne-sur-Mer, 54 Rue Henri Sainte-Claire Deville, 83100 Toulon, France.

Background: Non-bacterial thrombotic endocarditis is a rare condition. Optimal management is based on early diagnosis which remains difficult.

Case Summary: A 75-year-old male patient was admitted to the hospital with acute ischaemia of the left lower limb due to popliteal artery occlusion despite anticoagulation with rivaroxaban for pulmonary embolism diagnosed 2 weeks earlier. Read More

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November 2021

Cancer and Infective Endocarditis: Characteristics and Prognostic Impact.

Front Cardiovasc Med 2021 11;8:766996. Epub 2021 Nov 11.

AP-HM, La Timone Hospital, Cardiology Department, Marseille, France.

The interplay between cancer and IE has become of increasing interest. This study sought to assess the prevalence, baseline characteristics, management, and outcomes of IE cancer patients in the ESC EORP EURO-ENDO registry. Three thousand and eighty-five patients with IE were identified based on the ESC 2015 criteria. Read More

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November 2021

Echocardiographic Global Longitudinal Strain Is Associated With Myocardial Fibrosis and Predicts Outcomes in Aortic Stenosis.

Front Cardiovasc Med 2021 10;8:750016. Epub 2021 Nov 10.

National Heart Research Institute Singapore, National Heart Center Singapore, Singapore, Singapore.

Left ventricular ejection fraction is the conventional measure used to guide heart failure management, regardless of underlying etiology. Left ventricular global longitudinal strain (LV-GLS) by speckle tracking echocardiography (STE) is a more sensitive measure of intrinsic myocardial function. We aim to establish LV-GLS as a marker of replacement myocardial fibrosis on cardiovascular magnetic resonance (CMR) and validate the prognostic value of LV-GLS thresholds associated with fibrosis. Read More

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November 2021

Fragmented QRS Is Independently Predictive of Long-Term Adverse Clinical Outcomes in Asian Patients Hospitalized for Heart Failure: A Retrospective Cohort Study.

Front Cardiovasc Med 2021 11;8:738417. Epub 2021 Nov 11.

School of Data Science, City University of Hong Kong, Hong Kong, Hong Kong SAR, China.

Fragmented QRS (fQRS) results from myocardial scarring and predicts cardiovascular mortality and ventricular arrhythmia (VA). We evaluated the prevalence and prognostic value of fQRS in Asian patients hospitalized for heart failure. This was a retrospective cohort study of adult patients hospitalized for heart failure between 1st January 2010 and 31st December 2016 at a tertiary center in Hong Kong. Read More

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November 2021