27,081 results match your criteria presenting cardiac

Frailty and quality of life after invasive management for non-ST elevation acute coronary syndrome.

Heart 2021 May 14. Epub 2021 May 14.

Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK

Objective: Older patients presenting with non-ST elevation acute coronary syndrome (NSTEACS) require holistic assessment. We carried out a longitudinal cohort study to investigate health-related quality of life (HRQoL) of older, frail adults with NSTEACS undergoing coronary angiography.

Methods: 217 consecutive patients aged ≥65 years (mean age 80. Read More

View Article and Full-Text PDF

Postmenopausal hyperandrogenism.

T Yoldemir

Climacteric 2021 May 14:1-9. Epub 2021 May 14.

Department of Obstetrics and Gynaecology, Marmara University Hospital, Istanbul, Turkey.

Postmenopausal hyperandrogenism is a state of relative or absolute androgen excess originating from the adrenal glands and/or ovaries clinically manifested by the presence of terminal hair in androgen-dependent areas of the body, and other manifestations of hyperandrogenism such as acne and alopecia or the development of virilization. In such circumstances, physicians must exclude the possibility of rare but serious androgen-producing tumors of the adrenal glands or ovaries. Worsening of undiagnosed hyperandrogenic disorders such as polycystic ovary syndrome, congenital adrenal hyperplasia, ovarian hyperthecosis, Cushing syndrome and iatrogenic hyperandrogenism should be considered for differential diagnosis. Read More

View Article and Full-Text PDF

Low risk patients with acute atrial fibrillation and elevated high-sensitivity troponin do not have increased incidence of pathological stress tests.

Scand Cardiovasc J 2021 May 14:1-5. Epub 2021 May 14.

Department of Clinical Sciences, Lund University, Lund, Sweden.

Objectives: Many patients with atrial fibrillation (AF) or atrial flutter (AFL) and rapid ventricular response (RVR) have elevated high-sensitivity troponin T (hsTnT) values. Elevated hsTnT is an independent risk marker for cardiovascular events and mortality. The aim was to examine if AF/AFL patients with RVR and elevated hsTnT have an increased incidence of pathological cardiac stress tests, indicating need of further evaluation for coronary artery disease (CAD). Read More

View Article and Full-Text PDF

Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome?

J Gen Intern Med 2021 May 14. Epub 2021 May 14.

Department of Emergency Medicine, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA.

Background: Chest pain is the top reason for hospitalization/observation in the USA, but it is unclear if this strategy improves patient outcomes.

Objective: The objective of this study was to compare 30-day outcomes for patients admitted versus discharged after a negative emergency department (ED) evaluation for suspected acute coronary syndrome.

Design: A retrospective, multi-site, cohort study of adult encounters with chest pain presenting to one of 13 Kaiser Permanente Southern California EDs between January 1, 2015, and December 1, 2017. Read More

View Article and Full-Text PDF

Disseminated Blastomycosis Presenting with Spontaneous Coronary Artery Dissection.

Eur J Case Rep Intern Med 2021 23;8(4):002511. Epub 2021 Apr 23.

Department of Cardiovascular Medicine, Mayo Clinic Alix School of Medicine, Mayo Clinic Health System, Eau Claire, Wisconsin, USA.

Spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of acute coronary syndrome (ACS) and myocardial infarction (MI) in individuals with few or no known atherosclerotic risk factors. While systemic autoimmune inflammatory disorders are associated with precipitating SCAD, the role of infection-induced systemic inflammation in SCAD is not well defined. We present the case of a 49-year-old Caucasian woman with ST-elevation myocardial infarction (STEMI) diagnosed as SCAD from a severe systemic inflammatory response related to disseminated blastomycosis. Read More

View Article and Full-Text PDF

Myopericarditis Presenting as Acute ST-Elevation Myocardial Infarction with Atrioventricular Dissociation.

Heart Views 2020 Oct-Dec;21(4):284-288. Epub 2021 Jan 14.

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

Myopericarditis, which is an inflammatory process involving the myocardium and pericardium, is not a rare condition encountered in cardiac emergencies. Rarely though, it can give an acute myocardial infarction picture on electrocardiogram (ECG), leading to urgent angiography. More rarely, it can be associated with atrioventricular (AV) dissociation, which is a condition of dyssynchrony of electrical activity between atria and ventricles. Read More

View Article and Full-Text PDF
January 2021

Sinus bradycardia with haemodynamic compromise following lithium intoxication.

BMJ Case Rep 2021 May 13;14(5). Epub 2021 May 13.

Department of Cardiovascular Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.

Lithium is a well-established treatment for mood disorders and considered first-line pharmacological therapy for bipolar disorder as per the American Psychiatric Association guidelines. However, lithium is associated with significant toxicity. Cardiotoxicity including sinus node dysfunction is a rare but clinically significant presentation of lithium intoxication. Read More

View Article and Full-Text PDF

Rationale and Design of the Comparison of Outcomes and Access to Care for Heart Failure (COACH) Trial: A Stepped Wedge Cluster Randomized Trial.

Am Heart J 2021 May 10. Epub 2021 May 10.

Peter Munk Cardiac Centre of the University Health Network, Toronto, Canada; Ted Rogers Centre for Heart Research, Toronto, Canada; University of Toronto, Toronto, Canada.

Background: Heart failure (HF) is an ambulatory care sensitive condition and a leading reason for emergency department (ED) visits and hospitalizations. Improved decision-making and care may enhance safety and efficiency for patients presenting to the ED with acute HF.

Objectives: We will evaluate an intervention comprised of two complementary components: i) the Emergency Heart Failure Mortality Risk Grade simultaneous 7- and 30-day (EHMRG30-ST) risk scores, which will inform admission-discharge decisions, and ii) a rapid outpatient follow-up (RAPID-HF) clinic for low-to-intermediate risk patients on cardiovascular readmissions or death. Read More

View Article and Full-Text PDF

COVID-19 Pneumonia or Hypereosinophilic Syndrome?

J Med Cases 2020 Dec 21;11(12):400-402. Epub 2020 Oct 21.

Deparment of Internal Medicine and Hematology, Liv Hospital ULUS, Istanbul, Turkey.

Hypereosinophilic syndromes (HESs) are a group of disorders characterized by pathological proliferation of eosinophils. Diagnostic criteria include eosinophil count of 1,500/mm or higher, presence of organ involvement and exclusion of other causes of eosinophilia for at least 6 months. A 69-year-old male patient was referred to the pandemic clinic with a preliminary diagnosis of coronavirus disease 2019 (COVID-19) with fever and dyspnea. Read More

View Article and Full-Text PDF
December 2020

Drug interactions detected by a computer-assisted prescription system in primary care patients in Spain: MULTIPAP study.

Eur J Gen Pract 2021 Dec;27(1):90-96

Primary Health Care Center General Ricardos, Madrid, Spain.

Background: Drug interactions increase the risk of treatment failure, intoxication, hospital admissions, consultations and mortality. Computer-assisted prescription systems can help to detect interactions.

Objectives: To describe the drug-drug interaction (DDI) and drug-disease interaction (DdI) prevalence identified by a computer-assisted prescription system in patients with multimorbidity and polypharmacy. Read More

View Article and Full-Text PDF
December 2021

Delayed presentation of an organized chronic intrapericardial hematoma with diastolic dysfunction.

J Card Surg 2021 May 12. Epub 2021 May 12.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

We describe the case of a 45-year-old man, with a history of blunt trauma to the chest 2 years back, presenting with diastolic dysfunction secondary to the development of a large, organized, intrapericardial hematoma. The case highlights the possibility of extremely delayed presentation in such cases and the importance of cardiac magnetic resonance imaging in making an accurate preoperative diagnosis and guiding optimal management strategies. Read More

View Article and Full-Text PDF

ST-segment elevation myocardial infarction with normal coronary arteries secondary to anterior communicating cerebral artery aneurysmal rupture: a case report.

Eur Heart J Case Rep 2021 May 5;5(5):ytab168. Epub 2021 May 5.

Department of Cardiology, Kettering General Hospital, NHS, Rothwell Road, Kettering, NN16 8UZ, UK.

Background: Myocardial infarction (MI) with non-obstructive coronary arteries presenting with ST-segment elevation can be challenging. Understanding the cardiac and non-cardiac causes aid in identifying the underlying diagnosis and deciding on the management. Neurological insult resulting in a mismatch of oxygen supply or demand to cardiomyocytes can lead to type 2 MI. Read More

View Article and Full-Text PDF

Impact of Postshock Transcutaneous Pacing on Chest Compression Quality during Resuscitation: A Simulation-Based Pilot Study.

Emerg Med Int 2021 22;2021:5584632. Epub 2021 Apr 22.

Department of Medical Rescue, Poznan University of Medical Sciences, 7 Rokietnicka Street, Poznan 60-608, Poland.

Background: Successful defibrillation is commonly followed by a transient nonperfusing state. To provide perfusion in this stagnant phase, chest compressions are recommended irrespective of arrhythmia termination. Implantable cardioverters-defibrillators (ICD) used immediately after delivery of the shock are capable of pacing the heart, and this feature is commonly activated in these devices. Read More

View Article and Full-Text PDF

Complete atrioventricular block due to ingestion of Visine eye drops.

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, Michigan, USA.

Visine eye drops are a commonly used topical drug for irritation of the eye. The active component in Visine eye drops is tetrahydrozoline. Tetrahydrozoline is an imidazoline derivative found in several ophthalmic and nasal decongestants. Read More

View Article and Full-Text PDF

Procedural and 1-year outcomes following large vessel coronary artery perforation treated by covered stents implantation: Multicentre CRACK registry.

PLoS One 2021 12;16(5):e0249698. Epub 2021 May 12.

Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.

Background: Data regarding the clinical outcomes of covered stents (CSs) used to seal coronary artery perforations (CAPs) in the all-comer population are scarce. The aim of the CRACK Registry was to evaluate the procedural, 30-days and 1-year outcomes after CAP treated by CS implantation.

Methods: This multicenter all-comer registry included data of consecutive patients with CAP treated by CS implantation. Read More

View Article and Full-Text PDF