2010 and Stenosis - Cardiovascular Update

Bacteraemia and infective endocarditis after transcatheter aortic valve replacement: prevention is the key

Heart BMJ

APRIL 10, 2025

Since the first implementation in 2002 by Alain Cribier, transcatheter aortic valve replacement (TAVR) has become a standard procedure for high-risk and elderly patients with severe aortic valve stenosis. Recently, the use of TAVR has expanded to relatively younger patients with low to moderate surgical risk.

Aortic valve

Aortic valve Aortic TAVR Stenosis

Expansion of Transcatheter Aortic Valve Implantation and Mortality due to Aortic Stenosis Between 2010 and 2019

Circulation: Cardiovascular Interventions

NOVEMBER 9, 2023

Circulation: Cardiovascular Interventions, Ahead of Print.

Aortic valve

Aortic valve Aortic Cardiovascular Interventions Stenosis

Role of lipoprotein(a) concentrations in bioprosthetic aortic valve degeneration

Heart BMJ

JANUARY 29, 2024

Objectives Lipoprotein(a) (Lp(a)) is associated with an increased incidence of native aortic stenosis, which shares similar pathological mechanisms with bioprosthetic aortic valve (bAV) degeneration. However, evidence regarding the role of Lp(a) concentrations in bAV degeneration is lacking.

Aortic valve

Aortic valve Aortic Stenosis Risk Factors

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

All About Cardiovascular System and Disorders

APRIL 21, 2024

Coronary angiography gives a visual impression about the severity of the stenosis. But it need not imply the actual functional significance of the stenosis in terms of flow physiology. A downside of the study was that it had included lesions of 50 to 79% stenosis also. identified physiologically significant stenosis.

Myocardial Infarction

Myocardial Infarction Stent Stents Coronary Artery Disease

Abstract TMP70: Association of Distal Hyperintense Vessel Sign and Outcomes in Patients With Symptomatic Posterior Circulation Intracranial Atherosclerotic Disease

Stroke Journal

FEBRUARY 1, 2024

Patients were included if they met VERiTAS criteria (≥50% vertebrobasilar stenosis). The DHV sign was defined as positive when the increased intensity in the basilar artery distal to stenosis was higher than the surrounding CSF signal. The DHV sign was evaluated by blinded vascular neurologists and neuro-radiologists.

Circulation

Circulation Outcomes Stenosis Stroke

Temporal Trend in Revascularization for Patients With Ischemic Cardiomyopathy and Multivessel Coronary Artery Disease

Journal of the American Heart Association

JANUARY 19, 2024

The PCI trend remained unchanged from 2007 to 2010 and then increased significantly (annual percentage change, 3.2%;P=0.02). A decline in CABG procedures was observed from 2007 to 2011 (annual percentage change, −11.5%;P=0.003), P=0.003), followed by stabilization.

Coronary Artery Disease

Coronary Artery Disease Coronary Artery Bypass Graft Cardiomyopathy Stenosis

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Dr. Smith's ECG Blog

APRIL 24, 2015

The estimated left ventricular ejection fraction is 58 % Aortic stenosis, mild, 9.0 Academic Emergency Medicine 17(s1):S194; May 2010 The patient thus did not need immediate angiography. An echocardiogram showed: Left ventricular hypertrophy concentric. mmHg mean gradient. cm^2 valve area.

Cardiac Arrest

Cardiac Arrest Defibrillator Atrial Fibrillation Ischemia

Guidelines would (erroneously) say that this patient who was defibrillated and resuscitated does not need emergent angiography

Dr. Smith's ECG Blog

JUNE 27, 2024

First high sensitivity troponin I = 4 ng/L (nearly below the limit of detection) Angiogram: --Culprit is 99 % stenosis in the proximal ostial LAD --LCX is a large OM with a large lateral segment, the lateral segement has a diffuse 90% disease in the ostial proximal segment of it. This is FAR LESS than all other studies of shockable arrest.

Defibrillator

Defibrillator Cardiac Arrest STEMI Chest Pain

A NOTIONal truth : Surgical AVR deteriorates faster than TAVI, for some mysterious reasons!

Dr. S. Venkatesan MD

FEBRUARY 9, 2024

Because it was done in 2010-2013. As a cardiologist, very soon we will be allowed legally to choose TAVI even in more younger , low risk cohort of Aortic stenosis without co-morbid conditions. No doubt ,the Aortic interventional world is applauding and everyone is joining the party. Now, some academic queries ?

Aortic valve

Aortic valve Aortic Academic Physiology

Doctor, should we activate the hospital's "STEMI alert"?

Dr. Smith's ECG Blog

MAY 2, 2019

This is essentially pathognomonic for Occlusion MI of the anterior and apical walls (de Winter pattern more likely represents ~99% thrombotic stenosis with just a trickle of flow, but essentially the same overall event, with progression to full occlusion extremely likely).

STEMI

STEMI Hospital Chest Pain Myocardial Infarction

A "normal ECG" on a busy night

Dr. Smith's ECG Blog

OCTOBER 6, 2018

The American Journal of Cardiology 2010 1,500 consecutive patients with complete occlusion or near occlusion (greater than 90% stenosis with TIMI less than 3) were identified post-hoc from a prospective PCI database. Acute myocardial infarction due to left circumflex artery occlusion and significance of ST-segment elevation.

Chest Pain

Chest Pain STEMI Myocardial Infarction Coronary Artery Disease

Incidence, outcomes and predictors of bleeding after transfemoral TAVR

Cardiology Update

JANUARY 31, 2024

Transcatheter aortic valve replacement (TAVR) has emerged as the preferred treatment for older patients suffering from severe aortic valve stenosis, surpassing the annual patient count of those opting for surgical aortic valve replacement. in 2007-2010 to 5.5% Major bleeding rates decreased from 11.5% in 2019-2022. 1.72; P = 0.002).

TAVR

TAVR Aortic valve Outcomes Aortic

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. in 2010 EM Clinics of North America (full text link) For an Exhaustive Review of Syncope and its full management outside the ED environment, go to the 2009 European Society of Cardiology Guidelines (full text pdf).

Arrhythmia

Arrhythmia Outcomes Chest Pain Risk Factors

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Bacteraemia and infective endocarditis after transcatheter aortic valve replacement: prevention is the key

Expansion of Transcatheter Aortic Valve Implantation and Mortality due to Aortic Stenosis Between 2010 and 2019

Role of lipoprotein(a) concentrations in bioprosthetic aortic valve degeneration

Webinars

Fractional flow reserve for guiding coronary intervention and functional SYNTAX score

Abstract TMP70: Association of Distal Hyperintense Vessel Sign and Outcomes in Patients With Symptomatic Posterior Circulation Intracranial Atherosclerotic Disease

Temporal Trend in Revascularization for Patients With Ischemic Cardiomyopathy and Multivessel Coronary Artery Disease

Cardiac arrest, defibrillated, diffuse ST depression and ST Elevation in aVR. Why?

Guidelines would (erroneously) say that this patient who was defibrillated and resuscitated does not need emergent angiography

A NOTIONal truth : Surgical AVR deteriorates faster than TAVI, for some mysterious reasons!

Doctor, should we activate the hospital's "STEMI alert"?

A "normal ECG" on a busy night

Incidence, outcomes and predictors of bleeding after transfemoral TAVR

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Published Research

Published Research

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