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Background Acute aortic dissection (AD) in pregnancy poses a lethal risk to both mother and fetus. Methods We conducted a retrospective multicentre cohort study including 67 women with acute AD during pregnancy or within 12 weeks postpartum from three major cardiovascular centres in China between 2003 and 2021. to 33.09); p=0.001).
Getty Images milla1cf Mon, 01/29/2024 - 14:24 January 29, 2024 — Despite national guidelines recommending surgical aortic valve replacement (SAVR) for patients under age 65 with severe aortic stenosis , many hospitals are still opting for a nonsurgical approach in patients under 60—possibly with poorer survival rates.
Background Acute Stanford type A aortic dissection (STAAD) is a fatal condition requiring urgent surgical intervention. In this study, we prioritized the reconstruction of aortic arch branches during surgery and investigated the association between prioritizing the branches and the postoperative outcomes of patients with STAAD.
Methods This real-world, multicentre registry included CS patients undergoing percutaneous coronary intervention between 2017 and 2021 in 14 Dutch hospitals. MCS was deployed in 516 patients (23.3%), of which the intra-aortic balloon pump was used most frequently (n=253, 49.0%). years and predominantly male (72.8%, n=1613).
The optimal management of concomitant chronic obstructive coronary artery disease (CAD) in transcatheter aortic valve replacement (TAVR) recipients remains a debated topic. While some advocate for pre-TAVR percutaneous coronary intervention, others adopt an expectant approach.
This study aims to comprehensively analyze the global burden of valvular heart disease.Methods and ResultsUsing the Global Burden of Disease 2021 data, we analyzed the prevalence and disabilityadjusted life years, examining implications across demographics and geographic regions. In 2021, an estimated 54.8 In 2021, an estimated 54.8
Procedure trends certainly suggest that we’ve entered the TAVR era, but a pair of new studies show that surgical aortic valve replacement (SAVR) is a far better option for many younger and healthier patients who are increasingly seen as TAVR candidates. Much of these SAVR declines occurred in patients with tricuspid aortic valves (from 84.5%
Objective The association between a combined anaemia and renal failure index and 1-year prognosis of patients undergoing transcatheter aortic valve implantation (TAVI) is unexplored. Methods A total of 469 consecutive patients undergoing TAVI between 2015 and 2021 were enrolled.
Food and Drug Administration approval of the system in 2021. This significant milestone underscores our unwavering commitment to delivering minimally invasive treatment options with excellent safety and effectiveness to patients and physicians worldwide. CE Mark follows U.S. Harmony TPV U.S.
Over the last two decades, the differentiation of severe from non-severe aortic valve stenosis with echocardiography has become more complex. Low flow can result in low gradient and, thereby, mask severe aortic stenosis. The consideration of flow is now frequently essential to evaluate haemodynamic stenosis severity.
BackgroundIn patients undergoing transcatheter aortic valve replacement (TAVR), the impact of acute kidney injury (AKI) on the prognosis and especially on future kidney function has been sparsely examined, and data from large cohorts are warranted.Methods and ResultsWith Danish nationwide registries, we identified all patients undergoing TAVR from (..)
Objectives This study aimed to evaluate the prognostic value of coronary microvascular dysfunction (CMD) at long term after transcatheter aortic valve implantation (TAVI) and to explore its relationship with extravalvular cardiac damage (EVCD). CMD was defined as IMR angio ≥30 units.
BACKGROUND:Deep hypothermia has been the standard for hypothermic circulatory arrest (HCA) during aortic arch surgery. Circulation, Ahead of Print. However, centers worldwide have shifted toward lesser hypothermia with antegrade cerebral perfusion. Patients were randomized to 1 of 3 hypothermia groups: DP, deep (≤20.0 °C);
Background Studies have found statin treatment to be associated with improved 1-year survival after transcatheter aortic valve implantation (TAVI), suggesting pleiotropic effects of statins on preventing perioperative complications.
Predictive variables were selected based on clinical expertise and prior literature, and a nomogram was developed using LASSO regression and multiple logistic regression.
Methods The Outcomes Registry for Cardiac Conditions in Athletes was a nationwide prospective multicentre observational cohort study that captured testing and outcomes data from 45 institutions (September 2020–June 2021). Athletes with an ECG and transthoracic echocardiogram (TTE) and no pre-existing conditions were included.
Methods Three databases were searched up to June 2021. Only the transfemoral transcatheter aortic valve replacement (TAVR) approach was associated with the prevention of POAF and was supported by convincing evidence from meta-analyses of observational data.
Introduction Severe aortic stenosis is a major cause of morbidity and mortality. The existing treatment pathway for transcatheter aortic valve implantation (TAVI) traditionally relies on tertiary Heart Valve Centre workup. Methods The centre performing local workup implemented a novel TAVI referral pathway.
in the fourth quarter of 2021 (Pfor trend=0.01). After adjusting for the confounders, the risk difference in the fourth quarter of 2021 relative to the first quarter of 2019 for in‐hospital mortality was not significant (adjusted odds ratio, 0.84 [95% CI, 0.69–1.01]).ConclusionsOur The quarterly prevalence and outcomes were reported.
Written by Pendell Meyers A woman in her 20s with connective tissue disorder and history of aortic root and valve repair presented with palpitations. Further history revealed she had new onset atrial flutter soon after her aortic surgery, and was put on flecainide approximately 1 month ago. Here is her triage ECG: What do you think?
An Aortic Impella device, that is distal to the aortic valve and devoid of LV-related issues. 2021 Feb 10;83:1-15. The innovators and engineers of new-age mechanical assist systems could learn a few crucial insights from these unique and humble animal beings. Shall we think about,axial pumps in ascending Aorta in series with LV.
The right TRA was performed as a first-line approach from 2019 to 2021, with the left TRA being used thereafter. The two groups exhibited similar patient characteristics, anatomical factors including aortic arch, and clinical outcomes. Patients who underwent proximal balloon-protected CAS were excluded. years, 83.7%, and 53.5%
years) patients who underwent treatment of PVL at 3 tertiary centers between January 2002 and December 2021 were included. Three hundred cases (89.6%) had mitral PVL, and 35 (10.4%) had aortic PVL. Echocardiographic features, procedure details, and in‐hospital or long‐term outcomes were assessed. Technical (78.9 versus 76.2%;P=0.549)
Thirteen patients (LCBI: 1, CSEP: 12) received circulatory assist devices such as intra-aortic balloon pumping. Of these, 167 experienced fever, underwent blood culture testing, and/or received antibiotics within 6 days of PCI. Of the remaining 11 patients, 10 underwent emergency PCI, and one underwent elective PCI (P=0.0001).
Compared to centralized training approaches, the adoption of FL could negatively impact model performance.AimThis study aimed to evaluate four types of multicenter model development strategies for predicting 30-day mortality for patients undergoing transcatheter aortic valve implantation (TAVI): (1) central, learning one model from a centralized dataset (..)
Patients were selected from the HCA database (Jan 2021-Jul 2023). Patients with documented STEMI, left ventricular thrombus, mechanical mitral or aortic valve replacement were excluded. ICD 10 codes were used to identify patients with documented a fib. Procedure ICD codes were used to identify patients that underwent percutaneous LAAO.
Objectives:The aim of this study was to assess the risk of stroke for temporary mechanical circulatory support (tMCS) device treated acute myocardial infarction (AMI).Background:Data Background:Data are limited regarding risk of stroke for temporary mechanical circulatory support (tMCS) device treated acute myocardial infarction (AMI).Methods:The
For example, we have a lot of meaningful data on outcomes from CABG procedures and transcatheter aortic valve replacement in the short term. This legislation, if passed, would help us see the bigger picture and allow us to design treatment strategies that would offer the best long-term outcomes for our patients,” said Alan M.
An elevated Lp(a) is independently and causally related to early: Coronary artery disease Stroke Peripheral Vascular Disease Aortic Stenosis For a more comprehensive review of what Lp(a) is and why it matters, I have covered this in much more detail here. 2021 Aug 3;78(5):421-433. 2021 Aug 3;78(5):421-433. J Am Coll Cardiol.
The TSF/FFF Fellowship—established in 2021—will help fund international travel and living expenses, allowing the awardees to continue their education outside of their home countries. So if you want to have exposure to something that is brand new, you may have to go to Europe to do that.
Cardiology noted there was no STEMI criteria and the first troponin was in the normal range (25ng/L, with normal <26), so alternate diagnoses were considered and the patient was sent for CT to rule out aortic dissection. non-occlusive ischemia) JAHA 2021 3. -- Meyers HP, Bracey A, Lee D, et al. J of Emerg Med 2021.
Due to the severity of the pain and the high BP, they obtained an aortic dissection CT. especially since this Chest CT was done to rule out aortic dissection ). At this point, the cath lab was activated. It was night time and so it would take a while for the cath team. The radiologist blindly read this as acute transmural MI.
As his pain was very severe, emergency physicians concerned of aortic dissection and ordered a thoracic CT scan. 2021 Sep;49(6):488-500. --In summary, some subtle findings which do not fit into a pattern, therefore may be nonspecific ECG changes which are encountered everyday. Bi-phasic scan showed no dissection or pulmonary embolism.
1,2 ASCVD causes or contributes to conditions that include coronary artery disease (CAD), cerebrovascular disease, and peripheral vascular disease (inclusive of aortic aneurysm).3 2021 Apr 20;77(15):1958-1959]. 4 In the U.S. Roth GA, Mensah GA, Johnson CO, et al. J Am Coll Cardiol. 2020;76(25):2982-3021. doi:10.1016/j.jacc.2020.11.010
Background Treatment of severe aortic stenosis with transcatheter aortic valve implantation (TAVI) was introduced in 2002. Methods This retrospective observational study included 867 patients who underwent TAVI at the University Hospital of North Norway in Tromsø from 2008 to 2021.
Results Overall, the event rate ratios (RRs) for IHD, MI, AF and AAA all fell between 2012 and 2021 after adjustment for age, sex and deprivation. Poisson regressions with robust standard errors were used to examine the relative change in event rates over time, overall and by subgroup.
BackgroundOur aim was to report the functional outcome of Stanford type A aortic dissection (TAAD) after 1 year as well as morbidity and mortality.Methods and ResultsThis is a retrospective analysis including 642 patients with TAAD from January 2005 to December 2021. Journal of the American Heart Association, Ahead of Print.
Within the realm of transcatheter aortic valve replacement (TAVR), stroke emerges as a recognized adverse event, manifesting at various stages during and after the procedure. Between February 2011 and June 2021, 11,957 consecutive TAVR patients (average age 81.8 ± 6.5 female) were included.
BACKGROUND:The incidence and prognosis of right bundle branch block (RBBB) following transcatheter aortic valve replacement (TAVR) are unknown. Circulation: Arrhythmia and Electrophysiology, Ahead of Print. Post-TAVR RBBB was defined as new-onset RBBB in the postimplantation period.
A burgeoning group of vendor-neutral, software-only AI-ECG platform companies has also emerged, including Cardiologs (acquired by Philips in 2021), Cardiomatics (Poland), and Accurkardia (US), whose algorithms can interpret ECG signals from 1-3 lead ambulatory devices up to a traditional 12-lead resting ECG. Active vendors in this space (i.e.,
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 (..)
Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency Coronary Artery Bypass Grafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)
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