Cardiology Update

JANUARY 28, 2024

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.

TAVR 115

TAVR Aortic valve Outcomes Coronary Artery Disease 115

Open Heart

OCTOBER 27, 2023

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.

Aortic valve 40

Aortic valve Aortic Outcomes 40

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 13, 2023

The primary outcome was a composite of all-cause mortality or hospital readmission within 1 year.

TAVR 40

TAVR Aortic valve Aortic Outcomes 40

Heart BMJ

NOVEMBER 27, 2023

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.

COVID-19 52

COVID-19 Sudden Cardiac Death Aortic Atrial Fibrillation 52

Journal of the American Heart Association

DECEMBER 1, 2023

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.

Cardiogenic Shock 40

Cardiogenic Shock Outcomes Aortic Hospital 40

Open Heart

SEPTEMBER 4, 2023

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.

Heart Valves 52

Heart Valves Aortic valve Aortic Outpatient 52

Open Heart

SEPTEMBER 7, 2022

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.

Atrial Fibrillation 52

Atrial Fibrillation Aortic valve TAVR Aortic 52

Frontiers in Cardiovascular Medicine

JULY 5, 2024

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 (..)

Aortic valve 52

Aortic valve Hospital Aortic 52

Dr. S. Venkatesan MD

JULY 1, 2024

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.

Cardiomyopathy 52

Cardiomyopathy Aortic valve Aortic Blood Pressure 52

Journal of the American Heart Association

DECEMBER 29, 2023

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)

Bicuspid/Mitral 45

Bicuspid/Mitral Aortic Hospital Outcomes 45

Society of Thoracic Surgeons - Technology

OCTOBER 21, 2021

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.

Technology 40

Technology Coronary Artery Bypass Graft Cardiothoracic Aortic valve 40

Dr. Smith's ECG Blog

DECEMBER 24, 2023

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?

Atrial Flutter 128

Atrial Flutter Blog Aortic Aortic valve 128

Society of Thoracic Surgeons - Technology

JANUARY 19, 2022

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.

Cardiothoracic 52

Cardiothoracic Heart Transplant Allied Health Education 52

Circulation

DECEMBER 12, 2023

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);

Aortic 45

Aortic Quality of Life Outcomes Circulation 45

Dr. Smith's ECG Blog

JANUARY 3, 2022

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.

STEMI 52

STEMI Myocardial Infarction Chest Pain Ischemia 52

Circulation: Arrhythmia and Electrophysiology

JANUARY 30, 2024

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.

Aortic valve 40

Aortic valve TAVR Aortic Outcomes 40

Dr. Smith's ECG Blog

MARCH 6, 2023

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.

Chest Pain 52

Chest Pain STEMI Stenosis Blog 52

Dr. Smith's ECG Blog

DECEMBER 22, 2022

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.

STEMI 52

STEMI Chest Pain Myocardial Infarction Electrocardiogram 52

DAIC

JUNE 19, 2024

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.,

AFIB 105

AFIB Reimbursement Research Atrial Fibrillation 105

Cardiology Update

FEBRUARY 6, 2024

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.

TAVR 111

TAVR Strokes Stroke Aortic valve 111

DAIC

JANUARY 23, 2024

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

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Paddy Barrett

SEPTEMBER 12, 2023

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.

Cholesterol 52

Cholesterol Coronary Artery Disease Heart Disease Cardiovascular Disease 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

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 (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

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 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Frontiers in Cardiovascular Medicine

JANUARY 14, 2024

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.

Aortic valve 111

Aortic valve Aortic Pacemaker Stenosis 111