American College of Cardiology

AUGUST 5, 2024

What is the impact and prognostic value of the new 2022 European guideline definition of post-capillary pulmonary hypertension (pcPH) in heart failure (HF), which lowered the level of mean pulmonary artery pressure (mPAP) and pulmonary vascular resistance (PVR)?

Pulmonary 53

Pulmonary Heart Failure Hypertension Article 53

Heart BMJ

DECEMBER 15, 2023

Pulmonary hypertension (PH) is a complex and progressive disorder characterised by elevated pulmonary artery pressure. In 2022, the most recent update of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS) guidelines for PH presented a redefinition of the haemodynamic criteria for its diagnosis.

Aortic valve 40

Aortic valve Pulmonary Aortic Quality of Life 40

DAIC

JULY 17, 2024

a company focused on cellular and cell-derived therapeutics for the treatment of cardiovascular and pulmonary diseases announced that the Unites States Patent Office has granted Patent No: 12,036,371 titled “Method of Accessing the Left Atrium with a Multi-Directional Steerable Catheter,” with a patent term that will expire in 2035.

Myocardial Infarction 105

Myocardial Infarction Atrial Fibrillation Technology Angina 105

Journal of the American Heart Association

DECEMBER 29, 2023

We aimed to determine possible echocardiographic parameters to predict the presence of PH in patients with HFpEFMethods and ResultsA total of 113 patients with HFpEF were prospectively enrolled from November 2017 to July 2022. TAPSE/PASP and TAS’/PASP can be useful parameters to detect PH in patients with HFpEF.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Pulmonary Heart Failure Hypertension 40

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

In patients with narrow QRS ( not this patient), this pattern is highly suggestive of acute pulmonary embolism. Although it was technically difficult and the quality therefore leaves a lot to be desired, you can still make out RV dilation and septal flattening which is much more suggestive of pulmonary embolism than OMI.

Cardiogenic Shock 128

Cardiogenic Shock Ultrasound Tachycardia Pulmonary 128

Circulation

NOVEMBER 11, 2024

Pulmonary vein thrombi (PVTs) are common and are underestimated. In 2022, we reported that 98.6% In 2022, we reported that 98.6% Background:Retrieved thrombus studies have shown that retrieved thrombi have calcifications, indicating that the thrombi are old. Patients with type 2 diabetes mellitus (T2DM) must have PVTs.

Pulmonary 45

Pulmonary Diabetes Atrial Fibrillation Hypertension 45

European Journal of Heart Failure

DECEMBER 13, 2023

Patients with significant pulmonary oedema or aortic valve (AV) closure during venoarterial extracorporeal membrane oxygenation (VA-ECMO) were randomized to early left ventricular (LV) unloading or conventional strategy groups (1:1). The primary endpoint was the rate of weaning from VA-ECMO during index admission. vs. 1.7 ± 0.6

Aortic valve 75

Aortic valve Cardiac Arrest Heart Transplant Pulmonary 75

Journal of Cardiothoracic Surgery

OCTOBER 28, 2024

In this retrospective study, a total of 103 patients with lung cancer who received outpatient or inpatient treatment from December 2020 to May 2022 were selected and divided into the lobectomy group (n = 48) and the segmentectomy group (n = 55) according to different surgical methods.

Quality of Life 105

Quality of Life Cancer Outpatient Inpatient 105

EMS 12-Lead

MARCH 30, 2024

The receiving staff suspects pulmonary embolism due to S1Q3T3 on the ECG and administers TPA. The patient did have massive pulmonary emboli, but he also had profound intraventricular and subarachnoid hemorrhages. On ED arrival ROSC is achieved. The patient was ultimately discharged with a poor neurologic outcome.

Cardiac Arrest 124

Cardiac Arrest Pacemaker Pulmonary Bradycardia 124

Circulation

NOVEMBER 11, 2024

Introduction:The demographics of patients with pulmonary arterial hypertension (PAH) is shifting towards older age, increased comorbidity burden, and an increase in the risk of left ventricular (LV) diastolic dysfunction. 2022 were included. Circulation, Volume 150, Issue Suppl_1 , Page A4146852-A4146852, November 12, 2024.

Pulmonary 40

Pulmonary Hypertension Preserved Ejection Fraction Outcomes 40

Circulation

NOVEMBER 11, 2024

Animal studies have shown that mice with TBX1 gene mutations have smaller left pulmonary arteries compared to wild type mice, defined by a reduced left pulmonary artery (LPA) to right pulmonary artery (RPA) ratio. A single study has shown this translates to humans with 22q11 and structurally normal hearts.

Pulmonary 40

Pulmonary Risk Factors Heart Disease Echocardiogram 40

Dr. Smith's ECG Blog

OCTOBER 23, 2023

2022 Jul;27(4):e12939. Epub 2022 Feb 11. I last reviewed the phenomenon of electrical alternans in My Comment at the bottom of the page in the November 28, 2022 post of Dr. Smith's ECG Blog. Prolonged ST segment and T-wave alternans with torsade de pointes secondary to hypocalcemia due to hypoparathyroidism: A case report.

Tachycardia 131

Tachycardia Cardiac Arrest ICU Blog 131

Dr. Smith's ECG Blog

JANUARY 8, 2024

Smith interpretation: This is highly likely to be due to extreme right heart strain and is nearly diagnostic of pulmonary embolism. It is of course pulmonary embolism. No d-dimer or CT pulmonary angiogram was done when they discovered that she had normal coronary arteries. What is the clear diagnosis and reason for arrest?

Chest Pain 71

Chest Pain Pulmonary Embolism STEMI 71

Open Heart

DECEMBER 18, 2024

Introduction Pulsed-field ablation (PFA) is a novel modality for pulmonary vein isolation in patients with atrial fibrillation (AF). In first-time ablation cases, acute isolation of all pulmonary veins was achieved in 99.5% Results 1034 procedures were submitted. The patients were 32.1% female, mean age 63.8±10.7 of patients.

Atrial Fibrillation 52

Atrial Fibrillation Ablation Pulmonary Arrhythmia 52

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Retrieved July 2, 2022, from [link] Moyé, D. Retrieved July 2, 2022, from [link] Sybrandy, K. Retrieved July 2, 2022, from [link] == MY Comment , by K EN G RAUER, MD ( 2/4 /2024 ): == Today's case by Dr. Small-but-present initial Q waves are seen in 4/6 chest leads ( ie, in leads V2,V3,V4,V5 — as per the RED arrows in Figure-1 ).

Tachycardia 115

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia 115

Frontiers in Cardiovascular Medicine

FEBRUARY 1, 2024

Phase II and III randomized clinical trials were identified by searching the MEDLINE/PubMed, Cochrane Library and ASCO Meeting abstracts, from inception to June 2022. 1.53), but no significant difference was found for any-grade hypertension, and for vascular events.

Myocardial Infarction 64

Myocardial Infarction Hypertension Embolism Pulmonary 64

Journal of the American Heart Association

DECEMBER 8, 2023

This study reports our experience using the CardioMEMS HF system in adults with Fontan circulation.Methods and ResultsThis single‐center, retrospective study evaluated heart failure hospitalizations, procedural complications, and device‐related complications in patients with Fontan circulation referred for IHM placement (2015–2022).

Circulation 49

Circulation Heart Failure Pulmonary Hospital 49

Frontiers in Cardiovascular Medicine

FEBRUARY 17, 2025

Backgroundwide antral pulmonary vein isolation (PVI) is effective for treating paroxysmal atrial fibrillation (PAF), although time-demanding.

Atrial Fibrillation 52

Atrial Fibrillation Ablation Laboratory Electrophysiology 52

Dr. Smith's ECG Blog

OCTOBER 17, 2024

Smith comment: before reading anything else, this case screamed pulmonary embolism to me. I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram.

Chest Pain 73

Chest Pain STEMI Pulmonary Embolism 73

Circulation

NOVEMBER 8, 2024

The primary outcome was the change in invasively measured pulmonary capillary wedge pressure during mild exercise (25 W) from baseline to week 12. At week 12, the change in 25-W pulmonary capillary wedge pressure was 2.86.8 years; 27% women), 51 (86%) completed all follow-up assessments. mm Hg [95% CI, 0.77.3];P=0.018). P=0.018).

Exercise 49

Exercise Cardiomyopathy Quality of Life Pulmonary 49

Frontiers in Cardiovascular Medicine

FEBRUARY 7, 2024

Methods From January 2019 to September 2022, a total of 354 consecutive patients with NVAF were enrolled in this cross-sectional study at the First Affiliated Hospital of Guangxi Medical University. To identify the optimal predictive features, we employed least absolute shrinkage and selection operator (LASSO) regression.

Atrial Fibrillation 64

Atrial Fibrillation Stroke Strokes Pulmonary 64

Circulation: Cardiovascular Interventions

DECEMBER 28, 2023

BACKGROUND:Maldistribution of pulmonary blood flow in patients with congenital heart disease impacts exertional performance and pulmonary artery growth. Currently, measurement of relative pulmonary perfusion can only be performed outside the catheterization laboratory. Circulation: Cardiovascular Interventions, Ahead of Print.

Catheterization Laboratory 40

Catheterization Laboratory Congenital Heart Disease Laboratory Pulmonary 40

Frontiers in Cardiovascular Medicine

DECEMBER 12, 2024

33 preoperative clinical features and 4 postoperative complications were collected in each group. LASSO is a regression analysis method that performs both variable selection and regularization to enhance model prediction accuracy and interpretability.

Coronary Artery Bypass Graft 52

Coronary Artery Bypass Graft Stroke Strokes Aortic 52

Frontiers in Cardiovascular Medicine

FEBRUARY 29, 2024

Method Between June 2018 and December 2022, 62 patients with type A aortic dissection (TAAD) underwent reoperation after previous surgical treatment. Outcome In the EVAR group, 47 patients (95.92%) were successfully implanted with overlapping stents, and 2 patients died in the perioperative period.

Aortic 49

Aortic Quality of Life Stents Stent 49

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

Methods We retrospectively analysed the data of 377 consecutive patients treated for OHCA using eCPR in our cardiac arrest centre from January 2016 to December 2022. We evaluated the prognostic influence of gender in patients presenting with out-of-hospital cardiac arrest (OHCA) treated with eCPR.

Cardiogenic Shock 64

Cardiogenic Shock Cardiac Arrest BMI Coronary Artery Disease 64

Open Heart

NOVEMBER 28, 2023

Methods MEDLINE and EMBASE were systematically searched up to 4 November 2022. to 10)), pulmonary embolism (24.6 This systematic review and meta-analysis aimed to estimate the causal effects of RTIs on occurrence of cardiovascular diseases in the general population. Evidence was pooled using random-effects models if data allowed.

Myocardial Infarction 52

Myocardial Infarction COVID-19 Cardiovascular Disease Thrombosis 52

DAIC

JULY 25, 2024

In 2022, the American Heart Association report on heart disease statistics estimated that 3 million American adults ages 20 and older have heart failure of reduced ejection fraction with a prevalence expected to increase to more than 4 million people by 2030. mtaschetta-millane Thu, 07/25/2024 - 09:08 July 25, 2024 — BioCardia, Inc. ,

Heart Failure 111

Heart Failure Quality of Life CMS Reimbursement 111

Heart BMJ

DECEMBER 20, 2023

Methods From January 2003 to June 2022, consecutive patients with liver metastases of midgut NETs and severe CHD (severe valve disease with symptoms and/or right ventricular enlargement) were included at Beaujon and Bichat hospitals. Epicardial pacemakers were systematically implanted in operated patients and 25% were permanently paced.

Heart Disease 40

Heart Disease Tricuspid Outcomes Heart Failure 40

Wellnest

JANUARY 24, 2024

Unlike traditional approaches relying on non-viable cadaver grafts, this procedure involved the transplantation of a portion of the heart, specifically containing the aorta and pulmonary valves, sourced from an infant donor upon cardiac death. Finally, the pulmonary root was transplanted, completing the intricate procedure.

Heart Transplant 52

Heart Transplant Transplant Pediatrics Congenital 52

European Journal of Heart Failure

DECEMBER 2, 2024

CI, cardiac index; Ees, ventricular elastance; Ea, arterial elastance; MPAP, mean pulmonary arterial pressure; PP, pulse pressure; RV, Right ventricular; RVFWSL, RV free wall strain; RVSP, right ventricular systolic pressure; SPAP, systolic pulmonary arterial pressure; TAPSE, tricuspid annular plane systolic excursion.

Tricuspid 40

Tricuspid Heart Failure Pulmonary Hospital 40

Dr. Smith's ECG Blog

OCTOBER 10, 2022

The morphology of V2-V4 is very specific in my experience for acute right heart strain (which has many potential etiologies, but none more common and important in EM than acute pulmonary embolism). CT angiogram showed extensive saddle pulmonary embolism. He had multiple cardiac arrests with ROSC regained each time. This is a quiz.

Cardiac Arrest 52

Cardiac Arrest Chest Pain Embolism Pulmonary 52

Journal of the American Heart Association

FEBRUARY 26, 2025

Stenotic lesions included 16 branch pulmonary arteries, 9 aortic isthmus, 2 right ventricular outflow tracts, and 1 Glenn anastomosis. Stent performance was assessed.ResultsWe identified 28 patients (67.8% male) with median age and weight of 3.4 years (interquartile range [IQR], 1.55.5) kg (IQR, 9.116.4).

Stents 45

Stents Stent Stenosis Congenital 45

European Journal of Heart Failure

DECEMBER 13, 2023

6MWD, 6-min walk distance; CI, cardiac index; CPI, cardiac power index; LVEF, left ventricular ejection fraction; PA, pulmonary artery; PCW, pulmonary capillary wedge; RA, right atrial; TAPSE, tricuspid annular plane systolic excursion; TSAT, transferrin saturation; VO 2 , oxygen consumption.

Heart Failure 40

Heart Failure Heart Transplant Transplant Tricuspid 40

BoardVitals - Cardiovascular

MAY 15, 2022

In early 2022, the ABIM updated its fee structure to help physicians pay less over time to maintain their certifications. Pulmonary Circulation Disorders 3% Systemic Disorders Affecting the Circulatory System 7% How is the exam scored? The Cardiology MOC exam will be offered on April 3, 2023, and October 11, 2023.

Certification 52

Certification Congenital Heart Disease Coronary Artery Disease Cardiovascular Disease 52

Journal of Cardiovascular Electrophysiology

JANUARY 28, 2024

Methods and Results Patients with symptomatic, drug-resistant paroxysmal AF for first ablation were prospectively enrolled from September 2020 to January 2022. First-pass isolation, acute pulmonary vein (PV) reconnections, 1-year arrhythmia recurrence, and major complications were assessed.

Atrial Fibrillation 40

Atrial Fibrillation Ablation Arrhythmia Pulmonary 40

Dr. Smith's ECG Blog

MARCH 4, 2023

The ECG is rather classic for pulmonary embolism, and indeed this was a large acute PE. More on the ECG in pulmonary embolism: The ECG in this patient has both precordial T-wave inversions AND T-wave inversion in lead III. this is highly suggestive of pulmonary embolism. This is a classic S1Q3T3. Most S1Q3T3 is not due to PE.

Chest Pain 52

Chest Pain Embolism Tachycardia Pulmonary 52

Dr. S. Venkatesan MD

DECEMBER 29, 2023

A subset of NSTEMI precipitated by acute severe HT and flash pulmonary edema has excellent prognosis if BP is reduced promptly. 2022 Jun 20;11(12):3558. SCAI 2022 consensus update. Global ST depression (AVR.V1 might show little elevation with considerable overlap of left main STEMI vs NSTEMI ) 2.Onset Reference 1.Martínez

Cardiogenic Shock 52

Cardiogenic Shock STEMI Myocardial Infarction Document 52