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Aortic coarctation (AoC) is a common congenital heart defect, affecting 5%8% of patients with structural congenital anomalies. Despite advances in surgical and percutaneous interventions, hypertension remains a significant complication in AoC patients, even after successful repair.
Common predictors include older age, prior hypertension, diabetes and atrial fibrillation. Heart failure (HF) is one of the significant complications in patients with myocardial infarction (MI), leading to increased risk for cardiovascular morbidity and mortality. HFrEF is more commonly.
A 35-year-old man received an incidental diagnosis of hypertension during a routine medical assessment. Computed tomographic angiography revealed aortic coarctation.
Written by Willy Frick A 67 year old man with a history of hypertension presented with three days of chest pain radiating to his back. Due to the chest pain radiating into the patient's back, the ER physician ordered CTA chest to rule out aortic dissection. He had associated nausea, vomiting, and dyspnea. What do you think?
Bioprosthetic patients also had higher rates of hypertension (78.7% However, bioprosthetic recipients had severe aortic insufficiency less often (15.3% Patients receiving bioprosthetic valves tended to be older (65.2 They also often had lower BMI (31.0 vs 71.8%) or prior PCI (6.7
Complex cases included patients with large defects (25mm), multiple or fenestrated ASDs, deficient posterior-inferior rim <3mm, deficient retro-aortic rim <5mm, pulmonary hypertension, septal malalignment, and pregnancy. Patients were categorized into two groups based on the complexity of their cases (simple vs. complex ASD cases).
Among Medtronic's Structural Heart and Aortic key data milestones,Dr. The presentation addressed the two-year results of the SMall Annuli Randomized To Evolut or SAPIENTrial, which evaluated a valve performance in individuals with aortic stenosiswith small aortic annulusin patients treated with either EvolutTAVR platform or SAPIENplatform.
Contributing factors may include infection, hypertension, aortic wall weakness, and turbulent blood flow at the rep. Pseudoaneurysm after coarctation of the aorta (CoA) repair is a rare but severe complication.
BackgroundMean aortic pressure (MAP) plays a pivotal role in both cardiovascular dynamics and the noninvasive estimation of systolic aortic pressure. MAP can be estimated by adding a fraction of the pulse pressure (PP) to the diastolic aortic pressure, known as the form factor (FF=100[MAPdiastolic aortic pressure]/PP).
Background Aortic coarctation (CoA) is a congenital anomaly leading to upper-body hypertension and lower-body hypotension. Despite surgical or interventional treatment, arterial hypertension may develop and contribute to morbidity and mortality. years, with all patients having undergone previous aortic surgery or intervention.
Myh11R247C/R247C aortas have aberrant smooth muscle contractile unit-elastin connections by transmission electron microscopy, along with increased focal adhesion signaling at baseline, which further increases with hypertension.ConclusionGene-environment interactions trigger aortic dissections in Myh11R247C/R247C mice.
The incidence of aortic dissection (AD) is steadily increasing, driven by the rising prevalence of chronic conditions such as hypertension and the global aging of the population. Oxidative stress emerges as a pivotal pathophysiological mechanism contributing to the progression of AD.
Objective A novel artificial intelligence-based phenotyping approach to stratify patients with severe aortic stenosis (AS) prior to transcatheter aortic valve replacement (TAVR) has been proposed, based on echocardiographic and haemodynamic data.
Partial- or total loss of Sca-1 expression exacerbated aortic GFP+CD31-CD45-cell expansion, compared to Sca1GFP [Sca1KI-/-32±7-fold change of vehiclevs.Sca1KI+/-39±9vs.Sca1GFP 5±1; n=11-13/group; p<0.0001], suggesting disinhibited progenitor responses. Partial- or total loss of Sca-1 worsened aortic dilation [Sca1KI-/-1.25±0.06
Introduction Compared with first-line antihypertensives, beta-blockers (BB) have been reported to lower the central aortic blood pressure suboptimally and are associated with increased stroke risk. This observation has not been investigated in hypertensives of African ancestry. 3.00; P < 0.001) in hypertensive Africans.
In the present case, a 76-year-old hypertensive woman was admitted with dizziness and diagnosed with an unruptured bronchial artery aneurysm, which was treated by transcatheter arterial embolization and aortic stent-graft. However, conventional surgical and transcatheter arterial embolization treatments are less effective.
Hypertension, Volume 80, Issue 12 , Page 2650-2664, December 1, 2023. BACKGROUND:Inflammation plays a critical role in the development of hypertension and vascular remodeling. Moreover, RvE1 reduced the aortic infiltration of macrophages and T cells, which was also reversed by ChemR23 knockdown.
Hypertension, Ahead of Print. BACKGROUND:The pathophysiology of familial thoracic aortic aneurysm and dissection (TAAD) is linked to genetic variants that affect aortic components. These findings establish a genetic link between systolic hypertension and TAAD.
BackgroundProtruding aortic plaque is known to be associated with an increased risk for future cardiac and cerebrovascular events. Coronary plaque characteristics were compared to evaluate coronary plaque vulnerability in patients with protruding aortic plaque on computed tomography angiography.
BackgroundThis Mendelian randomization (MR) study aimed to explore the causal relationship between the genetic predisposition to type 2 diabetes mellitus (T2DM) and aortic dissection (AD), and to assess associations with genetically predicted glycemic traits. For AD data, FinnGen Release 10 was used, including 967 cases and 381,977 controls.
BackgroundAbdominal aortic aneurysm (AAA) is a severe aortic disease for which no pharmacological interventions have yet been developed. Journal of the American Heart Association, Ahead of Print. Colocalization analysis pinpointed 13 proteins with strong evidence of colocalization with AAA.
Objective The European Society of Cardiology guidelines have recently defined new cut-offs for pulmonary hypertension (PH) and pulmonary vasculature resistance (PVR; median pulmonary artery pressure (mPAP) >20 instead of 25 mm Hg and PVR >2 instead of 3 Wood unit).
Hypertension, Ahead of Print. Aortic diseases such as atherosclerosis, aortic aneurysms, and aortic stiffening are significant complications that can have significant impact on end-stage cardiovascular disease.
Hypertension, Ahead of Print. BACKGROUND:Hypertension is one of the main risk factors for dementia and cognitive impairment.METHODS:We used the model of transverse aortic constriction to induce chronic pressure overload in mice. We characterized brain injury by advanced translational applications of magnetic resonance imaging.
A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.
The patient had pregnancy-induced hypertension and hypothyroidism and was treated accordingly. The patient was managed medically and was referred to us in view of worsening symptoms with severe left ventricular dysfunction and moderate aortic regurgitation. The renal and carotid Doppler tests were normal.
Pulmonary hypertension patients who undergo transcatheter aortic valve replacement are at a higher risk for mortality than those without pulmonary hypertension, according to a recent study.
Among all covariates, claims algorithms for covariates had sensitivities 85% for identifying diabetes, atrial flutter/fibrillation, and hypertension in MA and FFS. The kappa was higher in MA versus FFS for diabetes (P=0.03) and hypertension (P=0.025) but was lower in myocardial infarction (P<0.0001).
Pulmonary hypertension (PH) is a complex and progressive disorder characterised by elevated pulmonary artery pressure. Transcatheter aortic valve implantation (TAVI) is a minimally invasive surgical procedure that has revolutionised the treatment of severe aortic stenosis (AS).
(MedPage Today) -- LONDON -- A set of new European guidelines streamlined recommendations for atrial fibrillation (Afib), chronic coronary disease, peripheral artery disease (PAD) and aortic disease, and hypertension, with an emphasis on shared.
Hypertension, Volume 80, Issue 12 , Page 2627-2640, December 1, 2023. BACKGROUND:Endothelial dysfunction plays a crucial role in aortic remodeling. Aerobic glycolysis and endothelial-to-mesenchymal transition (EndoMT) have, respectively, been suggested to contribute to endothelial dysfunction in many cardiovascular diseases.
Background:Primary pulmonary arterial hypertension (PAH) is a disease affecting young subjects. Circulation, Volume 150, Issue Suppl_1 , Page A4117657-A4117657, November 12, 2024. It has very poor prognosis and optimal treatment is not available. Litter-mate controls (7 WT and 13 KO) were subjected to normoxia (room air, 21% O2).
Hypertension, Ahead of Print. BACKGROUND:Wave separation analysis enables individualized evaluation of the aortic pulse wave components. Previous studies focused on the pressure height with overall positive but differing results.
Bar plots: in red, patients with low flow-low gradient (LF-LG) aortic stenosis; in blue, patients with normal flow-high gradient (HG) aortic stenosis; in black: controls. Aim Cardiac remodelling plays a major role in the prognosis of patients with aortic stenosis (AS) and could impact the benefits of aortic valve replacement.
24: Joint American College of Cardiology/Journal of the American College of Cardiology Late-Breaking Clinical Trials (Session 402) Saturday, April 6 9:30 – 10:30 a.m.
Hypertension, Ahead of Print. BACKGROUND:Adrenomedullin 2 (AM2) plays critical roles in regulating blood pressure and fluid balance. Comprehensive cardiac morphology, function, histology, and transcriptome/metabolome analyses were conducted.
Hypertension, Ahead of Print. BACKGROUND:Recent studies show that hyperactivation of mTOR (mammalian target of rapamycin) signaling plays a causal role in the development of thoracic aortic aneurysm and dissection. Echocardiography was performed to monitor the growth of the aortic root and ascending aorta.
This is the aortic knuckle. It can occur in severe pulmonary hypertension, there can be right atrial enlargement, as the severe hypertrophy of the right ventricle causes elevation of right ventricular end diastolic pressure, and later on right atrial enlargement. It is not visible here. And you are seeing some end on views probably.
I've previously discussed the interesting correlation of a qR pattern in lead V1 in patients with RVH — as strongly suggesting associated pulmonary hypertension ( See ECG Blog #234 and Blog #248 ). The plan was to proceed as soon as possible with aortic valve replacement. Then there is the significant ST elevation we see in lead V1.
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. Two other associations provided highly suggestive evidence, including preoperative hypertension and neutrophil/lymphocyte ratio.
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