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Time to TAVI: streamlining the pathway to treatment

Open Heart

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.

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A woman in her 50s with multiple episodes of syncope

Dr. Smith's ECG Blog

She was discharged with plan for outpatient cardiac MRI for further evalution. The echocardiogram showed a normal EF without any abnormalities. Troponins were all negative. There was no apparent reversible cause found for the worsening heart block. Here is her ECG prior to discharge: This shows a ventricularly paced rhythm.

Blog 120
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Reinterventions in patients with congenital aortic stenosis and a commissurotomy

Open Heart

Background In congenital aortic stenosis (CAS), commissurotomy is an option in patients not suitable to receive a valve prosthesis. However, there is often a need for future additional interventions on the aortic valve. The fate of the aortic valve is, however, essentially unknown.

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Temporal trends of aortic stenosis and comorbid chronic kidney disease in the province of Quebec, Canada

Open Heart

Objective To investigate temporal trends of chronic kidney disease (CKD) among patients with incident aortic stenosis (AS) and to compare these trends with that of a matched control population. Dialysis subgroup had at least two outpatient billing codes of dialysis. Three subgroups were considered.

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Telemedical management in patients waiting for transcatheter aortic valve implantation: the ResKriVer-TAVI study design

Frontiers in Cardiovascular Medicine

Aims The majority of patients with severe aortic stenosis (AS) planned for transcatheter aortic valve implantation (TAVI) are elective outpatients. During the COVID-19 pandemic, the time between the heart team’s decision and TAVI increased due to limited healthcare resources.

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Abstract TP29: Cognitive Impairment in Patients with Comorbid Carotid Stenosis and Cardiac Disease

Stroke Journal

Background:Previous reports have established a relationship between asymptomatic high-grade carotid artery stenosis (CAS) and impaired cognition. Conclusion:Cardiac disease is common among patients with asymptomatic high-grade carotid stenosis and may have a synergistic effect on impairments in memory in a manner not mediated by stroke.

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Abstract 4134483: How succesfully can we presribe the 'four pillars' of medications for patients with heart failure with reduced LV systolic function?

Circulation

Reasons for not prescibing or discontinuing were: CKD 6, severe aortic stenosis 5, asthma 3, symptomatic bradycardia 5, hypotension 3, type1 diabetes 2, syncope 1, Raynauds 1, patient choice 8 and 6 patients died before all appropriate medications could be initiated.