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Introduction Severe aorticstenosis 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.
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.
Background In congenital aorticstenosis (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.
Objective To investigate temporal trends of chronic kidney disease (CKD) among patients with incident aorticstenosis (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.
Aims The majority of patients with severe aorticstenosis (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.
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.
Reasons for not prescibing or discontinuing were: CKD 6, severe aorticstenosis 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.
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