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However, it remains unclear whether MIC contributes to cardiacfunction impairment in patients with CHD. LVEF in patients of MIC-CHD was negatively correlated with the systolic stenosis degree of mural coronary artery (MCA) (r=0.6474, p=0.0123) and MIC length (r=0.5712, p=0.0414).ConclusionsThe
In acute heart failure caused by VHD, symptoms result from rapid haemodynamic changes and subsequent decline in cardiacfunction, and if left untreated, leads to acute decompensation and cardiogenic shock. Abstract Worldwide, valvular heart disease (VHD) is a common cause of hospitalization for acute heart failure.
BackgroundRING finger protein 213 (RNF213) p.R4810K is an established risk factor for moyamoya disease and intracranial artery stenosis in East Asian people. Recent evidence suggests its potential association with extracranial cardiovascular diseases, including pulmonary hypertension.
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. Main findings of the study. p < 0.05 for HG and LF-LG vs. control; § p < 0.05
After successful cardiopulmonary resuscitation, the initial diagnostic work-up showed elevated cardiac enzymes and a limited left-ventricular ejection fraction, while coronary angiography did not show relevant stenosis. Conclusion This case resembles the first description of a very late onset irMyocarditis, occurring over 2.5
We performed coronary angiography for the patient with ECMO support, indicating that the patient had an 80% critical stenosis of the left main coronary artery and an 80%–90% stenosis in the middle section of the left anterior descending artery with an aneurysm. Fortunately, there was no obvious stenosis in the right coronary artery.
Angiography : LMCA — 90-99% osteal stenosis. LCx — 50-69% stenosis of the 1st marginal branch; with 100% distal LCx occlusion. Cardiacfunction is poor, with akinesis of the LAD territory. Cath findings shown above in Dr. Nossen's discussion confirm multi-vessel disease , including 90-99% osteal stenosis of the LMCA.
He was taken rapidly to the cath lab and here are some representative images before and after intervention: Acute proximal LAD culprit with TIMI 0 flow, 100% stenosis, thrombotic occlusion, requiring thrombectomy and PCI. Post cath EF was estimated at 15% with severe global hypokinesis, and akinesis of the apex.
Unsupervised machine learning permits pattern discovery within complex multidimensional patient data and may facilitate recognition of groups requiring closer post-TAVR surveillance.MethodsWe analysed and differentiated routinely collected demographic, biochemical, and cardiac imaging data into distinct clusters using unsupervised machine learning.
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