Thu.Nov 28, 2024

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Heart-brain interactions: clinical evidence and mechanisms based on critical care medicine

Frontiers in Cardiovascular Medicine

In this review paper, we search the recent literature regarding the application of the heart-brain interaction theories in the field of intensive care unit. Simultaneously, we methodically summarize the clinical evidence supporting its application in intensive care unit treatment, based on clinical randomized trials and clinical case studies. We delve into how it's applied in treating severely ill patients and in researching animal models for cardio-cerebral comorbidities, aiming to supply bench

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What type of devices should a person with a pacemaker be cautious about?

All About Cardiovascular System and Disorders

Pacemakers are cardiac implantable electronic devices. As they use radiofrequency signals for programming, other radiofrequency signals can interfere with the function of pacemakers. Notable one is magnetic resonance imaging if you consider in hospital scenarios.

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Design-related bias in studies investigating diagnostic tests for venous thromboembolic diseases: a systematic review and meta-analysis

Frontiers in Cardiovascular Medicine

BackgroundEarly detection and diagnosis of venous thromboembolism are vital for effective treatment. To what extent methodological shortcomings exist in studies of diagnostic tests and whether this affects published test performance is unknown.ObjectivesWe aimed to assess the methodological quality of studies evaluating diagnostic tests for venous thromboembolic diseases and quantify the direction and impact of design characteristics on diagnostic performance.MethodsWe conducted a literature sea

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Echocardiogram in Tetralogy of Fallot

All About Cardiovascular System and Disorders

Parasternal long axis view showing colour flow from right ventricle to aorta through the ventricular septal defect with overriding aorta. Flow is predominantly blue in colour because it is away from the transducer kept at the parasternal region. Right ventricle is an anterior structure and aortic root is relatively posterior to it, and hence the anteroposterior flow depicted in blue colour.

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Efficacy of IVUS-guided stent implantation in patients with complex CAD: a meta-analysis based on RCTs

Frontiers in Cardiovascular Medicine

BackgroundThis study is to investigate the efficacy of stent implantation in patients with complex coronary artery disease (CAD) under intravascular ultrasound (IVUS) guidance and non-IVUS guidance.MethodsWe conducted a systematic search in PubMed, Web of Science, Cochran, and Embase for the articles of IVUS-guided and non-IVUS-guided stent implantation in patients with complex CAD and reported related outcomes.

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Clinical Quiz: AASLD Guidelines for Noninvasive Testing in Chronic Liver Disease

HCPLive

Test your knowledge of the 2024 AASLD Practice Guidelines on blood- and imaging-based noninvasive liver disease assessment with this clinical quiz!

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Outcomes of Device Extraction in Patients with Chronic Kidney Disease on Renal Replacement Therapy and Cardiac Implantable Electronic Device Infections

HeartRhythm

Patients with chronic kidney disease (CKD) on renal replacement therapy (RRT) are at high risk for cardiovascular implantable electronic device (CIED) infections. Although device extraction is standard management, it is often avoided in these patients due to high procedural risks.

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The detailed transseptal puncture technique for optimal closure in patients with a patent foramen ovale

Frontiers in Cardiovascular Medicine

BackgroundThe closure of a patent foramen ovale (PFO) using transseptal puncture has particular advantages and disadvantages. Thus, transseptal puncture should be re-evaluated in detail.AimsWe aimed to assess the effectiveness of the detailed transseptal puncture technique in patients who underwent PFO closure due to cryptogenic stroke or transient ischemic attack in terms of residual shunts and atrial fibrillation.MethodsWe prospectively analyzed 144 consecutive patients who underwent PFO closu

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Transcatheter ablation of atrioventricular nodal reentry tachycardia in children and congenital heart disease in the era of 3D mapping

Frontiers in Cardiovascular Medicine

Atrioventricular nodal reentrant tachycardia (AVNRT) is a common supraventricular tachycardia in children and congenital heart disease (CHD) patients. Nowadays, in large enough children, chronic treatment for symptomatic and recurrent AVNRT episodes relies on transcatheter ablation. Indeed, many three-dimensional (3D) mapping strategies and ablation techniques have been developed and it helped to increase success rates and to reduce complications.

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The effect of trans-theoretical model stage-matched intervention on medication adherence in hypertensive patients

Frontiers in Cardiovascular Medicine

IntroductionHypertension is a chronic condition that requires active patient management and awareness of treatment strategies. This study aimed to evaluate the effectiveness of an intervention program grounded in the Transtheoretical Model (TTM) of behavior change for improving treatment adherence among hypertensive patients.Materials and methodsThis study conducted at the Nukan Comprehensive Rural Health Center in Kermanshah, Iran, 120 participants were selected according to specific inclusion

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Effect of high-intensity intermittent rehabilitation training on physical function, gut microbiome and metabolite after percutaneous coronary intervention in patients with coronary heart disease

Frontiers in Cardiovascular Medicine

BackgroundPostoperative rehabilitation exercise training after percutaneous coronary intervention (PCI) is crucial for coronary heart disease (CHD) patients in restoring health and preventing recurrence, including high-intensity interval training (HIIT). However, the impact of HIIT on cardiopulmonary function, gut microbiome and metabolite remains underexplored.MethodsThis study included 60 patients with CHD who underwent percutaneous coronary intervention (PCI).

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Association between urinary cadmium levels and prevalence of coronary artery disease: NHANES cross-sectional study (2009–2018)

Frontiers in Cardiovascular Medicine

ObjectiveThis study aims to sheds light on the correlation between urinary cadmium (Cd-U) exposure and coronary heart disease (CHD) and the mediating effects of serum alkaline phosphatase (ALP) based on a sample of adults in the United States.MethodsA comprehensive cross-sectional study was performed on 8,998 CHD participants who participated in the National Health and Nutrition Examination Survey (NHANES) from 2009 to 2018.

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Exercise intolerance in patients with chronic coronary syndrome: insights from exercise stress echocardiography

Frontiers in Cardiovascular Medicine

AimsThis study applied exercise stress echocardiography (ESE) to identify risk factors associated with exercise intolerance in patients with chronic coronary syndrome (CCS).Methods and results90 CCS patients underwent a cardiopulmonary exercise test and ESE, assessing exercise capacity, left ventricular systolic and diastolic function, and systolic reserve.

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Case Report: Anomalous origin of the right coronary artery leading to cardiac arrest induced by sexual activity: a previously unreported pathogenetic condition

Frontiers in Cardiovascular Medicine

BackgroundThe Anomalous Origin of the Right Coronary Artery from the Left Coronary Sinus (ARCA-LCS) is a rare congenital cardiac condition where the right coronary artery emerges from the left sinus instead of the right coronary sinus of Valsalva. The clinical significance of ARCA-LCS lies in its potential to cause myocardial ischemia or sudden cardiac death, particularly under physical exertion.

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Sex modifies association between dietary sodium intake and cardiovascular disease mortality among US adult with hypertension: a national population-based cohort

Frontiers in Cardiovascular Medicine

ObjectivesThe objective of this study was to examine the relationship between dietary sodium intake and cardiovascular disease (CVD) mortality in hypertensive American adults.MethodsA prospective cohort study was conducted to examine the association between dietary sodium intake, as estimated by a single 24-h dietary recall from the National Health and Nutrition Examination Survey (2003–2012), and mortality data obtained from the National Death Index.ResultsThis study included 12,236 adults with