Open Heart

JANUARY 6, 2022

Background Percutaneous coronary intervention (PCI), the preferred coronary reperfusion strategy, induces endothelial trauma which may mount an inflammatory response. This has been shown to increase the likelihood of further major adverse cardiovascular events (MACE). Colchicine, a cheap and widely used anti-inflammatory has shown promise in improving cardiovascular outcomes.

Coronary Artery Disease 52

Coronary Artery Disease Thrombosis Stents Stent 52

ECG Cases

JANUARY 4, 2022

What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred over milrinone and vice versa? How can we best pick up occult cardiogenic shock before it floured shock kicks in? What are the best strategies to efficiently get the patient in cardiogenic shock to definitive care, whether that be the cath lab or the operating room?

Cardiogenic Shock 52

Cardiogenic Shock Heart Failure Aortic Stenosis 52

Dr. Smith's ECG Blog

JANUARY 3, 2022

This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting room with chest pain. What do you think? Sinus bradycardia, normal conduction, normal axis, normal R wave progression, no hypertrophy. There’s primary ST depression in the precordial leads maximal in V3-4, and an inverted T wave in V2.

STEMI 52

STEMI Myocardial Infarction Chest Pain Ischemia 52

SoftCath

JANUARY 2, 2022

In the last few years, we’ve witnessed a massive transformation in analytics in the cardiology department. No longer it’s only about digital dashboards, but technology is transforming all areas in Cath labs. One of the prime examples is Cath Lab Software. Such Cath lab solutions have had a disruptive impact as they provide a new way to mine relevant data, ensure quality, and pave the way for better overall management.

Electrophysiology 52

Electrophysiology Technology Pacemaker Hospital 52

Open Heart

JANUARY 6, 2022

Background The limited availability of balloon sizes for cryoballoon leads to anatomical limitations for pulmonary vein (PV) isolation. We conducted a comprehensive systematic analysis on procedural success rate, atrial fibrillation (AF) recurrence rate and complications of cryoballoon ablation in association with the anatomy of the left atrium and PV based on preprocedural CT to gain insights into proper treatments of patients with AF using cryoballoon.

Ablation 52

Ablation Atrial Fibrillation Anatomy Article 52

Open Heart

JANUARY 6, 2022

Thicker carotid intima–media thickness (CIMT) has been a valid predictor for atherosclerosis development. A significant association between environmental tobacco smoke (ETS) and thickening of CIMT has been demonstrated in adults, whereas such association has scarcely been reviewed in paediatric population. The dominate electronic databases, including MEDLINE (Ovid), PubMed, Embase, CINAHL, Web of Science, Scopus, were searched from inception.

Article 40

Article Atherosclerosis Cardiovascular Disease 40

Open Heart

JANUARY 5, 2022

Objective Patients with low-flow, low-gradient aortic stenosis (LFLG AS) and reduced left ventricular ejection fraction (LVEF) are known to suffer from poor prognosis after transcatheter aortic valve implantation (TAVI). This study aimed to develop a simple score system for risk prediction in this vulnerable subset of patients. Methods All patients with LFLG AS with reduced EF and sufficient CT data for aortic valve calcification (AVC) quantification, who underwent TAVI at five German centres, w

Stenosis 52

Stenosis Aortic Aortic valve Atrial Fibrillation 52