Medical Xpress - Cardiology

MAY 2, 2024

A nationwide observational analysis of patients with aortic stenosis (AS) and cardiogenic shock (CS) who underwent transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR) determined that patients who underwent TAVR had lower in-hospital complications and resource utilization compared with SAVR.

Cardiogenic Shock 40

Cardiogenic Shock TAVR Stenosis Aortic valve 40

DAIC

JANUARY 4, 2024

These key takeaways from the research letter on IVL-facilitated valvuloplasty for severely calcified mitral valve stenosis are published in the Journal of the American College of Cardiology (JACC) Cardiovascular Interventions. We are looking forward to treating patients who have no other options for mitral stenosis diseased valves.”

Heart Valves 119

Heart Valves Bicuspid/Mitral Open-Heart Surgery Stenosis 119

Stroke Journal

JANUARY 30, 2025

Background:The uneven distribution of intracranial atherosclerotic stenosis (ICAS) along the internal carotid artery (ICA) had been described in early clinicopathological studies, yet related, large-scale data is lack despite the widespread utilization of angiography.

Stenosis 40

Stenosis Hospital Atherosclerosis Risk Factors 40

Stroke Journal

JANUARY 30, 2025

Background:Postoperative complication rates of carotid endarterectomy (CEA) and carotid artery stenting (CAS) for carotid artery stenosis are recommended to be maintained below a certain threshold. The overall rates of disability, mortality, perioperative stroke, and pneumonia were 7.4%, 0.5%, 6.6%, and 5.0%, respectively.

Hospital 40

Hospital Stenosis Outcomes Inpatient 40

American College of Cardiology

MARCH 27, 2024

In this week’s View, Dr. Eagle looks at sacubitril/valsartan in patients hospitalized with decompensated heart failure, then examines the prevalence and outcomes of patients with discordant high gradient aortic stenosis.

Heart Failure 54

Heart Failure Stenosis Aortic Tricuspid 54

DAIC

JANUARY 29, 2024

Getty Images milla1cf Mon, 01/29/2024 - 14:24 January 29, 2024 — Despite national guidelines recommending surgical aortic valve replacement (SAVR) for patients under age 65 with severe aortic stenosis , many hospitals are still opting for a nonsurgical approach in patients under 60—possibly with poorer survival rates.

Aortic valve 111

Aortic valve TAVR Aortic Outcomes 111

DAIC

JUNE 3, 2024

Every year, approximately 300,000 cardiac patients in the United States are diagnosed with severe aortic stenosis, with only 28% receiving a TAVR, leaving the majority untreated. There are more than 838 TAVR programs in hospitals across the U.S., Image courtesy: Atlantic Health System.

TAVR 105

TAVR Aortic valve Aortic Hospital 105

Frontiers in Cardiovascular Medicine

FEBRUARY 18, 2024

years and was admitted after an out-of-hospital cardiac arrest due to ventricular fibrillation. 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.

Cardiac Arrest 72

Cardiac Arrest Hospital Cancer Cardiac Function 72

The British Journal of Cardiology

OCTOBER 8, 2024

Subclavian venoplasty is commonly performed for subclavian vein stenosis in patients with long-term dialysis lines or fistulae. Such stenosis may also occur in patients with previously implanted intra-cardiac devices. These were done in a district general hospital within the cardiology team.

Hospital 40

Hospital Stenosis Angioplasty Article 40

Open Heart

FEBRUARY 17, 2025

The outcomes of cardiac intervention timing, infant mortality and hospital care utilisation, were described by birth eras, and risk factors were explored using multivariable regression. Compared with prepandemic, there was no evidence for delay in treatment procedures in transition, restrictions or postrestrictions eras.

Congenital Heart Disease 52

Congenital Heart Disease Congenital Heart Disease Outcomes 52

Circulation: Cardiovascular Imaging

MARCH 21, 2025

BACKGROUND:Patients with paradoxical low-flow, low-gradient severe aortic stenosis exhibit low transvalvular flow rate (Q), while maintaining preserved left ventricular ejection fraction. Circulation: Cardiovascular Imaging, Ahead of Print. Subgroups were based on MR severity (severe and nonsevere).

Stenosis 40

Stenosis Aortic Aortic valve Bicuspid/Mitral 40

Becker's Hospital Review - Cardiology

MAY 14, 2024

UPMC Harrisburg pioneers new transcatheter aortic valve replacement system, providing improved lifetime management for patients with aortic valve stenosis.

Aortic valve 92

Aortic valve TAVR Aortic Stenosis 92

Frontiers in Cardiovascular Medicine

AUGUST 2, 2024

Percutaneous coronary intervention (PCI), as a relatively rapid and effective minimally invasive treatment for coronary heart disease (CHD), can effectively relieve coronary artery stenosis and restore myocardial perfusion. However, the occurrence of major adverse cardiovascular events (MACE) is a significant challenge for post PCI care.

Biomarkers 97

Biomarkers Stenosis Risk Factors Heart Disease 97

EMS 12-Lead

APRIL 9, 2024

His confusion progressively dissipated enroute to the hospital. The LM has an irregular 30% distal stenosis, followed by an 80% ostial LAD stenosis, and total occlusion of the LAD proximally with TIMI grade 1 flow in the distal vessel. The LCX demonstrates an ostial 80% stenosis prior to the bifurcation of a large OM artery.

Ischemia 116

Ischemia Stenosis Chest Pain Coronary Artery Disease 116

DAIC

APRIL 5, 2024

milla1cf Fri, 04/05/2024 - 21:34 April 5, 2024 — Cardiawave SA , a French medtech company that has developed an innovative Non-Invasive focused Ultrasound Therapy (NIUT) device for the treatment of severe symptomatic calcific aortic stenosis, will present the 30-day follow-up results for 60 patients enrolled in its European pivotal study to the (..)

Aortic valve 52

Aortic valve Stenosis Aortic Quality of Life 52

Circulation

NOVEMBER 11, 2024

Background:Peak aortic valve Doppler velocity, mean aortic valve gradient, and Doppler estimated aortic valve area are key measures recommended for assessing aortic stenosis severity. Failure to accurately diagnose severe aortic stenosis is critical. Discordance often occurs among these measures, posing diagnostic challenges.

Stenosis 40

Stenosis Aortic valve Aortic Echocardiogram 40

The New England Journal of Medicine

SEPTEMBER 4, 2024

At the hospital, left main coronary-artery stenosis was seen on angiography (shown in a video). In a 57-year-old man with chest pain, an ECG obtained by EMS showed widespread ST-segment depressions.

Ischemia 58

Ischemia Chest Pain Stenosis Hospital 58

DAIC

AUGUST 27, 2024

We know that structural heart disease and heart failure are the leading causes of hospitalization and morbidity in the U.S. Standalone performance for significant major valve disease pathology (aortic stenosis and regurgitation and mitral and tricuspid regurgitation) had a 93 percent sensitivity and 93 percent specificity.

Ultrasound 98

Ultrasound Tricuspid Bicuspid/Mitral Aortic 98

DAIC

JANUARY 17, 2024

Long-Jiang Zhang (Department of Radiology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University) and Prof. ©Science China Press milla1cf Wed, 01/17/2024 - 16:04 January 17, 2024 — This review was jointly published by Prof.

Technology 111

Technology Coronary Artery Disease Cardiovascular Disease Cardiovascular Imaging 111

The New England Journal of Medicine

JANUARY 31, 2024

A 66-year-old man was transferred to a hospital after a cardiac arrest. Coronary angiography (shown in a video) revealed 50% stenosis in the middle LAD coronary artery during diastole with complete occlusion during systole.

Cardiac Arrest 60

Cardiac Arrest Stenosis Hospital 60

Dr. Smith's ECG Blog

MAY 2, 2019

Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our hospital) and was told that there was a patient in her 50s with chest pain who was headed to an outside hospital (which happens to be a catheterization center). Here is the ECG: What do you think?

STEMI 52

STEMI Hospital Chest Pain Myocardial Infarction 52

The British Journal of Cardiology

JULY 17, 2024

The purpose of this study was to determine the correlation between the simplified treadmill score (STS) and both the number of blood vessels with significant stenosis and the severity of the SYNTAX score in patients with coronary artery disease (CAD).

Coronary Artery Disease 45

Coronary Artery Disease Stenosis Hospital Article 45

Dr. Smith's ECG Blog

OCTOBER 12, 2023

She was admitted to the hospital with clinical signs of infection. The following day in the cath lab a borderline significant mid LAD stenosis was found. ECG#4 (below) was recorded about one year after the hospital stay described above. At the bottom will be five alternative clinical scenarios to explain the findings.

Cardiomyopathy 110

Cardiomyopathy Stenosis Chest Pain Hospital 110

Open Heart

OCTOBER 3, 2023

Objective To assess gender, ethnicity, and deprivation-based differences in provision of aortic valve replacement (AVR) in England for adults with aortic stenosis (AS). We separately used HES-linked Clinical Practice Research Datalink (CPRD) to identify people with AVR and evaluate the timeliness of their procedure (CPRD-AVR cohort).

Aortic valve 52

Aortic valve Aortic Stenosis Public Health 52

Med Page Today

SEPTEMBER 10, 2024

(MedPage Today) -- Not all defibrillator pad positions may work equally well for patients with shockable out-of-hospital cardiac arrest. JAMA Network Open) Medical therapy for aortic stenosis? Early clinical data on evogliptin were disappointing.

Defibrillator 52

Defibrillator Cardiac Arrest Ablation Stenosis 52

European Journal of Heart Failure

DECEMBER 11, 2024

Abstract Worldwide, valvular heart disease (VHD) is a common cause of hospitalization for acute heart failure. In acute heart failure caused by VHD, symptoms result from rapid haemodynamic changes and subsequent decline in cardiac function, and if left untreated, leads to acute decompensation and cardiogenic shock.

Cardiogenic Shock 68

Cardiogenic Shock Heart Disease Heart Failure Bicuspid/Mitral 68

Frontiers in Cardiovascular Medicine

DECEMBER 14, 2023

This study aimed to investigate the association between various complex indexes of blood cell types and lipid levels with the severity of coronary artery stenosis and their predictive value in coronary heart disease (CHD). Results It revealed a positive correlation between all complex indexes and the severity of coronary artery stenosis.

Heart Disease 64

Heart Disease Cholesterol Stenosis Atherosclerosis 64

Frontiers in Cardiovascular Medicine

AUGUST 8, 2024

Out-of-hospital cardiac arrest (OHCA) mostly occurs in crowded public places outside hospitals, such as public sports facilities, airports, railway stations, subway stations, and shopping malls. Witnesses immediately gave continuous chest compressions and artificial respiration and called our hospital's emergency department (at 120).

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Coronary Artery Bypass Graft Stenosis 52

Ken Grauer, MD

FEBRUARY 3, 2024

BUT — Cardiac catheterization done a little later did not reveal any significant stenosis. Despite the absence of significant coronary stenosis on her post-arrest cath — the ECG in Figure-1 is clearly diagnostic of an extensive anterolateral STEMI ( presumably from acute LAD [ L eft A nterior D escending ] coronary artery occlusion).

Blog 163

Blog Cardiac Arrest STEMI Plaque 163

DAIC

NOVEMBER 8, 2024

The study’s primary endpoints include freedom from major adverse events (MAEs) such as mortality, unplanned amputations, and clinically driven target lesion revascularization (CD-TLR) within 30 days (about four and a half weeks) of the procedure, as well as achieving less than or equal to 50% residual stenosis post-procedure.

Innovation 52

Innovation Peripheral Arterial Disease Technology Ultrasound 52

Dr. Smith's ECG Blog

MARCH 19, 2024

This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System. The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB.

Chest Pain 110

Chest Pain Myocardial Infarction Stents Stent 110

Circulation

OCTOBER 23, 2024

BACKGROUND:This study aimed to compare the incidence and prognostic implications of new-onset conduction disturbances after surgical aortic valve replacement (SAVR) in patients with bicuspid aortic valve (BAV) aortic stenosis (AS) versus patients with tricuspid aortic valve (TAV) AS (ie, BAV-AS and TAV-AS, respectively).

Aortic valve 40

Aortic valve Bicuspid/Mitral Aortic Tricuspid 40

Circulation: Cardiovascular Interventions

OCTOBER 17, 2023

BACKGROUND:Data concerning the outcomes of transcatheter aortic valve replacement in type 0 bicuspid aortic stenosis (AS) are scarce. Poverall=NS) were nonsignificant, and the incidence of overall in-hospital complications was comparable among groups. Circulation: Cardiovascular Interventions, Ahead of Print. Poverall=0.765; 1 year: 1.4%

Aortic valve 40

Aortic valve Bicuspid/Mitral Aortic Tricuspid 40

Frontiers in Cardiovascular Medicine

JANUARY 25, 2024

Percutaneous balloon mitral valvotomy (PBMV) is a good and preferred therapy choice over surgical commissurotomy for patients with rheumatic mitral stenosis (MS). Conversely, AF leads to a lower PBMV success rate as well as worse long-term and in-hospital outcomes.

Bicuspid/Mitral 69

Bicuspid/Mitral Atrial Fibrillation Stenosis Arrhythmia 69

HeartRhythm

FEBRUARY 7, 2024

An 84-year-old woman was referred for transcatheter aortic valve replacement (TAVR) following severe symptomatic aortic stenosis (valve area 0.9 cm2, peak and mean transaortic pressure gradients of 63 and 32 mmHg, respectively). She had a medical history of renal cell carcinoma post nephrectomy with a creatinine level of 1.7mg/l.

Aortic valve 40

Aortic valve Aortic TAVR Hospital 40

Dr. Smith's ECG Blog

JUNE 18, 2011

The patient had a critical LAD stenosis. Tight proximal LAD stenosis explains STE in precordial leads and I and aVL. I did not include the prehospital because it is identical to the first ED ECG: Self explanatory, no? All troponins were u ndetectable (less than 0.04 Flow had spontaneously been restored, perhaps aided by nitroglycerin.

STEMI 52

STEMI Pericarditis Hospital Aneurysm 52

Circulation

OCTOBER 25, 2023

Background:The optimal treatment in patients with severe aortic stenosis (AS) and small aortic annulus (SAA) remains to be determined. Circulation, Ahead of Print. Conclusions:In patients with severe AS and SAA (women in the vast majority), there was no evidence of superiority of contemporary TAVR vs.

Aortic valve 40

Aortic valve Aortic TAVR Stenosis 40