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Impaired Survival With LVEF

Poorer outcomes seen for LVEF
Source: Pulmonary Medicine News - Doctors Lounge - Category: Respiratory Medicine Tags: Cardiology, Nursing, Pathology, Pulmonology, Critical Care, Journal, Source Type: news

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AbstractPurposeDifferent sedation regimens have been described for use during transfemoral transcatheter aortic valve implantation (tf-TAVI) for treatment in patients with severe aortic stenosis. The purpose of this study was to compare dexmedetomidine (DEX) with a combination of propofol-opioid (PO) with respect to periprocedural gas exchange and hemodynamic support.MethodsData from a cohort of patients sedated with either DEX or PO for tf-TAVI were retrospectively analyzed from a prospectively maintained TAVI registry. Operative risk was determined from comorbidities and risk scores. Periprocedural partial pressure of ca...
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research
Cardiology MCQs from Cardiophile MD – Volume 2: Kindle Edition and Paperback Print Version Aortic stenosis – echocardiogram Aortic stenosis – echocardiogram Aortic stenosis – echocardiogram: This is the parasternal long axis view which shows outflow region of the right ventricle (RV), interventricular septum (unmarked), left ventricle (LV), left atrium (LA) and the aorta. Aortic valve (AoV) is seen doming in systole, with a narrow orifice. The echo window is not very good in this case and the images are sub optimal. Usually in this view, the anterior cusp is the right coronary cusp and the posterior...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Echocardiogram Library Echocardiography Source Type: blogs
Authors: Schnittman SR, Weiss AJ, Varghese R, Stelzer P Abstract A 36-year-old pregnant woman with a history of rheumatic heart disease and prior aortic valve replacement and mitral valve repair presented to an outside hospital with severe aortic stenosis. The patient had a cardiac arrest upon labor induction and underwent a transcatheter aortic valve replacement (TAVR), which dislodged two days later. Five months later, the patient underwent removal of the dislodged TAVR and a Ross procedure at the authors' institution. The patient was stable upon discharge, with minimal aortic and pulmonary regurgitation. To the ...
Source: Journal of Heart Valve Disease - Category: Cardiology Tags: J Heart Valve Dis Source Type: research
Authors: Watanabe Y, Higashi H, Inoue K, Aono J, Okura T, Higaki J, Ikeda S Abstract Paradoxical low-flow, low-gradient aortic stenosis (LFLG AS) is recognized as a subtype of aortic stenosis. A small left ventricular (LV) cavity with marked LV concentric remodeling leads to a reduced stroke volume in this condition. The case is reported of a paradoxical LFLG AS patient who was undergoing treatment for pulmonary hypertension (PH) and interstitial pneumonia associated with scleroderma. Echocardiography demonstrated enlargement of the right ventricle and a diminished LV cavity. Moreover, the aortic valve opening was ...
Source: Journal of Heart Valve Disease - Category: Cardiology Tags: J Heart Valve Dis Source Type: research
CONCLUSIONS: TEE integrated with TTE may improve the detection of severe AS, particularly in patients with moderate AS criteria assessed by TTE, but with a DVI ratio ≤0.24. PMID: 29762919 [PubMed - in process]
Source: Journal of Heart Valve Disease - Category: Cardiology Tags: J Heart Valve Dis Source Type: research
In conclusion, RANKL expression is increased in PBMC of patients with CAVD, is directly correlated with the degree of valve calcification, and promotes pro-calcific differentiation of VIC.
Source: Journal of Cardiovascular Translational Research - Category: Cardiology Source Type: research
The objective of this study was to determine the clinical outcomes and treatment futility in patients with paradoxical low-flow (PLF), low-gradient (LG) severe aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI). A total of 493 patients with severe symptomatic aortic stenosis and preserved ejection fraction (>50%) undergoing TAVI were included.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
AbstractFor the year 2017, more than 21,000 published references can be found in PubMed when entering the search term “cardiac surgery”. This review focusses on conventional cardiac surgery, considering the new interventional techniques only if they were directly compared to classic techniques but also entails aspects of perioperative intensive care management. The publications last year provided a plethora of new and interesting information that helped to quantify classic surgical treatment effects and provided new guidelines for the management of structural heart disease, which made comparisons to interventio...
Source: Clinical Research in Cardiology - Category: Cardiology Source Type: research
We appreciate the comments from Santarpino and colleagues regarding cost considerations in the treatment of severe aortic stenosis.1,2 Santarpino and colleagues observed a similar finding to our study in that the predominant cost difference associated with transcatheter aortic valve replacement (TAVR) remains the prosthesis. Presumably, over time many of these technology costs will decrease with increased competition or technologic advances in manufacturing costs.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Adult: Aortic valve: Letter to the editor Source Type: research
New !!! Cardiology MCQs from Cardiophile MD – Volume 3: Interactive Kindle Edition Cardiology MCQs from Cardiophile MD – Volume 3 Paperback Which of the following is not a part of Williams syndrome? Correct answer: d) Valvar pulmonary stenosis Williams syndrome is characterised by supravalvar aortic stenosis, elfin facies and hypercalcemia. Learning disability is often associated. Peripheral pulmonary stenosis is also an association. In supravalvar aortic stenosis, the right upper limb blood pressure can be more than that in left upper limb (anisopsphygmia) because the jet is directed towards the brachiocephal...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Cardiology MCQ DM / DNB Cardiology Entrance Source Type: blogs
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