ESC: Multivessel PCI Disappoints Longer-Term in Cardiogenic Shock

(MedPage Today) --'Less is more'still true in CULPRIT-SHOCK trial
Source: MedPage Today Cardiovascular - Category: Cardiology Source Type: news

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We present three cases of preoperative venoarterial extracorporeal membrane oxygenation as a bridge to reparative surgical repair in patients with cardiogenic shock who would otherwise require emergent cardiac surgery with an associated risk. Two patients were discharged, whereas the third patient died due to pulmonary artery rupture after a right ventricular assist device implantation, despite the fact that he had a successful bridge to reparative surgery and VSD repair. Finally, a review of the current literature concerning the use of preoperative venoarterial extracorporeal membrane oxygenation as a bridge to reparative...
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CASE REPORT Source Type: research
Balloon aortic valvuloplasty (BAV) is indicated in patients with acute decompensated heart failure or cardiogenic shock secondary to severe aortic stenosis,1 either as palliative therapy for patients who are not candidates for valve replacement,2 or as a bridge to transcatheter (TAVR) or surgical aortic valve replacement (SAVR).1,3 Given the high morbidity and mortality associated with BAV, especially because it is performed not infrequently in critically ill patients, it is important to understand the effect of hospital procedural volume on outcomes following BAV.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
Cardiogenic shock (CS) is a complex condition with a high risk for morbidity and mortality. Mechanical circulatory support (MCS) devices were developed to support patients with CS in cases refractory to treatment with vasoactive medications. Current devices include intra-aortic balloon pumps, intravascular microaxial pumps, percutaneous LVAD, percutaneous RVAD, and VA ECMO. Data from limited observational studies and clinical trials show a clear difference in the level of hemodynamic support offered by each device. However, at this point, there are insufficient clinical trial data to guide MCS selection and, until ongoing ...
Source: Cardiology Clinics - Category: Cardiology Authors: Source Type: research
ConclusionsThe estimates of cost-effectiveness for CO-PCI vs. MV-PCI have been shown to change depending on the time horizon and type of economic evaluation performed. The results favoured a long-term horizon analysis for avoiding underestimation of QALY gains from the CO-PCI arm.
Source: The European Journal of Health Economics - Category: Health Management Source Type: research
We present our initial experience managing children with coronavirus disease 2019–related acute myocardial injury. The 3 patients presented here represent a spectrum of the cardiac involvement noted in children with coronavirus disease 2019–related multisystem inflammatory syndrome, including myocarditis presenting as cardiogenic shock or heart failure with biventricular dysfunction, valvulitis, coronary artery changes, and pericardial effusion.
Source: Cardiology in Review - Category: Cardiology Tags: Invited Review Articles Source Type: research
An alarming increase in children presenting with fever, hyperinflammation, and multiorgan dysfunction frequently requiring intensive care has been observed after severe acute respiratory syndrome coronavirus 2 infection. The illness resembles Kawasaki disease (KD), with coronary dilatation and aneurysm occurring in some. However, the cardiovascular manifestations were typically on the severe end of the KD spectrum, with cardiogenic shock a common presentation together with other features. This led to defining a unique syndrome named multisystem inflammatory syndrome in children (MIS-C). In this issue of the JCI, Lee and Da...
Source: Journal of Clinical Investigation - Category: Biomedical Science Authors: Source Type: research
Data on the trend and impact of mechanical circulatory support (MCS) in patients with Takotsubo cardiomyopathy (TC) are scarce. We evaluated the incidence and outcomes of cardiogenic shock (CS) in TC patients and the trend in use of MCS over time. The National Inpatient Sample from 2005 through 2014 was used to identify patients admitted with TC and those receiving MCS. Multivariate logistic regression was performed to identify predictors of mortality. The Cochran-Armitage test was used for the trend analysis across the years.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
We thank Dr. Jolobe for their kind comments and interest in our work evaluating the role of fibrinolysis in ST-segment-elevation myocardial infarction (STEMI) without cardiac arrest and cardiogenic shock in the United States [1]. They bring up an important point that acute aortic dissection may mimic STEMI, and therefore, the receipt of fibrinolysis may be associated with catastrophic complications in this sub-group. The emphasis on this manuscript was to highlight that despite being a less-preferred strategy as compared to primary percutaneous coronary intervention (PCI), the outcomes of fibrinolysis followed by PCI in th...
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Letter to the Editor Source Type: research
Publication date: October 2020Source: Canadian Journal of Cardiology, Volume 36, Issue 10, SupplementAuthor(s): S. Sohail, F. Billia, H. Ross, A. Alba
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research
Publication date: Available online 2 October 2020Source: American Heart JournalAuthor(s): Marc D. Samsky, Mitchell W. Krucoff, David A. Morrow, William T. Abraham, Fernando Aguel, Andrew D. Althouse, Eric Chen, Joaquin E. Cigarroa, Adam D. DeVore, Andrew Farb, Ian C. Gilchrist, Timothy D. Henry, Judith H. Hochman, Navin K. Kapur, Valarie Morrow, E. Magnus Ohman, William W. O'Neill, Ileana L Piña, Alastair G. Proudfoot, John S. Sapirstein
Source: American Heart Journal - Category: Cardiology Source Type: research
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