Same ‐day discharge in selected patients undergoing atrial fibrillation ablation
ConclusionsSelective same ‐day discharge after AF ablation is safe and feasible using a streamlined peri‐procedural care protocol. Wider adoption can potentially reduce health‐care costs while improving patient experience.This article is protected by copyright. All rights reserved
Acute superior mesenteric artery thrombosis is usually fatal; however, early intravascular treatment using a mechanical thrombectomy device can be an effective intervention. A 70-year-old man with atrial fibrillation presented with sudden abdominal pain; superior mesenteric artery thrombosis was confirmed using contrast-enhanced computed tomography. Thrombolysis, mechanical fragmentation, aspiration, and thrombectomy were successfully performed using the Trevo ® XP ProVue stent retriever via a brachial approach, and intestinal necrosis was avoided.
Conclusion: Cardiac manifestations of Dengue were present in 11.4 % of our patents. Brady arrhythmias (6.6%) were commonest manifestation which resolves spontaneously within seven to fourteen days. Left ventricular systolic dysfunction was present in 3.3% of patients which recovered within three months. Pericardial effusion was seen in 2.5% of patients. There were no significant tachyarrhythmias in our patients except one case of atrial fibrillation. PMID: 31559761 [PubMed - in process]
A 71-YEAR-OLD, 67 kg, 170 cm man presented to the authors ’ institution for evaluation of atypical chest pain of 6 months duration. The patient described his chest discomfort as relatively mild. It seldomly persisted for more than a few seconds; was confined to the left chest without radiation; and was not related to activity, position, or breathing. He denied dysphagia, odynophagia, and symptoms of gastroesophageal reflux disease. The patient had a history of chronic atrial fibrillation and peripheral vascular disease for which he received chronic dual antiplatelet therapy (apixaban and clopidogrel).
ConclusionsPartial C7, complete T1 and T2, and partial T3 bilateral laminectomy was performed for evacuation of the spinal epidural hematoma. Following a 2-week course of acute inpatient rehabilitation, the patient returned to his baseline functional status. This case highlights the risks of self-manipulation of the neck and potentially other activities that significantly stretch or apply torque to the cervical spine. It also presents a clinical scenario in which practitioners of spinal manipulation therapy should be aware of patients undergoing anticoagulation therapy.
u S Abstract A 77-year-old man with a past medical history of myelodysplastic syndrome, coronary artery disease, hypertension, and chronic atrial fibrillation presented at the hematology outpatient clinic with progressive shortness of breath, weakness, and chest and back pain. Echocardiography was performed and the patient was diagnosed with severe pericardial effusion near the right ventricle. Pericardial drainage was performed. Erysipelothrix rhusiopathiae was isolated from the pericardial fluid. Complications of respiratory and renal failure developed during follow-up. The clinical and laboratory findings of ve...
ConclusionIn low-risk chest-pain patients according to pre-hospital risk assessment, acute healthcare utilization and costs are high, with limited added value. Possibly, if a complete risk assessment can be performed by ambulance paramedics, acute hospitalization of the majority of low-risk patients is not necessary, which can lead to substantial cost reduction.Trial IDDutch Trial Register [http://www.trialregister.nl]: trial number 4205.
Internists are faced daily with patients with symptoms related to either tachyarrhythmias or bradyarrhythmias. It can often be difficult to determine whether such conditions are benign or malignant. Palpitation, dizziness, syncope, shortness of breath, and even chest pain can be often traced back to common rhythm disorders. Some of the most common clinical diagnoses encompass rhythm disorders, such as atrial fibrillation, supraventricular tachycardia, sinus node dysfunction, premature ventricular contractions, and ventricular tachycardia, in patients with heart failure.
ConclusionIn patients with suspected AMI timely applying of MDCT, angiography, endovascular revascularization and ICG quality control of perfusion after revascularization are expedient to improve the results of treatment. These patients should be treated by a multidisciplinary team consisting of a cardiologist, a cardiovascular and endovascular surgeon, a general surgeon with experience in working with such patients.
Publication date: September 2019Source: IJC Heart &Vasculature, Volume 24Author(s): M. Scaglione, A. Battaglia, P. Di Donna, M. Peyracchia, B. Bolzan, P. Mazzucchi, M. Muro, D. CaponiAbstractIntroductionHypnosis is a therapeutic strategy for pain control. We aimed at investigating the use of this technique in a large population undergoing atrial fibrillation (AF) ablation.Methods70 consecutive AF patients referred for transcatheter ablation, underwent hypnotic communication for periprocedural analgesia (Group A), were compared with 70 patients undergoing conventional analgesia (Group B). Procedural data, anxiety, perce...
AbstractMinimally invasive mitral valve (MV) repair is being increasingly performed over the last 2 decades due to the constantly growing patient demand, since it offers a shorter recovery, less restriction and faster return to normal physical activities, reduction in pain, and superior cosmetic results. However, such procedures have to be performed through small incisions which limit visualization and the freedom of movement of the surgeon, in contrast to conventional operations that are performed through a sternotomy. Therefore, special long surgical instruments are required, and visualization is usually enhanced with ad...