Quantifying Heart Failure Using Natriuretic Peptides Quantifying Heart Failure Using Natriuretic Peptides

Might quantifying the presence and extent of cardiac hemodynamic stress and heart failure by using natriuretic peptides help in choosing between PCI or CABG for revascularization?European Heart Journal
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Cardiology Journal Article Source Type: news

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An estimated 400,000 coronary artery bypass graft operations are performed annually in the United States. Saphenous vein grafts are the most commonly used conduits; however, graft failure is common. In contrast, left internal mammary artery grafts have more favorable long-term patency rates. Guidelines recommend aggressive secondary prevention. In the 2 decades following surgery, 16% of patients require repeat revascularization, and percutaneous coronary intervention accounts for 98% of procedures performed. Post-coronary artery bypass graft patients presenting with symptoms of acute coronary syndrome or progressive heart ...
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
Conclusion: Amongst established risk factors for delirium, central sleep apnea was independently associated with delirium.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Conclusion: Amongst established risk factors for PPCs, central sleep apnoea was independently associated with MPCs.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Acute critical care Source Type: research
Conclusion: In this real word, retrospective, observational study, we found a significant difference in the prevalence of MINOCA pts according to different types of myocardial infarction. In the MINOCA group, the mortality of women with STEMI was substantially higher. Orv Hetil. 2019; 160(45): 1791-1797. PMID: 31680539 [PubMed - in process]
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
ConclusionsThe overall VTE rate after CABG has been low. However, the condition has been associated with worse 30-day postoperative outcomes and complications. The independent predictors of VTE development included a history of bleeding disorders, congestive heart failure in the 30 days before surgery, and operative time of ≥310 minutes. Understanding these risk factors should aid physicians in the decisions regarding prophylaxis and treatment.
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - Category: Surgery Source Type: research
By KIP SULLIVAN, JD The notion that hospitals can reduce readmissions, and that punishing them for “excess” readmissions will get them to do that, became conventional wisdom during the 2000s on the basis of very little evidence. The Medicare Payment Advisory Commission (MedPAC) urged Congress to enact the Hospital Readmissions Reduction Program (HRRP) beginning in 2007, and in 2010 Congress did so. State Medicaid programs and private insurers quickly adopted similar programs. The rapid adoption of readmission-penalty programs without evidence confirming they can work has created widespread concern that th...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Policy CMS hospital readmissions Hospital Readmissions Reduction Program HRRP Kip Sullivan MedPAC Source Type: blogs
Publication date: Available online 26 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Fanar Mourad, Natalia Cleve, Janine Nowak, Daniel Wendt, Andreas Sander, Ender Demircioglu, Mohamed El Gabry, Heinz Jakob, Sharaf-Eldin ShehadaABSTRACTBACKGROUNDPrevalence of dialysis-dependent chronic renal failure (DD-CRF) is growing worldwide. Such patients are exposed to a higher cardiovascular risk due to severe calcification and congestive heart failure caused by volume overload, which end up in poor outcomes. Therefore, we aimed to evaluate outcomes of DD-CRF patients undergoing cardiac surgery in our institute.METHO...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Abstract BACKGROUND: Prevalence of dialysis-dependent chronic renal failure (DD-CRF) is growing worldwide. Such patients are exposed to a higher cardiovascular risk due to severe calcification and congestive heart failure caused by volume overload, which end up in poor outcomes. Therefore, we aimed to evaluate outcomes of DD-CRF patients undergoing cardiac surgery in our institute. METHODS: A retrospective evaluation of 241-consecutive patients presented with DD-CRF undergoing cardiac-surgery between 01/2000-12/2017. Endpoints were major adverse cardiac and cerebrovascular events and long-term survival. Addit...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
ConclusionsDespite a high-risk profile, patients with reduced preoperative LVEF can undergo conventional cardiac surgery with acceptable outcomes. The majority of patients, including those on preoperative inotropes, were alive and free from heart failure readmissions at 5-years.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Abstract Drinking water (DW) is an important dietary source of magnesium. Israel has recently increased desalinated seawater (DSW) production for DW, but negligible magnesium content in DSW may pose a risk of hypomagnesemia and consequential adverse cardiovascular effects. Consecutive acute myocardial infarction (AMI) patients (n = 380, age 35-75 years), hospitalized in 2015-2017 with ST-segment elevation myocardial infarction (STEMI), were divided into two groups based on their domicile region having a major supply of DSW (n = 250, 65%) or not (non-DSW; n = 130, 35%). We ...
Source: Magnesium Research - Category: Biochemistry Authors: Tags: Magnes Res Source Type: research
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