Discussion

Dr Niv Ad (Falls Church, Va). I think this article is one of the most important that was presented concerning structural heart disease conceptually, because it shows that there is more to tricuspid valve insufficiency secondary to DMR than just the size of the annulus. I think it will open vast information related to the physiology associated with tricuspid valve insufficiency that may reflect on our decision-making. That being said, maybe we should look into diastolic dysfunction, RV and right atrial strains, and understand better pulmonary hypertension, because the size is just a reflection of the pathophysiology, and the fact that you found that AF is so important is just showing us that there is some physiology joining the size itself.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research

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AbstractIn this review, we provide a brief description of recently published articles addressing topics relevant to pediatric cardiologists. Our hope is to provide a summary of the latest articles published recently in other journals in our field. The articles address (1) outcomes after anomalous aortic origin of the coronary artery repair which showed relief of ischemia in most patients with low mortality, (2) the role of lymphatic imaging to predict post-Fontan complications which showed that lymphatic imaging by MRI may have an added prognostic value, (3) European guidelines for participation in competitive sports in co...
Source: Pediatric Cardiology - Category: Cardiology Source Type: research
Pulmonary regurgitation (PR) can be divided into hypertensive and non-hypertensive. The former is associated with pulmonary arterial hypertension while the latter is not. Hypertensive pulmonary regurgitation Hypertensive PR is associated with severe pulmonary hypertension. It produces a blowing, decrescendo early diastolic murmur with the eponym Graham Steell murmur [1]. The murmur is heard in the pulmonary area and left sternal border, resembling the murmur of aortic regurgitation. It may be heard in Eisenmenger syndrome, severe primary pulmonary hypertension and severe pulmonary hypertension secondary to left heart dise...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: Cardiology Graham Steell murmur hypertensive PR hypertensive pulmonary regurgitation non hypertensive PR non hypertensive pulmonary regurgitation right sided Austin Flint murmur Source Type: blogs
ConclusionAs clinicians, it can be challenging to provide our patients with accurate information on the risk of PPM implantation relative to their operation. A unit-specific data may be a more accurate method of informing our patients on this risk.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
RARITAN, N.J., March 20, 2020 – The Janssen Pharmaceutical Companies of Johnson &Johnson announced today that it will unveil late-breaking data from its leading cardiovascular and metabolism portfolio during the virtual American College of Cardiology’s 69th Annual Scientific Session together with the World Congress of Cardiology (ACC.20/WCC) on March 28-30, 2020. Notably, four late-breaking abstracts for XARELTO® (rivaroxaban) will be presented, including data from the Phase 3 VOYAGER PAD study in patients with symptomatic peripheral artery disease (PAD) after lower-extremity revascularization.Click to ...
Source: Johnson and Johnson - Category: Pharmaceuticals Source Type: news
Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, pr...
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
Abstract Background: Mitral valve repair in paediatric patients with chronic rheumatic heart disease is superior to valve replacement and has been used with good results. Objective: To identify predictors of unfavourable outcomes in children and adolescents submitted to surgical mitral valvuloplasty secondary to rheumatic heart disease. Methods: Retrospective study of 54 patients under the age of 16 operated at a tertiary paediatric hospital between March 2011 and January 2017. The predictors of risk for unfavourable outcomes were: age, ejection fraction, degree of mitral insufficiency, degree of pulmonary hypertension, pr...
Source: Arquivos Brasileiros de Cardiologia - Category: Cardiology Source Type: research
We reported a 35-year-old woman with a single atrium, patent ductus arteriosus, pulmonary hypertension, and ES who developed infective endocarditis on her left ventricular outflow tract and complicated cerebral abscess and who underwent challenged medical treatment. Intervention: Infection was successfully controlled after 4-time change in antibiotics over 4 months. However, surgery is complicated for her. Outcomes: The patient presented a relatively good outcome during follow-up for>6 months. Lessons: This case report suggests that patients with complex CHD should accept surgery therapy earlier before deve...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Authors: Tichelbäcker T, Dumitrescu D, Gerhardt F, Stern D, Wissmüller M, Adam M, Schmidt T, Frerker C, Pfister R, Halbach M, Baldus S, Rosenkranz S Abstract Pulmonary hypertension (PH) is an important contributor to morbidity and mortality in patients with left-sided heart disease, including valvular heart disease. In this context, elevated left atrial pressure primarily leads to the development of post-capillary PH. Despite the fact that repair of left-sided valvular heart disease by surgical or interventional approaches will improve PH, recent studies have highlighted that PH (pre- or post-intervention...
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
This article reviews the clinical application of stress echocardiography, including dobutamine, semisupine bicycle, treadmill, and leg-positive pressure for VHD patient management, and focuses on the current consensus regarding the use of stress echocardiography in VHD. Stress echocardiography is safe and should be encouraged, especially in heart valve clinics, to understand the complex mechanism in asymptomatic patients.
Source: Journal of Medical Ultrasonics - Category: Radiology Source Type: research
PULMONARY HYPERTENSION (PH) is a major cause of mortality and morbidity in patients undergoing cardiac surgery. In the early days, mitral valve disease was the most common cause of PH in left heart disease,1 and rheumatic fever was the leading cause of valvular heart disease. The scenario has changed, and currently heart failure with preserved ejection fraction and heart failure with systolic dysfunction are the most common causes of PH in left heart disease.1 In developing countries, rheumatic valvular heart disease continues to be a major cause of secondary PH.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Editorial Source Type: research
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