Does left ventricular reverse remodeling influence long-term outcomes in patients with Chagas cardiomyopathy?

Does left ventricular reverse remodeling influence long-term outcomes in patients with Chagas cardiomyopathy? Cardiol J. 2020 Mar 24;: Authors: Nakazone MA, Otaviano AP, Machado MN, Bestetti RB Abstract BACKGROUND: The impact of left ventricular reverse remodeling (LVRR) on the prognosis of Chagas cardiomyopathy is unknown. The aim of this study was to determine whether the presence of LVRR can predict mortality in these patients. METHODS: From January 2000 to December 2010, the medical charts of 159 patients were reviewed. LVRR was defined as an increase of left ventricular ejection fraction (LVEF) and a decrease of left ventricular end-diastolic diameter (LVDD) by two-dimensional echocardiography. No patient underwent cardiac resynchronization therapy or required mechanical ventricular assistance. RESULTS: At baseline, median (25th-75th) LVDD was 64 mm (59-70), and median LVEF was 33.2% (26.4-40.1). LVRR was detected in 24.5% of patients in a 40-month (26-64) median follow-up. In the LVRR group, LVDD decreased from 64mm (59-68) to 60 mm (56-65; p
Source: Cardiology Journal - Category: Cardiology Authors: Tags: Cardiol J Source Type: research

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CONCLUSION: Patients presenting with thyroid storm-induced shock may not be suitable candidates for traditional management with β-adrenergic blockers (β-blockers). Use of β-blockers could exasperate their condition. Through extensive literature review on this rare condition, the most effective management was found to be therapeutic plasma exchange in order to decrease thyroid hormone levels, which have direct toxic effect on the heart. Furthermore, the use of ECMO and Impella are advised to reduce pressure on the heart and ensure the patient's organs are well oxygenated and perfused while the left ventricle ...
Source: Current Cardiology Reviews - Category: Cardiology Tags: Curr Cardiol Rev Source Type: research
AbstractAimsTakotsubo cardiomyopathy (TC) is characterized by transient ventricular impairment, often preceded by emotional or physical stress. Racial differences affect the outcomes of several cardiovascular conditions; however, the effect of race on TC remains unknown. This investigation aims to assess the effect of race on in ‐hospital outcomes of TC in a large national sample.Methods and resultsWe conducted a US ‐wide analysis of TC hospitalizations from 2006 to 2014 by querying the National Inpatient Sample database for the International Classification of Diseases‐ninth Revision TC code, characteristics, and inp...
Source: ESC Heart Failure - Category: Cardiology Authors: Tags: Original Research Article Source Type: research
Publication date: Available online 11 December 2019Source: JACC: Heart FailureAuthor(s): Daniel J.P. Burns, Jason Arora, Oluwakemi Okunade, John F. Beltrame, Sabrina Bernardez-Pereira, Marisa G. Crespo-Leiro, Gerasimos S. Filippatos, Suzanna Hardman, Arno W. Hoes, Stephen Hutchison, Mariell Jessup, Tina Kinsella, Michael Knapton, Carolyn S.P. Lam, Frederick A. Masoudi, Hugh McIntyre, Richard Mindham, Louise Morgan, Luuk Otterspoor, Victoria ParkerAbstractWhereas multiple national, international, and trial registries for heart failure have been created, international standards for clinical assessment and outcome measurement...
Source: JACC: Heart Failure - Category: Cardiology Source Type: research
"Do we have to replace the balloon pump when it fails?" Hastings Cent Rep. 2020 Jan;50(1):10-13 Authors: Bibler TM, Crist JM, Malek J, Childress AM Abstract Mrs. Duong had coronary artery disease, ischemic cardiomyopathy, and mildly altered mental status when her case was presented before an advanced heart therapy medical review board. She was accepted for left ventricular assist device placement pending additional insight into her cognitive state. Before the LVAD could be implanted, however, Mrs. Duong went into cardiogenic shock, and her heart failure team placed an intra-aortic balloon pu...
Source: The Hastings Center Report - Category: Medical Ethics Authors: Tags: Hastings Cent Rep Source Type: research
Publication date: Available online 11 December 2019Source: JACC: Heart FailureAuthor(s): Daniel J.P. Burns, Jason Arora, Oluwakemi Okunade, John F. Beltrame, Sabrina Bernardez-Pereira, Marisa G. Crespo-Leiro, Gerasimos S. Filippatos, Suzanna Hardman, Arno W. Hoes, Stephen Hutchison, Mariell Jessup, Tina Kinsella, Michael Knapton, Carolyn S.P. Lam, Frederick A. Masoudi, Hugh McIntyre, Richard Mindham, Louise Morgan, Luuk Otterspoor, Victoria ParkerAbstractWhereas multiple national, international, and trial registries for heart failure have been created, international standards for clinical assessment and outcome measurement...
Source: JACC: Heart Failure - Category: Cardiology Source Type: research
AbstractPurpose of reviewWhile the prognosis of peripartum cardiomyopathy (PPCM) is generally more favorable than other cardiomyopathies, PPCM can be associated with cardiogenic shock and significant maternal morbidity in young women. The management of a pregnant woman in cardiogenic shock necessitates consideration of harm to the fetus. This review focuses on the management of these women.Recent findingsA number of advances have increased the repertoire of therapies available to manage PPCM. Increased understanding of PPCM pathophysiology has led to a number of new and experimental medications. In the current era, mechani...
Source: Current Treatment Options in Cardiovascular Medicine - Category: Cardiology Source Type: research
AbstractAimsThe aim of this study was to determine the incidence, predictors, and short ‐term and long‐term outcomes associated with in‐hospital sustained ventricular tachycardia (VT) and ventricular fibrillation (VF) collectively termed ventricular arrhythmia (VA) in the heart failure (HF) patients.Methods and resultsThe HEart function Assessment Registry Trial in Saudi Arabia (HEARTS registry) is a prospective national registry of patients with chronic HF from18 tertiary care hospitals across Saudi Arabia. Diagnosis of HF was in accordance with American Heart Association/European Society of Cardiology definition cr...
Source: ESC Heart Failure - Category: Cardiology Authors: Tags: Original Research Article Source Type: research
CONCLUSIONS: MAC patients were more likely to be younger, male, of Māori ethnicity and have a worse prognosis when compared to patients with other non-ischaemic cardiomyopathies. PMID: 31563927 [PubMed - in process]
Source: New Zealand Medical Journal - Category: General Medicine Tags: N Z Med J Source Type: research
ConclusionsEarly intensive physical rehabilitation is feasible and safe and may result in improved outcomes and expeditious discharge in VA ECMO patients. Protocol driven multidisciplinary physical therapy with a patient on femorally cannulated VA ‐ECMO retains the advantages of lower extremity peripheral cannulation while eliminating the risks of immobility. The new UNOS allocation system may result in a successful bridge to transplantation in patients on VA‐ECMO due to the increased prioritization of this population to receive donor org ans.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CASE REPORT Source Type: research
Peripartum Cardiomyopathy (PPCM) is a rare form of cardiomyopathy diagnosed in the last month of pregnancy or up to five months postpartum in the absence of other underlying etiology. PPCM can result in cardiogenic shock or end-stage heart failure requiring mechanical circulatory support (MCS). It is unclear if there are any racial discrepancies in outcomes of patients requiring MCS.
Source: Journal of Cardiac Failure - Category: Cardiology Authors: Tags: 255 Source Type: research
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