What Is That Flow? Clinically Relevant Incidental Finding in a Patient Undergoing Coronary Artery Bypass Grafting, Mitral Valve Repair, and Maze Cryoablation
A 66-YEAR-old man with a history of hypertension, hyperlipidemia, obstructive sleep apnea, coronary artery disease, atrial fibrillation on anticoagulation, and mitral valve prolapse with severe mitral regurgitation, was referred to the authors ’ institution for coronary artery bypass grafting (CABG), mitral valve repair, and Maze cryoablation. Preoperative transesophageal echocardiography (TEE) showed normal biventricular function with a mildly dilated left ventricle, severely dilated left atrium, and flail posterior mitral valve leafle t (P2 and P3 segments) with severe mitral regurgitation.
Atrial fibrillation (afib) is a common heart rhythm disorder in which the upper chambers of the heart (the atria) beat fast and irregularly. Afib commonly causes recurrent symptoms, usually palpitations and shortness of breath, and can negatively affect quality of life. Afib also substantially increases the risk of stroke, and is also associated with heart failure, high blood pressure, and diabetes. People with afib routinely require lifelong treatment with blood thinners, to prevent blood clots that can lead to strokes. Doctors are only recently understanding the importance of lifestyle factors in treating afib. Modifiabl...
In this issue of International Journal of Cardiology, Weinmann et al. investigated the impact of overweight and obesity in 600 patients who underwent cryoballoon pulmonary vein (PV) isolation for atrial fibrillation (AF) on procedural characteristics and clinical outcomes . Compared to patients that classified as normal, obese patients suffered more frequently from hypertension, diabetes mellitus, obstructive sleep apnea, and exhibited larger left atrial dimensions. No significant differences were found in complication rates between normal weight patients and overweight or obese patients.
We describe the various pharmacological and non-pharmacological strategies for AF management with a peek at some futuristic approaches. While each one of these variables could lend themselves for a separate review, we attempted to provide an overview of the most critical predictors of AF outcomes to equip the readers with the latest know-how of the management of AF.
Atrial fibrillation (AF) is known to be one of the most common rhythm disorders encountered in clinical practice. Yet, AF only rarely occurs as a solitary diagnosis. On the contrary, AF typically is predisposed to be numerous factors. The most important predisposing factor for AF is age, with both AF incidence rates and prevalence rising with every life year . Beyond age, arterial hypertension, cardiomyopathies, obstructive sleep apnea, or valvular dysfunction confer increased risk [2,3].
ConclusionsPatients with AF who were diagnosed with OSA had significantly higher plasma visfatin levels which increased according to the severity of OSA. Furthermore, multivariate regression analysis identified visfatin concentration over 1.25 ng/mL, male sex, age over 59.1 years, and permanent AF as the factors showing independent correlation with OSA.
CONCLUSIONS: Patients with AF who were diagnosed with OSA had significantly higher plasma visfatin levels which increased according to the severity of OSA. Furthermore, multivariate regression analysis identified visfatin concentration over 1.25 ng/mL, male sex, age over 59.1 years, and permanent AF as the factors showing independent correlation with OSA. PMID: 32170672 [PubMed - as supplied by publisher]
The objective of this research article was to assess the trend of hospitalization, epidemiological characteristics and economic burden in the young adult, aged 18–45 years, presenting with atrial fibrillation.MethodsHospitalization data from the National Inpatient Sample between 2005 and 2015 were used to analyze prevalence of risk factors and financial burden in young adults with atrial fibrillation.ResultsFrom 2005 to 2015, a total of 260,080 admissions were included in the study. From 2005 to 2015, there was a decreasing trend of total admissions with atrial fibrillation among the age group of 18–45 years co...
Cardiology MCQ – Associations of primary aldosteronism Which of the following are associated with primary aldosteronism? Hypertension Atrial fibrillation Obstructive sleep apnea All of the above Post your answer as a comment below.
Conclusions: Of two commonly used questionnaires to screen for SA, neither the SBQ nor the BQ questionnaire discriminated well between those with or without SA in patients with PAF. Until better screening tools are available PG or PSG needs to be used to detect SA in these patients.
Introduction: OSA has a polygraphic definition based on the HAI. It generates nocturnal desaturation responsible for cellular hypoxia with multi-visceral impact mainly cardiac such as arrhythmias.The purpose of our study was to investigate whether peripheral saturation can be a means of descrambling to diagnose OSAS in a population followed for AF.Methods: Analytical prospective study including 100 patients followed for AF. None of the recruited patients had been followed for OSA before. Each patient had a clinical examination and a polygraphy. Patients were divided into 2 groups: G1: with OSA and G2: without OSA.Results: ...