Acute Pancreatitis and Myocardial Infarction: A Narrative Review
Background
Acute pancreatitis can rarely present with electrocardiographic changes that imitate myocardial ischemia. Even rarer is for acute pancreatitis to present with ST-segment elevation in contiguous leads, suggestive of an acute coronary syndrome. In this comprehensive review article, we highlight diagnostic challenges and examine possible pathophysiological causes as seen through 34 total cases in which acute pancreatitis has been found to mimic an acute myocardial infarction.
Summary
It has been shown that regardless of the severity of acute pancreatitis, it can be associated with myocardial injury of varying pr...
Source: Cardiology - January 2, 2023 Category: Cardiology Source Type: research
Screen-Detected Atrial Fibrillation and “Micro-Atrial Fibrillation” and Risk of Cardiovascular Events after Myocardial Infarction in Elderly Patients
Conclusions: Two-week intermittent ECG screening identified few cases of new-onset AF but a substantial number of patients with “micro-AF.” “Micro-AF” was associated with an increased risk of major cardiovascular events, albeit with an intermediate risk compared to those with new-onset AF.Cardiology (Source: Cardiology)
Source: Cardiology - December 20, 2022 Category: Cardiology Source Type: research
Screen-Detected Atrial Fibrillation and “Micro-Atrial Fibrillation” and Risk of Cardiovascular Events after Myocardial Infarction in Elderly Patients
Conclusions: Two-week intermittent ECG screening identified few cases of new-onset AF but a substantial number of patients with “micro-AF.” “Micro-AF” was associated with an increased risk of major cardiovascular events, albeit with an intermediate risk compared to those with new-onset AF. (Source: Cardiology)
Source: Cardiology - December 20, 2022 Category: Cardiology Source Type: research
Screen-detected atrial fibrillation and ‘micro-atrial fibrillation' and risk of cardiovascular events after myocardial infarction in elderly patients
Background: Incident atrial fibrillation (AF) occurs in 5-10% of patients after acute myocardial infarction (AMI) and is associated with adverse outcomes. Guidelines now recommend screening for AF in all elderly patients. However, the relevance of screen-detected AF and short episodes of irregular supraventricular ectopic beats ( ‘micro-AF’) after AMI is unknown.
Objectives: To investigate the value of two-week intermittent ECG screening to detect incident AF and ‘micro-AF’ in elderly patients 12 months after an AMI, and its association with risk of cardiovascular events.
Methods: This was an investigator-initiated...
Source: Cardiology - December 20, 2022 Category: Cardiology Source Type: research
Female Risk Factors for Post-Infarction Depression and Anxiety: Trial Design
Conclusion: Our primary outcome is to determine if specific CV and sociodemographic factors correlate with increased depression and anxiety scores (HADS-D #x3e;7; HADS-A #x3e;7) at baseline. Our secondary aim is to determine if increased HADS scores at baseline and follow-up correlate with 3 and 6-month health and quality of life outcomes. A total of 2,000 patients will be enrolled across seven study sites. The aim of the FRIDA Study is to understand which groups of female patients have the highest rates of depression and anxiety following ACS to better inform care. (Source: Cardiology)
Source: Cardiology - December 20, 2022 Category: Cardiology Source Type: research
Female Risk factors for post-Infarction Depression and Anxiety (FRIDA): Trial Design
Conclusion
Our primary outcome is to determine if specific CV and sociodemographic factors correlate with increased depression and anxiety scores (HADS-D>7; HADS-A>7) at baseline. Our secondary aim is to determine if increased HADS scores at baseline and follow-up correlate with three and six-month health and quality of life outcomes. A total of 2,000 patients will be enrolled across seven study sites. The aim of the FRIDA Study is to understand which groups of female patients have the highest rates of depression and anxiety following ACS to better inform care. (Source: Cardiology)
Source: Cardiology - December 20, 2022 Category: Cardiology Source Type: research
Which females have the highest rates of depression and anxiety following acute coronary syndrome?
Not applicable (Source: Cardiology)
Source: Cardiology - December 15, 2022 Category: Cardiology Source Type: research
T1 Mapping for the Assessment of Obstructive Non-Infarct-Related Coronary Arteries
(Source: Cardiology)
Source: Cardiology - December 14, 2022 Category: Cardiology Source Type: research
T1 mapping for the assessment of obstructive non-infarct related coronary arteries?
The treatment of non-culprit coronary arteries during myocardial infarction is still today under discussion. This is the first study performed in STEMI patients that identifies obstructive non-IRA using T1 mapping and in which, CMR tissular analysis might provide interesting complementary information. (Source: Cardiology)
Source: Cardiology - December 14, 2022 Category: Cardiology Source Type: research
Contents Vol. 147, 2022
Cardiology 2022;147:I –VIII (Source: Cardiology)
Source: Cardiology - December 13, 2022 Category: Cardiology Source Type: research
Acknowledgement to Reviewers
Cardiology 2022;147:587 –588 (Source: Cardiology)
Source: Cardiology - December 13, 2022 Category: Cardiology Source Type: research
The optimization of guideline-directed medical therapy during hospitalization among patients with heart failure with reduced ejection fraction in daily clinical practice
Introduction: Hospitalization due to heart failure (HF) progression is associated with poor prognosis. This highlights the role of the implementation of guideline-directed medical therapy (GDMT) in improving the morbidity and mortality of patients with heart failure with reduced ejection fraction (HFrEF). There is limited data about the intrahospital applicability of GDMT in real-world circumstances.
We aimed to assess retrospectively the use of cornerstone GDMT including RASi (ACEI/ARB/ARNI), βB, MRA, and SGLT2i treatment in a consecutive real-world HFrEF patient population admitted with signs and symptoms of heart fail...
Source: Cardiology - December 5, 2022 Category: Cardiology Source Type: research
Cardiac Characteristics of the First Two Waves of COVID-19 in Denmark and the Prognostic Value of Echocardiography:
The ECHOVID-19 Study
Introduction: COVID-19 has spread globally in waves, and Danish treatment guidelines have been updated following the first wave. We sought to investigate whether the prognostic values of echocardiographic parameters changed with updates in treatment guidelines and the emergence of novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants, 20E (EU1) and Alpha (B.1.1.7), and further to compare cardiac parameters between patients from the first and second wave.
Methods: A total of 305 patients hospitalised with COVID-19 were prospectively included, 215 and 90 during the first and second wave, respectively....
Source: Cardiology - December 1, 2022 Category: Cardiology Source Type: research
Aortic Regurgitation Requiring Unplanned Surgery following Transcatheter Closure of Ventricular Septal Defect in Children: Incidence and Risk Factors
Introduction: Our aim is to investigate the incidence and risk factors for aortic regurgitation (AR) requiring unplanned surgery after transcatheter closure of ventricular septal defect (VSD) in children.
Methods: Medical records of 876 children with VSD who underwent transcatheter closure from July 2009 to September 2018 in our hospital were retrospectively reviewed. Groups with and without new-onset or increasing AR requiring unplanned surgery were compared. Univariate and multivariate analysis were used to identify the possible risk factors. Smoothing plot and threshold effect analysis were carried to find the relation...
Source: Cardiology - November 22, 2022 Category: Cardiology Source Type: research
Elevated Native T1 Values in The Remote Myocardium Supplied by
Obstructive Non-infarct Related Coronary Arteries in post-STEMI CMR
Conclusion: Elevated native T1 values are independent predictors of obstructive Non-IRA in STEMI patients. These results suggest the presence of concomitant remote myocardial impairment in the non-infarct territories with obstructive CAD. (Source: Cardiology)
Source: Cardiology - November 22, 2022 Category: Cardiology Source Type: research
