Balloon pulmonary angioplasty attenuates sleep apnea in patients with chronic thromboembolic pulmonary hypertension
ConclusionsBPA-induced improvement in hemodynamics was associated with the attenuation of SA in patients with CTEPH and SA. Therefore, close attention should be paid to SA in CTEPH patients, and SA should be re-evaluated after BPA to avoid overestimating its severity. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - April 25, 2019 Category: Respiratory Medicine Source Type: research

Table of Contents
Publication date: May–June 2019Source: Heart & Lung, Volume 48, Issue 3Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - April 25, 2019 Category: Respiratory Medicine Source Type: research

Board of Directors
Publication date: May–June 2019Source: Heart & Lung, Volume 48, Issue 3Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - April 25, 2019 Category: Respiratory Medicine Source Type: research

Information for Readers
Publication date: May–June 2019Source: Heart & Lung, Volume 48, Issue 3Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - April 25, 2019 Category: Respiratory Medicine Source Type: research

Information for Authors
Publication date: May–June 2019Source: Heart & Lung, Volume 48, Issue 3Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - April 25, 2019 Category: Respiratory Medicine Source Type: research

One-year cost-effectiveness of supervised centre-based exercise training in addition to a post-discharge disease management program for patients recently hospitalized with acute heart failure: The EJECTION-HF study
Publication date: Available online 15 April 2019Source: Heart & LungAuthor(s): Shoko Maru, Alison M. Mudge, Jessica M. Suna, Paul A. Scuffham, on behalf of the EJECTION-HF Trial InvestigatorsAbstractBackgroundCombining supervised exercise training (ET) and disease management program (DMP) may benefit people with heart failure (HF) but will require additional resources.ObjectivesTo assess the 1-year cost-effectiveness of a 24-week ET program added to a post-discharge DMP in patients recently hospitalized with HF.MethodsUsing randomized controlled trial data, within-trial cost-utility analyses were undertaken in the over...
Source: Heart and Lung: The Journal of Acute and Critical Care - April 16, 2019 Category: Respiratory Medicine Source Type: research

Family caregiver-reported outcomes regarding decision-making for left ventricular assist device implantation
ConclusionsFamily caregiver-reported outcomes inform clinical practice and future research. FCGs of LVAD recipients did not see viable alternatives to LVAD implantation, were generally satisfied with post-implantation outcomes, and experienced unexpected life changes in the post-implantation period despite feeling prepared preoperatively. Education of both LVAD recipients and their FCGs must be optimized. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - April 11, 2019 Category: Respiratory Medicine Source Type: research

Strategic plan: Vision for our future
Publication date: Available online 5 April 2019Source: Heart & LungAuthor(s): Ann Laramee (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - April 6, 2019 Category: Respiratory Medicine Source Type: research

Education for advanced nursing practice worldwide – Is it fit for purpose?
Publication date: Available online 30 March 2019Source: Heart & LungAuthor(s): David R Thompson, Felicity Astin (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 31, 2019 Category: Respiratory Medicine Source Type: research

Metabolic effects of beta-blockers in critically ill patients: A retrospective cohort study
We examined metabolic effects of beta-blockers among ICU patients, to address the effect on the estimated energy expenditure, measured by carbon dioxide production (VCO2). Furthermore, we investigated effects on organ function and inflammation.MethodsA retrospective study in adult patients admitted to our 17-beds mixed medical-surgical ICU from January 2013 to March 2016. Mechanically ventilated patients who commenced beta-blockers were eligible for inclusion. Exclusion criteria were: beta-blocker therapy in the 7 previous days, treatment duration
Source: Heart and Lung: The Journal of Acute and Critical Care - March 27, 2019 Category: Respiratory Medicine Source Type: research

Pulmonary artery dissection—A review of 150 cases
Publication date: Available online 23 March 2019Source: Heart & LungAuthor(s): Dinesh Malcolm Gerard Fernando, Solokara Mudiyanselage Nirmani Kaushalya Thilakarathne, Chathula Ushari WickramasingheAbstractPulmonary artery dissection (PAD) is considered to be a rare condition with a very high mortality. Since a comprehensive review on PAD has not yet been done, we analysed all the available reports on PAD. In this analysis and review we searched the databases; Medline, PubMed Central, Directory of Open Access Journals, Google Scholar using the search term “Pulmonary Artery Dissection” with no language restri...
Source: Heart and Lung: The Journal of Acute and Critical Care - March 24, 2019 Category: Respiratory Medicine Source Type: research

Assessment of pre-operative psychosocial function among people receiving left ventricular assist devices: A national survey of US LVAD programs
ConclusionsCurrent psychosocial assessment practices in LVAD programs vary widely and often yield non-standardized, non-comparable data that may lead to variations in care and limit generation of an evidence base for decision making regarding psychosocial eligibility for LVAD implantation. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 22, 2019 Category: Respiratory Medicine Source Type: research

Red cell distribution width in acute pulmonary embolism patients: A simple aid for improvement of the 30-day mortality risk stratification based on the pulmonary embolism severity index
ConclusionsThirty-day mortality predictions based on the PESI score may be improved by accounting for RDW. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 22, 2019 Category: Respiratory Medicine Source Type: research

Comparison of the accuracy of three early warning scores with SOFA score for predicting mortality in adult sepsis and septic shock patients admitted to intensive care unit
ConclusionThe SOS presents nearly as good as the SOFA score, to predict mortality among sepsis patients admitted to the ICU. The early warning score is another, alternative tool to use for risk stratification and sepsis screening for ICU sepsis patients. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 20, 2019 Category: Respiratory Medicine Source Type: research

Table of Contents
Publication date: March–April 2019Source: Heart & Lung, Volume 48, Issue 2Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 19, 2019 Category: Respiratory Medicine Source Type: research

Board of Directors
Publication date: March–April 2019Source: Heart & Lung, Volume 48, Issue 2Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 19, 2019 Category: Respiratory Medicine Source Type: research

Information for Readers
Publication date: March–April 2019Source: Heart & Lung, Volume 48, Issue 2Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 19, 2019 Category: Respiratory Medicine Source Type: research

Information for Authors
Publication date: March–April 2019Source: Heart & Lung, Volume 48, Issue 2Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 19, 2019 Category: Respiratory Medicine Source Type: research

Influence of depression and gender on symptom burden among patients with advanced heart failure: Insight from the pain assessment, incidence and nature in heart failure study
ConclusionsGiven the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - March 16, 2019 Category: Respiratory Medicine Source Type: research

Differences in knowledge of hypertension by age, gender, and blood pressure self-measurement among the Israeli adult population✰
ConclusionsHigher age, more years of education, and blood pressure self-measurement were associated with higher total HTN knowledge. The attention of health authorities should be drawn to improving HTN knowledge among younger adults, and to including blood pressure self-measurement in the regular practices of the general population. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - February 20, 2019 Category: Respiratory Medicine Source Type: research

Emergency department asthma diagnosis risk associated with the 2012 heat wave and drought in Douglas County NE, USA
Publication date: Available online 24 January 2019Source: Heart & LungAuthor(s): Larry W. FiggsAbstractBackgroundGlobal climate change concerns are forcing local public health agencies to assess potential disease risk.ObjectiveDetermine if risk of an emergency department asthma diagnosis in Douglas County, NE, was higher during the 2012 heatwave compared to 2011.MethodsRetrospective, observational, case-control design selecting subjects from 2011 and 2012 emergency department (ED) admissions. Risk was estimated by conditional logistic regression.ResultsThe asthma ED risk estimate was 1.23 (95%CI = 0.96–...
Source: Heart and Lung: The Journal of Acute and Critical Care - January 24, 2019 Category: Respiratory Medicine Source Type: research

Epidemiology of blood stream infection in adult extracorporeal membrane oxygenation patients: A cohort study
Publication date: Available online 24 January 2019Source: Heart & LungAuthor(s): Jay Menaker, Samuel Galvagno, Ronald Rabinowitz, Vesselin Penchev, Allison Hollis, Zachary Kon, Kristopher Deatrick, Anthony Amoroso, Daniel Herr, Michael MazzeffiAbstractPurposeThe purpose of our study was to characterize the epidemiology of blood stream infection (BSI) in adult extracorporeal membrane oxygenation (ECMO) patients at a single tertiary care academic medical center with standardized post-cannulation antibiotic prophylaxis practices.MethodsA single-center retrospective cohort study was performed over a five-year period. BSI i...
Source: Heart and Lung: The Journal of Acute and Critical Care - January 24, 2019 Category: Respiratory Medicine Source Type: research

A review of guidelines to distinguish between gastric and pulmonary placement of nasogastric tubes
Publication date: Available online 18 January 2019Source: Heart & LungAuthor(s): Norma A. Metheny, Mary M. Krieger, Frances Healey, Kathleen L. MeertAbstractThe purpose of this review was to (1) identify areas of agreement and disagreement in guidelines/recommendations to distinguish between gastric and pulmonary placement of nasogastric tube and (2) summarize factors that affect choices made by clinicians regarding which method(s) to use in specific situations. Systematic searches were conducted in the PubMed, Scopus, and CINAHL Plus databases using a combination of keywords and data-specific subject headings. Searche...
Source: Heart and Lung: The Journal of Acute and Critical Care - January 20, 2019 Category: Respiratory Medicine Source Type: research

Long peripheral catheters for deep arm vein venous access: A systematic review of complications
ConclusionThere is a lack of intervention specific and adequately powered randomised controlled trials investigating LPCs in an intensive care setting. Until the results of such studies are available, LPCs should be used as an alternative to ultrasound-guided PVCs in well monitored acute care environments. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - January 17, 2019 Category: Respiratory Medicine Source Type: research

Connecting the generations to strengthen AAHFN
Publication date: Available online 15 January 2019Source: Heart & LungAuthor(s): Carolyn Miller Reilly (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - January 16, 2019 Category: Respiratory Medicine Source Type: research

A latent class analysis of prolonged mechanical ventilation patients at a long-term acute care hospital: Subtype differences in clinical outcomes
Publication date: Available online 14 January 2019Source: Heart & LungAuthor(s): Heather Dunn, Laurie Quinn, Susan Corbridge, Mary Kapella, Kamal Eldeirawi, Alana Steffen, Eileen CollinsAbstractRationalePatients on prolonged mechanical ventilation (PMV) at Long-Term Acute Care Hospital's (LTACHs) are clinically heterogeneous making it difficult to manage care and predict clinical outcomes.ObjectivesIdentify and describe subgroups of patients on PMV at LTACHs and examine for group differences.MethodsLatent class analysis was completed on data obtained during medical record review at Midwestern LTACH.Main resultsA three-...
Source: Heart and Lung: The Journal of Acute and Critical Care - January 15, 2019 Category: Respiratory Medicine Source Type: research

Increased pain sensitivity, postural abnormalities, and functional balance impairment in obstructive lung disease compared to healthy subjects
Publication date: Available online 14 January 2019Source: Heart & LungAuthor(s): Naciye Vardar-Yagli, Melda Saglam, Ebru Calik-Kutukcu, Deniz Inal-Ince, Hulya Arikan, Lutfi CopluAbstractBackgroundRecent reports have identified pain as a comorbidity in obstructive lung diseases, but data regarding pain in certain obstructive lung diseases such as COPD and bronchiectasis vs. healthy controls and differences in pain between these chronic lung diseases are limited.ObjectivesThe primary aim of this study was to compare pain sensitivity, postural abnormalities, and functional balance in patients with COPD/bronchiectasis vs. ...
Source: Heart and Lung: The Journal of Acute and Critical Care - January 15, 2019 Category: Respiratory Medicine Source Type: research

High quality chest compression: Don't be afraid of breaking ribs to gain a life!
Publication date: Available online 10 January 2019Source: Heart & LungAuthor(s): Aurora Magliocca, Martina Manfredi, Davide Olivari, Daria De Giorgio, Alberto Cucino, Davide Danilo Zani, Giuseppe Ristagno (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - January 11, 2019 Category: Respiratory Medicine Source Type: research

Patterns of adherence to diuretics, dietary sodium and fluid intake recommendations in adults with heart failure
Conclusion: Although participants were just discharged from the hospital after an acute exacerbation of HF, all three behavioral patterns decreased markedly over the 3-month follow-up period. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - January 10, 2019 Category: Respiratory Medicine Source Type: research

Device-detected congestion is associated with worse patient-reported outcomes in heart failure
ConclusionsIntrathoracic impedance measured with the Optivol Index can provide additional information regarding the patient experience of hallmark physical and psychological HF symptoms and HRQOL over 3 months. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - January 2, 2019 Category: Respiratory Medicine Source Type: research

Equipment, access and worry about running short of oxygen: Key concerns in the ATS patient supplemental oxygen survey
Publication date: Available online 28 December 2018Source: Heart & LungAuthor(s): K.O. Lindell, E.G. Collins, L. Catanzarite, C.M. Garvey, C. Hernandez, S. Mclaughlin, A.M. Schneidman, P.M. Meek, S.S. Jacobs (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 29, 2018 Category: Respiratory Medicine Source Type: research

Gender bias in clinical decision making emerges when patients with coronary heart disease symptoms also have psychological symptoms
ConclusionsThere was a gender bias in CHD clinical decision-making when patients had concurrent psychological symptoms. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 28, 2018 Category: Respiratory Medicine Source Type: research

A strong and reliable indicator for early postoperative major cardiac events after elective orthopedic surgery: Aortic arch calcification
ConclusionsPresence of aortic arch calcification is associated with development of major cardiac events within 30-days after elective orthopedic surgery. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 28, 2018 Category: Respiratory Medicine Source Type: research

AAHFN Board of Directors
Publication date: January–February 2019Source: Heart & Lung, Volume 48, Issue 1Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 20, 2018 Category: Respiratory Medicine Source Type: research

Risk of left ventricular assist device driveline infection: A systematic literature review
ConclusionsAlthough some risk factors for infection were identified, evidence is still limited. Nurses are uniquely positioned to improve driveline management, disrupting the chain of infection. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 18, 2018 Category: Respiratory Medicine Source Type: research

Physiological and clinical outcomes associated with use of one-way speaking valves on tracheostomised patients: A systematic review
ConclusionThere is emerging evidence of additional benefits for using speaking valves. Further studies should focus on clinical outcomes that have the potential to reduce healthcare costs as well as patient outcomes. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 18, 2018 Category: Respiratory Medicine Source Type: research

Mid-term clinical outcomes of out-of-hospital cardiac arrest patients treated with targeted temperature management at 34–36 °C versus 32–34 °C
ConclusionsPatients treated with TTM at 34–36 °C had similar mid-term survival and neurological outcomes as patients treated with TTM at 32–34 °C. However, patients treated within the higher temperature range had fewer acute complications. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 13, 2018 Category: Respiratory Medicine Source Type: research

Right ventricular failure following placement of a percutaneous left ventricular assist device
Conclusion: our case highlights the risk of RV failure following percutaneous LVAD placement. Early identification and appropriate mechanical support is imperative. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 12, 2018 Category: Respiratory Medicine Source Type: research

Motivators and barriers for participation in aquatic and land-based exercise training programs for people with stable heart failure: A mixed methods approach
ConclusionsAquatic and land-based exercise training are equally acceptable for people with stable HF and motivators are similar for both programs. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 5, 2018 Category: Respiratory Medicine Source Type: research

Table of Contents
Publication date: January 2019Source: Heart & Lung, Volume 48, Issue 1Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 5, 2018 Category: Respiratory Medicine Source Type: research

Board of Directors
Publication date: January 2019Source: Heart & Lung, Volume 48, Issue 1Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 5, 2018 Category: Respiratory Medicine Source Type: research

Information for Authors
Publication date: January 2019Source: Heart & Lung, Volume 48, Issue 1Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 5, 2018 Category: Respiratory Medicine Source Type: research

Information for Readers
Publication date: January 2019Source: Heart & Lung, Volume 48, Issue 1Author(s): (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - December 5, 2018 Category: Respiratory Medicine Source Type: research

A silent myocardial infarction with normal coronary arteries associated with Graves’ disease
In conclusion, patients with GD-associated silent MI are unusual. Early recognition and diagnosis by clinicians provide a better prognosis. This case demonstrates the importance of ECG and cTnI screening among GD patients. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - November 29, 2018 Category: Respiratory Medicine Source Type: research

Prevalence of pulmonary embolism in patients with obstructive sleep apnea and chronic obstructive pulmonary disease: The overlap syndrome
Publication date: Available online 26 November 2018Source: Heart & LungAuthor(s): Jiang Xie, Fei Li, Xiaofan Wu, Weiwei HouabstractObjectiveGrowing evidence indicates that both obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD) may be closely associated with the prevalence of pulmonary embolism (PE). However, the relationship of overlap syndrome (OS) (coexistence of OSA and COPD) with PE is unclear. The purpose of this study was to investigate whether OS were associated with increased PE prevalence.MethodsWe performed a retrospective chart review of patients who underwent sleep study at Beij...
Source: Heart and Lung: The Journal of Acute and Critical Care - November 27, 2018 Category: Respiratory Medicine Source Type: research

Markers of cardiogenic shock predict persistent acute kidney injury after out of hospital cardiac arrest
ConclusionsAmong patient who survive cardiac arrest, acute AKI is common and PAKI occurs in more than one third. PAKI is associated both with survival and with length of stay at the hospital. High doses of adrenaline, high serial serum lactate levels, and dose of dobutamine predict PAKI. Evaluation of the trajectory of renal function over the first few days after resuscitation can provide prognostic information about patient recovery. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - November 24, 2018 Category: Respiratory Medicine Source Type: research

The role of illness uncertainty in the relationship between disease knowledge and patient-reported outcomes among adolescents and adults with congenital heart disease
ConclusionWhen individuals with CHD feel uncertain about their disease course and outcomes, knowledge about future cardiovascular risks may result in higher levels of distress. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - November 24, 2018 Category: Respiratory Medicine Source Type: research

Family presence during resuscitation (FPDR): A qualitative descriptive study exploring the experiences of emergency personnel post resuscitation
ConclusionFPDR is common practice in paediatric events however remains inconsistently implemented during adult resuscitations. A designated family support person is essential to successful implementation of FPDR and should be incorporated in to the allocation of the resuscitation team roles during both adult and paediatric resuscitation events. Education and training is important for clinicians to learn essential communication skills, building practice confidence, which is required to successfully implement FPDR. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - November 16, 2018 Category: Respiratory Medicine Source Type: research

Design and rationale of the B-lines lung ultrasound guided emergency department management of acute heart failure (BLUSHED-AHF) pilot trial
ConclusionIf successful, this pilot study will inform future, larger trial design on LUS driven therapy aimed at guiding treatment and improving outcomes in patients with AHF. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - November 16, 2018 Category: Respiratory Medicine Source Type: research

Regional disparity in outcomes among patients hospitalized for Takotsubo cardiomyopathy in the United States✰
ConclusionSignificant geographic variation exists in the cost of hospitalization and in-hospital mortality of TTCM across the US. Understanding this variation requires a detailed understanding of the processes of care and identification of effective strategies to eliminate these disparities. (Source: Heart and Lung: The Journal of Acute and Critical Care)
Source: Heart and Lung: The Journal of Acute and Critical Care - November 14, 2018 Category: Respiratory Medicine Source Type: research