Type A Aortic Dissection in the Current Era: Factors Affecting Outcomes
Acute type A aortic dissection is a clinical emergency and is associated with significant morbidity and mortality rates if not managed promptly in specialised and high-volume centres. The mortality rate is increased by 1% for each hour delay in management; however, with advancement in clinical practice, diagnostic imaging and clinician awareness, this has been dramatically reduced to below 30% in most international centres.Not only timing of recognition of the pathology, but also other factors can significantly affect outcomes of such critical pathology. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 13, 2020 Category: Cardiology Authors: Amer Harky, Vineshwar Pal Singh, Darab Khan, Muhammad Maaz Sajid, Muhammed Kermali, Ahmed Othman Tags: Review Source Type: research

Transcatheter Versus Surgical Aortic Valve Replacement: An Updated Systematic Review and Meta-Analysis With a Focus on Outcomes by Sex
Women at increased surgical risk have been shown to have better outcomes with transcatheter aortic valve implantation (TAVI) as compared to surgical valve replacement (SAVR). With the scope of TAVI moving into low-surgical risk patients, we aimed to update the current literature to include the new low-risk randomised controlled trial data in investigating outcomes by sex. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 12, 2020 Category: Cardiology Authors: Misha Dagan, Timothy Yeung, Julia Stehli, Dion Stub, Antony S. Walton, Stephen J. Duffy Tags: Original Article Source Type: research

Is Venoplasty an Alternative to Lead Extraction for Patients With Venous Obstruction?
Indications for cardiovascular implantable electronic devices (CIEDs) have increased over time. Patients may require lead replacement or implantation due to lead failure or need for device upgrade. Venous obstruction is a common finding in these patients and often poses difficulties for operators. Venoplasty as an alternative to lead extraction emerges as an important intervention in the treatment of selected patients, particularly with a view to minimising procedural risk. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 12, 2020 Category: Cardiology Authors: Sean Gomes, Andrew Anthony Mamo, Leigh Cummins, Virag Kushwaha Tags: Original Article Source Type: research

The Challenges of Cardiac Resynchronisation Therapy in Left Ventricular Assist Device Supported Patients
Heart failure (HF) affects approximately 2% of the adult population worldwide resulting in poor quality of life with increased mortality [1]. Cardiac resynchronisation therapy (CRT) is a standard device therapeutic option in symptomatic HF patients with reduced ejection fraction and electrical dyssynchrony [2]. However, the long-term prognosis of HF remains poor with 1-year mortality of 20 –25% despite the optimal therapies [1]. In such refractory cases, continuous-flow left ventricular assist device (CF-LVAD) implantation is becoming the standard of care [3]. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 11, 2020 Category: Cardiology Authors: Nirav Patel, Joseph Radojevic Tags: Editorial Source Type: research

Cardiac Magnetic Resonance Late Gadolinium Enhancement Imaging in Arrhythmic Risk Stratification
Non-invasive imaging plays a central role in the diagnosis of non-ischaemic cardiomyopathies, the assessment of prognosis, and monitoring of therapy. Three (3) fundamental questions must be addressed clinically: 1) Is the left ventricular (LV) ejection fraction (EF) preserved or reduced? 2) Is the structure of the LV normal or abnormal? 3) Are there other myocardial tissue abnormalities that could account for the clinical presentation? Cardiovascular magnetic resonance (CMR) is a transformative imaging technology that is increasingly being used for the non-invasive evaluation of the expanding cardiomyopathy population. (So...
Source: Heart, Lung and Circulation - July 11, 2020 Category: Cardiology Authors: Gaetano Nucifora, Joseph B. Selvanayagam Tags: Editorial Source Type: research

Prevalence and Cost of Managing Paediatric Cardiac Disease in Queensland
There is a paucity of contemporary information regarding the prevalence and related healthcare expenditure of the most common cardiac conditions in Australian children, including congenital heart disease (CHD). (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 8, 2020 Category: Cardiology Authors: Geoffrey A. Strange, Sundar Veerappan, Nelson Alphonso, Stephen Refeld, Stewart Simon, Robert Justo Tags: Original Article Source Type: research

Pacing Over the Guidewire in Cardiac Structural Intervention: A Practical Guide
Left ventricular access for aortic valve intervention provides the opportunity to deliver rapid pacing over the guidewire for device positioning and deployment. Temporary pacing delivered via the left ventricle can obviate the need for venous access and has been shown to be a safe alternative to temporary right ventricular pacing. The technique requires some basic knowledge and experience in temporary cardiac pacing. We outline safe practical steps and common pitfalls in using this technique. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 8, 2020 Category: Cardiology Authors: Austin May, Nicholas Collins, Nicholas Jackson, John Fitzgerald, Andrew Boyle, Rohan Bhagwandeen Tags: How-To-Do-It Source Type: research

Edge-to-Edge Repair Versus Secondary Cord Cutting During Septal Myectomy in Patients With Hypertrophic Obstructive Cardiomyopathy: A Pilot Randomized Study
To evaluate whether the Alfieri technique improves clinical and haemodynamic results and compare it with transaortic mitral valve secondary cord cutting in patients scheduled for septal myectomy for severely symptomatic hypertrophic obstructive cardiomyopathy. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 7, 2020 Category: Cardiology Authors: Alexander V. Afanasyev, Alexander V. Bogachev-Prokophiev, Sergei I. Zheleznev, Ravil M. Sharifulin, Anton S. Zalesov, Sergei A. Budagaev Tags: Original Article Source Type: research

Late Aortic Valve Rupture After Blunt Chest Trauma
A 56-year-old woman hit by a truck while riding a bicycle was admitted to the emergency room for severe head, chest, and abdominal trauma. Urgent computed tomography scan showed a small subdural haematoma to the right parietal lobe, hepatic laceration that extends to the posterior –superior region of segment VII, multiple bone fractures, and small intramural haematoma of aortic arch. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 7, 2020 Category: Cardiology Authors: Nunzio Davide de Manna, Stiljan Hoxha, Luca Felice Cerrito, Carletti Monica, Giuseppe Faggian, Giovanni Battista Luciani Tags: Images in ct surgery and cardiology Source Type: research

Effects of Preoperative Angiotensin-Converting Enzyme Inhibitor Therapy on Postoperative Renal Function in Cardiac Surgery
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was —“In patients who undergo cardiac surgery, is preoperative angiotensin-converting enzyme inhibitor therapy associated with postoperative renal dysfunction?” Altogether, 339 papers were found using the reported search. Ten (10) were chosen which best answered the clinical question. The papers w ere evaluated for bias and heterogeneity using validated tools and the collected results analysed qualitatively. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 7, 2020 Category: Cardiology Authors: Joshua A. De Bono, Sean M. Conte, Andrew E. Newcomb Tags: Review Source Type: research

Rare Association of an Intramural Coronary Artery and Truncus Arteriosus
The association of truncus arteriosus (TA) and an intramural coronary artery is rare. Seven (7) patients had TA and an intramural coronary artery at the Royal Children's Hospital, Melbourne between 1996 and 2018. Four (4) patients underwent concomitant unroofing of their intramural coronary artery. One (1) patient who did not undergo concomitant unroofing had a cardiac arrest on postoperative day 1 and subsequently underwent reoperation for coronary unroofing. Given the potential for serious complications, patients with TA and an intramural coronary artery may benefit from coronary unroofing with creation of a generous neo...
Source: Heart, Lung and Circulation - July 7, 2020 Category: Cardiology Authors: Phillip S. Naimo, Yves d'Udekem, Robert G. Weintraub, Christian P. Brizard, Igor E. Konstantinov Tags: How-To-Do-It Source Type: research

Inspiratory Muscle Training Improves Inspiratory Muscle Strength and Functional Exercise Capacity in Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension: A Pilot Randomised Controlled Study
Exercise intolerance is present even in the early stages of pulmonary arterial hypertension (PAH) and is associated with poorer prognosis. Respiratory muscle dysfunction is common and may contribute to exercise limitation. We sought to investigate the effects of inspiratory muscle training (IMT) to improve exercise capacity in PAH. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 7, 2020 Category: Cardiology Authors: Derek Tran, Phillip Munoz, Edmund M.T. Lau, Jennifer A. Alison, Martin Brown, Yizhong Zheng, Patricia Corkery, Keith Wong, Steven Lindstrom, David S. Celermajer, Glen M. Davis, Rachael Cordina Tags: Original Article Source Type: research

Letter to the Editor: CSANZ Consensus Guidelines for Interventional Cardiology Services Delivery During COVID-19 Pandemic in Australia and New Zealand
We read with interest the publication of an Australian/New Zealand Consensus Statement on Cardiovascular Disease and COVID-19 [1]. This followed the release of the CSANZ Consensus Guidelines for Interventional Cardiology Services during the COVID-19 Pandemic [2]. Both documents correctly refer to select circumstances where fibrinolysis may need to be considered for ST elevation myocardial infarction (STEMI) treatment. However, we are concerned that some cardiac services have interpreted these statements as a rationale to convert to a routine fibrinolysis strategy for all patients with STEMI rather than maintaining a primar...
Source: Heart, Lung and Circulation - July 6, 2020 Category: Cardiology Authors: Kiran Sarathy, Mark Pitney, Pamela Konecny, Nigel Jepson Tags: Letter to the Editor Source Type: research

The Effects of Aerobic Exercise on N-terminal Pro-B-type Natriuretic Peptide and Cardiopulmonary Function in Patients with Heart Failure: A Meta-analysis of Randomized Clinical Trials
Aerobic exercise (AEx) improves outcomes in heart failure (HF). N-terminal pro B-type natriuretic peptide (NT-pro-BNP) is a prognosticator in HF. There are few data on the association of AEx, NT-pro-BNP, and cardiopulmonary function; hence, robust evidence is needed. The aim of this study was to measure the effects of AEx on NT-pro-BNP levels and cardiopulmonary function in HF. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 6, 2020 Category: Cardiology Authors: Anwar Santoso, Rido Maulana, Fatimah Alzahra, Hawani Sasmaya Prameswari, Ade Meidian Ambari, Anggoro Budi Hartopo, Irsad Andi Arso, Basuni Radi Tags: Original Article Source Type: research

Cardiovascular Disease in Women: From Pathophysiology to Novel and Emerging Risk Factors
Cardiovascular disease is the leading cause of death in Australian women, as well as men, with clear disparities in treatment and outcomes between the sexes. Moreover, disease pathophysiology differs between the sexes, with women more likely to suffer from microvascular coronary disease, endothelial dysfunction and heart failure with preserved ejection fraction, as compared to men, who are more likely to experience macrovascular disease or heart failure with reduced ejection fraction. Evidence suggests that both traditional and novel cardiovascular risk factors are often under-recognised and under-treated in women. (Source...
Source: Heart, Lung and Circulation - July 6, 2020 Category: Cardiology Authors: Lucy Geraghty, Gemma A. Figtree, Aletta E. Schutte, Sanjay Patel, Mark Woodward, Clare Arnott Tags: Review Source Type: research

Spontaneous Coronary Artery Dissection and Fibromuscular Dysplasia: Vasculopathies With a Predilection for Women
The burden of cardiovascular disease in women is being increasingly appreciated. Nevertheless, both clinicians and the general public are largely unaware that cardiovascular disease is the leading cause of death worldwide in women in all countries and that outcomes after a heart attack are worse for women than men. Of note, certain types of cardiovascular disease have a predilection for women, including spontaneous coronary artery dissection (SCAD) and fibromuscular dysplasia (FMD). Although uncommon, SCAD is being increasingly recognised as the cause of an acute coronary syndrome (ACS) and can recur. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 6, 2020 Category: Cardiology Authors: Siiri E. Iismaa, Stephanie Hesselson, Lucy McGrath-Cadell, David W. Muller, Diane Fatkin, Eleni Giannoulatou, Jason Kovacic, Robert M. Graham Tags: Original Article Source Type: research

Adult Congenital Heart Disease Survivors at Age 50 Years: Medical and Psychosocial Status
Although advances in congenital heart disease (CHD) management have allowed survival of children with even highly complex CHD lesions well into adult life, the burden of disease (medical, psychological and social) has not been well characterised, for those living to middle age and beyond. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 6, 2020 Category: Cardiology Authors: Rajan Rehan, Irina Kotchetkova, Rachael Cordina, David Celermajer Tags: Original Article Source Type: research

Preoperative Neutrophil and Lymphocyte Ratio as a Predictor of Mortality and Morbidity After Cardiac Surgery
This study aimed to investigate the association between preoperative neutrophil to leucocyte ratio (NLR) after cardiac surgery. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 6, 2020 Category: Cardiology Authors: Cheyaanthan Haran, Damian Gimpel, Helen Clark, David J. McCormack Tags: Original Article Source Type: research

How Does Mental Health Impact Women's Heart Health?
From adolescence until old age, women are more vulnerable to common mental disorders (CMDs; depression and anxiety) than men at all stages of the life course. By middle age, women who have clinical depression are at twice the risk of having an incident cardiovascular disease (CVD) than those without. This has important implications for the way we prevent, identify and treat both CMDs and coronary heart disease in women. In this paper, we discuss the various genetic, biological, ethnic/racial, and psychological pathways by which women's vulnerability to CMDs elevate their CVD risk and recovery from a cardiac event. (Source:...
Source: Heart, Lung and Circulation - July 5, 2020 Category: Cardiology Authors: Adrienne O'Neil, Josephine D. Russell, Barbara Murphy Tags: Original Article Source Type: research

Lung Cancer Surgery in Patients with a History of Coronary Artery Bypass Graft: A Multicentre Study
In this study, we evaluated the general characteristics of patients, the difficulties experienced during and after lung cancer surgery and complications and mortality rates. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 3, 2020 Category: Cardiology Authors: Tevfik Ilker Akcam, Ozgur Samancilar, Serkan Yazgan, Kenan Can Ceylan, Celalettin Ibrahim Kocaturk, Celal Bugra Sezen, Cagatay Salim Tezel, Deniz Gurer, Ahmet Sami Bayram, Huseyin Melek, Berker Ozkan, Melike Guler Ulker, Erkan Kaba, Alper Ts Tags: Original Article Source Type: research

Assessment of Disease Progression in Patients With Repaired Tetralogy of Fallot Using Cardiac Magnetic Resonance Imaging: A Systematic Review
Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease with a growing population of adult survivors. Late pulmonary outflow tract and pulmonary valve postoperative complications are frequent, leading to long-term risks such as right heart failure and sudden death secondary to arrhythmias. Cardiac magnetic resonance imaging (CMR) is the gold standard for assessment of cardiac function in patients with repaired ToF. We aimed to determine the most useful CMR predictors of disease progression and the optimal frequency of CMR. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 2, 2020 Category: Cardiology Authors: Ibtihalat Mohamed, Rosemary Stamm, Ross Keenan, Boris Lowe, Sean Coffey Tags: Review Source Type: research

Supportive Care Interventions to Promote Health-Related Quality of Life in Patients Living with Heart Failure: A Systematic Review and Meta-Analysis
Supportive care (physical, psychosocial, and spiritual) may be beneficial as a coping resource in the care of patients with heart failure (HF). Nurses may provide individualised supportive care to offer positive emotional support, enhance the patients' knowledge of self-management, and meet the physical and psychosocial needs of patients with HF. The aim of this study was to examine the potential effectiveness of supportive care interventions in improving the health- related quality of life (HRQoL) of patients with HF. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 2, 2020 Category: Cardiology Authors: Martha Kyriakou, Nicos Middleton, Sofia Ktisti, Katerina Philippou, Ekaterini Lambrinou Tags: Review Source Type: research

Collateral Damage: The Cardiovascular Cost of Suppressing COVID-19 Transmission in Australia
(Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - July 1, 2020 Category: Cardiology Authors: Dona H. Adikari, Virag V. Kushwaha, Nigel S. Jepson Tags: Editorial Source Type: research

CT-Derived Fractional Flow Reserve (CT-FFR) in the Evaluation of Coronary Artery Disease
Fractional flow reserve derived from coronary computed tomography enables anatomical and haemodynamic assessment of coronary artery disease in a single non-invasive test. Its diagnostic performance has been established against invasive fractional flow reserve in multi-centre trials, and a growing body of evidence has demonstrated its utility in predicting clinical outcomes. The purpose of this article is to describe the physiological principles, review its diagnostic performance, and describe the role of this technology in a real world clinical application. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 26, 2020 Category: Cardiology Authors: Nancy Khav, Abdul Rahman Ihdayhid, Brian Ko Tags: Review Source Type: research

Impact of Individual Patient Profiles on Adherence to Guideline Directed Medical Therapy in Heart Failure With Reduced Ejection Fraction: VCOR-HF Study
Multiple co-morbidities complicate initiation of medical therapy in patients with heart failure with reduced ejection fraction (HFrEF). Adherence to guidelines based on individual patient profiles is not well described. This paper examines the effect of individual patient profiles on guideline recommended therapies for HFrEF. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 24, 2020 Category: Cardiology Authors: Andrea Driscoll, Diem Dinh, James Wong, Ingrid Hopper, Justin Mariani, Hendrik Zimmet, Angela Brennan, Jeffery Lefkovits, Harriet Carruthers, Christopher M. Reid Tags: Original Article Source Type: research

Impact of Preoperative Occult Renal Dysfunction on Early and Late Outcomes After Off-Pump Coronary Artery Bypass
This study aimed to investigate the effects of ORD on early and late outcomes after OPCABG. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 23, 2020 Category: Cardiology Authors: Mengwei Lv, Bo Hu, Wen Ge, Zhi Li, Qi Wang, Chunyan Han, Ban Liu, Yangyang Zhang Tags: Original Article Source Type: research

Post Cardiotomy Extra Corporeal Membrane Oxygenation: Australian Cohort Review
Over the last two decades, technological advancements in the delivery of extra corporeal membrane oxygenation (ECMO) have seen its use broaden and results improve. However, in the post cardiotomy ECMO patient group, survival remains very poor without significant improvements over the last two decades. Our study aims to report on the Australian experience, with the intention of providing background data for the formation of guidelines in the future. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 22, 2020 Category: Cardiology Authors: James Farag, Robyn Summerhayes, Rong Shen, Michael Bailey, Jenni Williams-Spence, Christopher M. Reid, Silvana F. Marasco Tags: Original Article Source Type: research

Berlin Heart EXCOR Support in the First Year of Life: A Single Centre Experience
Berlin Heart EXCOR Pediatric Ventricular Assist Device (BHE) is used worldwide for mechanical circulatory support as a bridge to transplantation or recovery for children with end-stage heart failure. The study aim was to evaluate morbidity and mortality of children less than one year old supported with BHE to identify predictors of adverse outcomes. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 22, 2020 Category: Cardiology Authors: Laura M. Davis, Melissa G.Y. Lee, Bennett J. Sheridan, Yves d ’Udekem, Christian P. Brizard, Igor E. Konstantinov, Jacob Mathew, Johann Brink Tags: Original Article Source Type: research

Effect of Cardiac Surgery on Health-Related Quality of Life in Patients Aged 75  Years or Older: A Prospective Study
Health-related quality of life (HRQoL) of patients, aged 75 years or older, was measured before and at 12  weeks after cardiac surgery using a generic tool (SF12 version 2). (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 18, 2020 Category: Cardiology Authors: Maxine Anderson, Rachael Parke, Andrew Jull Tags: Original Article Source Type: research

Clinical Outcomes in Older Patients Undergoing Percutaneous Coronary Intervention for Non-ST-Elevation Acute Coronary Syndromes
The objective of this study was to describe contemporary outcomes of older patients with NSTEACS undergoing PCI and identify pre-procedural risk factors for MACCE. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 17, 2020 Category: Cardiology Authors: Michael Lim, Diem T. Dinh, Angela Brennan, Danny Liew, Christopher Reid, Jeffrey Lefkovits, Stephen J. Duffy, Nick Andrianopoulos, Dion Stub, VCOR Investigators Tags: Original Article Source Type: research

Performance of the Corevalve Evolut R and PRO in Severely Calcified Anatomy: A  Propensity Score Matched Analysis
This study investigated the performance of Evolut R and PRO in this special patient subset. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 16, 2020 Category: Cardiology Authors: Kerstin Piayda, Katharina Hellhammer, Verena Veulemans, Shazia Afzal, Houtan Heidari, Anna Christina Wimmer, Maryam Al Juburi, Gerald Antoch, Malte Kelm, Tobias Zeus Tags: Original Article Source Type: research

RARAY Operation: Operative Description and Early Results for Achieving Total Arterial Coronary Revascularisation
Total arterial revascularisation may prolong postoperative survival following coronary surgery (CABG) due to avoidance of late saphenous vein graft (SVG) failure leading to ischaemic cardiac events. The left internal mammary artery (LIMA) is routinely used for CABG but harvest may adversely affect lung function and reduce sternal vascular supply. Early experience of a novel reconstruction with exclusive reliance on two radial arteries (RA) joined as a Y graft (RARAY) is presented. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 16, 2020 Category: Cardiology Authors: Alistair G. Royse, Stuart Boggett, Viju Abraham, Colin F. Royse Tags: Original Article Source Type: research

Successful Identification and Resection of a Peripherally Located Left Lower Lobe Inhaled Foreign Body Using Indocyanine  Green
Intraoperative fluorescence imaging (IFI) is the utilisation of a fluorescence-emitting contrast agent and imaging system to enhance the surgeon ’s ability to perform an operation. Indocyanine green (ICG) is the most commonly used fluorescence-emitting contrast agent for this purpose. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 14, 2020 Category: Cardiology Authors: Hajar Hasan Kheslat, Elizabeth Dean, Harsh Singh Tags: Image Source Type: research

Novel Oral Anticoagulants Compared to Warfarin for Postoperative Atrial Fibrillation After Isolated Coronary Artery Bypass Grafting
Postoperative atrial fibrillation (POAF) is common after cardiac surgery and contributes to short- and long-term morbidity, particularly thromboembolism. Anticoagulation for sustained or recurrent POAF is suggested to reduce thromboembolism. Novel oral anticoagulants may present a safe alternative to warfarin with further benefits including shorter hospital length of stay and better patient convenience. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 14, 2020 Category: Cardiology Authors: Kei Woldendorp, Sam Khadra, Paul G. Bannon, Benjamin M. Robinson Tags: Original Article Source Type: research

Outcomes of Totally Endoscopic Beating-Heart Tricuspid Repair in Redo Cardiac Surgery
The role of endoscopic surgery in treating late severe tricuspid regurgitation after cardiac surgery has not been well investigated. The aim of this study was to evaluate the outcomes of a combination of a beating-heart, minimally invasive approach and a leaflet-augmentation technique in treating tricuspid regurgitation after cardiac surgery. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 14, 2020 Category: Cardiology Authors: Zerui Chen, Yingjie Ke, Xujing Xie, Huiming Guo, Qingshi Zeng, Huanlei Huang Tags: Original Article Source Type: research

Leptin and the Retinal Microvasculature in Young Black and White Adults: The  African-PREDICT Study
Leptin is a vasoactive peptide that has been linked to diseases associated with macrovascular deterioration. What is still uncertain is its involvement in the microvasculature. Since microvascular changes are presumed to precede macrovascular deterioration, we examined whether measures of the retinal microvasculature are associated with leptin in healthy, young Black and White individuals. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 13, 2020 Category: Cardiology Authors: Blessing Osemengbe Ahiante, Wayne Smith, Leandi Lammertyn, Aletta Elisabeth Schutte Tags: Original Article Source Type: research

Performance and Safety of Transfemoral TAVI With SAPIEN XT in Australian Patients With Severe Aortic Stenosis at Intermediate Surgical Risk: SOLACE –AU Trial
To determine the safety and performance of the SAPIEN XT transcatheter heart valve (THV) in Australian patients with severe aortic stenosis (AS) and intermediate surgical risk. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 11, 2020 Category: Cardiology Authors: Gerald Yong, Tony Walton, Martin Ng, Ronen Gurvitch, Stephen Worthley, Robert Whitbourn, Nigel Jepson, Ravinay Bhindi, Kan Shang, Ajay Sinhal Tags: Original Article Source Type: research

In-hospital Prognostic Value of Electrocardiographic Parameters Except ST-Segment Changes in Acute Myocardial Infarction: Literature Review and Future Perspectives
Electrocardiography (ECG) remains an irreplaceable tool in the management of the patients with myocardial infarction, with evaluation of the QRS and ST segment being the present major focus. Several ECG parameters have already been proposed to have prognostic value with regard to both in-hospital and long-term follow-up of patients. In this review, we discuss various ECG parameters other than ST segment changes, particularly with regard to their in-hospital prognostic importance. Our review not only evaluates the prognostic segments and parts of ECG, but also highlights the need for an integrative approach in a big  d...
Source: Heart, Lung and Circulation - June 11, 2020 Category: Cardiology Authors: Mert İlker Hayıroğlu, Ishan Lakhani, Gary Tse, Tufan Çınar, Göksel Çinier, Ahmet İlker Tekkeşin Tags: Review Source Type: research

Gender Disparities in Clinical Outcome After Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy in the Chinese Han  Population: A Cohort Study
Sex differences in the long-term prognosis of symptomatic hypertrophic obstructive cardiomyopathy (HOCM) patients undergoing alcohol septal ablation (ASA) remain unclear, especially in the Chinese Han population. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 11, 2020 Category: Cardiology Authors: Yong Wang, Hong-wei Zhao, Cheng-fu Wang, Qing-kun Meng, Chun-sheng Cui, Xiao-jiao Zhang, Yu Zhu, Chun-yu Fan, De-feng Luo, Bao-jun Chen, Bo Luan, Ai-jie Hou Tags: Original Article Source Type: research

Contemporary Outcomes of Pulmonary Valve Endocarditis: A 16-Year Single Centre Experience
Limited data exist regarding the clinical characteristics and contemporary outcomes of patients with pulmonary valve (PoV) infective endocarditis (IE). (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 11, 2020 Category: Cardiology Authors: Nicolas Isaza, Nabin K. Shrestha, Steven Gordon, Gosta B. Pettersson, Shinya Unai, Maria Vega Brizneda, James C. Witten, Brian P. Griffin, Bo Xu Tags: Original Article Source Type: research

Determinants of Diastolic Dysfunction Following Myocardial Infarction: Evidence for Causation Beyond Infarct  Size
This study sought to define the determinants of severe DD (restrictive mitral inflow pattern on Doppler echocardiography [RFP]) in patients with a first-ever MI, with particular emphasis on the impact of infarct size. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 11, 2020 Category: Cardiology Authors: Sandhir B. Prasad, Andrew Lin, Christopher Kwan, Joanne Sippel, John F. Younger, Christopher Hammett, Liza Thomas, John J. Atherton Tags: Original Article Source Type: research

Meta-Analysis of Bleeding Scores Performance for Acute Coronary Syndrome
Bleeding is a common and frequently devastating complication in acute coronary syndrome (ACS). It is critical to evaluate in the current era of ACS management involving invasive strategies and potent anti-thrombotics. Risk models remain under-utilised in this setting but may guide the choice and duration of therapy. We compared their performances for predicting bleeding in ACS patients in this meta-analysis. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 9, 2020 Category: Cardiology Authors: Tom Kai Ming Wang, Ojas Hrakesh Mehta, Yi-Wen Becky Liao, Michael Tzu Min Wang, Ralph Stewart, Harvey White Tags: Original Article Source Type: research

Clinical Utility of Stress Echocardiography in Remote Indigenous and Non-Indigenous Populations: A 10-Year Study in Central Australia
Remote Central Australia has a large Indigenous population and a significant burden of cardiovascular disease. Stress echocardiography has been previously validated as a useful investigation for long-term prognostication. However, there are no prior studies assessing its utility in remote or Indigenous populations. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 7, 2020 Category: Cardiology Authors: Seshika Ratwatte, Benedict Costello, Nadarajah Kangaharan, Katrina Bolton, Amrina Kaur, Wendy Corkill, Bernhard Kuepper, Bradley Pitman, Prashanthan Sanders, Christopher X. Wong Tags: Original Article Source Type: research

SARS-CoV-2 Infection and Cardiovascular Disease: COVID-19 Heart
Coronavirus disease (COVID-19) is a serious illness caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The symptoms of the disease range from asymptomatic to mild respiratory symptoms and even potentially life-threatening cardiovascular and pulmonary complications. Cardiac complications include acute myocardial injury, arrhythmias, cardiogenic shock and even sudden death. Furthermore, drug interactions with COVID-19 therapies may place the patient at risk for arrhythmias, cardiomyopathy and sudden death. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 5, 2020 Category: Cardiology Authors: Bishnu P. Dhakal, Nancy K. Sweitzer, Julia H. Indik, Deepak Acharya, Preethi William Tags: Review Source Type: research

Managing Infective Endocarditis: What Lies Behind the High Mortality Rate and What Can We Do About it?
In this edition of Heart, Lung and Circulation, Holland et al. from a large Brisbane, Australia, hospital report their total experience of infective endocarditis (IE) over a 5-year period [1]. They report on 204 consecutive cases, of which 70% were community-acquired and 30% were associated with health care, in particular with haemodialysis for renal failure. Out of all patients, 23% were in the context of intravenous drug use (IVDU). Staphylococcus aureus was the most commonly isolated organism in 45% of patients overall but was in 66% of the IVDU patients. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 1, 2020 Category: Cardiology Authors: Andrew Cochrane, William Shi Tags: Editorial Source Type: research

Corrigendum to “Risks and Challenges of Surgery for Aortic Prosthetic Valve Endocarditis” [Heart Lung Circ. 27(March (3)) (2018) 333–343]
The authors regret that in the original publication there was a spelling mistake in the name of one of the authors. Mr. Wajahat Tarar has been mistakenly spelled “Waharat Tarar”. Subsequently his publication will be, found when entering his name into search bar of NCBI, PubMed. For further questions please do not hesitate to contact us (wajahat.tarar@charite.de). (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 1, 2020 Category: Cardiology Authors: Herko Grubitzsch, Wajahat Tarar, Benjamin Claus, Davide Gabbieri, Volkmar Falk, Torsten Christ Tags: Corrigendum Source Type: research

Editorial Board
(Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 1, 2020 Category: Cardiology Source Type: research

Heart Foundation
(Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - June 1, 2020 Category: Cardiology Source Type: research

COVID-19 – Does This Disease Kill Due to Imbalance of the Renin Angiotensin System (RAS) Caused by Genetic and Gender Differences in the Response to Viral ACE 2 Attacks?
Debate continues in the medical literature on the role of the renin angiotensin system (RAS) in Coronavirus disease 2019 (COVID-19) pathophysiology and the implications for the use of cardiovascular drugs acting on the RAS. Could these drugs – which include angiotensin converting enzyme inhibitors (ACEIs) and angiotensin receptors blockers (ARBs) – be harmful or potential key therapeutic agents in COVID-19? (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - May 25, 2020 Category: Cardiology Authors: Ruth H. Arnold Source Type: research

Three-dimensional Printing, Virtual Reality and Mixed Reality for Pulmonary Atresia: Early Surgical Outcomes Evaluation
Single-stage unifocalisation for pulmonary atresia (PA) with ventricular septal defect (VSD) and major aortopulmonary collateral arteries (MAPCA) requires a high degree of three-dimensional (3D) anatomical imagination. A previous study has reported the application of a 3D-printed heart model with virtual reality (VR) or mixed reality (MR). However, few studies have evaluated the surgical outcomes of the 3D model with VR or MR in PA/VSD patients. (Source: Heart, Lung and Circulation)
Source: Heart, Lung and Circulation - May 23, 2020 Category: Cardiology Authors: Jianzheng Cen, Rong Liufu, Shusheng Wen, Hailong Qiu, Xiaobin Liu, Xiaokun Chen, Haiyun Yuan, Meiping Huang, Jian Zhuang Tags: Original Article Source Type: research