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Multi-device complete revascularisation of severely calcified multi-vessel coronary artery disease with left ventricle support of Impella CP under Swan-Ganz catheter monitoring
Kardiol Pol. 2023 Sep 3. doi: 10.33963/v.kp.96978. Online ahead of print.NO ABSTRACTPMID:37660379 | DOI:10.33963/v.kp.96978 (Source: Kardiologia Polska)
Source: Kardiologia Polska - September 3, 2023 Category: Cardiology Authors: Jan Roczniak Micha ł Chyrchel Artur Pawlik Rafa ł Januszek Marcin Wizimirsk Stanis ław Bartuś Source Type: research

Multi-device complete revascularisation of severely calcified multi-vessel coronary artery disease with left ventricle support of Impella CP under Swan-Ganz catheter monitoring
Kardiol Pol. 2023 Sep 3. doi: 10.33963/v.kp.96978. Online ahead of print.NO ABSTRACTPMID:37660379 | DOI:10.33963/v.kp.96978 (Source: Polish Heart Journal)
Source: Polish Heart Journal - September 3, 2023 Category: Cardiology Authors: Jan Roczniak Micha ł Chyrchel Artur Pawlik Rafa ł Januszek Marcin Wizimirsk Stanis ław Bartuś Source Type: research

Raising the bar: setting a new standard for invasive hemodynamics in heart failure
The introduction of the Swan Ganz pulmonary artery catheter (PAC) in the 1970s revolutionized the management of heart failure. Invasive hemodynamics with a PAC established that the physiology of the failing heart was not simply a state of impaired contractility but also of high systemic vascular resistance ushering in a new era of vasodilator therapeutics for heart failure.1 In the early 2000 ’s the routine use of invasive hemodynamics to guide the optimization of patients of acute heart failure was discouraged by the ESCAPE trial, and together with other observational studies suggesting possible harm, led to a dramatic ...
Source: Journal of Cardiac Failure - September 1, 2023 Category: Cardiology Authors: Esther Vorovich, Joel D. Schilling Tags: Editorial Comment Source Type: research

Distal ventriculoperitoneal shunt catheter migration into the pulmonary artery: a rare complication
We report a case of a 60-year-old male who underwent ventriculoperitoneal shunt implantation for the treatment of post-traumatic hydrocephalus. Thirteen months post- surgery, after an initial clinical improvement, the patient manifested gait and cognitive disorders. Chest X-rays and computed tomography revealed that the distal shunt catheter had migrated into the pulmonary artery. The catheter was removed by reopening the previous retroauricular incision followed by manual traction, without incidents. A new peritoneal catheter was implanted with immediate clinical improvement and no further complications two years after th...
Source: Anales del Sistema Sanitario de Navarra - August 24, 2023 Category: General Medicine Authors: Pelayo Hevia-Rodr íguez Mikel Armendariz-Guezala Jos é Undabeitia-Huertas Source Type: research

Standardization of the Right Heart Catheterization and the Emerging Role of Advanced Hemodynamics in Heart Failure
The accurate assessment of hemodynamics is paramount to provide timely and efficacious care for patients presenting in cardiogenic shock. Monitoring of intracardiac pressures and cardiac output (CO) with a pulmonary artery catheter (PAC) has been an integral part of care for patients with heart failure (HF) dating back to the 1970s as it allows for an objective assessment of both congestion and perfusion for a given patient (1). The use of the PAC in the routine care of patients with HF declined abruptly in the early 2000s after several studies, most notably the ESCAPE Trial, failed to show a survival benefit (2-5). (Sourc...
Source: Journal of Cardiac Failure - August 24, 2023 Category: Cardiology Authors: Jonathan Grinstein, Brian A. Houston, Ann B. Nguyen, Bryan A. Smith, Annalyse Chinco, Sean P. Pinney, Ryan J. Tedford, Mark N. Belkin Tags: Review Article Source Type: research

Updated Hemodynamic Definition and Classification of Pulmonary Hypertension
Semin Respir Crit Care Med. 2023 Aug 18. doi: 10.1055/s-0043-1770115. Online ahead of print.ABSTRACTPulmonary hypertension (PH) is a pathophysiological manifestation of a heterogeneous group of diseases characterized by abnormally elevated pulmonary arterial pressures diagnosed on right heart catheterization. The 2022 European Society of Cardiology (ESC) and European Respiratory Society (ERS) Guidelines for the diagnosis and treatment of PH provides a new hemodynamic definition to define PH by lowering the threshold of the mean pulmonary artery pressure (mPAP) to 20 mm Hg. Precapillary PH is thus now defined as a mPAP >...
Source: Respiratory Care - August 18, 2023 Category: Respiratory Medicine Authors: Benoit Lechartier Mithum Kularatne Xavier Ja ïs Marc Humbert David Montani Source Type: research

Anomalous origin of the left coronary artery from the right pulmonary artery
2D echo image without color showed no abnormalities of coronary artery. However, 3D contrast-enhanced CT revealed the LCA diverged from the right PA instead of the main PA. Key Clinical MessageALCAPA should be considered in the differential diagnosis of myocarditis, and contrast-enhanced CT or catheterization should be considered even if coronary artery abnormalities are not detected on echocardiography. (Source: Clinical Case Reports)
Source: Clinical Case Reports - August 18, 2023 Category: General Medicine Authors: Takeo Mukai, Kenji Waki Tags: CASE IMAGE Source Type: research

Updated Hemodynamic Definition and Classification of Pulmonary Hypertension
Semin Respir Crit Care Med DOI: 10.1055/s-0043-1770115Pulmonary hypertension (PH) is a pathophysiological manifestation of a heterogeneous group of diseases characterized by abnormally elevated pulmonary arterial pressures diagnosed on right heart catheterization. The 2022 European Society of Cardiology (ESC) and European Respiratory Society (ERS) Guidelines for the diagnosis and treatment of PH provides a new hemodynamic definition to define PH by lowering the threshold of the mean pulmonary artery pressure (mPAP) to 20 mm Hg. Precapillary PH is thus now defined as a mPAP >20 mm Hg together with a normal pulmonary ...
Source: Seminars in Respiratory and Critical Care Medicine - August 18, 2023 Category: Respiratory Medicine Authors: Lechartier, Benoit Kularatne, Mithum Ja ïs, Xavier Humbert, Marc Montani, David Tags: Review Article Source Type: research