• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

A figure of eight and a circle within a circle: is this left ventricular geometry responsible for multiple embolic strokes two years after inferior wall myocardial infarction?
An 83-year-old, 165 cm, 67 kg man with hypertension, hyperlipidemia, and stage III chronic kidney disease presented for evaluation after several strokes. The patient suffered an inferior wall myocardial infarction two years before the current admission and more recently, underwent placement of a stent in the left circumflex coronary artery at a community hospital for treatment of a hemodynamically significant stenosis. The patient reported he was physically active after his most recent stroke with improved strength in his right upper and lower extremities.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 23, 2020 Category: Anesthesiology Authors: Ryan M. Davidovich, Benjamin M. Mathews, Zafar Iqbal, Xavier V. Jean, Heather A. Sutter, G. Hossein Almassi, Paul S. Pagel Source Type: research

Torsades de Pointes in Coronavirus Disease 2019 Infection
A 73-YEAR-OLD MAN (weight 69 kg, height 175 cm) was transferred to the authors ’ critical care unit with respiratory and acute renal failure secondary to coronavirus disease 2019 (COVID-19) infection. His past medical history included hypertension, diabetes, and previous stroke, from which he had made a full recovery. The patient was treated with mechanical ventilation and p eritoneal dialysis. He was recruited into the hydroxychloroquine arm of the RECOVERY (Randomised Evaluation of COVID-19 Therapy) trial.
Source: Journal of Cardiothoracic and Vascular Anesthesia - July 31, 2020 Category: Anesthesiology Authors: Bagrat Lalabekyan, Gudrun Kunst, Vanessa A. Skelton Tags: Diagnostic Dilemma Source Type: research

CHA2DS2-VASc Score and In-Hospital Mortality in Critically Ill Patients With New-Onset Atrial Fibrillation
To examine the role of the CHA2DS2-VASc (Congestive heart failure; Hypertension; Age ≥75 years [doubled]; Diabetes; previous Stroke, transient ischemic attack, or thromboembolism [doubled]; Vascular disease; Age 65-75 years; and Sex category) score as a prognostic marker of in-hospital mortality in critically ill patients who develop new-onset atrial fibrillation (NOAF).
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 29, 2019 Category: Anesthesiology Authors: Kunal Karamchandani, Robert S. Schoaps, Thomas Abendroth, Zyad J. Carr, Tonya S. King, Anthony Bonavia Tags: Original Article Source Type: research

Hypertension in Post-Bypass Acute Kidney Injury: Not Just About Systolic and Diastolic Blood Pressures?
Pulse pressure (PP), defined as the difference between the systolic and diastolic blood pressure, is proportional to volume change in the aorta (or stroke volume) and inversely proportional to arterial compliance.1 The main contributory factor to poor vascular compliance is aging of the vasculature, leading to central vasculature stiffness.2 In the cardiac surgical patient, common cardiovascular comorbidities such as hypertension, hyperlipidemia, and impaired glucose tolerance also contribute to stiffness by altering the extracellular matrix in the arterial wall.
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 26, 2019 Category: Anesthesiology Authors: Li Ying Koh, Nian Chih Hwang Tags: Editorial Source Type: research

The HAS-BLED Score is Associated With Major Bleeding in Patients After Cardiac Surgery
The Hypertension, Abnormal renal/liver function, Stroke, Bleeding history or predisposition, Labile international normalized ratio, Elderly, Drugs/alcohol (HAS-BLED) score has been developed to predict the risk of potential bleeding in anticoagulated patients affected by atrial fibrillation. The aim of this study was to test the hypothesis that the HAS-BLED score is associated with major bleeding also in patients after cardiac surgery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - February 4, 2019 Category: Anesthesiology Authors: Gianluca Santise, Saverio Nardella, Francesco Migliano, Alessandro Testa, Daniele Maselli Tags: Original Article Source Type: research

A Rare Cause of Stroke FourWeeks After Ascending Aortic Aneurysm Repair
A 71-YEAR-OLD, 97 kg, 178 cm man with a history of a slowly expanding 5.4 cm ascending aortic aneurysm, bicuspid aortic valve disease without stenosis, hypertension, hyperlipidemia, type II diabetes mellitus, and hemodynamically insignificant coronary artery disease underwent ascending aortic replacement using a woven synthetic graft. The patient's postoperative course was complicated by persistent sternal drainage that required exploration, evacuation of pericardial fluid, and antibiotic treatment, but he otherwise made an uneventful recovery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 4, 2018 Category: Anesthesiology Authors: Graham E.D. Hill, Patrick S. Aranda, Julie F. Harvey, Timothy J. Olund, G. Hossein Almassi, Lyle D. Joyce, Paul S. Pagel Tags: Diagnostic Dilemma Source Type: research

A Rare Cause of Stroke Four Weeks After Ascending Aortic Aneurysm Repair
A 71-YEAR-OLD, 97 kg, 178 cm man with a history of a slowly expanding 5.4 cm ascending aortic aneurysm, bicuspid aortic valve disease without stenosis, hypertension, hyperlipidemia, type II diabetes mellitus, and hemodynamically insignificant coronary artery disease underwent ascending aortic replacement using a woven synthetic graft. The patient's postoperative course was complicated by persistent sternal drainage that required exploration, evacuation of pericardial fluid, and antibiotic treatment, but he otherwise made an uneventful recovery.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 3, 2018 Category: Anesthesiology Authors: Graham E.D. Hill, Patrick S. Aranda, Julie F. Harvey, Timothy J. Olund, G. Hossein Almassi, Lyle D. Joyce, Paul S. Pagel Tags: Diagnostic Dilemma Source Type: research

Double-Barrel Proximal Thoracic Aorta or Horrific Complication of Endocarditis?
A 76-YEAR-OLD man with hypertension, hyperlipidemia, and a recent embolic stroke was admitted to the authors’ institution for evaluation of progressive dyspnea. The patient’s past medical history was notable for an aortic valve replacement with a mechanical prosthesis. He did well for approximately 30 years after surgery before he presented to a community hospital with a non-ST segment elevation myocardial infarction that was treated with metoprolol and a bare metal stent (first obtuse marginal branch of the left circumflex coronary artery).
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 8, 2014 Category: Anesthesiology Authors: Andrew R. Schroeder, Joseph E. Strosin, Izabela Jugovac, Zahir A. Rashid, Paul S. Pagel Tags: Diagnostic DilemmasSection Editor? > Source Type: research

Detailed Insight Into the Impact of Postoperative Neuropsychiatric Complications on Mortality in a Cohort of Cardiac Surgery Subjects: A 23,000-Patient-Year Analysis
This study sought to evaluate the impact of postoperative delirium with/without cerebral ischemia on short- and long-term mortality in a large cohort of cardiac surgery patients.Design: The study constituted a prospective cohort observation of patients following various cardiac surgery procedures.Setting: The investigation was conducted in a single high-volume tertiary cardiac surgery center.Participants: Consecutive candidates for cardiac surgery (n = 8,792) from 2003 to 2008 were subjected to the following exclusion criteria: History of any psychiatric disorders, alcohol abuse and intake of psychoactive drugs and incompl...
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 27, 2013 Category: Anesthesiology Authors: Łukasz J. Krzych, Maciej T. Wybraniec, Irena Krupka-Matuszczyk, Michał Skrzypek, Anna Bolkowska, Mirosław Wilczyński, Andrzej A. Bochenek Tags: Original Articles Source Type: research

A Woman With a History of Stroke and a Mass in the Aorta
A 65-YEAR-OLD WOMAN presented with an acute onset of slurred speech and left facial droop. She had a past medical history of Raynaud's disease, well-controlled hypertension, and moderate tricuspid regurgitation, which was being followed by serial transthoracic echocardiographic examinations. A duplex ultrasound of the carotid and vertebral arteries was negative, whereas a magnetic resonance imaging scan of her brain revealed a subacute embolic cerebral infarction. A transesophageal echocardiographic (TEE) examination also was performed during the workup, revealing the presence of moderate-to-severe tricuspid regurgitation ...
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 26, 2012 Category: Anesthesiology Authors: Robina Matyal, Angela Wang, Bilal Mahmood, Kamal Khabbaz, Feroze Mahmood Tags: Diagnostic Dilemmas Source Type: research